Danish Journal of Obstetrics and Gynaecology

Exchanging intimacy for favors and nude photos among ninth graders

2023-11-27T20:08:25+00:00

Introduction: Sharing nude photos and exchanging intimacy favors transcends the threshold from hidden and private content into public consciousness. Ever-present is the differentiation between an image shared by consent and those not consented to and distributed as part of harassment, revenge and abuse. Similarly, the continuum of exchanging intimacy moves across normative boundaries some see as unproblematic and occur in many sexual and romantic encounters, while others can be experienced as problematic. The purpose of this quantitative study is in a low-risk setting to investigate basic characteristics in the spread of the phenomenon of sugar-dating and nude photo sharing among adolescents.

Methods: An anonymous questionnaire was sent to all 9^th grade classes at schools in a single Danish municipality for three consecutive years from 2020 to 2022 with pupils and teachers not notified in advance. The survey included questions on gender identity, sugar-dating, sharing nude photos, and, from 2022, consent and setting up boundaries to sex.

Results: Of 729 pupils 541 (74%) answered the questionnaire. More pupils with sexual debut sent nude photos of themselves via tablet/phones/computers, received nude photos and had passed them on than those without sexual debut, while no gender difference was found. More than four times as many pupils had received nude photos than pupils who had sent nudes of themselves. Ten percent stated they had exchanged intimacy for favors like presents or entry to parties; the intimacy act was spelled out as oral sex, hand job or sexual intercourse (vaginal penetration). Sugar-dating and knowledge hereof were associated with sexual debut but was not exclusively performed by debutants. Of those who gave sexual favors, 40% were non-debutant pupils.

Conclusion: The survey found a 10 % prevalence of sugar-dating and 53 % receiving nude photos amongst 9th graders. The implication of the phenomena on behavior has obvious perspectives on adolescents’ mental and physical health.

Obstetrical and neonatal outcomes after single and double gamete donation

2023-10-30T11:45:41+00:00

Introduction: An increasing number of women and couples need oocyte donation to help achieve pregnancy. Several studies have found a correlation between the use of oocyte donation and adverse obstetrical outcomes such as gestational hypertension and preeclampsia. A possible additive risk in using double donation (oocyte and sperm donation) compared to the use solely of oocyte donation has been suggested but only sparsely investigated. The aim of this study is to investigate the differences in obstetric and neonatal outcomes after double donation compared to oocyte donation.
Methods: This is a retrospective cohort study of 197 women, who achieved pregnancy after oocyte donation between 2015 and 2022. The primary outcomes investigated were gestational hypertension and preeclampsia. Secondary outcomes were early pregnancy loss, HELLP (Hemolysis, Elevated Liver enzymes, and Low Platelets) syndrome, fetal growth restriction, and gestational diabetes mellitus.
Results: No significant differences between the use of oocyte and double donation were observed, when looking at the risk of developing gestational hypertension (AOR = 1.02, 95%CI = [0.33;3.15], P = 0.97) or preeclampsia (AOR = 2.4, 95%CI = [0.68;8.41], P = 0.17). We observed no significant differences between the two groups regarding any of the secondary outcomes.
Conclusion: This study did not find an increased risk of obstetrical or neonatal complications such as preeclampsia, gestational diabetes mellitus, or fetal growth restriction after double donation compared to oocyte donation.

Vaginal laser therapy for urogenital symptoms in postmenopausal women and breast cancer survivors

2023-11-15T20:05:52+00:00

Introduction: Genitourinary syndrome of menopause (GSM) is common after natural menopause as well as in women with induced menopause due to endocrine therapy and/or oophorectomy following breast cancer. Vaginal laser therapy is a nonhormonal treatment option that appears to alleviate GSM symptoms in natural menopause; however, women with induced menopause may respond differently. The aim of this study was thus to evaluate the efficacy and safety of laser treatment on GSM in postmenopausal women and breast cancer survivors.

Methods: A total of 34 women were enrolled in the study, each completing three treatments at monthly intervals. After each treatment, sexual function was assessed with PISQ-12, urinary incontinence and overactive bladder symptoms were measured using ICIQ-UI SF and ICIQ-OAB, and the improvement of urinary incontinence was measured using PGI-I and PGI-S.

Results: At the time of follow-up, one year after the start of treatment the total PISQ-12 score had significantly increased in both groups compared to baseline (33 to 35.5, difference 2.5, 95% CI: 0.9-4.3). As assessed by ICIQ-UI SF scores, vaginal laser therapy also improved urinary incontinence from 5.3 at baseline to 3.4 at one-year follow-up (difference 1.9, 95% CI:0.4-3.1) for the total group. Improved urgency score from 3.1 at baseline to 2.5 at one-year follow-up (difference 0.7, 95% CI:0.02-1.5) and less leakage after urgency 3.1 at baseline to 2.8 at one-year follow-up (difference 0.8, 95% CI:0.05-1.5) were also reported. No complications were observed.

Conclusion: Vaginal laser therapy appears to be safe and may reduce GSM symptoms in postmenopausal women and breast cancer survivors. Separate randomized controlled studies are needed.

Spontaneous hepatic rupture in pregnancy with initial intrapartum cholestasis of pregnancy

2023-11-08T18:31:09+00:00

Spontaneous hepatic rupture in pregnancy or the puerperium is an extremely rare and life-threatening condition. We present a case in which the patient initially presented with intrahepatic cholestasis of pregnancy and shortly after delivery developed acute spontaneous hepatic rupture. Unlike most other cases, the patient never developed a fulminant syndrome of hemolysis, elevated liver enzymes and low platelet count (HELLP). Early recognition of the syndrome, an aggressive surgical approach with cesarean section and liver packing and blood component therapy contributed to a successful outcome and admission of 27 days.