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- Lalos, Ann, 1953-, et al.
(författare)
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A psychosocial characterization of infertile couples before surgical treatment of the female
- 1985
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Ingår i: Journal of Psychosomatic Obstetrics and Gynaecology. - : Elsevier. - 0167-482X .- 1743-8942. ; 4:2, s. 83-93
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Tidskriftsartikel (refereegranskat)abstract
- Social background and personality characteristics were examined in 30 infertile women with tubal damage and their 29 men. The emotional and social impact of their infertility was investigated using symptom checklists, the Eysenck Personality Inventory and interviews. The infertile couples did not differ with respect to psychosocial background, current life situation, neuroticism or personality characteristics when compared to psychologically normal controls. The infertility had severe emotional and social effects. Grief, depression, guilt, feelings of inferiority and isolation were commonly reported. The women openly admitted more symptoms than their men. Marital relationship was often affected and in particular the effect on sexual life was negative. Relatives and friends could not fulfill a supportive function, and all couples expressed their need for professional support and counselling.
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| 2. |
- Lalos, Ann, 1953-, et al.
(författare)
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Depression, guilt and isolation among infertile women and their partners
- 1986
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Ingår i: Journal of Psychosomatic Obstetrics and Gynaecology. - 0167-482X .- 1743-8942. ; 5:3, s. 197-206
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Tidskriftsartikel (refereegranskat)abstract
- The crisis of infertility has been studied in 30 women with tubal damage and the manner in which it affected their partners over a period of 2 years. Altogether, 4 interviews were carried out with the women, and two with the men. The partners of each couple were interviewed individually on the same day a few weeks before and 2 years after a reconstructive tubal operation. Furthermore, the women were interviewed on the first postoperative day, and 1 month later at the second-look laparoscopy. Most of the symptoms recorded during the interviews could be classified in terms of depression, guilt and isolation. The women generally manifested more depressive symptoms than the men who often suppressed or even denied emotional reactions. Feelings of guilt were more common among the women than among the men. Relatives and friends did not give genuine support — according to the majority of the couples. Pregnant women and other people's children often evoked negative feelings. Social isolation often developed among the infertile women and their partners. In most cases, the crisis of infertility was found to be prolonged, especially among the women. The study indicates that in order to cope with the crisis of infertility, couples require supportive counseling in parallel to the investigation and medical treatment. This counseling should be designed both for the couple as an entity and for the partners separately.Read More: http://informahealthcare.com/doi/abs/10.3109/01674828609016758?prevSearch=allfield%253A%2528lalos%2529&searchHistoryKey=
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| 3. |
- Nilsson, Margareta, 1957-, et al.
(författare)
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Female urinary incontinence : patient-reported outcomes 1 year after midurethral sling operations
- 2012
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Ingår i: International Urogynecology Journal. - : Springer Science and Business Media LLC. - 0937-3462 .- 1433-3023. ; 23:10, s. 1353-1359
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Tidskriftsartikel (refereegranskat)abstract
- INTRODUCTION AND HYPOTHESIS: Although midurethral slings have become standard surgical methods to treat stress urinary incontinence (SUI), little is known about women who still have urinary incontinence (UI) after surgery. This study assesses and compares the patient-reported outcome 12 months after tension-free vaginal tape (TVT), tension-free vaginal tape-obturator (TVT-O), and transobturator tape (TOT), with a special focus on women who still have urinary leakage postoperatively.METHODS: This study analyzed preoperative and 12-month postoperative data from 3,334 women registered in the Swedish National Quality Register for Gynecological Surgery.RESULTS: Among the women operated with TVT (n = 2,059), TVT-O (n = 797), and TOT (n = 478), 67 %, 62 %, and 61 %, respectively, were very satisfied with the result at the 1-year follow-up. There was a significantly higher chance of becoming continent after TVT compared with TOT. In total, 977 women (29 %) still had some form of urinary leakage postoperatively. Among the postoperatively incontinent women who expressed a negative impact of UI on family, social, work, and sexual life preoperatively, considerably fewer reported a negative impact in all domains after surgery. Of those in the postoperatively incontinent group who had coital incontinence preoperatively, 63 % reported a cure of coital incontinence.CONCLUSIONS: The proportion of women very satisfied with the result of the operation did not differ between the three groups. TVT had a higher SUI cure rate than did TOT. Despite urinary leakage 1-year postoperatively, half of the women were satisfied with the result of the operation.
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| 4. |
- Lalos, Othon, 1940-
(författare)
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The response to mechanical distension of the non-pregnant human uterus in vivo
- 1978
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The ability of the uterus to contract in response to mechanical distension has been utilized in the development of a method, hysterometry, for the quantification of hormonal and pharmacological effects on the human myometrium in vivo. The method has been built up with due consideration for laws from mechanics of materials and hydrodynamics. By applying mathematical theorems and accepting certain approximations, the basic results of recordings of intrauterine pressure are transformed inte wall tension, allowing for the size of the uterus. The equivalent of an elasticity modulus in the myometrium has been used as a synthetic discriminator (without any real physiologic correlation) for the evaluation of hormonal and pharmacological effects.Hysterometry har been used for the evaluation of uterine tonicity during the menstrual cycle. It was demonstrated that uterine tonicity is higher in the proliferative than in the secretory phase. The uterine tonicity correlated well with the concentrations in serum of estradiol and progesterone at the time of the examination.Hysterometry has also been used for the evaluation of effects of inhibitors of prostaglandin synthesis (Naproxen Sodium and Naproxen acid) and of a selective beta-2-receptor stimulator (Salbutamol) upon the uterus in women with primary dysmenorrhea. It was shown that uterine tonicity was high on the first day of menstruation in untreated or placebo-treated dysmenorrheic women. Administration of inhibitors of prostaglandin synthesis or beta-2-receptor stimulating agents markedly decreased the uterine tonicity and relieved the menstrual pain.
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