BMJ Sexual & Reproductive Health最新文献

Sexual and reproductive health clinical consultations: Contraception and HIV antiretroviral therapy. 性健康和生殖健康临床咨询：避孕和艾滋病毒抗逆转录病毒治疗。

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2025-07-22 DOI: 10.1136/bmjsrh-2024-202602

Sian Pearson, Nadi Gupta

引用次数: 0

Comparison of sperm concentration in fresh and postal post-vasectomy semen samples: a prospective agreement study. 新鲜和邮寄输精管结扎后精液样本中精子浓度的比较：一项前瞻性一致研究。

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2025-07-16 DOI: 10.1136/bmjsrh-2025-202768

Melanie Atkinson, Louise Massey, Gareth James, Rosie Sullivan, Happy Tahirih Kampire, Michel Labrecque

{"title":"Comparison of sperm concentration in fresh and postal post-vasectomy semen samples: a prospective agreement study.","authors":"Melanie Atkinson, Louise Massey, Gareth James, Rosie Sullivan, Happy Tahirih Kampire, Michel Labrecque","doi":"10.1136/bmjsrh-2025-202768","DOIUrl":"https://doi.org/10.1136/bmjsrh-2025-202768","url":null,"abstract":"Background: Most guidelines recommend post-vasectomy semen analysis (PVSA) on fresh samples to confirm success. Postal submission increases compliance although reliability remains controversial. We assessed agreement between first PVSA sperm concentrations on the same sample, freshly and following postage, and determined if any sperm concentration levels other than 'no sperm seen' on a postal sample could be used to advise cessation of other contraceptive methods.Methods: 12 weeks after vasectomy, men submitted fresh semen samples to laboratory A. Samples were analysed within 2 hours. The remainder of each sample was posted to laboratory B for analysis 72 hours later. Both laboratories examined one aliquot of 25 µL using 100 µm CellVision counting chambers. Sperm counts for the entire slide were reported. No exact count was performed at concentrations estimated >100 000/mL.Results: We analysed the results of 197 paired PVSA. The Bland-Altman plot showed high agreement between fresh and postal sperm concentrations, with only seven samples outlying 95% CIs. Fresh PVSA sperm concentrations were classified higher than postal in 47 (22.1%) pairs and lower in 42 (19.8%). Most discrepancies were observed at sperm concentrations <1000 sperm/mL. 'No sperm seen' was reported in 86 (43.7%) pairs with false negatives encountered in both laboratories (McNemar's test p=0.045). Negative predictive values of postal compared with fresh results were >99% at all cut-off values from 1000 to 100 000 sperm/mL CONCLUSION: Our study showed high agreement in sperm concentrations of first PVSA performed on the same samples submitted fresh or by postal submission. The current postal testing strategy could be modified to encompass clearance on postal PVSA showing very low sperm concentrations.","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144648533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Undergraduate midwifery contraception training in England and Wales. 英格兰和威尔士的本科助产士避孕培训。

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2025-07-10 DOI: 10.1136/bmjsrh-2024-202461

Gillian Matthews, Claire Cousins, Lesley Regan, Edward Mullins

引用次数: 0

Sexual and reproductive health clinical consultations: Recurrent vulvovaginal candidiasis. 性与生殖健康临床咨询：复发性外阴阴道念珠菌病。

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2025-07-10 DOI: 10.1136/bmjsrh-2024-202537

Madeleine Benns, Corrina Horan

引用次数: 0

Experiences of abortion in the UK Armed Forces: a cross-sectional survey. 英国军队的堕胎经历：一项横断面调查。

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2025-07-10 DOI: 10.1136/bmjsrh-2024-202513

Victoria Elizabeth Kinkaid, Ruth Guest, Antony Willman, Kate King

{"title":"Experiences of abortion in the UK Armed Forces: a cross-sectional survey.","authors":"Victoria Elizabeth Kinkaid, Ruth Guest, Antony Willman, Kate King","doi":"10.1136/bmjsrh-2024-202513","DOIUrl":"10.1136/bmjsrh-2024-202513","url":null,"abstract":"Background: Abortion is a common pregnancy outcome; in the UK one in three women will have an abortion by age 45 years. Despite women making up 11.7% of the UK Armed Forces (UKAF), anecdotal voices from patient groups and clinicians highlight their gender-specific health needs not being addressed by the UKAF. There is a worldwide absence of literature and policy on abortion care in the AF, including rates and experiences. This survey addresses the paucity of data on abortion experiences in UK servicewomen to ensure the UKAF is providing the best possible care for them.Methods: A REDCap survey was circulated among UK servicewomen via email and social media networks, and snowball distribution was utilised to widen participation. Quantitative data were used for descriptive statistics and qualitative data were analysed iteratively by the authors, with regular meetings to agree on themes.Results: A total of 427 servicewomen responded: 124 (29%) declared they previously had an abortion, with 102 (23.9%) being in service. Twelve (11.8%) of these abortions were required when on deployment. Four key themes emerged: 'Trust in information holders', 'Influencers, barriers and access', 'Systemic lack of awareness' and 'Life in the military'.Conclusions: This is the first study to collect data on UK servicewomen's experience around abortion care, and highlights a complex interplay of factors which may influence abortion care decisions. Stigma and judgement were pervasive threads running through all themes, negatively impacting UKAF women. Evidence-based policies and information on abortion are recommended for both servicepeople and healthcare professionals to facilitate access to abortion and begin to destigmatise it in the AF.","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":"172-179"},"PeriodicalIF":3.4,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143499301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Celebrating 50 years of our Journal. 庆祝本刊创刊 50 周年。

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2025-07-10 DOI: 10.1136/bmjsrh-2024-202394

Sam Rowlands

引用次数: 0

Shifting discourses, changing interests? How the language of sexual and reproductive health has evolved in the past 50 years. 话语在变，利益在变？性健康与生殖健康的语言在过去 50 年是如何演变的。

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2025-07-10 DOI: 10.1136/bmjsrh-2024-202456

Aideen O'Shaughnessy, Carrie Purcell

引用次数: 0

Health care professionals' views on a new postpartum contraception audiovisual animation: a survey. 医护人员对新型产后避孕视听动画的看法调查

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2025-07-10 DOI: 10.1136/bmjsrh-2024-202422

Janine Simpson, Michelle Cooper, Sharon Cameron

{"title":"Health care professionals' views on a new postpartum contraception audiovisual animation: a survey.","authors":"Janine Simpson, Michelle Cooper, Sharon Cameron","doi":"10.1136/bmjsrh-2024-202422","DOIUrl":"10.1136/bmjsrh-2024-202422","url":null,"abstract":"Background: The postpartum period is a high-risk time for unintended pregnancy. We developed a 2-minute audiovisual animation on postpartum contraception (PPC) including the return of fertility after birth for patients. The aim of our study was to determine the views of healthcare professionals (HCPs) involved in pregnancy care on the animation and to identify facilitators and barriers to its implementation into routine pregnancy care pathways.Methods: An anonymous online questionnaire was circulated to 100 HCPs (midwives, doctors, health visitors) in Glasgow, Scotland, UK who provide antenatal and/or postnatal care. The aim was to collect 50 responses. The questionnaire contained 12 questions including fixed responses, categorical Likert rating scale questions and open-ended questions. Content analysis was used for the free-text responses.Results: Forty-four responses were obtained. HCPs rated the animation positively for information and inclusivity (95%), accessibility for those with a disability (81.8%) and non-English speaking (59%), and usefulness for HCPs (88.6%) and pregnant individuals (97%). Some felt the animation should contain more information or could be displayed on digital screens in clinical waiting areas. Suggestions were made as to the optimal time to view the animation in pregnancy and the importance of choice of whether/how to view and considerations on trauma-informed care. Accessibly for HCPs was mentioned, with considerations on how the resource could alleviate perceived service and financial pressures.Conclusions: The animation was felt to be an engaging, inclusive and informative knowledge tool for patients. Consideration needs to be given to allow choice to view, timing and the appropriate digital media for delivering it.","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":"180-185"},"PeriodicalIF":3.4,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142876128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The digital transformation of sexual and reproductive health care. 性健康和生殖健康保健的数字化转型。

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2025-07-10 DOI: 10.1136/bmjsrh-2025-202735

Paula Baraitser

引用次数: 0

The state of sexual health services in England. 英格兰性健康服务状况。

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2025-07-10 DOI: 10.1136/bmjsrh-2024-202450

Sarah Harris

引用次数: 0