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    Evaluation of Sexual Dysfunction in Women with Rheumatoid Arthritis: A Controlled Study
    (Elsevier Sci Ltd, 2012) Yilmaz, Halim; Polat, Halime Almula Demir; Yilmaz, Sema Dereli; Erkin, Gulten; Kucuksen, Sami; Salli, Ali; Ugurlu, Hatice
    Objective. To evaluate sexual function in women with rheumatoid arthritis (RA) and compare them with healthy controls. Materials and Methods. Ninety-five patients with RA and 108 healthy controls were included in the study. Depression levels and sexual functions of all participants were evaluated by the Beck Depression Inventory (BDI) and Index of Female Sexual Function (IFSF), respectively. Morning stiffness in women with RA, pain (Visual Analog ScaleVAS), disability rate (Health Assessment QuestionnaireHAQ), and disease activity score (DAS-28) were defined. Results. Total IFSF and mean of IFSF subgroup scores and significance of sexual life score were lower in patients with RA than controls, whereas mean BDI score was higher. The mean of the total IFSF scores was significantly lower in patients with RA with BDI =17 than that of patients with BDI <17. The mean of the total IFSF score decreased as disease severity increased. There was a strong negative correlation between total IFSF and DAS-28 scores, a moderate negative correlation between total IFSF score and HAQ, BDI, VAS score, age, and morning stiffness, and weak negative correlation between total IFSF and body mass index. Conclusion. RA is observed to have negative effects on sexual functions of women. Presence of depressive symptoms with RA and increased disease severity increase the degree of sexual dysfunction. Women patients with RA should also be asked about their sexual lives while being evaluated. Yilmaz H, Polat HAD, Yilmaz SD, Erkin G, Kucuksen S, Salli A, and Ugurlu H. Evaluation of sexual dysfunction in women with rheumatoid arthritis: A controlled study. J Sex Med **;**:****.
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    The Reasons of Induced Abortion and Contraceptive Preference in 15-49 Years Women
    (Istanbul Univ, Fac Nursing, 2010) Yilmaz, Sema Dereli; Ege, Emel; Akin, Belgin; Celik, Cetin
    Aim: The aim of this study is to describe the reasons of induced abortion and contraception preference of the 15-49 years old women. Method: This study has descriptive design. The study setting is Dr. Faruk Sukan Women and Children Hospital in Konya. 103 women (15-49 yrs) who came for induced abortion to the MR (Menstrual Regulation) Polyclinic from 11 November 2005 to 31 January 2006 and who accepted to join the study. It has been used a questionnaire consisted of 27 questions on variables such as demographic features, the reasons of voluntary abortion and contraception preference of women. One investigator collected the data with face to face interviews. Percentages were calculated and Chi-squared tests carried out. Results: The mean age of the 103 women in the study was 32.7 (SD: 5.91, median: 32.0, mode: 30, min. 18, max. 45). From the 103 women studied 85.4% of them were literate or primary school graduates, women with 3 or more pregnancy used abortion/MR with high frequency (94.2%). The most frequent reason for abortion was the number of children (47.6%) and 59.4% of women had been used to coitus interruption for contraceptive method just before the abortion. Conclusions: Induced abortion is still used as method of family planning. Focused contraception counseling, especially in their post partum setting, is important to help ensure the well-being of women and children.