MyMedR

Subramaniam N, Yogaraj R

Med J Malaysia, 1986 Dec;41(4):343-6.

This article is an analysis of seven patients who presented to the Gynaecology Unit, General Hospital, Ipoh, during the period 1984-1985 with vaginal injury sustained during normal coitus.
Four patients were between 22-34 years of age. The remaining three were in the 51-64 year group; all the three had undergone previous gynaecological surgery.
History of coitus as the precipitating cause was elicited in all our patients and having reached a diagnosis, subsequent management was fairly straightforward. Two patients presented with clinical features of haemorrhagic shock and required initial resuscitation with blood transfusion. Five patients required definitive surgical repair of the vaginal injuries, and in only two patients was conservative management possible. Both these patients were in the menopausal age group.
Study site: Hospital Ipoh, Perak, Malaysia

Matched MeSH terms: Coitus*

Test your knowledge. What are the chances of contracting HIV during an unprotected heterosexual encounter?

Kwa SK

Family Physician, 2001;11:39.

Matched MeSH terms: Coitus

Sexual health of male migrant workers

Siti Norazah Z

JUMMEC, 2002;1:52-58.

Sexual health is defined as part of reproductive health and includes healthy sexual development; equitable and responsible relationships and sexual fulfillment; and freedom from illness, disease, disability, violence and other harmful practices related to sexuality. For this project on Health Problems of Migrant Workers, a section on sexual health was incorporated based on a special concern over sexually transmitted diseases (STDs), and high-risk behaviours. Access to healthcare is recognised to be a problem with minority or marginalised groups, including adolescents and migrant populations, especially undocumented migrants. This exacerbates the issue of control and management of STDs. The Sexual Health section covered experience with sexual interourse, and a limited number of questions related to sex partners and condom use among those who are sexually experienced.

Matched MeSH terms: Coitus

Fulltext The outcome of the seminal fluid parameters collected via coitus interruptus versus masturbation

Bahyah MK, Murad ZA, Ghazali I, Roszaman R, Noraziana AW, Mokhtar A, et al.

Med J Malaysia, 2010 Mar;65(1):23-6.

PMID: 21265243 MyJurnal

A one year study was carried out to determine the outcome of the seminal fluid parameters collected via masturbation and coitus interruptus in 151 patients who were undergoing intrauterine insemination (IUI) and patients who came for seminal analysis. There were no statistically significant differences in terms of volume, concentration, progressive motility and normal morphology from specimens collected via coitus interruptus compared to specimens collected via masturbation. Pregnancy outcomes were also comparable.

Matched MeSH terms: Coitus Interruptus*

Nonvenereal sclerosing lymphangitis of the penis

Yap FB

South. Med. J., 2009 Dec;102(12):1269-71.

PMID: 20016439 DOI: 10.1097/SMJ.0b013e3181bf27f6

A 30-year-old man presented to the genitourinary medicine clinic with the sudden appearance of an asymptomatic, 2 mm wide, flesh-colored, firm, and cord-like lesion encircling the coronal sulcus circumferentially following vigorous sexual intercourse with his wife. An initial diagnosis of sexually transmitted disease-associated penile swelling was entertained. He was given antibiotics for this condition. Failure of resolution and negative screening tests for sexually transmitted diseases prompted a skin biopsy and extensive literature search, with an ultimate diagnosis of nonvenereal sclerosing lymphangitis of the penis, a rare, self-limiting condition. Reassurance and abstinence of sexual intercourse for a few weeks led to complete recovery.

Matched MeSH terms: Coitus*

Sexual practices in Malaysia: determinants of sexual intercourse among unmarried youths

Zulkifli SN, Low WY

J Adolesc Health, 2000 Oct;27(4):276-80.

PMID: 11008091

This paper describes findings on selected determinants of sexual intercourse among 468 unmarried adolescents from a survey in Malaysia. Data on respondents' background, sexual experience, contraceptive use, and sexual attitudes are provided. Based on multiple logistic regressions, factors significantly predictive of sexual experience are gender, employment, and sexual attitudes.

Matched MeSH terms: Coitus*

Fulltext Severe post-coital bleeding in the second trimester

Ravindran J, Anandaraj N

Med J Malaysia, 1993 Dec;48(4):459-60.

PMID: 8183175

Matched MeSH terms: Coitus*

Fulltext Coitus and orgasm at term: effect on spontaneous labour and pregnancy outcome

Tan PC, Yow CM, Omar SZ

Singapore Med J, 2009 Nov;50(11):1062-7.

PMID: 19960160

INTRODUCTION: Coitus and orgasm in late pregnancy are believed to facilitate the onset of labour. We aim to evaluate the relationship at term of reported coitus and orgasm with spontaneous labour.
METHODS: Women at term scheduled for non-urgent labour induction were asked to keep a coitus and orgasm diary. These women were recruited for a randomised trial on the effect of coitus to promote spontaneous labour. For this analysis, the women were categorised into coitally-active and abstinent groups according to their coital diary. Spontaneous labour prior to the date of scheduled labour induction was the primary outcome. Labour, delivery and neonatal outcome were also evaluated. Multivariable logistic regression analysis was used to control for significant variables.
RESULTS: On univariate analysis, the inverse association of coitus with spontaneous labour was borderline (odds ratio [OR] 0.6; 95 percent confidence interval [CI] 0.3-1.0; p-value is 0.052). Orgasm was not associated with spontaneous labour (p-value is 0.33). After adjustment, coitus (adjusted OR 0.4; 95 percent CI 0.2-0.8; p-value is 0.009) displayed a significant inverse association with spontaneous labour. Coitus and orgasm were not associated with any other adverse pregnancy outcome.
CONCLUSION: Women who reported coitus were less likely to go into spontaneous labour prior to their scheduled labour induction. Reported coitus and orgasm were not associated with adverse pregnancy outcome.

Matched MeSH terms: Coitus/physiology*

Effect of coital activity on onset of labor in women scheduled for labor induction: a randomized controlled trial

Tan PC, Yow CM, Omar SZ

Obstet Gynecol, 2007 Oct;110(4):820-6.

PMID: 17906015

To estimate the effect of coitus on the onset of labor.

Matched MeSH terms: Coitus/physiology*

The relationship between sexual functioning among couples undergoing infertility treatment: a pair of perfect gloves

Yeoh SH, Razali R, Sidi H, Razi ZR, Midin M, Nik Jaafar NR, et al.

Compr Psychiatry, 2014 Jan;55 Suppl 1:S1-6.

PMID: 23116967 DOI: 10.1016/j.comppsych.2012.09.002

The study aimed to measure the relationship of sexual functioning between male and female partners, who sought infertility treatment in a university hospital setting in Malaysia.

Matched MeSH terms: Coitus/physiology; Coitus/psychology

Sexual function in menopausal women in Kelantan, Malaysia

Dhillon HK, Singh HJ, Ghaffar NA

Maturitas, 2005 Nov-Dec;52(3-4):256-63.

PMID: 15894440 DOI: 10.1016/j.maturitas.2005.03.014

The aim of the study was to document sexual function in Kelantanese postmenopausal women.

Matched MeSH terms: Coitus/physiology; Coitus/psychology

Fulltext Vaginismus and subfertility: case reports on the association observed in clinical practice

Ramli M, Nora M, Roszaman R, Hatta S

Malays Fam Physician, 2012;7(1):24-7.

PMID: 25606241 MyJurnal

OBJECTIVE: To analyse the features of patients with vaginismus first presented to a gynaecologist for infertility before being referred for psychiatric evaluation and management. The case series aim to provide some insight on features and presentations of Asian women with vaginismus. Vaginismus is characterised by persistent or recurrent difficulties in vaginal penetration despite the woman's wish for coitus. Avoidance, phobia, anticipatory fear of pain and involuntary pelvic muscle contraction are the most common symptoms.

METHOD: We report a series of cases of Malaysian women who had been suffering from vaginismus and 'infertility'. All the cases had never been attended to medically and there were long delays in seeking intervention. There was no history of traumatic sexual experience or any major psychiatric illness in these patients. Majority of the patients had prominent symptoms of anxiety.

CONCLUSION: The cases illustrate that it is important to rule out the possibility of vaginismus among patients with infertility. The former have unique psychological features which require psychological interventions.

Matched MeSH terms: Coitus

Male genital ornaments: penis pearls

Murty OP

J Forensic Leg Med, 2008 Feb;15(2):96-100.

PMID: 18206825 DOI: 10.1016/j.jflm.2007.01.005

In this article, five cases with pearls in penile skin are discussed. These cases were viewed from multiple angles as number, colour, position of pearls, socio-economic status, occupation, sexual behaviour, and the background of the individuals. The number of pearls varied from one to five in these cases. The penile skin examination revealed old healed scar marks indicating that probably some had even more pearls. Three persons were directly or indirectly associated with drugs. One of the victim was HIV positive. Two of the cases were of homicide; one died in police custody; one died due to ischemic heart disease; and one had died in accident. The article also discusses the common beliefs behind this practice with review of the literature.

Matched MeSH terms: Coitus

Fulltext Sexual activities of Malaysian adolescents

Zulkifli SN, Low WY, Yusof K

Med J Malaysia, 1995 Mar;50(1):4-10.

PMID: 7752975

This paper examines data on the sexual activities of 1,200 Malaysian adolescents aged 15-21 years based on a probability household sampled survey carried out in Kuala Lumpur in 1986. Sexual behaviours like premarital sexual intercourse, contraceptive usage and masturbation were presented. Of the 1,181 unmarried respondents, 9% (105) reported having had sexual intercourse; males were significantly more experienced compared to females. Older age groups were also found to be more sexually active than the younger ones. Among those who had experience dating (n = 521), 20% (105) have experienced sexual intercourse, 44% (228) have kissed and necked, and 35% (183) have experienced petting, while 24% (130) have had no physical intimacies. Poor use of contraception was also revealed. The most commonly used were condoms, oral contraceptives and withdrawal. With regard to masturbation, males begin this practice relatively earlier than females. Almost half of those who indulged in masturbation were worried by the act, especially the females. Implications of the findings are discussed.

Matched MeSH terms: Coitus

Fulltext Hematospermia: an unusual cause of urology emergency

Goh, E.H., Tan, G.H., Rozman, Z., Nik Azuan, N.I., Fam, X.I., Mohd Hafidzul, J., et al.

Journal of Surgical Academia, 2017;7(1):72-74.

MyJurnal

Hematospermia is a distressing disorder in sexually active men resulting in great concern to the patient. We report an unusual case of hematospermia with an atypical presentation, involving a 54-year-old man presented with acute urinary retention after sexual intercourse. Although the causes are widely known, arteriovenous malformation as the cause of this disorder has not much been reported in the literature. Transcatheter embolization of internal pudendal artery is a promising option for hematospermia caused by arterial fistula or bleeding.

Matched MeSH terms: Coitus

Fulltext Role of Penile Doppler as a Diagnostic Tool in Penile Fracture

Hassali MA, Nouri AI, Hamzah AA, Verma AK

J Med Ultrasound, 2018 03 28;26(1):48-51.

PMID: 30065514 DOI: 10.4103/JMU.JMU_9_18

Penile fracture is defined as a traumatic rupture of either corpus cavernosum or the tunica albuginea; sometimes it can be both. It may be caused by exotic masturbation acts, sexual intercourse, or other trauma to this area. This can be accompanied by injury to the urethra, which is the cause of hematuria as a symptom for some patients. Typically, diagnosis of penile rupture or fracture depends on clinical examination and history told by the patients. We are stating the importance of medical imaging in the diagnosis of patients with penile fracture by presenting a case of patient suffered from penile fracture after a fall on his penis where it affected the erection of two-third of his penis. In which, the proper diagnosis by imaging studies and taking actions accordingly can save the patients from unnecessary surgeries that indeed increase the bill of the medical care directly and indirectly. Therefore, most patients can be diagnosed cost-effectively and treated surgically without a need to delay surgery, which is often the case if one was to resort to other investigations. Investigations such as retrograde urethrography for suspected urethral injury should only be used when the diagnosis of penile fracture is in doubt.

Matched MeSH terms: Coitus

Fulltext Effects of FRIEND(TM) feminine wipes on sperm viability in-vitro

Ismail MTM, Jaffar A

Malays J Reprod Health, 1990;8(2):62-5.

Friend™ feminine wipes, disinfectant impregnanted fibre Nssues meant for the maintenance of female hygiene, was evaluated for its effect on sperm viability in-vitro and found to be spermicidal. These feminine wipes are therefore not recommended for use at coitus in couples who are planning
pregnancies. Although the wipes were found to have spermicidal properties they are not recommended for the purpose of contraception

Matched MeSH terms: Coitus

Exploring drivers of pre-exposure prophylaxis uptake among gay, bisexual, and other men who have sex with men in Malaysia

Eger WH, Adaralegbe A, Khati A, Azwa I, Wickersham JA, Osborne S, et al.

Int J STD AIDS, 2022 Aug;33(9):821-828.

PMID: 35772943 DOI: 10.1177/09564624221106535

BACKGROUND: Pre-exposure prophylaxis (PrEP) is a valuable HIV prevention strategy, particularly among men who have sex with men (MSM); however, PrEP uptake is below the threshold needed to curb the HIV epidemic among this group, especially in settings like Malaysia, where same-sex sexual behavior is illegal.

METHODS: A sample of 355 participants completed an online survey between June and July 2020, recruited through geosocial networking apps for MSM and social networking websites (e.g. Facebook). We used descriptive and multivariable analyses to examine correlates of PrEP use within this population.

RESULTS: The sample was predominantly Malay (53.5%), had monthly incomes greater than RM 3000 (USD 730) (52.7%), and a tertiary level of education (84.5%). About 80% of participants heard of PrEP prior to the survey, with significantly less (18.3%) having ever taken PrEP. In the adjusted multivariable logistic model, using drugs before or during sexual intercourse ("chemsex") (AOR: 3.37; 95% CI: 1.44-7.89), being diagnosed with a sexually transmitted infection in the last 12 months (AOR: 2.08; 95% CI: 1.13-3.85), HIV testing in the previous 6 months (AOR: 3.23; 95% CI: 1.74-5.99), and disclosure of sexual orientation (AOR: 1.85; 95% CI: 1.02-3.34) were associated with having taken PrEP in the past.

CONCLUSIONS: This study revealed that PrEP use among Malaysian MSM is relatively low, despite high awareness, and is associated with healthcare engagement and high-risk behaviors. These results highlight the need to tailor outreach activities for individuals at increased risk for HIV and those disengaged with the health system.

Matched MeSH terms: Coitus

Fulltext Coitus to expedite the onset of labour: a randomised trial

Omar NS, Tan PC, Sabir N, Yusop ES, Omar SZ

BJOG, 2013 Feb;120(3):338-45.

PMID: 23145957 DOI: 10.1111/1471-0528.12054

To evaluate the effect of suggesting coitus as a safe and effective means to expedite labour on pregnancy duration and requirement for labour induction.

Matched MeSH terms: Coitus/physiology*

Fulltext Coital injuries: a study of three cases

Narkunam R, Raman S, Kulenthran A, Sinnathuray TA

Med J Malaysia, 1984 Mar;39(1):78-81.

PMID: 6513845

This study reviews experiences in the management of three cases of lacerations of the vagina following coitus. A brief review of the recent literature is made. Although the extent of injuries can be very variable, the principles of management consist of prompt
resuscitation and arrest of haemorrhage, appropriate surgical repair under general anaesthesia, and systemic or local antibiotic therapy to combat infection. Avoidance of vigorous or abnormal coital practices, especially in single women, in the immediate postpartum period, and in postmenopausal women, can help to reduce the frequency and severity of such injuries.

Matched MeSH terms: Coitus*

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