doc_clotaire
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http://www.medscape.com/viewarticle/574229?src=mp...
Surveying the Sex Lives of Medical Students
Posted 05/14/2008
Alan W. Shindel, MD
Author Information
The 20s are a peak period of sexual activity in many people's lives. For most aspiring physicians, this period coincides with their medical training. However, little is known about the sexual attitudes and activities of medical students.
What we do know is that medical school is a rigorous process known to take a psychological and emotional toll on physicians in training. Despite growing attention to their well-being, it is clear that medical school can be a stressful experience.[1] Medical trainees who are in committed sexual relationships must also contend with balancing their partners' needs against the demands of their educational program.[2]
A recent study of sexual function in Chinese medical students provided some interesting data on medical student sexuality in that country,[3] but the last peer-reviewed reports on sexual dysfunction in US medical students were published decades ago. In 1967, Woods and Natterson reported that 22 of 40 male medical students had some concerns about their sexual potency.[4] However, social mores and the demographic characteristics of medical students are radically different now, and it is unclear whether those findings are still applicable.
On the basis of my own recollections of medical training, I was intrigued to investigate the sexual behaviors and incidence of sexual problems in contemporary medical students. Our research team conducted a pilot study of sexual dysfunction among medical students enrolled at Washington University in Saint Louis, Missouri.
The survey consisted of a basic demographic questionnaire coupled with validated instruments for the assessment of human sexuality: For male participants, we used the International Index of Erectile Function (IIEF), the Self Esteem and Relationship Quality survey (SEAR), and the Index of Premature Ejaculation (IPE); for female participants, we used the Female Sexual Function Index (FSFI) and the Index of Sex Life (ISL).
The study group included 54 men and 78 women. The group's self-reported sexual history was generally similar to age-matched normative data (eg, age at first intercourse, number of sexual partners, intercourse frequency).[5,6]
Although sexual behaviors in our study population were similar to existing normative data from an age-matched population, male medical students reported a higher incidence of erectile dysfunction (roughly 30%) compared with normative data (estimated at 7% among US men 18-29 years old). However, the incidence of other sexual problems in men, such as premature ejaculation, was similar to normative data.[7]
Our data revealed a high frequency of sexual problems among female students as well: 63% were at "high risk" for sexual dysfunction on the basis of validated FSFI cutoff scores. The most prevalent problems were low scores in the areas of "desire," "orgasm," and "pain." When compared with normative data, orgasm and pain complaints were more prevalent in the study group, although the incidence of low sexual desire was similar to that of an age-matched population.[7] In addition, 42% of the female medical students reported interference in their sexual life from "excessive tiredness," and more than one third blamed interference on a "lack of sexual partner" or "psychological stress."
Being in a relationship correlated with better sexual function scores in both male and female medical students, and relationship quality (as assessed by the SEAR tool in men and the ISL measure in women) was highly predictive of overall sexual satisfaction.
It is our hope to accurately assess stress, sexuality, and the incidence of sexual problems in this population to answer an interesting, unanswered academic question. Furthermore, we hope to increase awareness of the importance of sexuality as an important component of quality of life in the medical school population. Increased awareness will hopefully make it easier for medical students with sexual concerns to feel more comfortable addressing these issues and seeking assistance for any problems that they might be experiencing. With improved understanding and awareness, we are optimistic that our results may help improve medical student quality of life.
Medscape Med Students. 2008; ©2008 Medscape
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| new_n_lost
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I have a lot to say on this topic but i will have to edit myself and eventually delete my post so i m gonna keep quiet on this one.
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| doc_clotaire
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Go ahead and SPEAK your mind buddy 
That is the whole purpose of the Forum Lounge 
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| P4a99
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Who does 54 men and 78 women represent?! Does someone really need to be "sexually active" from 18 years of age in order to be healthy and driving a good life quality?!
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| arlete
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Hmmm... I'll keep my lady-like demeanor and not comment, either... 
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| paheli
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Medicine really screws up our lives in more ways than previously thought....
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| P4a99
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Oh, come on. I'm sure if everyone opens up we'll end up with a thread like the marriage one!
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| arlete
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If I am not mistaken, in some countries Medicine is one of the careers with the greatest number of alcoholics, drug abusers and suicides. So I think it's possible there's a lot of sexual dysfunction and other psychological issues, too.
It's not easy to deal with suffering, having to study so much, not be allowed to make a mistake, and doctors egos are huuuuuuge in a general way. You think you saved somebody's life, the high in self-confidence you get, the feeling of power have not a lot to be compared to. So maybe we all should go to therapy, ED or not, what do you think?
But don't expect me to open up, I married an engineer!
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| arlete
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By the way, I don't know if you watch Grey's Anatomy, but there was an episode where an intern (Karev) made a mistake and corrected the hyponatremia of a patient too quickly, so he developed the central pontine myelinolysis. He discusses with the nurse that "he gave the right order", she says "he gave the wrong one (too quick)". A few minutes later they have sex in the call room. Had the author been a doctor, she would have known that would have NEVER EVER happened! Karev would probably be obsessing and suffering for his mistake, trying to blame or at least share the fault with the nurse, looking for a way to justify his error and for sure, FOR SURE, having an ED! And he would probably want to never see that nurse again, because every time she looked at her, she remembered the unhappy situation he'd been through with her.
Any thoughts? Am I exaggerating?
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| paheli
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I didn't actually pay any attention to what you were saying, arlete. Coz, my brain is going, 'Kerev is HAWT!'. Yep, he certainly is, and he's my fave doc on GA , by far. Just hard to believe he's a 37-yr old daddy of 5 [Yes!!] in real life. Shoot!
p4a99, I'm gonna start watching out for your topics from now on, coz you're needling out details very gently ....I've even considered editing my post on the Marriage thread. Anyway, I mean no offence by saying this, coz it was voluntary on my part.
Edited by paheli on 05/22/08 - 09:44 AM
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| P4a99
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Well dear, this time it wasn't me whom brought up the touchy subject ... though I wouldn't mind some detailed thoughts and answers, lol
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| paheli
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I KNEW that that would be your next post. But, I think you're relieved that someone else brought it up, just so you can use that defense, nuh? while the rest of us bare our fragile hearts....
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| paheli
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.......or sex lives. Whichever!!
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| toolazy2study
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I honestly wouldn't mind commenting, coz I just bare all (i think paheli can witness that w/ my post on alli n' weight loss) but to be real honest, I dnt even get what the article is trying to point at....
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| paheli
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toolazy2study wrote:
I just bare all (i think paheli can witness that w/ my post on alli n' weight loss)
OMG, what are you reminding me for??? 
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Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.
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| arlete
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| Royaldoc99
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....Sex and MEDICAL Students?????........
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| RX 135
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and more than one third blamed interference on a "lack of sexual partner" ...interesting to know..
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| new_n_lost
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RX 135 wrote:and more than one third blamed interference on a "lack of sexual partner" ...interesting to know..
well it all depends on the depends on the definition of sexual partner that might raise the percentage.
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| RX 135
tormenta
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my big hello to those one third...how u doin???
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| RX 135
tormenta
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have i crossed the line??
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| P4a99
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What other definitions are there for "sexual partner"?
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| Jackofknives
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is it even allowed to have sex in the middle east?
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| new_n_lost
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Jackofknives wrote:
is it even allowed to have sex in the middle east?
Middle East or Muslims Countries. Either way sex outside marriages is condemned.
Edited by new_n_lost on 05/29/08 - 12:00 AM
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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| Jackofknives
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so how do kids rid their sexual frustrations then?
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