To cite: Mourinha V, Costa S, Urzal C, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2015214338 DESCRIPTION Aetiological diagnosis of genital ulcers is still a challenge in clinical practice. The cause is mostly infectious, but it may otherwise be a presentation of a wide variety of pathologies, such as autoimmune (eg, Behçet’s disease), cancer or inflamm...

This postcoital sperm assessment study was performed over a 10 month time period (November 2014-August 2015). Fifteen couples enrolled in the study. The study was a non-blinded, non-randomized, single-center comparison study comparing The Stork® OTC (Rinovum Women's Health, Monroeville, PA) to natural intercourse (NI), using the subjects as their own control/baseline. This was an efficacy study...

CONTEXT Women's employment opportunities may reduce the risk of early intercourse and pregnancy, but some evidence has linked adolescent employment and problem behaviors with early intercourse. METHODS Hazard regression analyses of data from the National Longitudinal Survey of Youth were used to examine the relationship between employment and the risk of first intercourse before age 20 among ...

OBJECTIVE To assess insertion-linked pain and the short-term user-acceptability and safety of the GyneFix as compared with T-framed intrauterine devices (IUDs). DESIGN A randomised controlled trial in an outpatient clinic setting. METHOD Women requesting an IUD for emergency contraception (EC) were allocated to either the short-term arm (GyneFix versus Nova-T200, or the long-term arm (GyneF...

PURPOSE To assess the prevalence and associated factors of unprotected anal intercourse among Iranian male heterosexual Intra-Venous Drug Users (IDUs). METHODS In a cross-sectional study 360 male heterosexual IDUs were sampled from streets of eight different geographical parts of Iran. Variables such as socio-demographics, HIV knowledge (10 items), and HIV attitude (16 items) were entered to ...

This cross sectional survey determined the extent of regretted sexual intercourse among young teenagers in Scotland. Using a questionnaire, data were obtained from 7395 third-year pupils (3365 boys and 3730 girls) aged 13 years and 6 months to 14 years and 9 months in 24 nondenominational state secondary schools. Regretted sexual intercourse, measured on a three-point scale, was analyzed by or...

Initiation of Intercourse: Overall Influences At the follow-up interview, 28% of young men reported having initiated intercourse within a year of the first survey. In general, involvement in risky behaviors and precoital sexual activity increased the likelihood of first sex (odds ratios, 1.4 and 1.3, respectively—Table 3). The more approving that young men were of premarital sex, the more likel...

Embryo implantation is critically dependent on a supportive uterine environment. Uterine receptivity is the culmination of a cellular and molecular transformation mediated locally by paracrine signals under the governance of ovarian steroid hormones, with cells and cytokines of the immune system playing integral roles in this process (1,2). The implantation rates and subsequent pregnancy rates ...

A 33-year-old man presented with penile pain, swelling and ecchymosis after striking his erect penis against his partner's perineum during intercourse. At the moment of injury, he recalled hearing a cracking sound with tearing sensation, followed by instant penile pain and immediate loss of erection. Physical examination revealed a flaccid, swollen and ecchymotic circumcised penis with a butter...