Indonesia Conference Directory

Corresponding Author
Rossy Sintya Marthasari

Institutions
a. Departemen Biologi Kedokteran
Fakultas Kedokteran Universitas Katolik Widya Mandala Surabaya
b. RS Awal Bros Makassar

Abstract
Vaginismus described as persistent or reccurent difficulties for woman to allow vaginal entry of a penis, a finger or there is often avoidance and anticipation, fear or experience of pain, along with variable involuntary contraction of pelvic muscle. Vaginismus can lead to unconsummated marriage, and also can be hidden caused of infertility. Vaginismus can be categorized as primary (lifelong), patient has never experiences non painful intercourse or secondary (acquired) , patient has previously normal but now experience pain. Vaginismus should be considered as part of differential diagnosis in patient who has no satisfaction in sexual intercourse or do not tolerate penetration. Diagnosis is made by making a good history taking. A variety of intervention have been suggested in some case report study. Effective treatment to vaginismus include sex education, psychosexual therapy, systematic desensitization, anxiolytic and Botulinum Toxin(botox). While there are few controlled studies on the management of vaginismus, they are limited and poorly designed. Goal of treatment is not only to acchive pregnancy but also increase quality of life. Either natural or assited, vaginismus is still have to be cured. A great teamwork is required to successfull therapy.

Keywords
vaginismus;infertility;desensitization; botulinum toxin; teamwork

Topic
Gender and Fertility

Link: https://ifory.id/abstract/43jNMFUh2Bb9

Corresponding Author
Yunita Amraeni

Institutions
1)1Higher Education Institution of Health Mandala Waluya, Kendari
2)Department of Biostatistics and Population Studies, Faculty of Public Health, Universitas Indonesia
3)Department of Biostatistics and Population Studies, Faculty of Public Health, Universitas Indonesia

Abstract
Background: The issue of gender inequality in reproductive health has a role in determining contraceptive use in women, especially in developing countries. Gender issues related to inequality in decision making in contraceptive use are the main context in family planning interventions. The purpose of this study is to assess womens participation in decision making and its relation to unmet need in regions with high and low unmet need in Indonesia. Methods: A cross-sectional study was conducted using IDHS data in 2012. The study involved 1516 women of childbearing age (15-49 years) with married categories in areas with high unmet need (West Papua) and the lowest unmet need area (Bangka Belitung ) Results: Unmet need for contraception in the Bangka Belitung region is 79 (5.2%) and 142 (9.4%) in the West Papua region. Married women in the Bangka Belitung region have more power in decision making than married women in West Papua. Most women are involved in making decisions in aspects of health, mobility, household, economy and contraception. Involvement in economic matters and the decision to use contraception as the most dominant factor and involvement in the household have a significant relationship with the occurrence of unmet need, as well as education, wealth, and experience in using contraception related to unmet need. while age, fertility preference, husbands desire to have children, and involvement in health and mobility were not directly related to unmet need. Conclusions: Better participation in decision making is higher for women in the Bangka Belitung region than in Papua. Likewise the case with low participation in decisions in the household, health and mobility. But for participation in economic matters and the decision to use contraception, women in the Papua region are lower. Empowerment of women in terms of the economy and the use of contraception needs to be improved so that they have power in decision making.

Keywords
Decision making, Unmet need, Women, Empowerment

Topic
Gender and Fertility

Link: https://ifory.id/abstract/U7KH8GBPaTj4