The experience of pregnancy, accompanied by physical and emotional changes, will have an impact on the couple's sexuality. The purpose of this study is to focus on the issue of sexuality during pregnancy, to look at its variations and describe the different changes in sexual parameters. In our study about 170 cases, 91.76% continue to have sexual intercourse during pregnancy, 7.6% thought it could be responsible for miscarriages, infection or bleeding in 26% and 20% respectively. The main reason for the continuation of the sexual intercourse was looking for husband’s pleasure and the preparation and facilitation of delivery. In contrast, female pleasure was expressed in only 4% of women, discomfort at the time of the sexual act dominated the reasons for which sex was stopped or spaced.
There has been a gradual downward trend in most sexual parameters: frequency of sexual intercourse, sexual desire, sexual satisfaction, and frequency of orgasm.
Parietal endometriosis is a rare clinical entity whose pathophysiology remains unclear. It occurs most often after gynecological or obstetrical surgery. We report the case of a patient with cyclic pain at the level of the caesarean section scar. With clinical examination, two nodules on both sides of the scar increase in size associated with pain punctuated by the menstrual cycle. Pelvic ultrasonography showed two nodular formations of hypoechoic, avascular Doppler echo, apparently in relation to endometriotic nodules. Hence the decision to excise the lesion widely, whose anatomopathological study confirms the diagnosis of parietal endometriosis. Postoperative follow-up was straight forward with a follow-up of 12 months without recurrence of lesions or pain. Through our case, we will insist on the characteristics of this pathology, which will allow the practitioner to understand the interest of the diagnosis and early management of this condition as well as the possibility of its prevention during each gynecological surgery or obstetric.
Mullerian duct anomalies are the most common congenital anomalies of the reproductive system and septate uterus is the most frequently diagnosed Müllerian anomaly.
Almost associating with urinary tract anomalies such as horseshoe or pelvic kidney, renal agenesis, duplication of the collecting system, or ectopic uterus. Septate uterus is one type of congenital uterine anomalies, in which there is a septum from the fundus to the cervix. Currently, it is believed that hysteroscopic metroplasty is a leading choice for patients if their recurrent spontaneous abortion is resulted from septate uterus.
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