Question of the day

What, according to the material, can interfere with sexual life with uterine fibroids?

• Fibroids always make orgasm impossible
• Taking hormonal contraceptives
• Pain during penetration due to the tumor itself Correct answer
• Fear of pain, embarrassment about the body, and anxiety Correct answer
• Heavy and painful periods leading to anemia Correct answer

The material names three main reasons: dyspareunia (pain during penetration), anemia due to heavy and painful periods, and also a psychological aspect — fear of pain, embarrassment about one's body, and anxiety. It is these factors, according to the text, that most often worsen sexual life. The statement that orgasm is always impossible is not given in the material.

What, according to the text, actually helps to cope with feelings of loneliness?

• Waiting for suitable groups and events to appear in the city on their own
• Avoiding any places where people gather and staying at home
• Listening to music in headphones, including artists with similar experiences Correct answer
• Reaching out to others for support is a way to survive, not a weakness Correct answer
• Displaying or saving photos of happy moments with close people on your phone Correct answer

The material describes three effective techniques: visual reminders of moments when you felt like yourself, music as support and a signal of "do not approach," as well as relying on community. The author emphasizes that reaching out to others is not a weakness but a way to survive, and that groups can be created by oneself without waiting for them to appear. Therefore, the options about photographs, music, and seeking support are correct, while avoiding people and passively waiting contradict the text.

What steps help regain control when strong emotions overwhelm you during sex?

• Write down boundaries in the format 'If…, then I…' and discuss them with a partner Correct answer
• Make a plan of action in advance in the first person and rely on a simple checklist Correct answer
• Use grounding techniques or slow breathing to return to the present moment Correct answer
• Endure and continue so as not to upset the partner, since it's just nerves
• Distract yourself from feelings and ignore discomfort until it passes on its own

The material directly suggests a pre-thought-out plan and checklist with simple questions about what is needed in the moment, as well as boundaries in the format 'If…, then I…' and a conversation with a partner. To return to the 'here and now,' grounding techniques through the senses and 4-7-8 breathing are described. It also emphasizes that one can and should stop rather than endure or ignore discomfort.

Which of the listed causes of itching and rash in the intimate area are not sexually transmitted infections?

• Chlamydia
• Vaginal candidiasis (thrush) Correct answer
• Contact dermatitis from scented soap Correct answer
• Gonorrhea
• Genitourinary syndrome of menopause Correct answer

Contact dermatitis is skin irritation due to allergy or friction; it is not contagious. Candidiasis is caused by yeast fungi, not STIs. Genitourinary syndrome of menopause is associated with decreased estrogen and dry skin. Chlamydia and gonorrhea are sexually transmitted infections; they also cause burning and discharge.

How does a closed swinger community in Indonesia primarily manage health risk?

• They use only condoms
• They regularly get tested at clinics
• They refuse sex with new people
• They hide illnesses to avoid losing reputation
• They vet new people at the entrance and pass news about diseases through an informal network Correct answer

Participants said they fear not infections, but loss of reputation, so they almost never go to doctors. Instead, they take care of health through social mechanisms: they vet new people 'at the entrance' and pass news about diseases through an informal network. That is, risk is managed socially, not medically.

According to the study, what distinguished men for whom tadalafil did not help?

• The 5 mg dosage simply did not suit them
• They had a higher atherogenic plasma index Correct answer
• Their erectile dysfunction was caused by low testosterone
• They took the pills less often than needed
• They had diabetes more often Correct answer

In men who did not respond to treatment, the atherogenic plasma index was almost three times higher than in those for whom the pills worked. In addition, diabetes was almost three times more common among them. Other reasons are not mentioned in the material as factors of failure.

According to the study, which of these statements about the impact of porn on a couple are true?

• In men, problematic porn use worsened the partner's function just as it did in women
• Frequency of viewing decides everything: the less often, the better for the relationship
• If viewing porn causes guilt or becomes compulsive, it can affect intimacy in a couple Correct answer
• For men, the motives “to get pleasure” and “to explore one's body” were associated with better sexual function in both after a year Correct answer
• Problematic porn use in women worsened sexual function in their partners, but not in the women themselves Correct answer

The study showed that what matters is not frequency, but the motives and context of viewing. In men, some motives were associated with better sexual function in both partners, while problematic use in women worsened the partner's function specifically. It is also emphasized that guilt and compulsiveness can affect intimacy in a couple.

What barriers prevent women from accessing HIV prevention, according to the material?

• Doctors' assumption that a woman is heterosexual and 'clean', and therefore not at risk Correct answer
• The belief that HIV prevention is a 'male' matter, for gay men or those who inject drugs Correct answer
• Lack of information about HIV prevention for women
• High cost of the drug
• Fear of side effects

The material explicitly states that the main barrier is not cost or side effects, but 'sexual scripts': the societal assumption that a woman is by default heterosexual and 'clean'. Participants also noted that doctors and the system consider HIV prevention a 'male' matter — for gay men or people who inject drugs.

According to data from a Polish online survey, which factors were associated with a higher likelihood of reporting problems with conception in women?

• Good subjective mental health
• Polycystic ovary syndrome Correct answer
• Taking reproductive supplements Correct answer
• Tubal obstruction Correct answer
• Previous pregnancy

Among women, the strongest associations with fertility complaints were tubal obstruction (23 times higher odds), polycystic ovary syndrome (5 times), and endometriosis. Taking reproductive supplements was also accompanied by higher odds of reporting problems, but due to reverse causation: supplements are started after difficulties are already suspected. In contrast, previous pregnancy and strong mental health, on the other hand, reduced the likelihood of such complaints.

What did the couples study show about the association between anxiety and erection in men?

• A urological diagnosis fully explains erection problems, and psychological factors are irrelevant
• A man's own anxiety is more strongly associated with his erection than his partner's state Correct answer
• The study proved that anxiety causes erectile dysfunction
• The association between anxiety and erection persists even when age, diagnosis, and other factors are accounted for Correct answer
• A partner's anxiety directly worsens erection in men

In the study, men with reduced erection had higher anxiety scores, and this association persisted after accounting for age, diagnosis, and other factors. At the same time, the psychological state of the female partners showed no significant association with erection. The authors emphasize that due to the cross-sectional design, this is only an association, not cause and effect.

What does the analysis of 33 studies say about testosterone as a way to restore sexual desire in women?

• Testosterone helps primarily because it restores estrogen
• Scientists consider testosterone a universal solution for any age
• In postmenopausal women there is more evidence: testosterone is associated with improvements in desire, arousal, and satisfaction Correct answer
• Testosterone is approved as a female drug in all countries, so it is prescribed without restrictions
• Before menopause there is insufficient evidence to confidently assert that testosterone works Correct answer

According to the material, testosterone appears to improve libido specifically, and after menopause there is noticeably more evidence — it is associated with improvements in desire, arousal, satisfaction, and pleasure. In premenopausal women, the results are less consistent, and there is insufficient evidence to confidently say that it works. International recommendations do not advise testosterone before menopause, except for those approaching perimenopause.

Which of the following corresponds to what is stated in the material?

• Using sex as a tool of control is the most common reason for refusing intimacy in couples
• Consenting to sex once does not mean consenting to it next time Correct answer
• Refusing sex due to fatigue or stress is also manipulation
• In long-term relationships, partners have an obligation to have sex
• If a person does not want sex but hides this from their partner, it is already dishonest toward them Correct answer

The material explicitly states: no one owes anyone sex, even in marriage and long-term relationships. Consent can be withdrawn: if you once agreed or wanted it yourself, it does not mean that you agree now. At the same time, hiding your unwillingness from your partner is already not good, because the partner has the right to know what is happening in the relationship. And withholding as a control tactic, although it occurs more often than many think, is not the most common reason — ordinary confusion about desires is more widespread.

Which of the following does the material name as real options for a couple that used to have sex but no longer does?

• Remain friends if things are good together even without sex Correct answer
• Part ways if sex was the only thing holding them together Correct answer
• Try an open relationship, but only with trust and the desire of both Correct answer
• Endure and wait for everything to sort itself out
• Temporarily stop talking about sex to avoid arguments

The material directly lists these paths: to part ways if sex was the only thing holding them together, to remain friends if things are good without sex, and to try an open relationship given a strong foundation of trust and the desire of both. The idea that 'it will sort itself out' and refusing to talk, by contrast, are named as what most often kills intimacy.

Which of the following corresponds to the results of the sildenafil trial described in the material?

• At a dose of 2.5 mg, the increase in time to rigidity at the base was 8.3 minutes Correct answer
• The difference from placebo for the 5 mg dose at the tip was statistically insignificant Correct answer
• All recorded increases in rigidity were significant
• The drug was given in only one dose — 10 mg
• The trial included men over 65 years of age

According to the text, at a dose of 2.5 mg, the increase in time to rigidity at the base was 8.3 minutes, while for the 5 mg dose at the tip, the difference from placebo was statistically insignificant. The remaining statements contradict the material: there were several doses (2.5, 5, and 10 mg), some results were insignificant, and the age of participants was 18 to 65 years.

What, according to the author, makes a relationship sexual?

• The status of "boyfriend and girlfriend" or past experience
• A set of mandatory practices
• An agreement between partners about what they put into that concept Correct answer
• Only what happens in bed
• A certain frequency of sex

The material states directly: there is no mandatory frequency or set of practices, and what makes a relationship sexual is what the partners themselves put into that concept and what they have agreed on. Therefore, frequency, practices, the bedroom, or status by themselves do not define such a relationship.

What signs from the material indicate that a relationship has ceased to be sexual?

• Partners set aside time for sex even if they are tired
• One partner always wants intimacy while the other always refuses Correct answer
• Sex has become a topic that both avoid Correct answer
• Partners have begun discussing their desires and preferences more often
• Intimacy occurs only out of obligation or someone thinks only about their own pleasure Correct answer

The material lists specific warning signs: one partner always wants it while the other always refuses; sex has become a topic that both avoid; intimacy occurs only out of obligation or someone thinks only about their own pleasure. Discussing desires and setting aside time for intimacy, on the contrary, are not named as signs of fading but rather help maintain connection.

What did a review of studies show about the effect of physical rehabilitation on sexual function in endometriosis?

• Sexual function improved on average in the women who participated Correct answer
• Rehabilitation can be part of a comprehensive approach, but not a replacement for treatment Correct answer
• The difference from those who did not participate was statistically nonsignificant Correct answer
• Scientists proved that rehabilitation does not work
• Physical rehabilitation completely eliminates pain during sex

In the review, sexual function improved on average in women who followed rehabilitation programs, but the difference from the control group was statistically nonsignificant — only about 0.12 points. The authors emphasize that evidence is still insufficient and the results are preliminary. At the same time, they do not claim that rehabilitation is useless: it can be part of a comprehensive approach, but not a replacement for medications or other treatments.

According to the study data, what is most strongly associated with sexual distress in women?

• Decreased sexual desire Correct answer
• Past traumatic experience Correct answer
• Age over 40
• Onset of menopause
• Pain during sex

In a study of 484 women, decreased sexual desire ranked first in association with distress, and the third cause was traumatic experience — physical, emotional, or sexual abuse, with a history of sexual abuse being an independent predictor. Pain during sex showed no significant association, menopause was not associated with increased distress, and higher distress was noted in women under 40, not older.

Which of the following matches the material about testicular torsion?

• Torsion most often occurs due to intense sex or sports
• If not operated on within about six hours, the chance of saving the testicle drops sharply Correct answer
• Losing one testicle almost always eliminates the ability to have children
• After surgery, torsion usually recurs again and again
• With torsion, blood flow to the testicle is disrupted, and it is a matter of hours Correct answer

Torsion disrupts blood flow, and the longer it lasts, the higher the risk of losing the testicle. The material emphasizes: if the surgeon does not intervene within about six hours, the chance of saving the organ drops sharply. Sex and sports do not provoke torsion, and after surgery the risk of recurrence is low.

According to the material, what factors do researchers believe influence sexual desire and pleasure in women?

• Only physiological causes, such as hormones and illnesses
• Exclusively the quality of the relationship and partner support
• Both physical and emotional aspects, including partner support, can have an influence Correct answer
• Biological, psychological, relational, cultural, and situational factors acting together Correct answer
• Religious beliefs and past experiences are the main factors

The material states that sexual health is like an ecosystem: biology, psychology, relationships, culture, and context all influence desire and pleasure, and these factors are interconnected. It also notes that women who feel supported by their partner cope better with difficulties, indicating the importance of emotional aspects. Options 1, 3, and 4 reflect only partial or one-sided views, whereas the text emphasizes complexity.