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Journal : Jurnal Kesehatan Reproduksi

Pengaruh Kualitas Sperma terhadap Kualitas Embrio pada Pasangan yang Menjalani IVF di RSUP Dr. Sardjito Noor, Rahman; Ganap, Eugenius Phyowai; Dewanto, Agung
JURNAL KESEHATAN REPRODUKSI Vol 10, No 3 (2023)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.78031

Abstract

Latar belakang: Kualitas sperma pria pada beberapa dekade terakhir berdasarkan studi mengalami penurunan. Penurunan kualitas sperma merupakan penyebab infertilitas pada laki-laki. Kualitas sperma yang menurun mempengaruhi kualitas embrio yang akan didapakan pada program IVF. Kualitas sperma dapat menjadi faktor prediktor kualitas embrio yang akan didapatkan pada program IVF. Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan kualitas sperma dengan kualitas embrio pada pasangan yang menjalani IVF di RSUP Dr. Sardjito. Metode: Penelitian ini menggunakan metode kohort retrospektif. Pengambilan sampel menggunakan consecutive sampling. Subjek penelitian dibagi menjadi 3, yaitu kualitas sperma normal, perubahan ringan sperma dan perubahan berat sperma pada pasangan suami istri yang menjalani program bayi tabung (IVF/ICSI) di klinik infertilitas Permata Hati, RSUP Dr. Sardjito, antara 1 Januari 2019-31 Desember 2020. Hasil: Sampel yang memenuhi kriteria inklusi dan eksklusi sebanyak 319. Sampel tersebut terbagi menjadi 93 pada sperma normal, 144 pada perubahan sperma ringan, 82 pada perubahan sperma berat. Hasil penelitian ini terdapat hubungan yang bermakna antara kualitas sperma dengan  kualitas embrio (p<0,001). Perubahan sperma berat secara statistik memiliki hubungan yang bermakna dengan embrio kualitas buruk (p<0,001). Pada perubahan sperma berat memiliki risiko 2,7 kali terhadap embrio kualitas buruk dibandingkan dengan sperma normal (OR=2,706; CI 95% 1,677-4,365). Kesimpulan: Kualitas sperma secara statistik memiliki hubungan yang bermakna dengan kualitas embrio pada pasangan yang menjalani IVF. Perubahan sperma berat memiliki risiko 2,7 kali terhadap embrio kualitas buruk dibandingkan dengan sperma yang normal
Faktor-Faktor yang Mempengaruhi Cakupan Skrining Kanker Serviks dan Loss to Follow Up pada Wanita dengan IVA Positif yang Menjalani Krioterapi di Negara Berkembang: Scoping Review Adistyatama, Rizkha; Ganap, Eugenius Phyowai; Trirahmanto, Addin
JURNAL KESEHATAN REPRODUKSI Vol 10, No 2 (2023)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.85571

Abstract

Background: Cervical cancer is one of the main health problems in developing country and the second most common cancer in Indonesian women. For a better outcome, it is necessary to pay attention for discovery of the disease at an early stage. Single visit approach with visual inspection of acetic acid (VIA) followed by cryotherapy considered efficient and cost effective. However, low uptake of screening and loss to follow up after cryotherapy remain the biggest challenge.Objective: We aimed to identify factors affecting low uptake of cervical cancer screening and loss to follow up women with VIA positive undergone cryotherapy in developing countries.Method: This study is a literature review with scoping review design. Systematic search were conducted from databases PubMed, ScienceDirect, SAGE journals, Scopus and Google Scholar. Total 42 articles were selected for analysis, 35 articles discussed factors affecting cervical cancer screening uptake in developing countries and 7 articles discussed loss to follow-up women with VIA positive undergone cryotherapy.Results and Discussion: Factors identified affecting cervical cancer screening uptake and loss to follow up from demand side included lack of knowledge, perception and awareness, access constrain, fear or shame feeling and cost related problem. From supply side or healthcare system, these factors included lack of trained providers, lack of infrastructure, lack of information, coordination and communication, as well as ineffective administrative processes.Conclusion: Problems of cervical cancer screening uptake and loss to follow up after cryotherapy were identified from demand side and health service provider side. Recommendation of service improvement must consider influencing factors and limitations encountered on the field. Keywords: cervical cancer, screening, visual inspection of acetic acid, loss to follow-up, cryotherapy
The Relationship Between Stress Level During Covid-19 Pandemic with The Intensity Of Dysmenorrhea Junitha, Euginia; Ganap, Eugenius Phyowai; Wirasto, Ronny Tri; Kusumanto, Ardhanu
JURNAL KESEHATAN REPRODUKSI Vol 11, No 2 (2024)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.111116

Abstract

Background: One of the modifiable risk factors of dysmenorrhea is stress. The stress level has a bidirectional relationship with dysmenorrhea and can interfere with the student’s quality of life. Due to the COVID-19 pandemic, many abrupt changes happened in the psychosocial and socioeconomic sectors might affect the psychological well-being of students, hence exacerbating the menstrual pain.Objective: The study aims to observe whether there is a positive relationship between stress level and dysmenorrhea intensity among college students in Universitas Gadjah Mada from batch 2019-2021.Method: Descriptive study with a cross-sectional approach. The sampling was done with simple random sampling with 155 participants in total. This study uses WaLIDD score and PSS-10 questionnaire in an online questionnaire form. Data analysis is done in univariate, bivariate, and multivariate.Results and Discussion: There is a positive relationship between stress level and dysmenorrhea intensity among female UGM students with a p-value of 0.031 (<0.05).Conclusion: Higher stress levels are significantly associated with increased dysmenorrhea intensity, indicating that psychological stress during the COVID-19 pandemic may play a pivotal role in exacerbating menstrual pain among female university students.