Purpose: To explore the effect of undergoing coronary artery bypass grafting on sexual quality of life as an integral part of patients’ health-related quality of life. Methods: This cross-sectional study included 265 men ages 18 to 60 years (median age, 55) who underwent coronary artery bypass grafting 1 to 5 years before the study. Standardized questionnaires were implemented to evaluate participant pre- and postoperative sexual quality of life and the quality of counseling provided to patients. Results: Among the patients, 77% were in a steady relationship. The general health score was 5.5 ± 2.8 (mean ± standard deviation) preoperatively and 6 ± 2.2 at follow-up (P = .01). No sexual counseling was given to 83% and 77% of the patients pre- and postoperatively, respectively. The mean sexual satisfaction score dropped from 6.5 ± 2.6 preoperatively to 4.7 ± 3 postoperatively (P < .001). The decline in sexual intercourse frequency and masturbation frequency was significant (P < .001 and P = .006, respectively). Linear regression analysis showed that general health status (P = .008), higher-quality counseling (P = .027), and preoperative sexual quality of life (P < .001) correlated positively with sexual quality of life, whereas sternal pain (P < .001), erectile dysfunction (P < .001), and fear of excessive cardiac burden (P < .001) correlated negatively. Conclusions: Middle-aged men experience decreased sexual quality of life after coronary artery bypass grafting. Preoperative sexual quality of life, general health, and higher-quality counseling positively affect postoperative sexual quality of life, whereas sternal pain, fear, and erectile dysfunction play a negative role. Pre- and postoperative care guidelines should be improved. Further prospective large cohort studies for males and females are required.

This comprehensive scholarly treatment of bisexuality - the first of its kind - gathers together in one volume original contributions by leading sex researchers from North America, Europe, Australia, and Asia. The book explores bisexuality from biological, historical, and cultural points of view. It includes discussions on such fundamental issues as methodological criteria and critical analysis, as well as the differences across sexual orientation that impact HIV-risk behaviors in injecting drug users.

Die Sexualwissenschaft ist zu Anfang unseres Jahrhunderts in Berlin entstanden und wird seit 1975 von der WHO als wichtig für die Ausbildung in Gesundheitsberufen angesehen. Die entsprechenden WHO-Empfehlungen sind bisher teilweise in mehreren europiäischen Ländern, nicht aber in Deutschland umgesetzt worden. Der Beitrag skizziert die methodischen Probleme der Sexualwissenschaft und weist gleichzeitig auf den positiven Beitrag hin, den sie trotz allem auf dem Gebiet der “Public Health” leisten kann.