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Résumé: Objectif: Le papillomavirus humain (HPV) est la principale cause du cancer du col de l'utérus, première cause de décès par cancer chez la femme en Afrique. L'objectif de cette étude était de déterminer la prévalence de l'infection HPV à haut risque (HR-HPV) et la distribution des génotypes rencontrés dans la population des femmes sexuellement actives de la ville de Ouagadougou. Méthodologie: Dans quatre centres de santé de deuxième échelon, 234 femmes recrutées avaient volontairement accepté un écouvillonnage du canal endocervical. L'identification des génotypes HPV-HR a été réalisée par PCR en temps réel. Résultats: La prévalence de l'infection au HR-HPV était de 52,56 %. Quatorze génotypes correspondant à 216 infections, ont été caractérisés : HPV 59 (42/216), HPV 66 (30/216), HPV 56 (20/216), HPV 45 (20/216), HPV 58 (18/216), HPV 39 (18/216), HPV 51 (16/216), HPV 68 (14/216), HPV 52 (12/216), HPV 18 (12/216), HPV 35 (6/216), HPV 31 (5/216), HPV 16 (3/216), HPV 33 (0/216). L'infection à HPV était statistiquement associée à l'âge (p = 0,033), ainsi que certaines pratiques sexuelles telles que la fellation (p = 0,001). Conclusion: La prévalence de l'infection HPV-HR chez les femmes sans lésion de notre étude est plus élevée que celle obtenue précédemment dans les études faites à Ouagadougou chez les femmes de la population générale et celles retrouvées dans le reste du monde. Aussi, les génotypes les plus fréquemment rencontrés ne sont pas HPV16 et 18. Background: Human papillomavirus (HPV) is the leading cause of cervical cancer, which in turn is the leading cause of cancer death in women in Africa. The objective of this study was to determine the prevalence of high-risk HPV infection (HR-HPV) and the distribution of genotypes encountered in the sexually active female population of Ouagadougou. Method: In four level-two health centers, we recruited 234 women who agreed to undergo an endocervical swab. HR-HPV genotypes were identified by real-time PCR. The Chi-square test was used for comparisons, with significance defined by a P-value < 0.05. Results: The prevalence of HR-HPV infection was 52.56%. Fourteen genotypes corresponding to 216 infections were characterized: HPV 59 (42/216), HPV 66 (30/216), HPV 56 (20/216), HPV 45 (20/216), HPV 58 (18/216), HPV 39 (18/216), HPV 51 (16/216), HPV 68 (14/216), HPV 52 (12/216), HPV 18 (12/216), HPV 35 (6/216), HPV 31 (5/216), HPV 16 (3/216), HPV 33 (0/216). HPV infection was statistically associated with age (P = 0.033) and with some specific sexual practices, such as oral sex (P = 0.001). Conclusion: The prevalence of HR-HPV infection among women without lesions in our study is higher than that reported previously in studies conducted in Ouagadougou among women in the general population and those found in the rest of the world. Moreover, HPV16 and 18 were not the genotypes most frequently encountered. [ABSTRACT FROM AUTHOR]

Abstract: For centuries, squirting (female ejaculation) has been known all over the world. In female sexuality, three subjects are in controversy: the G spot (erogenous anatomical zone), the female prostate (glandular peri-urethral tissue) and the female ejaculation (incorrect but often used expression). The term “fountain emission” is more accurate: involuntary fluid expulsion, which arises rather often at the same time as the orgasm but not systematically. Prevalence would be from 6 to 10% of the women. It seems interesting to hear “fountain women” talk, for such a long time absent in this debate. What do they say on the Internet and during the personal inquiries? What are the partner''s actual experiences? Results of my inquiries: Generally, a squirting woman is easily multi-orgasmic and is happy with her flood, often associated with great emotional intensity and appreciated by her partner, in spite some inconvenience. She does not speak a lot about this phenomenon, which remains not very well known by the medical field. She has a tacit request towards the doctors even she rarely consults on this subject (excepted for the woman embarrassed by her flood). Circumstances that may trigger this issue, are emotional (to let go and to trust her partner), and technical: digital caresses (two fingers hooked into the vagina and strong pressure; 92% of success); coitus (Andromache''s position and importance of penile inclination; 61% of success); masturbation (66% of success) and cunnilingus (28% of success). The origin and the composition of these fluids still remain a mystery for many people. Scientific researches: In 2012, results are always divergent on this subject. However, by 1950, Gräfenberg [9], father of the G spot (Fig. 1) and female ejaculation, had almost everything already discovered! Conclusions: There exist three stages: an excessive lubrification; an ejaculation (squirting): average quantities coming through para-urethral ducts. Involvement of para-urethral glands (skene glands). The female prostate (Zaviacic [17]) would be a misnomer; the fountain woman: existence of a loss of modified and diluted urine. This is confirmed by the experience of the laboratory and other searchers (Godberg; Schubach [14]…). Significant amounts expelled from urethra. For some women, light emissions also come out from para-urethral ducts. The bladder is implied, for sure. The liquid has a clear appearance, a more or less strong smell, a pungent and salty taste. Emitted quantities: half glass to two glasses per emission or a little puddle after several orgasms. The two ages of predilection are: early sexual intercourse and after 40years old. From this age, some fountain women may suffer from urinary incontinence. All women cannot be fountain women. Some of them have predispositions. Treatment in case of embarrassment: perineal reeducation first (Foldes [2,8]). We can accept in 2012 the evidence of this phenomenon, which is no longer a myth. However, “female sexuality is still an obscure and unknown part of medicine” (Jannini [3]). [Copyright &y& Elsevier]

Sexual activity may on occasion be associated with local trauma, infections or allergies. During visits, patients may be reluctant to report on the circumstances leading to such lesions. The dermatologist may be unfamiliar with these manifestations, especially where they occur outside the genital area. Our aim is to present the spectrum of genital and extra-genital signs associated with sexuality. The dermatologist must feel sufficiently confident to broach the patient's sexual history in order to avoid any diagnostic errors and unnecessary explorations., (Copyright © 2020 Elsevier Masson SAS. All rights reserved.)