The decades of the 70s and 80s of the last century in our country, allowed us to glimpse that the possibilities of treatment for the infertile couple were considerably expanded. Until that moment, infertile couples had very limited options such as adoption, insemination using a donor or conforming to not having children. In Cuba, since 1979, the first steps were taken in the field of assisted reproduction in animals. Human reproduction studies have been carried out at the National Institute of Endocrinology and the Ramón González Coro Gyneco-obstetric Hospital, the first birth having occurred in 1986. Since 2006 and with the aim of guaranteeing perinatological care specialized in pregnant patients as a result of in vitro fertilization, it was decided to create a consultation at the Ramón González Coro Hospital given the high rate of twin and triple pregnancies, preterm births and complications. The number of patients treated had to proceed with high complexity in vitro fertilization and sometimes ICSI and it was not until 2014 after the approval by our constitution, the family code and medical ethics that egg donation began.

The discussion and specification of a model for the study of reproductive choice was the objective of this paper. A documentary study was carried out with an intentional selection of sources indexed to Academia, Copernicus, Dialnet, Ebsco, Latindex, Publindex, Redalyc, Scielo, Scopus, WoS, Zenodo and Zotero from 1961 to 2020. The relationship between the calculation of costs and benefits with risk behaviors was established, although the research design limited the discussion with the literature consulted, suggesting the extension of the work to the revision of its dimensions; incommensurability, unpredictability and uncontrollability.

Uterine fibroids are the most frequent gynaecological benign tumors in women of reproductive age and can cause infertility. Their treatment may be medical, surgical or a combination of both, but they may compromise future fertility in patients in which their wish to conceive has not yet been fulfilled. In this report we present two patients with symptomatic uterine myomas and who wanted to preserve their fertility. Treatment with one or two 12-week courses of 5 mg of ulipristal acetate was prescribed. A decrease in the size of the fibroids was observed, along with adequate control of the symptoms. Spontaneous pregnancies led to two live births without significant complications. Treatment with Ulipristal Acetate may be an effective option to take into account in the management of patients with symptomatic uterine fibroids who refuse surgery or in those in which it is contraindicated and who wish to preserve their fertility.

Background: Cervical cancer affects all aspects of a patient’s life, including sexual functioning, body image, and intimacy. Aim: The present study aimed to evaluate the impact of a protocol of nursing intervention on sexual dysfunction and body image among cervical cancer survivors women. Methods; Design: ? qu?si-experiment?l research design was conducted. Setting: out-patient clinic in the oncology unit at ?eni-Suef University Hospital. Subjects: A purposive sample of 70 women. Tools: Data was collected through ? structured interviewing questionn?ire sheet, fem?le sexu?l function index, fem?le sexu?l distress sc?le, and body image sc?le. Results: The results of the study reve?led that there was ? high statistically signific?nt difference in the womens tot?l score of knowledge ?bout cervical cancer, total scores of female sexu?l function index, female sexual distress sc?le, ?nd body image scale at post-intervention compared to pre-intervention (?<0.001). Conclusion: The study concluded that educational protocol, which is provided to cervical cancer survivors women, has a positive effect on their own knowledge, body image, and sexual function. Recommendations: disseminate the multidisciplinary collaboration approach for addressing sexual problems related to cervical cancer, and preparing health classes for cervical cancer women regarding sexual dysfunction with cervical cancer.

Background: Cervical cancer diagnosis and treatment can bring changes related to ? womans body image; which in turn can have a devastating on intimate relationships. Aim: The present study aimed to assess womens body image distress associated with cervical cancer. Methods; Design: A descriptive design was conducted. Setting: out-patient clinic in the oncology unit at Beni-Suef University hospital. Subjects: A purposive sample of 70 women. Tools: Data was collected through a structured interviewing questionnaire sheet, and body image scale. Results: The results of the study indicate that the majority (90%) of the studied women had body image distress. There is a statistically significant relationship between age and marriage age of women and their total body image scores. Conclusion: There is a statistical association between body image statuses amongst those women who were undergoing cervical cancer treatment concerning their socio-demographic characteristics. Recommendations: Implement an educational program to improve the self-body image for women with cervical cancer