Nobuhiko Suganuma, M.D., Ph.D., Professor
For life, “reproduction” is the most important behavior to preserve its own species. On the other hand, “sexual intercourse”, which is an essential action for reproduction in animals, has obtained other meanings especially in human beings. Although there is no room for doubt that “sexuality” is a specific emotion for mankind, the following points would be addressed. How is sexuality related to sexual intercourse and/or reproduction? How should medical staffs be engaged to reproduction, sex and sexuality in clinical and research fields? In our division, education and research are performed to clarify these gynecological points.
Research and Education
Human reproduction has changed with recent development of new assisted reproductive technology (ART) used for infertility treatment. Basic education concerning to obstetrics and gynecology including human reproduction system, ART, perinatal care and human sexuality is given to medical school students. The doctor course students in the graduate school grapple with the gynecological problem pointed above more deeply. Patients with physical or psychological intersex such as Turner’s syndrome, androgen insensitivity syndrome, Rokitansky syndrome and gender identity disorder have various medical and social problems in reproduction, sexual behavior and sexuality even in the present society. ART is altering their reproductive ability through not only oocyte donation, surrogacy and cell/tissue/organ cryopreservation but also gamete derivation using ES and/or iPS cells and uterine transplantation in future, which may improve their QOL further. To take care of those peoples as a medical staff, the basic and clinical research to analyze the relationship between ART and sexual aspects should be performed.
①A scene from The 52nd Congress of Japan Society of Maternal Health held in Kyoto International Conference Center at Sep. 29-30, 2011 (President: N. Suganuma, Professor)
②A presentation by K. Yamaguchi, Assistant Professor, at The 2012 FIGO (International Federation of Gynecology and Obstetrics) World Congress taken place in Rome, Italy, at Oct. 7-12, 2012
1.Yamaguchi K, Suganuma N, Ohashi K: Quality of life evaluation in Japanese pregnant women with striae gravidarum: A cross-sectional study. BMC Res Notes. 2012 Aug 21;5:450
2.Mihara, M, Kisu I, Hara H, Iida T, Araki J, Shim T, Moriguchi H, Kato Y, Tonsho M, Banno K, Aoki D, Suganuma N, Kagawa N, Takehara Y, Kato O, Koshima I: Uterus autotransplantation in cynomolgus macaques; development of the operative procedure. Hum Reprod, 27: 2332-2340, 2012
3.Kisu I, Banno K, Mihara, M, Tsuji K, Yanokura M, Hara H, Araki J, Iida T, Lin L-Y, Abe T, Kouyama K, Suganuma N, Aoki D: Indocyanine green fluorescence imaging for evaluation of uterine blood flow in cynomolgus macaque. PLosOne, 7: e35124, 2012 (Epub 2012 Apr 20)
4.Kameda T, Yamada S, Uwabe C, Suganuma N : Digitization of clinical and epidemiological data from the Kyoto Collection of Human Embryos: maternal risk factors and embryonic malformations. Congenit Anom (Kyoto) 52: 48-54, 2012
5.Watanabe H, Suganuma N, Hayashi A, Hirowatari Y, Hirowatari T, Ohsawa M: No relation between folate and homocysteine levels and depression in early pregnant women. Biosci Trends 4: 344-350, 2010
Professor：Nobuhiko Suganuma, M.D., Ph.D.
Assistant Professor：Kotomi Yamaguchi