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Introduction: Stress and sexual dysfunction affect a significant portion of couples seeking conception, leading to emotional strain. We hypothesized that ovulation calculators, widely used as a tool to predict fertile days, may play a role in the stress experienced by couples undergoing fertility treatments. We evaluated the impact of ovulation calculators on stress levels in couples seeking fertility treatment and explored the associations with sexual dysfunction and mental health implications due to the stress of infertility. Objective: The objective of this study is to evaluate the impact of ovulation calculators on stress levels in couples seeking fertility treatment and to explore the associations with sexual dysfunction and mental health implications due to the stress of infertility. Methods: Participants were recruited from the University of Miami Health System Clinics. Fifty couples consulting for infertility were included in the study. Both partners were asked to complete anonymous self-reported surveys consisting of validated questions related to stress levels, sexual function, and the use of ovulation calculators. The surveys included the Female Sexual Function Index (FSFI) for females and the International Index of Erectile Function (IIEF) for males to assess sexual function. Additionally, the Fertility Problem Inventory (FPI) was used to measure fertility-related stress and distress. The data collected included age, duration of attempts to conceive, and responses to stress-related questions. Results: A total of 50 couples who we reattempting conception completed the cross-sectional study with all the questionnaires were included in the study. Whether or not they were using ovulation calculators, women scored similarly in the 4 variables of the FSFI, including Arousal, Orgasm, Satisfaction, and Lubrication. When evaluating IIEF scores for Male Erectile Function, the average score of men tracking ovulation was 12.0 ± 4.8, compared to 11.5 ± 5.4 in male patients who were not (P-Value: 0.81). The results showed no statistically significant difference in stress levels between couples who used ovulation calculators and those who did not. However, both male and female participants reported higher levels of sexual dysfunction in couples experiencing higher stress levels due to infertility. Fertility-related stress was also found to be significantly associated with mental health implications, with increased anxiety and depression reported by couples undergoing fertility treatments. Conclusions: The findings suggest that the use of ovulation calculators did not significantly influence the stress experienced by couples seeking fertility treatment. However, the study highlights the significant impact of infertility-related stress on sexual function and mental health in both male and female partners. These results emphasize the importance of addressing the psychological aspects of infertility and providing comprehensive support to couples undergoing fertility treatments. Further research is warranted to explore the complex interplay between ovulation calculator usage, infertility-related stress, sexual dysfunction, and mental health implications in couples seeking to conceive. Healthcare providers should consider incorporating mental health support into fertility treatment programs to optimize patient outcomes and overall well-being. Disclosure: No. [ABSTRACT FROM AUTHOR]

Introduction: The use of inflatable penile prostheses (IPP) is a fundamental approach in managing erectile dysfunction that does not respond to medical management. Approximately 28,000 IPPs are implanted annually in the United States. Device infection, with an incidence up to 3%, is a particularly concerning complication as management generally necessitates device removal. This can result in significant cost burden, requiring inpatient admission, return to operative room and extensive postoperative care. One important risk factor for IPP infection is operative time, with the suggestion that increased operative time facilitates a colonization of microbes from the skin flora and ambient air within the operating room (referred to as the aerobiome). Objective: To evaluate whether increased exposure to the operating room (OR) aerobiome results in increased microbial colonization of IPPs. Methods: We performed an ex vivo study focusing on the reservoir and tips of Coloplast Titan IPP. Conditions of an IPP surgery were attempted to be closely replicated. Setup included a dedicated table within the same institutional OR where IPPs are routinely performed, facilitating sample collection, and with standard intra-operative conditions-pressure 0.024"WC, temperature 66.80F, and humidity 49.2% RH-to emulate surgical conditions. Stringent surgical hygiene was observed to obtain samples in a sterile manner; this including surgical scrub, sterile field, and double-glove technique. A sterile swab was collected at 30-minute intervals over a total duration of 3 hours, from each individual component of the IPP, resulting in a total of 6 samples per component. To prevent any potential interference from previous samples, care was taken to collect each swab from distinct areas. The obtained swabs were subjected to quantitative polymerase chain reaction (qPCR) and next generation sequencing (NGS) analyses of the V12 16S rRNA conservative region using the MiSeq platform (Illumina, San Diego, CA) with 2x250 paired read chemistry. Subsequent bioinformatic processing was carried out utilizing a clustering-based method with operational taxonomic units set at a 97% similarity threshold, and taxonomic assignment was accomplished using an internally maintained taxonomic classifier. Results: The results of the study, obtained through both standard culture and next-generation sequencing (NGS) analyses, demonstrated consistent and significant findings. Through rigorous examination, it was determined that no microbial growth was detected on any component of the inflatable penile prostheses (IPPs) throughout the entire duration of the experiment, which lasted up to 3 hours. This dual approach of standard culture and NGS provided comprehensive and robust evidence of the absence of microbial colonization on the IPP devices. Conclusions: These findings suggest that the duration of exposure to the OR aerobiome alone does not appear to increase the risk of microbial colonization on IPP devices. Further ex vivo studies are needed to support these findings and evaluate whether factors such as time of skin-to-IPP contact or changes in OR conditions contribute to risk of IPP microbial colonization. Disclosure: Any of the authors act as a consultant, employee or shareholder of an industry for: Coloplast, Boston Scientific. [ABSTRACT FROM AUTHOR]