Facilitators and Barriers in Sexual History Taking
Figure 5-1. Screening and in-depth sexual health history . If the patient’s sexual history seems directly related to the main complaint, a complete history is indicated for a thorough sexual…
Sexual Emergencies
Figure 33-1. Penis : cross section [Reprinted from https://commons.wikimedia.org/wiki/File:Penis_cross_section.svg#. With permission from Creative Commons]. Non-ischemic Priapism Usually not painful and the penis is not as rigid. It is often a…
Biopsychosocial Treatment of Sexual Dysfunctions
Figure 7-1. Overlapping vicious circles in erectile dysfunction and consequences for the partnership. Comparing sexual medicine with reproductive medicine, which equally deals with couples and sexuality, the differences in approach…
Surveys of Sexual Behavior and Sexual Disorders
Sample size Type of sample Information gathering Major findings Major limitations Kinsey 1930s–1950s published 1948 and 1953 5300/8000 Convenience sample Face-to-face interviews 10% of men had had sex exclusively…
Sex and Chronic Psychiatric Illness
Figure 32-1. The relationship between mental illness and sexual functioning is bidirectional and multifactorial [Courtesy of Anna Klimowicz, Adriana Janicic, and Waguih William IsHak]. Psychosocial and interpersonal dimensions play an…
Sex and Cancer
Figure 30-1. Schematic representing the pathophysiology of erectile dysfunction after radical prostatectomy. *Apoptosis occurs in nerves, smooth muscle, and endothelium as a result of neural trauma. APA accessory pudendal artery,…
Sex and the Heart
Figure 29-1. The relationship of endothelial dysfunction, low-grade chronic inflammation, and atherosclerosis in the pathogenesis of erectile dysfunction and coronary artery diseases. A commonly proposed mechanism correlating erectile dysfunction and…
Sex and Pharmacological Sexual Enhancement
Stage of the sexual response cycle Women Men Desire Bupropion Bupropion Flibanserin Ropinirole Melanocortin Testosterone Arousal Alprostadil Apomorphine Apomorphine Buspirone Bupropion Sildenafil Melanocortin PDE5 inhibitors Yohimbine Orgasm Bupropion Bupropion…
Evaluation and Treatment of Sexual Disorders Due to Medical Conditions
Type Mechanisms Examples Direct Change in sexual desire from disease Typically reduced, e.g., from high prolactin and anemia of chronic renal failure [1]. May be increased, e.g., from some brain…
Treatment of Delayed Ejaculation
Figure 17-1. Physiology of ejaculation . The ejaculation reflex and ejaculatory control. Ejaculation is the result of the coordinated contractile activity involving different ejaculatory organs organized by the spinal ejaculatory…
