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…
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…
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…
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,…
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…
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…
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…
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…
1966—Masters and Johnson’s Sexual Response Model [131] This linear model focuses on genital and peripheral physiological changes and on the classification of sexual dysfunctions based on designated functional stages. Interest…
A. A persistent or recurrent pattern of ejaculation occurring during partnered sexual activity within approximately 1 min following vaginal penetration and before the individual wishes it. Note: Although the diagnosis…
