Figure 34-1. Quality of life elements. Lastly, the WHO defines sexual health as “a state of physical, emotional, mental and social well-being in relation to sexuality; […] not merely the…

Figure 35-1. Five-thousand year timeline slide [Courtesy of Acupuncture Media Works, LLC ©2011]. The patient interest in alternative medicines in the 1990s grew at a remarkable rate and continues to…

Severity of vaginismus (grades) I Spasm of the levator ani, that disappears with patient’s reassurance II Spasm of the levator ani, that persists during the gynecologic examination III Spasm of…

Figure 36-1. The five-step “allow” algorithm for managing sexual dysfunction. This first step is crucial as it highlights the multifactorial nature of sexual dysfunction and provides the physician with the…

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…

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…

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 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…