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Search Results: 1 - 10 of 5036 matches for " sexual dysfunction "
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Does Male Circumcision Adversely Affect Sexual Sensation, Function, or Satisfaction? Critical Comment on Morris and Krieger (2013)  [PDF]
Gregory J. Boyle
Advances in Sexual Medicine (ASM) , 2015, DOI: 10.4236/asm.2015.52002
Abstract: Morris and Krieger (2013) have argued that male circumcision does not impact adversely on sexual sensation, satisfaction, and/or function. In the present paper, it is argued that such a view is untenable. By selectively citing Morris’ own non-peer-reviewed letters and opinion pieces purporting to show flaws in studies reporting evidence of negative effects of circumcision, and by failing adequately to account for replies to these letters by the authors of the original research (and others), Morris and Krieger give an incomplete and misleading account of the available literature. Consequently, Morris and Krieger reach an implausible conclusion that is inconsistent with what is known about the anatomy and functions of the penile foreskin, and the likely effects of its surgical removal.
Female Sexual Dysfunction in Elfayoum Governorate  [PDF]
Samar El-Tahlawi, Noha Ezzat Mohammad, Asmaa Younes Elsary, Noha Mohamed Yousef, Talal Abdelreheem
Advances in Sexual Medicine (ASM) , 2018, DOI: 10.4236/asm.2018.81001
Abstract: Introduction: female sexual dysfunction (FSD) is a complex and poorly understood condition that affects females of all ages. Female sexual dysfunction has been a cyclic rather than a linear process that emphasizes biologic, psychological, social, hormonal, and environmental factors. Female sexual dysfunction is a high prevalent disorder reaching up to 60% of females with reported higher levels in postmenopausal. Aim of the work: was to estimate prevalence of FSD and its related factors in Elfayoum city. Subject and Method: This study was a cross sectional descriptive study conducted in Elfayoum city included 508 married females (above 21 years old) during the period from September 2016 to March 2017. Results: The prevalence of FSD among studied group was 61.2% versus 38.8% had normal sexual function, desire dysfunction was 42.3%, arousal dysfunction was 39.2%, lubrication dysfunction was 25%, orgasm dysfunction was 58.5%, satisfaction dysfunction was 58.1% and pain was 43.3%. There was statistically significant negative correlation between Female Sexual Function Index (FSFI) score and each of female and husband age, duration of marriage, and number of children. Low mean of FSFI score was found among females with irregular menstrual cycle, using contraceptive, not pregnant, mutilated and females who’s their husband had erectile or ejaculation disorders. Conclusion and recommendation: High prevalence of FSD among females in Elfayoum governorate. Many factors are found to affect FSD as FGM, each of female and husband age, duration of marriage, and number of children.
Profile of Female Patients at a Sexology Ambulatory in the Brazilian Public Health System  [PDF]
Janete Vettorazzi, Edimárlei Gonsales Valério, Bruno Florentino Goldani, Thomas Lucas Toledo de Souza, Paula Capra, Bruno Ribeiro Bossardi, Mariana Hollmann Scheffler, Fernanda Santos Grossi, Luciana Segat
Open Journal of Obstetrics and Gynecology (OJOG) , 2018, DOI: 10.4236/ojog.2018.812120
Abstract: Introduction: Sexual problems are fairly common, and sexuality is an important parameter of health and quality of life. However, only a few centers in Brazil have ambulatories specialized in sexual dysfunction. This study was conducted in a service that is a state reference for these pathologies. Methods: This study was conducted at the human sexuality ambulatory of a large public hospital in southern Brazil. It was a cross-sectional descriptive study with women attending at the first medical visit to the ambulatory of human sexuality in a period of four years. Female Sexual Function Index (FSFI) questionnaires with both qualitative and quantitative questions were applied in all first medical visits to the ambulatory. Results: The 153 women attending had a mean age of 40.9 (±12.9) years. The most frequent complaint was “lack of desire” (56.8%), followed by pain in intercourse (25.4%) and lack of pleasure or inability to achieve orgasm (12.4%). The prevalence of sexual dysfunction (FSFI cut-off score < 26.5) was 74.5%. The patient’s age, the age of the partner, and the length of the relationship with the partner had a significant correlation with a lower FSFI score. There was an inverse correlation between the length of the relationship and the FSFI score. The self-attributed score for satisfaction with sexual life had a significant correlation with the FSFI total score (r = 0.708, p <
Alcohol Consumption Is Associated with Hypogonadism and Decreased Sexual Function in Ghanaian Diabetics  [PDF]
Huseini Alidu, William K. B. A. Owiredu, Nafiu Amidu, Christian Kofi Gyasi-Sarpong, Peter Paul Mwinsanga Dapare, Ahmed Tijani Bawah, Arnold Togiwe Luuse, Emmanuel Barima Agyemang Prempeh
Advances in Sexual Medicine (ASM) , 2017, DOI: 10.4236/asm.2017.73009
Abstract: Introduction: Alcohol usage has largely been seen as a risk factor for the development of sexual dysfunction as well as erectile dysfunction. Others have reported that prolonged alcohol usage and abuse is compatible with normal sexual function in the absence of endocrinological problems as well as hepatic dysfunction. About seventy five (75) percent of alcoholics have various sexual difficulties with improvements in sexual functions occurring after treatment of alcoholism and psychosexual therapy. It is evident from the various reports over the years that mild and occasional alcohol usage is not as much implicated in the causation of SD and its other forms as heavy, addictive or dependent alcohol usage. Alcohol usage has also long been linked to hypogonadism, testicular atrophy as well as leydig cell toxicity. Alcohol induced hypogonadism has been reported to resolve after withdrawal of alcohol use. Since both diabetes and alcohol usage have been strongly associated with both hypogonadism and sexual dysfunction, it is logical to expect that diabetics who frequently consume alcohol will have a worsened hypogonadal state and sexual function. This research therefore seeks to provide evidence of an association between alcohol consumption in diabetics and a worsened sexual dysfunction in comparison to diabetics who did not consume alcohol. Methods: Type II diabetic patients attending the Diabetic Clinic at the Maamobi General Hospital between the periods of January 2010 and March 2011 were consecutively recruited for this study. Diabetics with other known endocrinological diseases and physical disabilities were excluded from the study. Sexual function was assessed using the GRISS-M. Early morning fasting samples were used in lipid and testosterone profile assays. Results: Study participants who consumed alcohol recorded higher levels of triglycerides and LDL-Cholesterol. They also recorded significantly lower levels of bioavailable testosterone. Furthermore they also recorded higher scores for impotence, premature ejaculation, non-sensuality and infrequency but lower scores for avoidance and were about six times more likely to be infrequent in their sexual activity in comparison with those who did not consume alcohol. Conclusion: Alcohol consumption among diabetic males is associated with hypogonadism and has an impact on several domains of male sexual function. Diabetic males should be advised to avoid alcohol abuse in order to facilitate the management of diabetes associated sexual
Low Testosterone—An Important Predictor of Low Mineral Bone Density in Young Men—Our Own Experience and a Review of Literature  [PDF]
Michael Funaro, Alexander Bolyakov, Elena Gimenez, Michael Herman, Darius A. Paduch
Advances in Sexual Medicine (ASM) , 2013, DOI: 10.4236/asm.2013.33A003
Abstract: Urologists and reproductive endocrinologists have become the first contact physicians for young men of reproductive age and have the unique opportunity to positively affect men’s health and quality of life. Growing evidence indicates that a significant proportion of men presenting with infertility or sexual dysfunction are hypogonadal. One hundred ninety nine men were enrolled in our center, and mean total testosterone was <300 ng/dl. Patients were divided into three groups based on their DEXA scan results; normal bone density (n = 122, 57%), osteopenia (n = 69, 39%) and osteoporosis (n = 8, 4%). There were no differences in the mean age (p < 0.64), height (p < 0.99) and weight (p < 0.06) among the three groups (ANOVA), but men with osteopenia had statistically significant lower weights (p < 0.02). Our results indicate that hypogonadism is one of the main risk factors for osteopenia and osteoporosis which can be found in 8% of hypogonadal men younger than 50 years of age. Testosterone replacement therapy may be indicated in most men with hypogonadism and low bone mineral density (BMD); however the benefits of testosterone treatment in eugonadal men are unproven. Selective estradiol and androgen receptor modulators expand our treatment modalities in men of reproductive age when suppression of gonadotropins may interfere with reproductive plans. Early detection of hypogonadism and osteoporosis may lower the risk of hip and vertebral fractures in some men. Further prospective RCTs are needed to prove cost-effectiveness of detection and the best treatment of osteoporosis in hypogonadal men of reproductive age. Urologists have the opportunity to be at the forefront of greater awareness of this clinical problem due to their frequent contact with this population of patients.
Impact of Pregnancy on the Sex Life of Women: State of the Art  [PDF]
Liliam Renata Silveira Santiago, Lucia Alves da Silva Lara, Adriana Peterson Mariano Salata Rom?o, Maria Fernanda Barbirato da Mata Tiezzi, Ana Carolina Japur de Sá Rosa e Silva
International Journal of Clinical Medicine (IJCM) , 2013, DOI: 10.4236/ijcm.2013.45045
Introduction: Women’s sexual function is a complex ensemble of variables that involve physical, emotional, and psychosocial states. Objective: This review aims to evaluate the evidence about the sexual behavior of women during pregnancy. Methods: Survey of PubMed for the period from 1996 to 2011 for prospective, retrospective and case-control studies, randomized clinical trials, meta-analyses and systematic reviews on the sexual function of women during pregnancy using the terms sexual function, sexual dysfunction, sexuality, pregnancy, andpregnant woman. Results: Changes occur in the sexual function of women during pregnancy; however, due to the heterogeneity of the studies and the incomparability of samples for lack of pairing for cultural, age, length of relationship and gestational age variables, and other methodological biases, it is not possible to characterize the sexual response of pregnant women. Conclusions: The changes observed are not sufficient to characterize sexual behavior during pregnancy as pathological. It is therefore necessary to standardize the study groups and the
Sexual Satisfaction Is Reduced in the Female Patient and Sexually Intimate Partners Following Cancer Therapy  [PDF]
Alan M. Martinez, Julie M. Sroga, Ilana B. Ressler, Leslie Ayensu-Coker, Michael A. Thomas, Steven R. Lindheim
Advances in Sexual Medicine (ASM) , 2014, DOI: 10.4236/asm.2014.44010
Abstract: As cancer survival has continued to improve, cancer patients and their sexually intimate partner (SIP) are confronted with a number of issues including sexual function and overall sexual health. Our study objective was to assess changes in sexual function in women undergoing cancer treatment and their SIP, and attempt to identify areas of needed support and improvement. In this questionnaire-based observational study, females (n = 11) completed a Female Sexual Function Index (FSFI) and for SIP’s (n = 11), a Brief Sexual Function Inventory (BSFI). Level of satisfaction prior to and within 3 months following treatment with surgery, chemotherapy and/or radiation was compared. Mean pre-and post-treatment total (30.7 ± 2.7 vs. 23.2 ± 3.7, p < 0.001) and individual FSFI domains were significantly different for desire (4.2 ± 0.6 vs. 2.6 ± 0.6, p < 0.001), arousal (4.9 ± 0.4 vs. 3.5 ± 0.7, p = 0.001), lubrication (5.5 ± 0.4 vs. 4.5 ± 0.8, p = 0.006), orgasm (5.0 ± 0.6 vs. 3.8 ± 0.7, p = 0.001), satisfaction (5.3 ± 0.6 vs. 3.5 ± 0.9, p < 0.001), though no differences were noted with dyspareunia. For SIP’s, BSFI domain scores for level of satisfaction were significantly lower following partner treatment of SIPs (3.5 ± 5.2 vs. 2.5 ± 5.2, p = 0.004). Overall, female sexual dysfunction was identified in 9% of patients prior to cancer treatment and 91% (n = 11, p < 0.001) following treatment. In conclusion, cancer treatment significantly affects sexual function in female cancer patients and their SIPs. While long term effects on sexual dysfunction are still unclear, short-term health care strategies including treatment, counseling, and appropriate referral for cancer patients and their SIPs should not be overlooked.
Female sexual dysfunction: the important points to remember
Pasqualotto, Eleonora B.;Pasqualotto, Fabio Firmbach;Sobreiro, Bernardo P.;Lucon, Antonio Marmo;
Clinics , 2005, DOI: 10.1590/S1807-59322005000100011
Abstract: media exposure regarding male sexual dysfunction and the growing number of viable treatment alternatives for erectile dysfunction has resulted in increasing numbers of men seeking clinical appointments and treatment for the condition, which has previously been considered taboo. because these problems usually arise within the context of relationships, some investigators have alluded to increased rates of sexual dysfunction among the partners of these men. also, since general practitioners, gynaecologists, geriatrists, and urologists are also seeing female patients for evaluation of various types of dysfunction, certain groups of these women with underlying chronic conditions have been noted to have high rates of concomitant sexual dysfunction. physicians who have good rapport with these patients are in a privileged position to help with these intimate problems, which are often difficult for patients to discuss. therefore, it is of extreme importance that these professionals become knowledgeable about and comfortable with the initial evaluation and possible treatment of female sexual dysfunction.
Blümel M,Juan Enrique; Binfa E,Lorena; Cataldo A,Paulina; Carrasco V,Alejandra; Izaguirre L,Humberto; Sarrá C,Salvador;
Revista chilena de obstetricia y ginecología , 2004, DOI: 10.4067/S0717-75262004000200006
Abstract: aim. to apply and validate in chilean population "the female sexual function index" (international consensus development conference on sexual female dysfunctions). design and methods. 383 sexually active healthy women between 20-59 years, beneficiaries of the center of health "carol urzúa". instrument: questionnaire of 19 questions, contained in six domains: desire, arousal, lubrication, orgasm, satisfaction and pain. statistical analysis: we used anova, kruskall-wallis, squared chi, logistical regression and cronbach's alpha correlation coefficient. results. mean age: 35.3±10.9 years, married (50.4%) or cohabit (17.0%), with middle education (48.2%). the internal consistency of the test was good (>0.70). the sexuality achieves its maximum expression between 35-40 years (score: 29.1±4.9) and declines afterwards (21.0±6.0), especially desire and arousal. after 44 years old the risk of sexual disfunction increases (or:3.6, ic: 2.1-6.3, p <0.0001). education and having a stable couple decreases the risk (or: 0.45, ic:0.28-0.80, p <0.005 and or:0.58, ic:0.35-0.98, p <0.05; respectively). conclusions. the female sexual function index is a simple applicable instrument with appropriate psicometric properties that allows us evaluate the sexuality in different stages of the life. it is adecuated for epidemiological and clinical studies
Efeitos colaterais dos psicofármacos na esfera sexual
Cordás, Táki Athanássios;Laranjeiras, Marcionilo;
Revista de Psiquiatria Clínica , 2006, DOI: 10.1590/S0101-60832006000300007
Abstract: sexual dysfunctions are highly prevalent in women and are affected by, among other factors, affective states, sociocultural aspects, interpersonal situations and psychotropic medications. the sexual dysfunction induced by psychotropic medications was briefly reviewed.
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