Sexual Dysfunction and Related Factors in Pregnancy
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Hypersexuality in Neurological Disorders
HYPERSEXUALITY IN NEUROLOGICAL DISORDERS NATALIE AHMAD MAHMOUD TAYIM A thesis submitted to the Institute of Neurology in fulfilment of the requirements for the degree of Doctor of Philosophy (PhD) University College London January 2019 Declaration of originality I, Natalie Ahmad Mahmoud Tayim, confirm that the work presented in this thesis is my own. Where information has been derived from other sources, I confirm that this has been indicated in the thesis. _________________________________ Natalie Ahmad Mahmoud Tayim ii Abstract The issue of hypersexuality in neurological disorders is grossly underreported. More research has been done into sexual dysfunction (outside of hypersexuality) in neurological disorders such as erectile dysfunction and hyposexuality (loss of libido). Furthermore, in Parkinson’s disease research, most mention of hypersexuality has been in conjunction with other impulse control disorders and has therefore not been examined in depth on its own. Although in recent years hypersexuality has become more recognized as an issue in research, there is still very limited information regarding its manifestations, impact, and correlates. It is therefore important to explore this area in detail in order to broaden understanding associated with this sensitive issue. Perhaps in doing so, barriers will be broken and the issue will become more easily discussed and, eventually, more systematically assessed and better managed. This thesis aims to serve as an exploratory paper examining prevalence, clinical phenomenology, impact, and potential feasible psychological interventions for hypersexuality in patients with neurological disorders and their carers. The thesis is divided into three main studies: 1. Study I: systematic review assessing prevalence, clinical phenomenology, successful treatment modalities, implicated factors contributing to the development, and assessment tools for hypersexuality in specific neurological disorders. -
Sexual Disorders and Gender Identity Disorder
CHAPTER :13 Sexual Disorders and Gender Identity Disorder TOPIC OVERVIEW Sexual Dysfunctions Disorders of Desire Disorders of Excitement Disorders of Orgasm Disorders of Sexual Pain Treatments for Sexual Dysfunctions What are the General Features of Sex Therapy? What Techniques Are Applied to Particular Dysfunctions? What Are the Current Trends in Sex Therapy? Paraphilias Fetishism Transvestic Fetishism Exhibitionism Voyeurism Frotteurism Pedophilia Sexual Masochism Sexual Sadism A Word of Caution Gender Identity Disorder Putting It Together: A Private Topic Draws Public Attention 177 178 CHAPTER 13 LECTURE OUTLINE I. SEXUAL DISORDERS AND GENDER-IDENTITY DISORDER A. Sexual behavior is a major focus of both our private thoughts and public discussions B. Experts recognize two general categories of sexual disorders: 1. Sexual dysfunctions—problems with sexual responses 2. Paraphilias—repeated and intense sexual urges and fantasies to socially inappropri- ate objects or situations C. In addition to the sexual disorders, DSM includes a diagnosis called gender identity dis- order, a sex-related pattern in which people feel that they have been assigned to the wrong sex D. Relatively little is known about racial and other cultural differences in sexuality 1. Sex therapists and sex researchers have only recently begun to attend systematically to the importance of culture and race II. SEXUAL DYSFUNCTIONS A. Sexual dysfunctions are disorders in which people cannot respond normally in key areas of sexual functioning 1. As many as 31 percent of men and 43 percent of women in the United States suffer from such a dysfunction during their lives 2. Sexual dysfunctions typically are very distressing and often lead to sexual frustra- tion, guilt, loss of self-esteem, and interpersonal problems 3. -
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Original Article Sexuality during gestation DOI: 10.5020/18061230.2018.6861 MALE PERCEPTION OF SEXUAL ACTIVITY IN THE GESTATIONAL PERIOD Percepção masculina sobre atividade sexual no período gestacional Percepción masculina sobre la actividad sexual en el período gestacional Dailon de Araújo Alves Regional University of Cariri (Universidade Regional do Cariri - URCA) - Crato (CE) - Brazil Brunna Suélli de Souza Alves Faculty of Juazeiro do Norte (Faculdade de Juazeiro do Norte - FJN) - Juazeiro do Norte (CE) - Brazil Willma José de Santana Faculty of Juazeiro do Norte (Faculdade de Juazeiro do Norte - FJN) - Juazeiro do Norte (CE) - Brazil Felice Teles Lira dos Santos Moreira Regional University of Cariri (Universidade Regional do Cariri - URCA) - Crato (CE) - Brazil Dayanne Rakelly de Oliveira Regional University of Cariri (Universidade Regional do Cariri - URCA) - Crato (CE) - Brazil Grayce Alencar Albuquerque Regional University of Cariri (Universidade Regional do Cariri - URCA) - Crato (CE) - Brazil ABSTRACT Objective: To describe men’s perception of the sexual activity during the gestational period, in the context of the daily life experienced with their pregnant partners. Methods: This is a descriptive study with a qualitative approach. The study included 10 spouses of pregnant women attended to at Basic Health Units in the city of Juazeiro do Norte, Ceará, Brazil. Data was collected between September and October 2015, through a semi-structured interview and evaluated through the systematic technique of content analysis, and analyzed in light of the pertinent literature. Results: The majority of interviewees belonged to the age group between 24 and 29 years, attended high school and were married. For the study participants, when it comes to sexuality, some understand it as something beyond sexual intercourse, whereas, for others, sexuality is related only to intercourse. -
Erectile Dysfunction and Premature Ejaculation
GUIDELINES ON MALE SEXUAL DYSFUNCTION: Erectile Dysfunction and Premature Ejaculation (Text update April 2014) K. Hatzimouratidis (chair), I. Eardley, F. Giuliano, D. Hatzichristou, I. Moncada, A. Salonia, Y. Vardi, E. Wespes Eur Urol 2006 May;49(5):806-15 Eur Urol 2010 May;57(5):804-14 Eur Urol 2012 Sep;62(3):543-52 ERECTILE DYSFUNCTION Definition, epidemiology and risk factors Erectile dysfunction (ED) is the persistent inability to attain and maintain an erection sufficient to permit satisfactory sex- ual performance. Although ED is a benign disorder, it affects physical and psychosocial health and has a significant impact on the quality of life (QoL) of sufferers and their partners. There is increasing evidence that ED can be an early mani- festation of coronary artery and peripheral vascular disease; thus, ED should not be regarded only as a QoL issue but also as a potential warning sign of cardiovascular disease includ- ing lack of exercise, obesity, smoking, hypercholesterolaemia, and the metabolic syndrome. The risk of ED may be reduced by modifying these risk factors, particularly taking exercise or losing weight. Another risk factor for ED is radical prostatec- tomy (RP) in any form (open, laparoscopic, or robotic) because of the risk of cavernosal nerve injury, poor oxygenation of the corpora cavernosa, and vascular insufficiency. 130 Male Sexual Dysfunction Diagnosis and work-up Basic work-up The basic work-up (minimal diagnostic evaluation) outlined in Fig. 1 must be performed in every patient with ED. Due to the potential cardiac risks associated with sexual activity, the three Princeton Consensus Conference stratified patients with ED wanting to initiate, or resume, sexual activity into three risk categories. -
An Alcohol-Free Pregnancy Is the Best Choice for Your Baby
AN ALCOHOL-FREE PREGNANCY IS THE BEST CHOICE FOR YOUR BABY. PREGNANCY AND ALCOHOL DON’T MIx. Helpful Resources The organizations and resources below can provide you with more information on FASDs, drinking and pregnancy, and how to get help if you are pregnant or trying to get pregnant and cannot stop drinking. Centers for Disease Control and Prevention’s National Center on Birth Defects and Developmental Disabilities www.cdc.gov/fasd or call 800–CDC–INFO Substance Abuse and Mental Health Services Administration (SAMHSA) FASD Center for Excellence www.fasdcenter.samhsa.gov National Organization on Fetal Alcohol Syndrome (NOFAS) www.nofas.org or call 800–66–NOFAS (66327) National Council on Alcoholism and Drug Dependence (NCADD) www.ncadd.org or call 800–NCA–CALL (622-2255) Substance Abuse Treatment Facility Locator www.findtreatment.samhsa.gov or call 800–622–HELP (4357) Alcoholics Anonymous www.aa.org March of Dimes www.marchofdimes.com National Institute on Alcohol Abuse and Alcoholism www.niaaa.nih.gov This chart shows vulnerability of the fetus to defects throughout 38 weeks of pregnancy.* Fetal DevelopMent Chart • = Most common site of birth defects PERIOD OF THE OvuM perioD oF the eMBryo PERIOD OF THE FETUS Weeks Weeks 1-2 Week 3 Week 4 Week 5 Week 6 Week 7 Week 8 Week 12 Week 16 20–36 Week 38 Period of early embryo ear brain development CNS eye ear palate and implantation. eye heart heart limbs teeth external genitals Central nervous System (CnS)–Brain and Spinal Cord Heart arms/legs Eyes teeth Palate external Genitals Pregnancy loss Ears Adapted from Moore, 1993 and Period of development when major defects in bodily structure can occur. -
Background Note on Human Rights Violations Against Intersex People Table of Contents 1 Introduction
Background Note on Human Rights Violations against Intersex People Table of Contents 1 Introduction .................................................................................................................. 2 2 Understanding intersex ................................................................................................... 2 2.1 Situating the rights of intersex people......................................................................... 4 2.2 Promoting the rights of intersex people....................................................................... 7 3 Forced and coercive medical interventions......................................................................... 8 4 Violence and infanticide ............................................................................................... 20 5 Stigma and discrimination in healthcare .......................................................................... 22 6 Legal recognition, including registration at birth ............................................................... 26 7 Discrimination and stigmatization .................................................................................. 29 8 Access to justice and remedies ....................................................................................... 32 9 Addressing root causes of human rights violations ............................................................ 35 10 Conclusions and way forward..................................................................................... 37 10.1 Conclusions -
18 Percent of Pregnant Women Drink Alcohol During Early
National Survey on Drug Use and Health The NSDUH Report Data Spotlight September 9, 2013 18 Percent of Pregnant VA60 Women Drink Alcohol during Early Pregnancy Women who drink alcohol while pregnant increase the risk that their infants will have physical, learning, and/or behavior problems, including Fetal Alcohol Spectrum Disorder (FASD).1 These problems are caused by alcohol and can be lifelong. Combined 2011 to 2012 data from the National Survey on Drug Use and Health (NSDUH) show that 8.5 percent of pregnant women aged 15 to 44 drank alcohol in the past month (Figure). Also, 2.7 percent binge drank.2 Among women aged 15 to 44 who were not pregnant, 55.5 percent drank alcohol in the past month, and 24.7 percent binge drank. Most alcohol use by pregnant women occurred during the first trimester. Alcohol use was lower during the second and third trimesters than during the first (4.2 and 3.7 percent vs. 17.9 percent). These findings suggest that many pregnant women are getting the message and not drinking alcohol. Alcohol can disrupt fetal development at Past Month Alcohol Use and Binge Alcohol Use among Pregnant Women Aged any stage during a pregnancy, even before a 15 to 44, Overall and by Trimester*: 2011 and 2012 woman knows she is pregnant.3 If a woman is pregnant, there is no known amount 20 Any Alcohol Use 17.9 or type of alcohol that is safe for her to Binge Alcohol Use drink.4 To prevent problems like FASD, a woman who is pregnant or likely to become 15 pregnant should not drink alcohol. -
Delayed Ejaculation & Anorgasmia
Delayed ejaculation & anorgasmia EMMANUELE A. JANNINI Chair of Endocrinology & Sexual Medicine Tor Vergata University of Rome, Italy It Soc Androl & Sex Med – President-elect Taxonomy of ejaculatory disorders Epidemiology of ejaculatory disorders 25 a) timing 20 – PREMATURE EJACULATION 15 – DELAYED EJACULATION 10 Percentage 5 b) modality 0 E N IA R PE DE IO M AS ‐ RETROGRADE EJACULATION LAT G U R O JAC ‐ ANEJACULATION (impotentia ejaculationis) E AN AN Taxonomy of ejaculatory disorders • EMISSION PHASE DISORDERS: – Retrograde ejaculation • EJACULATION PHASE DISORDERS: – Premature ejaculation – Deficient ejaculation: • Delayed ejaculation • Anejaculation • ORGASM DISORDERS: – Anorgasmia – Postorgasmic illness syndrome Standard Operating Procedures (SOP) in Diagnosis and Treatment of Delayed Ejaculation/Anejaculation ISSM Standards Committee Meeting June 23-25, 2010 Hotel Agneshof Nürnberg, Germany Pierre Assalian Canada Emmanuele A. Jannini Italy Chris G McMahon (Chairman) Australia David Rowland USA Marcel Waldinger (Chairman) The Netherlands DELAYED EJACULATION Delayed ejaculation • Much less frequent than PE • A rare reason for medical help seeking • Underdiagnosed • Undertreated Is DE a disease? • girls are happy… …where is the problem? …but girls are not happy… Why so poor science? • Low prevalence • Few studies • Classically considered A new psychogenic in nature • Classically treated with behavioral therapies challenge • Definition(s) lacking • Etiologies largely unknown for • Pathogenesis obscure • Lack of awareness and Sexual acknowledgements -
Neurogenic Erectile Dysfunction. Where Do We Stand?
medicines Review Neurogenic Erectile Dysfunction. Where Do We Stand? Charalampos Thomas 1,* and Charalampos Konstantinidis 2 1 Urology Department, General Hospital of Corinth, 20131 Corinth, Greece 2 Urology & Neurourology Unit, National Rehabilitation Center, Ilion, 13122 Athens, Greece; [email protected] * Correspondence: [email protected] Abstract: Erectile Dysfunction (ED) is the persistent inability to attain and maintain an erection sufficient to permit satisfactory sexual performance, causing tremendous effects on both patients and their partners. The pathophysiology of ED remains a labyrinth. The underlying mechanisms of ED may be vasculogenic, neurogenic, anatomical, hormonal, drug-induced and/or psychogenic. Neurogenic ED consists of a large cohort of ED, accounting for about 10% to 19% of all cases. Its diversity does not allow an in-depth clarification of all the underlying mechanisms nor a “one size fits all” therapeutical approach. In this review, we focus on neurogenic causes of ED, trying to elucidate the mechanisms that lie beneath it and how we manage these patients. Keywords: erectile dysfunction (ED); neurogenic; sexual dysfunction (SD); phosphodiesterase type-5 inhibitors (PDE5I); spinal cord injury (SCI); multiple sclerosis (MS) 1. Introduction Erectile dysfunction (ED) is defined as the persistent inability to attain and maintain an erection sufficient to permit satisfactory sexual performance [1]. Besides the obvious, it has tremendous effects on the patient’s psychosocial health, and it affects not only their quality of life but the lives of their partners [2]. Citation: Thomas, C.; Konstantinidis, The pathophysiology of ED remains a labyrinth since many pathways can co-exist, C. Neurogenic Erectile Dysfunction. thus contributing negatively. Where Do We Stand? Medicines 2021, Traditionally ED was divided into three large cohorts, organic, psychogenic and of 8, 3. -
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Advances in Social Science, Education and Humanities Research, volume 356 2nd International Conference on Contemporary Education, Social Sciences and Ecological Studies (CESSES 2019) A New Exploration of the Combined Treatment of Symptoms and Social Work Psychology in Male Sexual Addiction Patients Chengchung Tsai Minyi Li School of Management School of Social Sciences Putian University University of Macau Putian, China Macau, China Abstract—Post-Orgasmic Illness Syndrome (POIS) was progesterone, low cholesterol, low dehydroepiandrosterone, first discovered by Professor Waldinger and Schweitzerl in low cortisol, high prolactin or hypothyroidism. Some cases 2002. After publishing several papers such as "POIS Records encountered by the author team indicate that when the of Emotional, Psychological and Behavioral Changes in Male mother was pregnant in the early years, she or her family had Patients" and "POIS Patients", "Clinical Observation Records smoking habits. Some mothers had long-term use of of Psychological and Behavioral Changes" and "POIS Male contraceptives or were used to eating animal internal organs. Disease Self-reports and Treatment Methods", in this paper, Even some cases were diagnosed as male gynecomastia. the author will cite the views of Chinese medicine practitioners on the treatment of POIS, and hope to provide more practical treatment methods and references for future research. TABLE I. SEVEN GROUPS OF POIS SYMPTOMS FOUND BY WALDINGER AND OTHER MEDICAL TEAMS Keywords—POIS; male; ejaculation; mental state; disorder; Body parts Various local sensations emotion Behavioral symptoms extreme fatigue, exhaustion, palpitations, forgetting words, being too lazy to talk, incoherent, inattention, irritability, I. INTRODUCTION photophobia, depression The main research objects of this paper are journalists, Flu symptoms fever, cold, hot, sweaty, trembling writers and other text workers, as well as creative designers Head symptoms head dizziness, groggy, confused and heavy who take creativity as the selling point as the research object. -
Hypersexuality Or Sexual Addiction?
Hypersexuality or sexual addiction? Professor Kevan Wylie MD FRCP FRCPsych FRCOG FECSM FRSPH Consultant in Sexual Medicine Porterbrook Clinic NHS & Urology NHS, SHEFFIELD. UK. Honorary Professor of Sexual Medicine & Psychiatry, University of SHEFFIELD. UK. Visiting Professor, SHEFFIELD Hallam University, UK. Visiting Professor, University of LIVERPOOL, UK. Visiting Professor, YEREVAN State Medical University, Armenia. Adjunct Associate Professor, University of SYDNEY, Australia (2007-2014). President, World Association for Sexual Health (2012-2017). Hypersexuality or sexual addiction? INTRODUCTION 2 [email protected] Problematic Hypersexuality (PH) (Kingston & Firestone, 2008) PH is a clinical syndrome characterised by loss of control over sexual fantasies, urges and behaviours, which are accompanied by adverse consequences and/or personal distress (Gold & Heffner 1998; Kafka 2001) Controversial and elusive concept to define and measure (Rinehart & McCabe 1997) Some agreement on the essential features of PH Impaired control Continuation of behaviour despite consequences (Marshall & Marshall 2006; Rinehart & McCabe 1997) Types of Hypersexuality Behaviour (Kaplan & Krueger, 2010) Behavioural specifiers for hypersexuality Masturbation Pornography consumption Sexual behaviour with consenting adults Cybersex Telephone sex Strip club visits Hypersexual Behaviour (Kaplan & Krueger, 2010; Garcia & Thibaut, 2010) Men and women (much less frequently circa 5:1) with excessive sexual appetites Different terms to describe such behaviour; -
13B. Health of Intersex People
Affirming Care for People with Intersex Traits: Everything You Ever Wanted to Know, But Were Afraid to Ask Katharine Baratz Dalke, MD MBE She/Her/Hers Director of the Office for Culturally Responsive Health Care Education Assistant Professor of Psychiatry and Behavioral Health Penn State College of Medicine March 22, 2020 Goals By the end of this hour, you will be able to: ▪ Appreciate the diversity of intersex traits, and the conditions associated with them ▪ Describe the traditional approach to people with intersex traits and its impact on health ▪ Implement an affirming approach to physical and behavioral health care for people with intersex traits What are intersex traits? Group of congenital variations relative to endosex traits ▪ Sex chromosomes, hormones, and/or internal or external genitalia ▪ May also see variations in secondary sex traits ▪ Included among sexual and gender diverse/minority populations ▪ Present at any time across the lifespan About Language… That is complicated ▪ Hermaphroditism ▪ Intersex/uality ▪ Differences/Disorders of Sex Development ▪ Intersex (traits/conditions), DSD ▪ Endosex Why Learn About Intersex? People with intersex traits… ▪ Are common (1 in 100 - 2000) ▪ Benefit from quality medical care ▪ May receive care in SGM health settings ▪ Are rarely intentionally included in SGM health Review of Sex Development nnie Wang, NY Times Tim Bish|Unsplash Sex Chromosomes . Eggs: X, XX XO . Sperm: X, Y, O, XX, YY . Sex chromosomes initiate gonad development . Gonads produce hormones and gametes Prenatal Development