SEXUAL MEDICINE PROGRAM State-Of-The-Art, Conﬁ Dential Healthcare

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SEXUAL MEDICINE PROGRAM State-of-the-Art, Conﬁ dential Healthcare • Have low testosterone or DHEA • Experience erectile dysfunction • Have used oral/patch contraceptives roblems with sexual health can impact all aspects • Have been treated for infertility/endometriosis/ Pof your life—from your medical condition to painful menstruation your intimate relationships. Yet, sexual health has only • Take anti-depressants or have anxiety recently been recognized as an important aspect of • Had prostate/bladder/breast cancer overall health. e Sexual Medicine Program at • Have given birth Alvarado Hospital was one of the rst in the United • Have had a hysterectomy States to diagnosis, treat and manage sexual dysfunction through a multidisciplinary hospital-based program led Our sexual medicine experts—which include by world-renowned expert Irwin Goldstein, MD. specialists from gynecology, neurology, oncology, psy- Our con dential program provides compassionate, chiatry, sexual therapy, and rehabilitation medicine— state-of-the-art, evidence-based clinical management of means you are being cared for by a team of profession- sexual health problems for men and women. als with special training. For men, the arteries of the penis are smaller than Not only do we handle common sexual problem in your heart. Experiencing erectile dysfunction (ED) diagnoses and treatments, but we specialize in complex is like having a heart attack in your penis. Taking care sexual dysfunction, including endothelial dysfunc- of your ED may literally save your life. tion, reconstructive/revascularization surgery for men For women, your sexual dysfunction also may and women, dyspareunia (sexual pain) in women, and cause mood swings, muscle weakness and even sexual dysfunction after cancer treatment. osteoporosis. Diagnosing and treating your sexual Sexual health problems and dysfunction can dysfunction may ultimately lead to better bone density impact your relationships and your lifestyle; treatment and muscle mass. can improve your overall health and life. Why not learn more about our Sexual Medicine You may experience sexual health problems if you: Program by visiting our website. • Have cardiovascular disease • Have diabetes Contact Us • Smoke For more information on the program and our free • Ride bicycles Alvarado Advantage Club, visit our website or call • Are peri- or post-menopausal (800) ALVARADO (800-258-2723). 6655 Alvarado Road 800-ALVARADO San Diego, CA 92120 AlvaradoHospital.com.

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Response Regarding Existential Issues in Sexual Medicine: the Relation Between Death Anxiety and Hypersexuality
LETTERS TO THE EDITOR Response Regarding Existential Issues in Sexual Medicine: The Relation Between Death Anxiety and Hypersexuality The recent article published by Dr Watter, “Existential Issues confine themselves to the treatment of hypersexual behavior but, in Sexual Medicine: The Relation Between Death Anxiety and when and where possible, should include its intrapsychic and Hypersexuality,”1 deals with an interesting issue: the unique interpersonal roots.2 Therefore, a structural-developmental relation between death and sexuality. psychodynamic approach should be considered rather than a Existential psychotherapy is the main perspective on which the symptomatic one. article is focused, as can be seen in Dr Watter’s choice of words, To date, very few articles and mostly case reports and single- “on concerns rooted in the individual’s existence.” However, the group studies, particularly regarding cognitive behavioral psy- original background of the relation between death and sexuality chotherapies and pharmacologic treatments, have investigated derives definitively from psychoanalysis and the theoretical work the effectiveness and efficacy of therapies for hypersexuality.5 We of Sigmund Freud,2 as incidentally affirmed by Dr Watter when maintain that a psychotherapeutic approach, substantiated by writing that “Freud, too, recognized the powerful connection empirical research, should be a major goal, and we invite between the sex drive (Eros) and the death instinct existential psychotherapists and psychoanalysts to (Thanatos).” Moreover, we have reason to believe, although experimentally verify their therapies for hypersexual patients. with some critical positions, that a large part of post-Freudian Giacomo Ciocca1, Erika Limoncin1, Vittorio Lingiardi2, thought is based on the contraposition between Eros and Andrea Burri3, and Emmanuele A.
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COMMENTARY the State of Sexual Health Education in U.S. Medicine
American Journal of Sexuality Education, 9:65–80, 2014 Copyright © Taylor & Francis Group, LLC ISSN: 1554-6128 print / 1554-6136 online DOI: 10.1080/15546128.2013.854007 COMMENTARY The State of Sexual Health Education in U.S. Medicine S. CRINITI Drexel University College of Medicine, Philadelphia, PA, USA M. ANDELLOUX Center for Sexual Pleasure and Health, Pawtucket, RI, USA M. B. WOODLAND, O. C. MONTGOMERY, and S. URDANETA HARTMANN Drexel University College of Medicine, Philadelphia, PA, USA Although studies have shown that patients want to receive sexual health services from their physicians, doctors often lack the knowl- edge and skills to discuss sexual health with their patients. There is little consistency among medical schools and residency programs in the United States regarding comprehensiveness of education on sexual health. Sexuality education in U.S. medical schools and res- idency programs is reviewed, highlighting schools that go beyond the national requirements for sexuality education. Increasing the amount of sexuality instruction provided for medical education and training, standardizing sexuality education requirements in medical school and residency programs, incorporating different learning models, establishing means of consistently assessing and evaluating sexuality knowledge and skills, and creating national certiﬁcation standards for the practice of sexual medicine are recommended. KEYWORDS Medical education, sexuality education, medical residency, medical curriculum, patient sexual health INTRODUCTION In 2001, the U.S. Surgeon General’s Call to Action to Promote Sexual Health and Responsible Sexual Behavior stated that physicians and other health care professionals are frequently a main point of contact for individuals Address correspondence to S. Criniti, PhD, MPH. E-mail: [email protected] 65 66 S.
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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;
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Journal of Sexual Medicine
PUBLISHED IN Journal of Sexual Medicine June 2016 Study Title: ERECTILE AND EJACULATORY FUNCTION PRESERVED WITH CONVECTIVE WATER VAPOR ENERGY TREATMENT OF LOWER URINARY TRACT SYMPTOMS SECONDARY TO BENIGN PROSTATIC HYPERPLASIA: RANDOMIZED CONTROLLED STUDY Author Block: Kevin T. McVary, MD, Steven N. Gange, MD, Marc C. Gittelman, MD, Kenneth A. Goldberg, MD, Kalpesh Patel, MD, Neal D. Shore, MD, Richard M. Levin, MD, Michael Rousseau, MD, J. Randolf Beahrs, MD, Jed Kaminetsky, MD, Barrett E. Cowan, MD, Christopher H. Cantrill, MD, Lance A. Mynderse, MD, James C. Ulchaker, MD, Thayne R. Larson, MD, Christopher M. Dixon, MD, and Claus G. Roehrborn, MD Introduction Most surgical treatments for male lower urinary tract symptoms and benign prostatic hyperplasia affect erectile and ejaculatory functions negatively, leading to patient dissatisfaction. Aim To determine whether water vapor thermal therapy, when conducted in a randomized controlled trial, would significantly improve lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia and urinary flow rate while preserving erectile and ejaculatory functions. Methods Men at least 50 years old with International Prostate Symptom Scores of at least 13, a peak flow rate of at least 5 to no higher than 15mL/s, and prostate volume of 30 to 80 cm3 were randomized 2:1 between Rezūm™ System thermal therapy and control. Thermal water vapor (103° C) was injected into lateral and median lobes as required for treatment of benign prostatic hyperplasia. The control procedure entailed rigid cystoscopy with simulated active treatment sounds. Main Outcome Measures Blinded group (active= 136, control= 61) comparison occurred at 3 months and the active arm was followed to 12 months for International Prostate Symptom Score, peak flow rate, and sexual function using the International Index of Erectile Function and the Male Sexual Health Questionnaire for Ejaculatory Function.
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The Impact of Social Stigmas on Sexual Health Seeking Behavior: a Review of Literature
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