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ABC of Sexual Health / Edited by Kevan Wylie Sexual Health Third Edition Sexual Health Third Edition EDITED BY Kevan Wylie MD FRCP FRCPsych FRCOG FECSM Consultant in Sexual Medicine, Sheffield, UK; Honorary Professor of Sexual Medicine, University of Sheffield; President, World Association for Sexual Health This edition first published 2015 © 2015 by John Wiley & Sons Ltd. First edition © 1999 by BMJ Books. Second edition © 2005 by Blackwell Publishing Ltd. BMJ Books is an imprint of BMJ Publishing Group Limited, used under licence by John Wiley & Sons. Registered office: John Wiley & Sons, Ltd, The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK Editorial offices: 9600 Garsington Road, Oxford, OX4 2DQ, UK The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK 111 River Street, Hoboken, NJ 07030-5774, USA For details of our global editorial offices, for customer services and for information about how to apply for permission to reuse the copyrightmaterialinthisbookpleaseseeourwebsiteatwww.wiley.com/wiley-blackwell The right of the author to be identified as the author of this work has been asserted in accordance with the UK Copyright, Designs and Patents Act 1988. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by the UK Copyright, Designs and Patents Act 1988, without the prior permission of the publisher. Designations used by companies to distinguish their products are often claimed as trademarks. All brand names and product names used in this book are trade names, service marks, trademarks or registered trademarks of their respective owners. The publisher is not associated with any product or vendor mentioned in this book. It is sold on the understanding that the publisher is not engaged in rendering professional services. If professional advice or other expert assistance is required, the services of a competent professional should be sought. The contents of this work are intended to further general scientific research, understanding, and discussion only and are not intended and should not be relied upon as recommending or promoting a specific method, diagnosis, or treatment by health science practitioners forany particular patient. The publisher and the author make no representations or warranties with respect to the accuracy or completeness of the contents of this work and specifically disclaim all warranties, including without limitation any implied warranties of fitness for a particular purpose. In view of ongoing research, equipment modifications, changes in governmental regulations, and the constant flow of information relating to the use of medicines, equipment, and devices, the reader is urged to review and evaluate the information provided in the package insert or instructions for each medicine, equipment, or device for, among other things, any changes in the instructions or indication of usage and for added warnings and precautions. Readers should consult with a specialist where appropriate. The fact that an organization or Website is referred to in this work as a citation and/or a potential source of further information does not mean that the author or the publisher endorses the information the organization or Website may provide or recommendations it may make. Further, readers should be aware that Internet Websites listed in this work may have changed or disappeared between when this work was written and when it is read. No warranty may be created or extended by any promotional statements for this work. Neither the publisher nor the author shall be liable for any damages arising herefrom. Library of Congress Cataloging-in-Publication Data ABC of sexual health / edited by Kevan Wylie. – Third edition. p. ; cm. – (ABC series) Preceded by ABC of sexual health / edited by John M. Tomlinson. 2nd edition. 2005. Includes bibliographical references and index. ISBN 978-1-118-66569-5 (pbk.) I. Wylie, Kevan, editor. II. Series: ABC series (Malden, Mass.) [DNLM: 1. Sexual Dysfunction, Physiological. 2. Sexual Behavior. WP 610] RC556 616.6′9–dc23 2014049377 A catalogue record for this book is available from the British Library. Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not be available in electronic books. Cover image: mating-ladybugs-6163495 © isgaby/iStockphoto Typeset in 9.25/12 MinionPro by Laserwords Private Ltd, Chennai, India 1 2015 Contents Series Foreword, vii Contributors, ix 1 Psychosexual Development, 1 Brian Daines 2 Physical Aspects of Sexual Development, 4 Woet L. Gianotten 3 Anatomy and Physiology in the Male, 7 Roy J. Levin 4 Anatomy and Physiology in the Female, 12 Roy J. Levin 5 The Sexual History and Formulation, 16 Julie A. Fitter 6 The Clinical Examination of Men and Women, 21 David Goldmeier 7 Male Dermatoses, 24 Manu Shah and Chris Bunker 8 Female Dermatoses, 30 Ruth Murphy 9 Investigation and Management of Endocrine Disorders Affecting Sexuality, 34 T. Hugh Jones 10 Investigations in Sexual Medicine for Women and Men with Sexual Health Problems, 38 Irwin Goldstein and Kevan Wylie 11 Definition and Diagnosis of Sexual Problems, 43 Johannes Bitzer 12 Psychiatric Disorders and Sexuality (Including Trauma and Abuse), 47 Richard Balon 13 Medication and Sexual Dysfunction, 51 John Dean 14 Problems of Sexual Desire in Men, 55 Yacov Reisman and Francesca Tripodi 15 Problems of Sexual Desire and Arousal in Women, 59 Lori A. Brotto and Ellen T.M. Laan 16 Erectile Dysfunction, 68 Geoffrey Hackett v vi Contents 17 Problems of Ejaculation and Orgasm in the Male, 73 Marcel D. Waldinger 18 Problems of Orgasm in the Female, 77 Sharon J. Parish 19 Sexual Pain Disorders–Male and Female, 81 Melissa A. Farmer, Seth Davis and Yitzchak M. Binik 20 Ageing and Sexuality, 86 Alison K. Wood and Ross Runciman 21 Paraphilia Behaviour and Disorders, 90 Kevan Wylie 22 Impulsive/Compulsive Sexual Behaviour, 93 Eli Coleman 23 Forensic Sexology, 96 Don Grubin 24 Ethnic and Cultural Aspects of Sexuality, 101 Sara Nasserzadeh 25 Concerns Arising from Sexual Orientation, Practices and Behaviours, 104 Dominic Davies 26 Gender Dysphoria and Transgender Health, 108 Lin Fraser and Gail A. Knudson 27 Psychosexual Therapy and Couples Therapy, 112 Trudy Hannington 28 Bibliotherapy and Internet-based Programmes for Sexual Problems, 118 Jacques van Lankveld and Fraukje E.F. Mevissen 29 Sexual Pleasure, 121 Sue Newsome Index, 125 Series Foreword Why do we need an ABC of Sexual Health?Theanswerisstraight- • A capacity to enjoy and control sexual health and reproductive forward; the subject is important, which is often not advised about behaviour in accordance with social and personal ethics andoftennottaughtinmedicalschooloratthepostgraduatelevel. • Freedom from fear, shame, guilt, false beliefs and other factors When questioned as to what is important in a happy marriage, sex- inhibiting sexual response and impairing sexual relationships ual relationships were considered very important and when patients • Freedom from organic disorders, diseases and deficiencies that had concerns they wanted more information and healthcare profes- interfere with sexual and reproductive function sionals to initiate discussion. Far too often healthcare professionals waitforthepatienttoraisethesubject,whereastheyneedtobe So nearly 50 years later it is right that we ask ourselves “how are more proactive. In a recent survey, of more than 450 cardiologists, we doing?” The short answer is: not well enough. There are many 70% gave no advice, 54% saying there was a lack of patient initiative disciplines involved and access to these should become routine, and and 43% saying they didn’t have the time. In this vacuum, ABC of this book forms an essential beginning. Sexual Health is clearly needed so that healthcare professionals can Dr. Graham Jackson know more about this unmet need. Cardiologist and Chairman In 1970, the World Health Organization summarised the right to of the Sexual Advice Association sexual health, including it as part of the fundamental rights of an individual. vii Contributors Richard Balon Julie A. Fitter Departments of Psychiatry and Behavioral Neurosciences and Porterbrook Clinic, Sheffield Health and Social Care NHS Foundation Trust, AnesthesiologyWayne State University School of Medicine, Detroit, MI, USA Sheffield, UK Yitzchak M. Binik Lin Fraser Department of Psychology, Alan Edwards Centre for Research on Psychotherapist, San Francisco, CA, USA PainMcGill University, Montréal, QC, Canada Woet L. Gianotten Johannes Bitzer Erasmus University Medical Centre, Rotterdam, The Netherlands, University Department of Obstetrics and Gynecology, University Hospital Basel, Basel Medical Centre, Utrecht, The Netherlands Switzerland David Goldmeier Lori A. Brotto Sexual Medicine, St Marys Hospital, London, UK Department of Obstetrics and Gynaecology, University of British Columbia, Honorary Senior Lecturer, Imperial College London, St Marys Hospital, Vancouver, Canada London, UK Chris Bunker Irwin Goldstein Department of Dermatology, University College Hospital, London, London, Sexual Medicine, Alvarado Hospital, San Diego CA, USA UK Department of Dermatology, Chelsea and Westminster Hospital, London, Don Grubin UK Institute of Neuroscience, Newcastle University, Newcastle upon Tyne, UK Honorary Consultant Forensic Psychiatrist, Northumberland Tyne and Wear Eli Coleman NHS Foundation Trust, Newcastle upon Tyne, UK Program in Human Sexuality,
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