DOCSLIB.ORG

Examine. Educate. Empower

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Examine. Educate. Empower 16 Gynecology O B .GYN. NEWS • June 15, 2008 Neovagina May Not Provide Sexual Satisfaction BY SHERRY BOSCHERT tionnaires to assess psychosocial and func- ported a mean score of 21 on the FSFI, sig- with vaginal agenesis because of androgen San Francisco Bureau tional outcomes after laparoscopic Davy- nificantly lower than a mean score of 30 insensitivity syndrome (AIS) but not in 18 dov, Dr. Kerith L. Lucco said at the annu- reported for control patients in the med- women with vaginal agenesis because of N EWPORT B EACH, CALIF. — Women al meeting of the North American Society ical literature, said Dr. Lucco of the de- Mayer-Rokitansky-Kuster-Hauser with vaginal agenesis who undergo lapa- for Pediatric and Adolescent Gynecology. partment of pediatric and adolescent gy- (MRKH) syndrome, Dr. Lucco noted roscopic Davydov surgery to create a neo- In that previous study, scores on the Fe- necology at the Hospital for Sick Children (Hum. Reprod. 2007;22:2020-4). vagina may have impaired sexual function, male Sexual Function Index (FSFI) did in Toronto. FSFI scores below 24 are con- Approximately 1 in every 4,000 female compared with controls, a study of six not differ significantly among 28 women sidered to represent poor sexual function. babies are born without a vagina because such patients found. who underwent vaginoplasty via laparo- In comparison, a separate recent study of MRKH and approximately 1 in 20,000 The findings of the small study contra- scopic Davydov and a control group found that vaginal dilation improved female babies lack a vagina at birth be- dict results from the only previous study (Hum. Reprod. 2005;20:2954-7). scores for sexual satisfaction and decreased cause of AIS. First-line treatment is vagi- that also used validated self-report ques- In the current study, the six women re- scores for “sexual depression” in 8 women nal dilation, but several surgical methods of creating a vagina have been tried, in- vaginal pain inability to orgasm intmacy and illness cluding the laparoscopic Davydov proce- embarassed decreased pleasure lack of dure, both in untreated patients and in stimulation vaginal discomfort disinterest in sex loss of desire slow response unable to reach orgasam some who have failed vaginal dilation. painful intercourse anxiety no libido cancer Women in the current study ranged in fertility and lubrications intimacy and aging age from 19 to 52 years. All underwent la- vaginal dryness embarassed what is normal low libido vaginal health breast paroscopic Davydov vaginoplasty in 2004- health menopause low sexual desire vaginal dryness 2006 at one of Examine. vaginal atrophy pain during intercourse vulvodynia vaginisums ‘This requires us two Toronto lack of lubrication vaginal pain inability to orgasm intmacy and illness embarassed decreased pleasure lack of stimulation hospitals, and vaginal discomfort disinterest in sex loss of desire slow response to reflect on the Educate. unable to reach orgasam painful intercourse the surgeries anxiety no libido cancer fertility and lubrications outcomes and to technically intimacy and aging what is normal low libido went very well. vaginal health breast health menopause low sexual desire consider whether vaginal dryness vaginal atrophy pain during intercourse Postoperatively, Empower. vulvodynia disinterest lack of lubrication vaginal pain [to revise] the all were provid- inability to orgasm intmacy and illness embarassed decreased pleasure lack of stimulation vaginal discomfort surgical ed with either a disinterest in sex loss of desire slow response vaginal stent or unable to reach orgasam painful intercourse anxiety technique, a dilator for an pain no libido cancer fertility and lubrications intimacy and aging urse vulvodynia disinterest in sex loss of desire slow response unable to reach orgasam vulvodyn potentially by average of 6.5 at is normal low libido vaginal health breast health menopause low sexual desire vaginal dryness vaginal a months, said ring intercourse vulvodynia vaginisums lack of lubrication vaginal pain inability to orgasm intmacy and illness e increasing the decreased pleasure lack of stimulation vaginal discomfort disinterest in sex loss of desire slow response unable t Dr. Lucco. orgasam painful intercourse anxiety no libido cancer fertility and lubrications intimacy and aging what is normal low Two women vaginal health breast health menopause low sexual desire vaginal dryness vaginal atrophy pain during inter size of the stent.’ ulvodynia vaginisums lack of lubrication vaginal pain inability to orgasm intmacy and illness embarassed decreased reported that k of stimulation vaginal discomfort disinterest in sex loss of desire slow response unable to reach orgasam painful their vaginas now were “OK/normal,” oss of desire anxiety breast health menopa two said their vaginas were smaller than xiety no libido cancer fertility and lubr ications intimacy and aging what is normal low lib embarassed decreased pleasure lack of stimulation vaginal discomfort disinterest in sex loss of desire slow re average, one patient each said their vagi- enopause low sexual desire vaginal dryness vaginal atrophy pain during intercourse vulvodynia vaginisums lack of na was short or narrow, and two described vaginal pain inability to orgasm intmacy and illness embarassed decreased pleasure lack of stimulation vaginal dis sinterest in sex loss of desire slow response unable to reach orgasam painful intercourse anxiety no libido cancer their vaginas as small. Three said they lubrications intimacy and aging what is nor low libido vaginal health breast health menopause low sexual desir would like their vaginas to be longer. yness vaginal atrophy pain during intercourse vulvodynia vaginisums lack of lubrication vaginal pain inability to orga “This requires us to reflect on the out- d illness embarassed decreased pleasure lack of stimulation vaginal discomfort disinterest in sex loss of desire slo unable to reach orgasam painful intercourse anxiety no libido cancer fertility and lubrications intimacy and ag comes and to consider whether there is lubrication vaginal pain inability to orgasm intmacy and illness disinterest in sex los cause for revising the surgical technique, hat is normal low libido vaginal health breast health menopause loss of desire vaginal dryness vagin pain during intercourse vulvodynia vaginisums lack of lubrication vaginal pain inability to orgasm intmacy and ill potentially by increasing the size of the mbarassed decreased pleasure lack of stimulation vaginal discomfort disinterest in sex loss of desire slow response stent that is placed postoperatively,” Dr. reach orgasam painful intercourse anxiety no libido cancer fertility and lubrications intimacy and aging what is normal low libido vaginal health breast health menopause low sexual desire vaginal dryness vaginal at Lucco said. pain during intercourse vulvodynia vaginisums lack of lubrication vaginal pain inability to orgasm intmacy and ill Women in the study scored significant- mbarassed decreased pleasure lack of stimulation vaginal discomfort disinterest in sex loss of desire slow response reach orgasam painful intercourse anxiety no libido cancer fertility and lubrications intimacy and aging ly lower than controls on the FSFI, out of what is normal low libido vaginal health breast health menopause low sexual desire vaginal dryness vaginal atr a total of 6 points per category in mea- It’s whatpain you during do. intercourse It’s what vulvodynia we do. vaginisums lack of lubrication inability to orgasm intmacy and illness sures of arousal (mean scores of 4 vs. 5, embarassed decreased pleasure lack of stimulation vaginal discomfort disinterest in sex loss of response unable to reach orgasam painful intercourse anxiety no libido cancer fertility and lubrications intimacy an respectively), lubrication (4.4 vs. 5.5), or- Created with the well-beingwhat is normal of the lowfemale libido form vaginal in health breast health menopause low sexual desire vaginal drynes gasm (3.3 vs. 5), and comfort (1.9 vs. 5.5). mind, Mí by Arkadia is dedicated to improvingvaginal the atrophy pain during intercourse vulvodynia vaginisums lack of lubrica The study also had women complete vaginal pain inability to orgasm intmacy and illness emb quality of women’s sexual health.decreased Sign up for pleasureour free lack of stimulation vaginal discomfort disinterest in sex loss of de the Golombok Rust Inventory of Sexual slow response unable to reach orgasam painful intercourse anxiety no libido Satisfaction (GRISS), another validated Provider Sampling Program and give your patients fertility and lubrications intimacy and aging what is normal lo access to all kinds of information as well as vaginal health breast health menopause low sexual desire vaginal dr self-report questionnaire. vaginal atrophy pain during intercourse vulvodynia vaginisum On the GRISS, some of the six women products that are a better choice for their bodies. what is normal low libido stimulatio lubrication vaginal pain inability to orgasm intmacy and illn reported being uninterested in sex, more Our Provider Sampling Program offers you: embarassed decreased pleasure lack of stimulation vaginal disc than half said they become tense and anx- disinterest in sex loss of desire slow response unable to reach orga ious when attempting intercourse, and • A full line of Mí products to display in yourintercourse office anxiety no libido cancer fertility and lubrications intimacy and ag • Product samples and coupons for your patientswhat is normal
Load more

Recommended publications
  • Physiology of Female Sexual Function and Dysfunction
    International Journal of Impotence Research (2005) 17, S44–S51 & 2005 Nature Publishing Group All rights reserved 0955-9930/05 $30.00 www.nature.com/ijir Physiology of female sexual function and dysfunction JR Berman1* 1Director Female Urology and Female Sexual Medicine, Rodeo Drive Women’s Health Center, Beverly Hills, California, USA Female sexual dysfunction is age-related, progressive, and highly prevalent, affecting 30–50% of American women. While there are emotional and relational elements to female sexual function and response, female sexual dysfunction can occur secondary to medical problems and have an organic basis. This paper addresses anatomy and physiology of normal female sexual function as well as the pathophysiology of female sexual dysfunction. Although the female sexual response is inherently difficult to evaluate in the clinical setting, a variety of instruments have been developed for assessing subjective measures of sexual arousal and function. Objective measurements used in conjunction with the subjective assessment help diagnose potential physiologic/organic abnormal- ities. Therapeutic options for the treatment of female sexual dysfunction, including hormonal, and pharmacological, are also addressed. International Journal of Impotence Research (2005) 17, S44–S51. doi:10.1038/sj.ijir.3901428 Keywords: female sexual dysfunction; anatomy; physiology; pathophysiology; evaluation; treatment Incidence of female sexual dysfunction updated the definitions and classifications based upon current research and clinical practice.
    [Show full text]
  • Arousing Imaginations
    Evolutionary Psychology www.epjournal.net – 2007. 5(4): 778-785 ¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯ Book Review Arousing Imaginations A review of Michael R. Kauth, (Ed.), Handbook of the Evolution of Human Sexuality, Haworth Press, Binghamton, NY, 2006, 395 pp., $50.00 (softbound), $130.00 (hardbound) Reviewed by David Puts, Ph.D. Department of Anthropology, 424 Carpenter Building, Pennsylvania State University, University Park, PA 16802. Email: [email protected] In the quarter century since Donald Symons (1979) wrote The Evolution of Human Sexuality, research in this area has flourished. Michael Kauth’s edited volume Handbook of the Evolution of Human Sexuality (co-published as Volume 18, Numbers 2/3 and 4 2006 of the Journal of Psychology & Human Sexuality) is therefore a welcome addition. Kauth assembles researchers in diverse areas of human sexuality, including heterosexual mate choice, sexual arousal and olfactory preferences, but the focus is heavily upon the evolution and development of homosexuality, with five of the book’s ten chapters centering on this topic. Given that only 2-3% of men and 1-2% of women report predominantly homosexual preferences, this focus may seem disproportionate. However, the volume is intended not to cover all aspects of human sexuality but to serve as a springboard for future research, a mission that it will undoubtedly accomplish. The scholarship in the Handbook is variable but generally good. The content is often heavy on speculation and light on evidence, which would be less concerning if authors acknowledged this more openly. Instead, the chapters of the Handbook often reify “facts” that are still quite theoretical—for example, Kauth’s statement that “physical symmetry and extravagant sexual ornamentation are ‘honest’ signals of health and genetic quality” (p.
    [Show full text]
  • Drug-Induced Sexual Dysfunction in Men and Women
    VOLUME 36 : NUMBER 2 : APRIL 2013 ARTICLE Drug-induced sexual dysfunction in men and women Helen M Conaglen whether the clinician is willing to ask about sexual Clinical psychologist and SUMMARY issues and does so in a sensitive way.7,8 Senior research fellow Many medical conditions and their treatments Patients on long-term medications may not be John V Conaglen aware that their sexual problems have developed Endocrinologist and contribute to sexual dysfunction. as a result of their treatment. Conversely some may Associate professor in Commonly implicated drugs include Medicine blame their drugs for sexual problems which are due Sexual Health Research Unit antihypertensives, antidepressants, to relationship difficulties or other stressors. Some Waikato Clinical School antipsychotics and antiandrogens. doctors consider that asking patients if they had Faculty of Medical and Understanding the potential for drug-induced noticed any sexual adverse effects from their drugs Health Sciences University of Auckland sexual problems and their negative impact may ‘suggest’ them to the patient, and possibly result on adherence to treatment will enable the in non-adherence. Patients attributing their sexual clinician to tailor treatments for the patient problems to their drugs are less likely to continue the Key words treatment even when necessary for their health.9 The antidepressants, and his or her partner. consultation should include discussion of the patient’s antihypertensives, Encouraging a discussion with the patient sexual issues so these can be considered in treatment antipsychotics, arousal, about sexual function and providing erectile dysfunction, decisions. hypoactive sexual desire strategies to manage the problem are critical disorder, male impotence, to good clinical care.
    [Show full text]
  • The Effect of Contraceptive Implants on Sexual Desire in Women Zoë Tessier and Katrina Armstrong | Faculty of Health Science | University of Ottawa
    Are contraceptives causing the bedroom blues? The effect of contraceptive implants on sexual desire in women Zoë Tessier and Katrina Armstrong | Faculty of Health Science | University of Ottawa ABSTRACT METHODS DISCUSSION Background: In the United States, an estimated 51% of pregnancies are unwanted (Sanders et. al., 2014). High rates of unwanted • The main finding of the structured literature review was a decrease in sexual desire in women using contraceptive implants. pregnancy can be reduced by the use of various contraceptives. Hormonal contraceptives are a popular choice among fertile women PubMed, Medline, and Scopus were searched for relevant However the studies did not provide satisfactory evidence to draw a confident conclusion. and have been shown to effectively prevent pregnancy. Contraceptive implants are a type of progestogen-only birth control. The articles. “Contraceptive implants” and “libido” were initially • The Di Carlo and Sanders articles used the “Female Sexual Function Index” (FSFI) and the “Short Form-36” (SF-36) as a tool to implant is a single rod that is inserted subdermally into the upper arm. It has 68 mg of active compound and is effective in searched under the PubMed database. “Contraception” and measure sexual desire. All other articles failed to explicitly indicate the controls and measures used to determine libido. preventing pregnancy for up to 3 years (Gezginc et. al., 2007). Objective: Examine if contraceptive implants decrease a woman’s “drug implants” combined with “sexual dysfunction” or “libido” • Two articles described an increase in sexual desire while the remaining four reported a decrease. The increases were believed to sexual desire via a literature review.
    [Show full text]
  • Post-Orgasmic Illness Syndrome: a Closer Look
    Indonesian Andrology and Biomedical Journal Vol. 1 No. 2 December 2020 Post-orgasmic Illness Syndrome: A Closer Look William1,2, Cennikon Pakpahan2,3, Raditya Ibrahim2 1 Department of Medical Biology, Faculty of Medicine and Health Sciences, Universitas Katolik Indonesia Atma Jaya, Jakarta, Indonesia 2 Andrology Specialist Program, Department of Medical Biology, Faculty of Medicine, Universitas Airlangga – Dr. Soetomo Hospital, Surabaya, Indonesia 3 Ferina Hospital – Center for Reproductive Medicine, Surabaya, Indonesia Received date: Sep 19, 2020; Revised date: Oct 6, 2020; Accepted date: Oct 7, 2020 ABSTRACT Background: Post-orgasmic illness syndrome (POIS) is a rare condition in which someone experiences flu- like symptoms, such as feverish, myalgia, fatigue, irritabilty and/or allergic manifestation after having an orgasm. POIS can occur either after intercourse or masturbation, starting seconds to hours after having an orgasm, and can be lasted to 2 - 7 days. The prevalence and incidence of POIS itself are not certainly known. Reviews: Waldinger and colleagues were the first to report cases of POIS and later in establishing the diagnosis, they proposed 5 preliminary diagnostic criteria, also known as Waldinger's Preliminary Diagnostic Criteria (WPDC). Symptoms can vary from somatic to psychological complaints. The mechanism underlying this disease are not clear. Immune modulated mechanism is one of the hypothesis that is widely believed to be the cause of this syndrome apart from opioid withdrawal and disordered cytokine or neuroendocrine responses. POIS treatment is also not standardized. Treatments includeintra lymphatic hyposensitization of autologous semen, non-steroid anti-inflamation drugs (NSAIDs), steroids such as Prednisone, antihistamines, benzodiazepines, hormones (hCG and Testosterone), alpha-blockers, and other adjuvant medications.
    [Show full text]
  • Sexual Dysfunction in Men and in Women
    888-387-7218 @PharmXhealthOne @PharmXhealthOne Schedule your appointment today with a friendly sta member or book online today: LOW-INTENSITY EXTRACORPOREAL Toll-free 888-387-7218 SHOCK WAVE THERAPY Phone 561-847-4654 Fax 561-847-4956 Both men and women go through the same phases of sexual reactions cycle: sexual desire, sexual arousal, and, as a result, orgasm and reso- Email health@pharmxheal- lution phase. During the phase of sexual arousal, in both men and women, the blood flow to pelvic organs increases, but in the event of erectile dysfunction in men and frigidity in women, this process weak- ens or does not occur at all. Furthermore, the innervation of genital organs in male and female organisms is identical. Activation, which enables genital innervation, launches the activation of blood circula- PharmXhealthOne wellness center has tion in the target organs. three convenient locations: Therefore, in case of ED in men, and in case of female sexual arousal disorder in women, along with other specific treatment methods, it is 1054 Gateway Blvd, Suite 103 useful to perform non-invasive stimulation of insuciently active physiological mechanisms of sexual arousal. However, for the treat- Boynton Beach, FL 33426 ment of ED in men, such stimulation has already been successfully (561) 847-4654 used for a long time – that is the low-intensity extracorporeal shock (561) 847-4956 fax wave therapy, which allows to restore the erection mechanism itself. [email protected] SEXUAL Studies from throughout the world, including those conducted by Ukrainian scientists, have established that low-intensity extracorpore- al shock wave therapy induces neovascularization and therefore 808 SW Glenview Ct, Suite 818 improves blood circulation.
    [Show full text]
  • Sexuality and Chronic Pain
    Sexuality and Chronic Pain By Judith Paice, PhD, RN, Research Professor of Medicine, Northwestern University Medical School, Chicago, IL Re-printed with permission from the American Chronic Pain Association Chronicle. Sexuality is a significant part of who we are as individuals, providing intimacy, affection, social interaction, and touch. We are sexual beings from the moment of birth to the end of our lives. Sexual practices and beliefs wary widely, often based upon age, gender, past experiences, as well as religious and cultural values. As a result, each person and partner defines what is considered “normal” sexual behavior. There are four phases involved in the sexual response: desire, excitement, orgasm, and resolution. Desire is interest in sex, also called libido. Excitement is a state of arousal that often occurs as a result of touching and kissing. During excitement the body responds by increasing the heart rate, blood pressure, and respiratory rate. Blood flow will increase to the genitals in both men and women. In men, this results in an erection. The third phase, orgasm, is also called climax. Muscles in the genitalia contract, resulting in waves of pleasure throughout the body. Finally, resolution is the return of the body to its original state. Unfortunately, chronic pain and its treatment can impair our ability to express sexuality by altering any of the four phases. Few studies have evaluated the frequency of changes in sexual desire or function in people with chronic pain. One study of patients enrolled in chronic pain treatment programs in England found that 73 percent had some degree of sexual problems (Ambler et al.
    [Show full text]
  • Sexual and Life Satisfaction of Pregnant Women
    International Journal of Environmental Research and Public Health Article Sexual and Life Satisfaction of Pregnant Women Dorota Branecka-Wo´zniak 1,*, Anna Wójcik 2, Joanna Bła˙zejewska-Ja´skowiak 1 and Rafał Kurzawa 1 1 Department of Gynecology and Reproductive Health, Pomeranian Medical University of Szczecin, 71-210 Szczecin, Poland; [email protected] (J.B.-J.); [email protected] (R.K.) 2 Clinic of Obstetrics and Gynecology, Independent Public Clinical Hospital No. 1, Pomeranian Medical University of Szczecin, 71-252 Szczecin, Poland; [email protected] * Correspondence: [email protected]; Tel.: +48-91-480-0920 Received: 30 June 2020; Accepted: 11 August 2020; Published: 13 August 2020 Abstract: The awareness of one’s own sexuality and its expression depend on the stage of an individual’s life. Pregnancy is a period of many, also psychosexual, changes. The sexual needs of pregnant women are rarely discussed, and intercourse during this period seems to be a taboo. The aim of this study was to assess the sexual and life satisfaction of pregnant women. The study involved 181 pregnant women and was conducted from July to November 2018. The participants were patients of the pregnancy pathology ward, Independent Public Clinical Hospital No. 2 in Szczecin, and participants of antenatal classes. The research project was approved by the Bioethics Committee of the Pomeranian Medical University, Szczecin (KB-0012/74/18). This survey-based study was performed using the self-developed questionnaire and standardized tools: the Sexual Satisfaction Questionnaire, and the Satisfaction with Life Scale (SWLS). Statistical analysis was performed using the SPSS Statistics 24.0 statistical package.
    [Show full text]
  • Sexuality Development and Developmental Psychology
    Chapter 6 Sexuality Development and Developmental Psychology While most humans appear to invoke free will regarding their sexual behav- ior, their sexuality in turn often seems to subvert a great deal of this will. That is, our sexual desires, inclinations, and identity greatly influence our decisions and behavior. People tacitly accept this principle when they advocate imprisonment for individuals who commit sex crimes against children. Implicit in this involuntary commitment process is the premise that the offender will not be able to control himself or herself against committing future offenses and thus should be physically prevented from doing so. This generally accepted act of prevention applies to the most extreme and dangerous sexual behaviors. But is the violent pedophile really less in control of his sexual behavior than those individuals who exhibit socially acceptable forms of sexuality? Or, is it that most of the population enacts a sexual- ity that is no more under control but considered a normative part of both nature and society? In essence, the issue is—regardless of the sexual behavior that an individual engages in—whether he or she is ultimately in control of that behavior. Wine connoisseurs often encourage the uninitiated to educate their palates to better appreciate fine wines. In doing so, they are encouraging people to suppress their innate aversion to what is essentially rancid grape juice with a bit of alcohol. With repeated exposure to the initially repellant properties of the wine, and with the guidance of an expert identifying specific hedonic properties, an individual can come to identify what is deemed to be a desirable wine.
    [Show full text]
  • S100005 Sex and Birth Control
    Sex and Birth Control: Are they connected? About 25% of women will have decreased sexual thoughts and arousability on Hormonal Contraception Enjoying sex is related to motivation for birth control The type of hormone, IUD or barrier may affect sexual pleasure There are biological drives to reproduce at odds with logical life plans REFERENCES 1. Schaffir J. Hormonal contraception and sexual desire: A critical review. J Sex Marital Ther. 2006;32:305-14 2. Oinonen, K. A. and D. Mazmanian. To what extent do oral contraceptives influence mood and affect? J Affect Disord. 2002;70(3):229-240. 3. Sanders SA, Graham CA, Bass JL, Bancroft J. A prospective study of the effects of oral contraceptives on sexuality and well-being and their relationship to discontinuation. Contraception. 2001;64(1):51-58. 4. Sabatini R, Cagiano R. Comparison profiles of cycle control, side effects and sexual satisfaction of three hormonal contraceptives. Contraception. 2006 Sep;74:220-3. 5. Wiebe ER, Brotto L, MacKay J. Characteristics of women who complain of mood and sexual side effects from hormonal contraception J Obstet Gynaecol Can 2011;33(11):1234-40. 6. Oinonen KA. Putting a finger on potential predictors of oral contraceptive side effects: 2D:4D and middle-phalangeal hair. Psychoneuroendocrinology. 2009 Jun;34(5):713-26. 7. Wallwiener M, Wallwiener L, Seeger H, Mueck AO, Bitzer J, Wallwiener CW. Effects of sex hormones in oral contraceptives on the female sexual function score: A study in German female medical students. Contraception; Volume 82, Issue 2, August 2010, Pages 155-159 8. Wiebe ER, Kaczorowski J, MacKay J.
    [Show full text]
  • Disorders of Ejaculation: an AUA/SMSNA Guideline - American Urological Association
    02.07.2020 Disorders of Ejaculation: An AUA/SMSNA Guideline - American Urological Association Home Guidelines Clinical Guidelines Disorders of Ejaculation Disorders of Ejaculation: An AUA/SMSNA Guideline Panel Members Alan W. Shindel MD, Stanley E. Althof, Ph.D., Serge Carrier, MD, Roger Chou, MD, FACP, Chris G. McMahon, MD, John P. Mulhall, MD, Darius A. Paduch, MD, Ph.D., Alexander W. Pastuszak, MD, Ph.D., David Rowland, Ph.D., Ashely H. Tapscott, MD , Ira D. Sharlip MD. Executive Summary Ejaculation and orgasm are distinct but simultaneous events that occur with peak sexual arousal. It is typical for men to have some control over the timing of ejaculation during a sexual encounter. Men who ejaculate before or shortly after penetration, without a sense of control, and who experience distress related to this condition may be diagnosed with Premature Ejaculation (PE). There also exists a population of men who experience difficulty achieving sexual climax, sometimes to the point that they are unable to climax during sexual activity; these men may be diagnosed with Delayed Ejaculation (DE). While up to 30% of men have self- reported PE, few of these men have an ejaculation latency times (the time between penetration and ejaculation) of less than two minutes, making the actual prevalence of clinical PE and DE less than 5%.1, 2 Regardless, the experience of many clinicians suggest that the problem is not rare and can be a source of considerable embarrassment and dissatisfaction for patients. Data on the prevalence of DE are more limited, but a proportion of epidemiological studies report that men have difficulty achieving orgasm.3 Disturbances of the timing of ejaculation can pose a substantial impediment to sexual enjoyment for men and their partners.
    [Show full text]
  • Understanding Low Libido in Women
    Understanding Low Libido in Women Contents What is Low Libido? 3 How is Libido Classified? 3 Why Does Low Libido Develop? 5 Who Develops Low Libido? 9 When Should I Be Concerned? 9 What are the Signs and Symptoms of Low Libido? 10 What is Normal Sexual Activity? 11 Testosterone and Women 12 Using Testosterone in Women – Options? 14 Seeking Medical Assistance 16 Female Sexual Function Questionnaire 17 Sexual History 23 Physical Examination 24 Sexual Response Review 26 Switching Contraceptive Method 29 Diagnostics 30 Psychological Assessment 34 Specialist Referral Options 35 Additional Treatment Options 36 What About Homeopathic and Herbal Treatments? 37 About Lawley Pharmaceuticals 38 Our Mission Statement 38 Completed Clinical Studies 39 Copyright Information 40 2 What is Low Libido? Libido is the sex drive. It is the necessary forerunner of sexual fantasy, arousal and sexual enjoyment. Low libido is a serious condition because it can diminish psychological health and well-being, and impacts on personal relationships. Low libido can be extremely well managed with appropriate treatment. Often women are too shy or feel uncomfortable discussing issues relating to sexual function, including low libido, and they may experience unfulfilling sexual and personal relationships as a result. How is Libido Classified? Every woman can experience short-term, intermittent disinterest in sex due to fatigue, acute illness, or stress. True low libido is a persistent, enduring disorder causing personal distress. There are four distinct medical classifications of female sexual dysfunction that result in low libido: Hypoactive Sexual Desire Disorder (HSDD) - The woman lacks sexual fantasies, has little or no sexual thoughts or inclination towards sexual activity of any kind or she is unreceptive to sexual activity.
    [Show full text]