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British Medical Journal May 1971
Topics: Candidiasis, Vulvovaginal; Contraceptives, Oral; Dyspareunia; Female; Humans; Libido; Norethindrone
PubMed: 5572399
DOI: 10.1136/bmj.2.5756.277-c -
Journal of Consulting and Clinical... Dec 1995Classic and contemporary approaches to the assessment of female sexuality are discussed. General approaches, assessment strategies, and models of female sexuality are... (Review)
Review
Classic and contemporary approaches to the assessment of female sexuality are discussed. General approaches, assessment strategies, and models of female sexuality are organized within the conceptual domains of sexual behaviors, sexual responses (desire, excitement, orgasm, and resolution), and individual differences, including general and sex-specific personality models. Where applicable, important trends and relationships are highlighted in the literature with both existing reports and previously unpublished data. The present conceptual overview highlights areas in sexual assessment and model building that are in need of further research and theoretical clarification.
Topics: Female; Humans; Individuality; Libido; Orgasm; Patient Care Team; Sexual Behavior; Sexual Dysfunctions, Psychological
PubMed: 8543712
DOI: 10.1037//0022-006x.63.6.891 -
Tidsskrift For Den Norske Laegeforening... Feb 2008Sexuality is an important part of most men's quality of life. Reduced sexual function is common and can be treated. (Review)
Review
BACKGROUND
Sexuality is an important part of most men's quality of life. Reduced sexual function is common and can be treated.
MATERIAL AND METHODS
The article is based on relevant publications retrieved from Medline, recent textbooks and the authors' clinical experience.
RESULTS AND INTERPRETATION
Numerous aspects affect sexual function in men. The following is discussed; prevalence of sexual dysfunction in men, symptoms, diagnostic approaches and treatment options for premature ejaculation, delayed ejaculation, anejaculation, retrograde ejaculation, erectile dysfunction with organic cause, congenital penile curvature, Peyronie's disease, reduced sexual desire and hypogonadism. Medical doctors need to know about sexual medicine and to be able to communicate well with patients about these issues.
Topics: Ejaculation; Erectile Dysfunction; Humans; Hypogonadism; Libido; Male; Orgasm; Penis; Physician-Patient Relations; Sexual Dysfunction, Physiological; Sexuality
PubMed: 18274579
DOI: No ID Found -
International Journal of Environmental... Apr 2022Recent literature has extensively examined sexual behavior during lockdown due to COVID-19. However, there are no recent studies that have considered the relationship...
Recent literature has extensively examined sexual behavior during lockdown due to COVID-19. However, there are no recent studies that have considered the relationship between body image quality, sexual arousability, and sexual anxiety. The present study has two main objectives: (1) to examine gender differences in bodily and sexual experience; and (2) the comparison of bodily and sexual experience, before and during the COVID-19 lockdown. A total of 301 adult subjects (161 women and 140 men) aged between 16 and 73 years (Mean = 37.4; S.D. = 10.3) participated in the study. Data on biographical information were collected via an online panel. The Body Uneasiness Test (BUT) and the Sexual Arousability Inventory (SAI) were used for the assessment. Univariate ANOVA showed worse scores for women, compared with men, in terms of body image avoidance, depersonalization, overall severity of body image quality, sexual arousability, and sexual anxiety dimensions. When compared against time, only women showed significant correlations between the function of sexual arousal and all parameters concerning body image alteration. Interestingly, these correlations were weak and sporadic before lockdown, but strong and numerous during lockdown. This finding suggests that the impact of COVID-19 restrictions affected the female population more, with a profound repercussion on self-image and sexual and mental well-being.
Topics: Adolescent; Adult; Aged; Body Image; COVID-19; Communicable Disease Control; Female; Humans; Libido; Male; Middle Aged; Sex Factors; Young Adult
PubMed: 35410031
DOI: 10.3390/ijerph19074351 -
International Journal of Environmental... Oct 2019Sexual activity during pregnancy is determined by emotional, psychosocial, hormonal, and anatomical factors and varies during trimesters. This work aimed to establish...
Sexual activity during pregnancy is determined by emotional, psychosocial, hormonal, and anatomical factors and varies during trimesters. This work aimed to establish women's sexual activity during each trimester of pregnancy. A total of 624 women were included in the study and filled in the questionnaire three times, once during each trimester of pregnancy. The first part of the survey included questions about socio-demographic characteristics, obstetric history, and medical details of a given pregnancy. The second part was the Polish version of the female sexual function index (FSFI) questionnaire. Comparison of the mean scores for the overall sexual function of each trimester revealed clinically relevant sexual dysfunction in the second and third trimesters (mean values 25.9 ± 8.7 and 22.7 ± 8.7, respectively; < 0.01). Women were most sexually active during their second trimester. In the first trimester of pregnancy, women were most likely to choose intercourse in the missionary position. Women with vocational education were characterized by the lowest and homogenous FSFI values. Total FSFI score depended on the martial status-the highest value pertained to married women (25.2 ± 6.9; = 0.02).
Topics: Adolescent; Adult; Cross-Sectional Studies; Emotions; Female; Humans; Libido; Marriage; Pregnancy; Pregnancy Trimesters; Reproductive History; Sexual Behavior; Sexual Dysfunction, Physiological; Socioeconomic Factors; Young Adult
PubMed: 31671702
DOI: 10.3390/ijerph16214216 -
Sexual Medicine Oct 2021Decreased libido in middle-aged and elderly men is often difficult to treat, and identifying the risk factors affecting decreased libido is important for the clinical...
INTRODUCTION
Decreased libido in middle-aged and elderly men is often difficult to treat, and identifying the risk factors affecting decreased libido is important for the clinical management of decreased libido. However, limited information is available regarding specific risk factors in this population.
AIM
The present study investigated the risk factors for decreased libido among middle-aged and elderly men.
METHODS
Patients who attended our male andropausal outpatient clinic between 2009 and 2015 were enrolled. All patients completed a self-administered questionnaire, which included the Aging Male Symptoms (AMS) scale, International Prostate Symptom Score (IPSS), and Sexual Health Inventory for Men (SHIM). Information on waist size, body mass index, present illness, present use of any medication, and lifestyle habits were collected by each attending physician. Blood biochemical data such as free testosterone, total cholesterol, triglyceride, high density lipoprotein-cholesterol (HDL-Chol), and hemoglobin A1c values were assessed. Libido was assessed based on AMS scale question 17, and a score of 4 or higher was defined as severely decreased libido (severe group).
MAIN OUTCOME MEASURE
The clinical factors associated with severely decreased libido were analyzed based on multiple regression analysis.
RESULTS
A total of 292 subjects were included in the analysis, 111 (38%) of which belonged to the severe group. The mean age of study subjects was 66.2 years, and the mean FT value was 7.1 ± 2.2. Comparisons of each variable among the severe and not severe groups showed significant differences in older age, current cigarette smoking, AMS scale, IPSS, frequency of nocturnal voiding, SHIM score, and HDL-Chol value. Multivariate regression analysis revealed that current cigarette smoking, frequent nocturnal voiding, and a low SHIM score were the independent risk factors for severely decreased libido. Furthermore, the frequency of nocturnal voiding significantly increased with severity of decreased libido.
CONCLUSION
Current cigarette smoking, frequent nocturnal voiding, and a low SHIM score were the independent risk factors for a severely low libido. K Shigehara, Y Kato, M Iijima, et al. Risk Factors Affecting Decreased Libido Among Middle-Aged to Elderly Men; Nocturnal Voiding is an Independent Risk Factor of Decreased Libido. Sex Med 2021;9:100426.
PubMed: 34517208
DOI: 10.1016/j.esxm.2021.100426 -
American Society of Clinical Oncology... 2015Since prostate cancer becomes more common with age, at least one-third of men have sexual problems at diagnosis. All localized treatments for prostate cancer greatly... (Review)
Review
Since prostate cancer becomes more common with age, at least one-third of men have sexual problems at diagnosis. All localized treatments for prostate cancer greatly increase the prevalence of sexual dysfunction, which include loss of desire, erectile dysfunction, and changes in orgasm. Even men on active surveillance have a higher rate of problems than matched peers without prostate cancer. However, men given androgen deprivation therapy (ADT) have the worst rates of sexual dysfunction. Even after 3 to 4 months of ADT, men's desire for sex is decreased and irreversible damage may occur to the erectile tissue in the penis. Erections do not recover in about one-half of men, even if ADT is discontinued. Although intermittent ADT allows some recovery of sexual function, serum testosterone requires 9 to 12 months off ADT to recover. Again, one-half of men have permanent erectile dysfunction. If ADT causes atrophy of the erectile tissue, blood leaks out of the venous system during erection. This syndrome is difficult to treat except with surgery to implant a penile prosthesis. Despite the high rate of sexual problems in men on ADT, a small group stays sexually active and is able to have reliable erections. To improve men's sexual satisfaction on ADT, it may be important to educate them about getting extra mental and physical sexual stimulation, as well as using penile rehabilitation during hormone therapy. Information on reaching orgasm and coping with problems such as dry orgasm, pain with orgasm, and urinary incontinence during sex also should be provided.
Topics: Androgen Antagonists; Drug Administration Schedule; Exercise Therapy; Humans; Libido; Male; Orgasm; Personal Satisfaction; Prostatic Neoplasms; Quality of Life; Sexual Dysfunction, Physiological
PubMed: 25993223
DOI: 10.14694/EdBook_AM.2015.35.e562 -
Clinical Interventions in Aging 2008Estrogen-containing hormone therapy (HT) is the most widely prescribed and well-established treatment for menopausal symptoms. High quality evidence confirms that... (Review)
Review
Estrogen-containing hormone therapy (HT) is the most widely prescribed and well-established treatment for menopausal symptoms. High quality evidence confirms that estrogen effectively treats hot flushes, night sweats and vaginal dryness. Progestins are combined with estrogen to prevent endometrial hyperplasia and are sometimes used alone for hot flushes, but are less effective than estrogen for this purpose. Data are conflicting regarding the role of androgens for improving libido and well-being. The synthetic steroid tibolone is widely used in Europe and Australasia and effectively treats hot flushes and vaginal dryness. Tibolone may improve libido more effectively than estrogen containing HT in some women. We summarize the data from studies addressing the efficacy, benefits, and risks of androgens, progestins and tibolone in the treatment of menopausal symptoms.
Topics: Affect; Androgens; Cognition; Estrogen Receptor Modulators; Estrogen Replacement Therapy; Female; Hot Flashes; Humans; Libido; Menopause; Middle Aged; Norpregnenes; Progestins; Testosterone
PubMed: 18488873
DOI: 10.2147/cia.s1043 -
Oncology (Williston Park, N.Y.) Mar 2004Androgen deprivation, as a form of treatment for prostate cancer, has been used for decades. Within the last decade, however, its use has increased significantly.... (Review)
Review
Androgen deprivation, as a form of treatment for prostate cancer, has been used for decades. Within the last decade, however, its use has increased significantly. Therefore, it is incumbent upon the physician to be familiar with the side effects associated with this treatment. Some of these side effects (eg, osteoporosis, changes in lipid profiles, and anemia) may be associated with significant morbidity, whereas others (eg, impotence, decreased libido, fatigue, and hot flashes) primarily affect the patient's quality of life. Prevention strategies and treatments exist for many of these side effects. In addition, alternative forms of antiandrogen therapy such as intermittent hormone ablation and antiandrogen monotherapy may be effective, with the added benefit of minimizing side effects. This review focuses on the wide range of side effects associated with androgen ablation as well as preventive and treatment strategies.
Topics: Androgen Antagonists; Anemia; Bone Density; Cognition; Diet Therapy; Hot Flashes; Humans; Libido; Lipids; Male; Osteoporosis; Prostatic Neoplasms; Quality of Life; Weight Gain
PubMed: 15065701
DOI: No ID Found -
Topics in Spinal Cord Injury... 2017Sexuality is an important part of life, and it is necessary for clinicians to have a specific format in which to address sexual issues with their patients. A systematic... (Review)
Review
Sexuality is an important part of life, and it is necessary for clinicians to have a specific format in which to address sexual issues with their patients. A systematic approach to working with patients with spinal cord injury (SCI) to improve their sexual functioning and response is presented. Nonjudgmental communication about sexual concerns is followed by a detailed pre- and postinjury medical, psychosocial, and sexual history. If preexisting sexual issues are present, it is recommended that the patient be referred for assessment and treatment of these separate from the patient's SCI-related concerns. Physical examination, with special attention to issues that could impact the patient's sexuality, is followed by a detailed neurologic assessment with specific attention to the T11-L2 and S3-5 spinal segments. Education of the patient with regard to his or her sexual potential and the need to be flexible in his or her sexual repertoire is followed by self-exploration and practice. Routine follow-up is suggested after patient's initial sexual exploration. Treatment of confounding and iatrogenic factors related to SCI is followed by more sexual experience. Afterwards the clinician is encouraged to use simple techniques to treat sexual issues and follow-up with the patient to assess the outcome. A structured program utilizing vibratory stimulation with or without midodrine is described as a way to achieve ejaculation and potentially orgasm, and techniques for treating severe autonomic dysreflexia are discussed. If these interventions do not alleviate the patient's sexual concerns, the clinician should refer the patient for more specialized consultation.
Topics: Female; Humans; Libido; Male; Orgasm; Personal Satisfaction; Sexual Behavior; Sexual Dysfunction, Physiological; Sexual Health; Spinal Cord Injuries
PubMed: 29339878
DOI: 10.1310/sci2301-57