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Sexual Dysfunction

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Part of the book series: Current Clinical Urology ((CCU))

Abstract

Sexual function is an essential component of physical and psychological well-being and should be addressed as such in the clinical setting. This is an unconventional chapter regarding sexual function, in which issues for both men and women are combined to illustrate similar complexities in both genders and to minimize the traditional emphasis on gender differences. To this end, the chapter is divided into primary sections, addressing dysfunctions in the realms of desire/libido, arousal (erection/lubrication) and climax/ejaculation as well as metabolic syndrome. The final section briefly addresses nonpharmacological interventions as well as prescribed therapies for respective dysfunction. But the most important take home message is “just ask!”

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References

  1. Mansell D, Salinas GD, Sanchez A. Attitudes toward management of decreased sexual desire in premenopausal women: a national survey of nurse practitioners and physician assistants. J Allied Health. 2011;40(2):64–71.

    PubMed  Google Scholar 

  2. Ratner ES, Erekson EA, Minkin MJ, Foran-Tuller KA. Sexual satisfaction in elderly female population: a special focus on women with gynecologic pathology. Maturitas. 2011;70(3):210–5 [Epub 2011 Sep 22].

    Article  PubMed  Google Scholar 

  3. Naeinian MR, Shaeiri MR, Hosseini FS. General health and quality of life in patients with sexual dysfunctions. Urol J. 2011;8:127–31.

    PubMed  Google Scholar 

  4. Brezsnyak M, Whisman MA. Sexual desire and relationship functioning: the effects of marital satisfaction and power. J Sex Marital Ther. 2004;30:199–217.

    Article  PubMed  Google Scholar 

  5. Giraldi A, Rellini A, Pfaus JG, Bitzer J, Laan E, Jannini EA, Fugl-Meyer AR. Questionnaires for assessment of female sexual dysfunction: a review and proposal for a standardized screener. J Sex Med. 2011;8:2681–706.

    Article  PubMed  Google Scholar 

  6. McCabe MP, Goldhammer DL. Demographic and psychological factors related to sexual desire among heterosexual women in a relationship. J Sex Res. 2012;49(1):78–87 [Epub 2011 May 24].

    Article  PubMed  Google Scholar 

  7. O’Connor E, McCabe M, Conaglen H, Conaglen J. Attitudes and experiences: qualitative perspectives on erectile dysfunction from the female partner. J Health Psychol. 2012;17(1):3–13.

    Article  PubMed  Google Scholar 

  8. Chevret-Méasson M, Lavallée E, Troy S, Arnould B, Oudin S, Cuzin B. Improvement in quality of sexual life in female partners of men with erectile dysfunction treated with sildenafil citrate: findings of the Index of Sexual Life (ISL) in a couple study. J Sex Med. 2009;6(3):761–9 [Epub 2009 Jan 7].

    Article  PubMed  Google Scholar 

  9. Barnett ZL, Robleda-Gomez S, Pachana NA. Viagra: the little blue pill with big repercussions. Aging Ment Health. 2012;16(1):84–8.

    Article  PubMed  Google Scholar 

  10. Potts A, Gavey N, Grace VM, Vares T. The downside of Viagra: women’s experiences and concerns. Sociol Health Illn. 2003;25(7):697–719.

    Article  PubMed  Google Scholar 

  11. Graziottin A, Althof S. What does premature ejaculation mean to the man, the woman, and the couple? J Sex Med. 2011;8 Suppl 4:304–9.

    Article  PubMed  Google Scholar 

  12. Walsh KE, Berman JR. Sexual dysfunction in the older woman: an overview of the current understanding and management. Drugs Aging. 2004;21(10):655–75.

    Article  PubMed  CAS  Google Scholar 

  13. Lue TF, Giuliano F, Montorsi F, et al. Summary of the recommendations on sexual dysfunctions in men. J Sex Med. 2004;1(1):6–23.

    Article  PubMed  Google Scholar 

  14. Esposito K, Giugliano D. Obesity, the metabolic syndrome, and sexual dysfunction in men. Clin Pharmacol Ther. 2011;90(1):169–73.

    Article  PubMed  CAS  Google Scholar 

  15. Davis SR, Jane F. Sex and perimenopause. Aust Fam Physician. 2011;40(5):274–8.

    PubMed  Google Scholar 

  16. Kingsberg SA, Althof SE. Satisfying sexual events as outcome measures in clinical trial of female sexual dysfunction. J Sex Med. 2011;8(12):3262–70.

    Article  PubMed  Google Scholar 

  17. Higgins A, Nash M, Lynch A. Antidepressant-associated sexual dysfunction: impact, effects, and treatment. Drug Healthc Patient Saf. 2010;2:141–50.

    Article  PubMed  Google Scholar 

  18. Burri A, Spector T. Recent and lifelong sexual dysfunction in a female UK population sample: prevalence and risk factors. J Sex Med. 2011;8(9):2420–30.

    Article  PubMed  Google Scholar 

  19. Carvalheira AA, Brotto LA, Leal I. Women’s motivations for sex: exploring the diagnostic and statistical manual, fourth edition, text revision criteria for hypoactive sexual desire and female sexual arousal disorders. J Sex Med. 2010;7(4 Pt 1):1454–63.

    Article  PubMed  Google Scholar 

  20. Atis G, Dalkilinc A, Altuntas Y, Atis A, Gurbuz C, Ofluoglu Y, Cil E, Caskurlu T. Hyperthyroidism: a risk factor for female sexual dysfunction. J Sex Med. 2011;8(8):2327–33.

    Article  PubMed  Google Scholar 

  21. Krassas GE, Tziomalos K, Papadopoulou F, Pontikides N, Perros P. Erectile dysfunction in patients with hyper- and hypothyroidism: how common and should we treat? J Clin Endocrinol Metab. 2008;93(5):1815–9.

    Article  PubMed  CAS  Google Scholar 

  22. Albersen M, Orabi H, Lue TF. Evaluation and treatment of erectile dysfunction in the aging male: a mini-review. Gerontology. 2012;58(1):3–14.

    Article  PubMed  CAS  Google Scholar 

  23. Chughtai B, Lee RK, Te AE, Kaplan SA. Metabolic syndrome and sexual dysfunction. Curr Opin Urol. 2011;21(6):514–8.

    Article  PubMed  Google Scholar 

  24. Wang C, Jackson G, Jones TH, et al. Low testosterone associated with obesity and the metabolic syndrome contributes to sexual dysfunction and cardiovascular disease risk in men with Type 2 diabetes. Diabetes Care. 2011;34:1669–75.

    Article  PubMed  CAS  Google Scholar 

  25. Martelli V, Valisella S, Moscatiello S, et al. Prevalence of sexual dysfunction among postmenopausal women with and without metabolic syndrome. J Sex Med. 2012;9:434–41.

    Article  PubMed  CAS  Google Scholar 

  26. Corona G, Mannucci E, Schulman C, et al. Psychobiologic correlates of the metabolic syndrome and associated sexual dysfunction. Eur Urol. 2006;50(3):595–604 [discussion 604].

    Article  PubMed  Google Scholar 

  27. Miner MM, Seftel AD. Erectile dysfunction and testosterone screening with prostate specific antigen screening at age 40: are these three gender specific determinants additive for overall men’s heath and do they improve traditional non-gender specific determinants to lessen cardiovascular risk and all-cause mortality? Int J Clin Pract. 2010;64(13):1754–62.

    Article  PubMed  CAS  Google Scholar 

  28. Thompson IM, Tangen CM, Goodman PJ, Probstfield JL, Moinpour CM, Coltman CA. Erectile dysfunction and subsequent cardiovascular disease. JAMA. 2005;294:2996–3002.

    Article  PubMed  CAS  Google Scholar 

  29. Melnik T, Althof S, Atallah AN, Puga ME, Glina S, Riera R. Psychosocial interventions for premature ejaculation. Cochrane Database Syst Rev. 2011;10(8):CD008195.

    Google Scholar 

  30. Corona G, Jannini EA, Lotti F, et al. Premature and delayed ejaculation: two ends of a single continuum influenced by hormonal milieu. Int J Androl. 2011;34(1):41–8. doi:10.1111/j.1365-2605.2010.01059.x.

    Article  PubMed  CAS  Google Scholar 

  31. Jern P, Santtila P, Johansson A, Sandnabba NK. Genetic and environmental effects on the continuity of ejaculatory dysfunction. BJU Int. 2010;105(12):1698–704 [Epub 2009 Oct 26].

    Article  PubMed  Google Scholar 

  32. Wainberg J. Essai d’interpretation ontogene- tique de l’ejaculation prematuree. In: Buvat J, Jouaunnet P, editors. L’ejaculation et ses perturbances. Lyon-Villeurbanne: Simep; 1984. p. 112–6. As cited in Bettochi et al. and Mohee et al.

    Google Scholar 

  33. Mohee A, Eardley I. Medical therapy for premature ejaculation. Ther Adv Urol. 2011;3(5):211–22.

    Article  PubMed  CAS  Google Scholar 

  34. Bettocchi C, Verze P, Palumbo F, Arcaniolo D, Mirone V. Ejaculatory disorders: pathophysiology and management. Nature Clinical Practice Urology 2008;5(2):93–103.

    Article  PubMed  Google Scholar 

  35. Althof S, Abdo C, Dean J, et al. International Society for Sexual Medicine’s guidelines for the diagnosis and treatment of premature ejaculation. 2009. http://www.issm.info/v4/. Accessed 23 Sept 2011.

  36. Abdel-Hamid IA, Saleh el-S. Primary lifelong delayed ejaculation: characteristics and response to bupropion. J Sex Med. 2011;8(6):1772–9.

    Article  PubMed  Google Scholar 

  37. Wolters JP, Hellstrom WJG. Current concepts in ejaculatory dysfunction. Rev Urol. 2006;8 Suppl 4:S18–25.

    PubMed  Google Scholar 

  38. Rowland D, McMahon CG, Abdo C, Chen J, Jannini E, Waldinger MD, Ahn TY. Disorders of orgasm and ejaculation in men. J Sex Med. 2010;7(4 Pt 2):1668–86.

    Article  PubMed  Google Scholar 

  39. Jern P, Santtila P, Johansson A, Alanko K, Salo B, Sandnabba NK. Is there an association between same-sex sexual experience and ejaculatory dysfunction? J Sex Marital Ther. 2010;36(4):303–12.

    Article  PubMed  Google Scholar 

  40. Müller A, Mulhall JP. Sexual dysfunction in the patient with prostatitis. Curr Urol Rep. 2006;7:307–12.

    Article  PubMed  Google Scholar 

  41. Moyad MA. Heart health  =  urologic health and heart unhealthy  =  urologic unhealthy: rapid review of lifestyle changes and dietary supplements. Urol Clin North Am. 2011;38(3):359–67.

    Article  PubMed  Google Scholar 

  42. Esposito K, Giugliano D. Lifestyle/dietary recommendations for erectile dysfunction and female sexual dysfunction. Urol Clin North Am. 2011;38(3):293–301.

    Article  PubMed  Google Scholar 

  43. Gupta BP, Murad MH, Clifton MM, Prokop L, Nehra A, Kopecky SL. The effect of lifestyle modification and cardiovascular risk factor reduction on erectile dysfunction: a systematic review and meta-analysis. Arch Intern Med. 2011;171(20):1797–803.

    Article  PubMed  Google Scholar 

  44. Ng C-F, Lee C-P, Ho AL, Lee VWY. Effect of niacin on erectile function in men suffering erectile dysfunction and dyslipidemia. J Sex Med. 2011;8:2883–93.

    Article  PubMed  CAS  Google Scholar 

  45. Saad F, Aversa A, Isidori AM, Gooren LJ. Testosterone as potential effective therapy in treatment of obesity in men with testosterone deficiency: a review. Curr Diabetes Rev. 2012;8(2):131–43.

    Article  PubMed  CAS  Google Scholar 

  46. Lovell DI, Cuneo R, Wallace J, McLellan C. The hormonal response of older men to sub-maximum aerobic exercise: the effect of training and detraining. Steroids. 2012;77(5):413–8.

    Article  PubMed  CAS  Google Scholar 

  47. Sommer F, Goldstein I, Korda JB. Bicycle riding and erectile dysfunction: a review. J Sex Med. 2010;7:2346–58.

    PubMed  Google Scholar 

  48. Bø K. Pelvic floor muscle training in treatment of female stress urinary incontinence, pelvic organ prolapse and sexual dysfunction. World Journal Urology (WJU) 2012. Aug, 30(4): 437-43.

    Google Scholar 

  49. Dhikav V, Karmarkar G, Gupta R, Verma M, Gupta R, Gupta S, Anand KS. Yoga in female sexual functions. J Sex Med. 2010;7(2 Pt 2):964–70.

    Article  PubMed  Google Scholar 

  50. Anderson RU, Wise D, Sawyer T, Chan CA. Sexual dysfunction in men with chronic prostatitis/chronic pelvic pain syndrome: improvement after trigger point release and paradoxical relaxation training. J Urol. 2006;176(4 Pt 1):1534–8.

    Article  PubMed  Google Scholar 

  51. Harte CB, Meston CM. Association between smoking cessation and sexual health in men. BJU Int. 2012;109(6):888–96.

    Article  PubMed  Google Scholar 

  52. Andersen ML, Alvarenga TF, Mazaro-Costa R, Hachul HC, Tufik S. The association of testosterone, sleep, and sexual function in men and women. Brain Res. 2011;1416:80–104.

    Article  PubMed  CAS  Google Scholar 

  53. Corona G, Rastrelli G, Forti G, Maggi M. Update in testosterone therapy for men. J Sex Med. 2011;8(3):639–54.

    Article  PubMed  CAS  Google Scholar 

  54. Tan O, Bradshaw K, Carr BR. Management of vulvovaginal atrophy-related sexual dysfunction in postmenopausal women: an up-to-date review. Menopause. 2012;19(1):109–17.

    Article  PubMed  Google Scholar 

  55. Kingsberg S, Kellogg S, Krychman M. Treating dyspareunia caused by vaginal atrophy: a review of treatment options using vaginal estrogen therapy. Int J Womens Health. 2010;1:105–11.

    PubMed  Google Scholar 

  56. Simon JA. Identifying and treating sexual dysfunction in postmenopausal women: the role of estrogen. J Womens Health (Larchmt). 2011;20(10):1453–65.

    Article  Google Scholar 

  57. Eugster-Hausmann M, Waitzinger J, Lehnick D. Minimized estradiol absorption with ultra-low-dose 10 microg 17beta-estradiol vaginal tablets. Climacteric. 2010;13(3):219–27.

    Article  PubMed  CAS  Google Scholar 

  58. Genazzani AR, Stomati M, Valentino V, Pluchino N, Potì E, Casarosa E, Merlini S, Giannini A, Luisi M. Effect of 1-year, low-dose DHEA therapy on climacteric symptoms and female sexuality. Climacteric. 2011;14(6):661–8.

    Article  PubMed  CAS  Google Scholar 

  59. Somboonporn W, Davis s, seif mW, Bell R. testosterone for peri- and post- menopausal women. cochrane Database syst Rev 2005;4:cD004509.  

    Google Scholar 

  60. Pearce MJ, Hawton K. Psychological and sexual aspects of the menopause and HRT. Baillieres Clin Obstet Gynaecol. 1996;10(3):385–99.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Jeannette M. Potts .

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Potts, J.M. (2012). Sexual Dysfunction. In: Potts, J. (eds) Essential Urology. Current Clinical Urology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-62703-092-2_15

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  • DOI: https://doi.org/10.1007/978-1-62703-092-2_15

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  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-62703-091-5

  • Online ISBN: 978-1-62703-092-2

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