Combination Therapy for Sexual Dysfunction: Integrating Sex Therapy and Pharmacotherapy

2005 ◽  
pp. 27-56 ◽  
Keyword(s):  
Sexual Dysfunction ◽  
Combination Therapy ◽  
Sex Therapy

Couples Referred to a Sexual Dysfunction Clinic

1990 ◽  
Vol 156 (1) ◽  
pp. 61-67 ◽  
Author(s):  
Jose Catalan ◽  
Keith Hawton ◽  
Ann Day
Keyword(s):  
Sexual Dysfunction ◽  
Specific Treatment ◽  
Sex Therapy ◽  
Moderate Intensity ◽  
Relationship Problems ◽  
Psychiatric Status ◽  
Physical Problems ◽  
Physical Disorders ◽  
Careful Assessment ◽  
Motivation For Treatment

Two hundred couples referred to a sexual problems clinic were assessed in a standardised way for their suitability for sex therapy. The assessment focused on the nature of the sexual dysfunction, motivation for treatment, marital and relationship problems, psychiatric status, and physical problems. Approximately one-third of the couples were found to have significant marital and relationship problems, and more than 30% were suffering from psychiatric disorders, although these were usually of mild to moderate intensity. A third of males and 18% of females were suffering from physical disorders likely to contribute to the sexual dysfunction. Patients who were offered sex therapy and who completed their course of treatment were more likely to show high levels of motivation and an absence of physical disorders, marital relationship problems and psychiatric disorder. There should be careful assessment of couples suffering from sexual dysfunction before specific treatment is offered.

Understanding Sexual Dysfunction and Sex Therapy

2017 ◽  
pp. 1-31
Author(s):  
Michael E. Metz ◽  
Norman B. Epstein ◽  
Barry McCarthy
Keyword(s):  
Sexual Dysfunction ◽  
Sex Therapy

Treatment of Sexual Dysfunctions by Sex Therapy and Other Approaches

1995 ◽  
Vol 167 (3) ◽  
pp. 307-314 ◽  
Author(s):  
Keith Hawton
Keyword(s):  
Sexual Dysfunction ◽  
Marital Therapy ◽  
Sex Therapy ◽  
Great Change ◽  
Response To Treatment ◽  
Sexual Dysfunctions ◽  
Treatment Programme ◽  
Review Of The Literature ◽  
Physical Methods ◽  
Methods Of Treatment

BackgroundThe treatment of sexual dysfunctions underwent a great change when sex therapy was developed more than 25 years ago. Since then the treatment programme has been modified in various ways, the response to treatment evaluated and other treatment approaches introduced.MethodA review of the literature concerning the application and outcome of sex therapy and other treatments for sexual dysfunction was conducted.ResultsThe format of effective conjoint sex therapy is now fairly clear and there is good understanding of the sexual dysfunctions that respond best to this treatment and the couples most likely to benefit. Less is known about the effects of treatment of individuals without partners, bibliotherapy and combining sex therapy with marital therapy and with physical methods of treatment.ConclusionsSex therapy is now a well-established form of treatment. It should be more widely available for patients seen in psychiatry departments.

Cognitive and social aspects of sexual dysfunction: Sexual scripts in sex therapy

1982 ◽  
Vol 8 (1) ◽  
pp. 44-56 ◽  
Author(s):  
John H. Gagnon ◽  
Raymond C. Rosen ◽  
Sandra R. Leiblum
Keyword(s):  
Sexual Dysfunction ◽  
Sex Therapy ◽  
Sexual Scripts ◽  
Social Aspects

Female Sexual Dysfunction: Review of the Disorder and Evidence for Available Treatment Alternatives

2003 ◽  
Vol 16 (3) ◽  
pp. 200-208 ◽  
Author(s):  
Heather B. Miller ◽  
Jacquelyn S. Hunt
Keyword(s):  
Sexual Dysfunction ◽  
Female Sexual Dysfunction ◽  
Sex Therapy ◽  
Pharmacologic Treatment ◽  
Sexual Disorder ◽  
Nonpharmacologic Treatment ◽  
Hormonal Therapies ◽  
Treatment Alternatives ◽  
Relationship Counseling ◽  
Comprehensive History

With the introduction and marketing of sildenafil, national attention has focused on sexual dysfunction in men. However, strides are being made to focus more effort on evaluation and treatment of female sexual disorder (FSD) since a 1999 national survey reported prevalence rates as high as 43% in women. Evaluation and assessment of FSD requires a comprehensive history and physical examination. Understanding of FSD requires knowledge and understanding of sexual anatomy, physiology, and pathophysiology. Nonpharmacologic treatment may include sex therapy or relationship counseling. Pharmacologic treatment of FSD has focused mainly on hormonal therapies, including estrogen and testosterone, with the majority of studies being done in postmenopausal and hysterectomized women. However, recent studies indicate a more prudent and careful use of hormonal therapies. Research is also moving toward evaluation of bupropion and sildenafil as options for women who suffer from FSD. Available evidence for treatment alternatives is scant and in some cases inconclusive.

ANALYSIS OF THE CAUSES OF SEXUAL DISORDERS IN PATIENTS WITH PROSTATE CANCER AFTER SURGICAL AND COMPLEX TREATMENT

2017 ◽  
Vol 63 (6) ◽  
pp. 933-941
Author(s):  
Eduard Povelitsa ◽  
Dmitriy Nitkin ◽  
Vladimir Anichkin ◽  
I. Zalutskiy ◽  
N. Dosta
Keyword(s):  
Prostate Cancer ◽  
Sexual Dysfunction ◽  
Combination Therapy ◽  
Phosphodiesterase Inhibitors ◽  
Severe Form ◽  
Sexual Disorders ◽  
Antitumor Therapy ◽  
Internal Pudendal Artery ◽  
Sexual Rehabilitation ◽  
Comparative Group

Objective: Analysis of the causes of sexual disorders in patients with prostate cancer after combination therapy. Material and Methods: 30 patients with prostate cancer were examined after 1-2 years of antitumor treatment including radical prostatectomy and/or radiation and glandular therapy. The comparative group consisted of 15 healthy men. Immuneenzyme analysis was used for detection of sexual hormone status; ultrasound and dopplergraphic methods as well as radiation method were conducted for angiographic study of pool vessels of the inner pudendal artery. Denervation disturbances in the pool of the inner sexual artery were diagnosed by the conduction of the applicative electroneuromyographic studies of the penis. Results: According to research conducted in 100% of cases within patients with prostate cancer erectile and sexual dysfunction were detected after combination therapy, which was not detected before therapy. Sporadic usage of the Vth type of phosphodiesterase inhibitors by patients with erectile dysfunction of severe form did not lead to improvement of potency. The main cause of erectile and sexual dysfunction in patients with prostate cancer was an aggressive antitumor therapy, which led to the development of stenosis in 100% of cases, occlusion in the pool of internal pudendal artery and in 100% cases to sensory-motor disorders of innervation of the penis. Maximum androgen blockade aggravated sexual dysfunctions within the patients with prostate cancer. Conclusion: Denervation and hemodynamically significant perfusion disturbances in the pool of the inner pudendal artery within the patients with prostate cancer after surgical and combination therapy lead to erectile and sexual dysfunction. The only possible mean of sexual rehabilitation of patients with prostate cancer after antitumor treatment is the endoprosthesis of penis.

Sexual Dysfunction in Renal Failure: A Survey of Chronic Hemodialysis Patients

1978 ◽  
Vol 8 (4) ◽  
pp. 335-345 ◽  
Author(s):  
Judith F. Milne ◽  
Joshua S. Golden ◽  
Lorna Fibus
Keyword(s):  
Renal Failure ◽  
Sexual Dysfunction ◽  
Psychosocial Factors ◽  
Sexual Satisfaction ◽  
Sex Therapy ◽  
Hemodialysis Patients ◽  
Chronic Hemodialysis ◽  
Sexual Response ◽  
Physical Factors ◽  
Clear Association

Eighteen chronic hemodialysis patients were interviewed by staff trained in sex therapy. Compared with the pre-uremic phase, sexual satisfaction was less in nine subjects, greater in four; frequency of intercourse had declined in ten subjects. Dysfunctions of sexual response were reported by five men and six women. Analysis of physical factors, medication and depression showed no clear association with sexual dysfunction, suggesting the importance of psychosocial factors. A trial of sex therapy in renal patients is proposed.

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