The British Society for Sexual Medicine, along with several other organisations, have issued new guidelines for the management of testosterone deficiency and the treatment of sexual disorders in men and women. These are the first guidelines developed by UK organisations on the subject of the diagnosis and treatment of sexual disorders in women. There remains a lack of awareness and a reluctance from clinicians and patients to discuss sexual symptoms. These guidelines result from a thorough review of the published research on the symptoms, diagnosis and treatments of testosterone deficiency and sexual disorders in men and women and present a number of recommendations summarised below.
Women should be routinely asked if they have any sexual concerns at consultations at contraceptive and sexual health clinics and at cervical screening, postnatal and menopausal assessments. This especially applies to women at higher risk, such as those who have premature surgical menopause, vaginal dryness, depression or a history of sexual abuse. Likewise, there are many opportunities to ask men about any sexual problems. Assessment may be undertaken over several consultations and should cover sexual and medical history and may involve use of validated questionnaires to assess female sexual function. Care should be taken to rule out pre-existing medical conditions such as diabetes, which may affect sexual function. Treatment should be based upon clinical symptoms and individually tailored. All patients diagnosed should be offered the opportunity to attend psychosexual and/or couples counselling or sex therapy. Additionally, patients may be offered a number of pharmaceutical options.
The commonest male ejaculation disorder is Premature Ejaculation (PE). Inhibited or Delayed Ejaculation can be a more challenging condition to assess and treat. This discussion will focus on the diagnosis, investigations and management of ejaculation problems including an overview of the first medication specifically approved for the treatment of PE, dapoxetine, released under the trade name of Priligy™.
Androlife is the first Italian national campaign, supported by Italian Society of Andrology and Medical Sexology (SIAMS) aimed to: promote the primary prevention of the reproductive male tract pathologies, inform boys about the importance of controlling risk factors for male infertility, sensitize public awareness about male reproductive health, collect data on lifestyle, habits, and general health status in young males aged 18 to 35, and diagnose possible andrological pathologies.
Obesity and Cigarette Smoking are risk factors related to accelerate degenerative diseases in man which enhance precocious aging process. This condition states the heightened Oxidative Stress which is indicative for the changes made at the genetic materials level. Obesity and smoking increase the rate of telomere erosion per replication and occurring of inflammation which enhance leukocytes turn-over and shortened telomere arm length of leukocyte cells. Oxidative Stress induced extensive vascular endothelial cells dysfunction causing Vascular Diseases and other Degenerative Morbidities.
The total number of sexual activities for an individual varies greatly across the lifespan. The driving forces for sexual behaviour remain contentious with the role of androgens, other hormones, neurotransmitters and physiological factors often considered to be key components. Increasingly, scientific advances have attempted to provided explanations for understanding differences that have been attributed to factors such as genetic variations in CAG repeat polymorphisms or brain neuronal networks and these will be explored. However, emotional and relational problems may have equal or greater impact and there are concerns about the limitations of the medical model to explain sexual ‘differences’ and diversity.
A significant advancement in plant derived medicines in the last two centuries in such areas as central nervous system, anti-tumor and anti-inflammatory activities has led to the development and identification of active chemicals and understanding of their modes of action. As for man’s health related to sexuality, numerous age-old natural products have been historically claimed as ‘aphrodisiacs’ – a collective meaning, which describes improvement of arousal, libido and/or sexual energy and activity. It would appear that most natural herbal preparations considered as aphrodisiacs are acting like synthetic anabolic hormones. Sometimes, they are considered as a form of testosterone replacement therapy (TRT) since some of them are shown to stimulate the body to produce natural testosterone and even DHEA.
Medical or surgical castration for palliative treatment of prostate cancer gives rise to significant negative impacts on quality of life (QoL) for patients. This is because of adverse effects including decreased libido and erectile function, in addition to other conditions such as osteoporosis, vasomotor flushing, fatigue, anaemia, diabetes mellitus, metabolic syndrome, and altered body composition.
Aim: Studies have shown sexual dysfunctionality in 20-25% of infertile couples. Polycystic Ovarian Syndrome (PCOS) is the most common hormonal disorder among women of reproductive age and is a leading cause of infertility. Infertility may alter a woman’s sexual expression by causing or exacerbating sexual problems as a consequence of the diagnosis, investigation and treatment of infertility. Adequate sexual function can contribute to the success of fertility treatments. This study aims to assess sexual function in infertile and PCOS women in relation to their age, body mass index and duration of infertility. The prevalence of Female Sexual Dysfunction (FSD) and PCOS in infertile women and its correlation with infertility was also evaluated. And to find the relationship between Female Sexual Dysfunction and testosterone levels in women with Polycystic Ovary Syndrome (PCOS).
This presentation, "Responding to the needs of consumers with complex trauma histories a consumer perspective" focuses on the needs of adult survivors of child abuse, highlighting the frequent