Much debate and controversy has ensued regarding the contentious and subjective definition, diagnosis, measurement and treatment of desire problems for both men and women as various editions of the Diagnostic Statistical Manual (DSM) have been published (DSM V edition). Despite the recent changes for women, the fact that the criteria for men remains the same, reflects a huge paucity in understanding how male sexual desire varies; how ‘lower’ desire manifests, how it is diagnosed and subsequently managed (Bitzer, Giraldi, Pfauss 2013).
Offering clients an interdisciplinary and approach in dealing with sexual dysfunctions has been shown to positively impact on client and relational outcomes. Viewing a sexual concern from one lens or perspective i.e. medical or psychological can fail to achieve the best outcome for clients. Ejaculatory disorders are the most common presenting problems for men.
Premature ejaculation (PE) is a common male sexual disorder which is associated with substantial personal and interpersonal negative psychological consequences and reduced quality of life for both sufferer and partner. Reliable information on the prevalence of PE in the general male population is lacking. There is a substantial disparity between the incidence of PE in epidemiological studies which rely upon either patient self-report of PE and/or inconsistent and poorly validated definitions of PE and that suggested by community based stopwatch studies of the intravaginal ejaculation latency time (IELT).
Problems of sexual desire are often cited as the most prevalent of the female sexual dysfunctions. Despite this finding, considerable variability exists when comparing prevalence figures across studies, highlighting the inconsistency in how these problems are defined and therefore measured. The current study was designed to determine how the prevalence estimates of women's sexual desire problems vary according to the diagnostic criteria adopted to define such problems.
This is the first community based empirical study to explore Australian women's genital image perceptions and their views towards female genital cosmetic surgery (FGCS). There has been a significant increase in the requests for female genital cosmetic surgery over the last 20 years. Labiaplasty is the most requested type of FGCS requested and has caused concerns amongst health professionals.
The major physical symptoms of menopause, hot flushes, vaginal atrophy, decreased lubrication and elasticity, can impact quality of life for many women, including sexual function. Menopause provides an ideal opportunity for women to discuss sexual problems with a health practitioner, often for the first time. This may be because they feel they have something to ‘blame’.
Ejaculatory delay or failure can be a devastating problem for the sufferer and a difficult problem for the treating clinician. Consequences include non - consummation of marriage and infertility. Some interesting case studies will be presented followed by discussion of psychological and pharmacological approaches to treatment.