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This paper summarizes basic elements of psychotherapeutic interventions in women with female sexual dysfunction. Many women can be helped simply by being allowed to talk about their concerns in a safe and sympathetic environment or by being provided with basic information about female physiology and the sexual response. For other women, biomedical treatment (e.g. sex hormone therapy) may be appropriate...
The aim of this paper is to describe the aetiology, diagnosis and prognosis of female sexual dysfunction (FSD), so as to increase the physician's competence in the management of women with these problems.A literature review of the most relevant publications was undertaken evaluating each sexual dysfunction.The aetiology of FSD is multifactorial. The most important causes include biological, psychosexual...
Female sexuality is complex and a variety of schemes have evolved to attempt the definition and categorization of the various kinds of female sexual dysfunction. This paper reviews some of the current systems of classification and describes how understanding these systems can help the physician in evaluating the individual patient, who may present with overlapping features of several co-morbid sexual...
To provide an expert review of the clinical management of hypoactive sexual desire disorder.The importance of diagnosing and providing therapeutic management for hypoactive sexual desire disorder will be explained with a case scenario which is resolved by drawing on original trial publications and meta-analyses published in English.Hypoactive sexual desire disorder (HSDD) is highly prevalent (9–16%)...
To review the epidemiology and co-morbidity of female sexual dysfunction.The prevalence of each sexual dysfunction was evaluated by undertaking a Medline (1969–2008) literature review. The effect of concomitant diseases and drug therapies was also studied.Describing the epidemiology of female sexual dysfunction is difficult due to the fact that it has not been studied extensively and because different...
This article aims to summarise the available knowledge on the prevalence of sexual symptoms at the menopause and their impact on quality of life in elderly women. Sexual changes are analysed in the context of the menopause transition and beyond.The medical literature was searched (1990–2008) with regard to menopause and sexuality using several related terms.The prevalence of sexual symptoms at the...
The importance of good sexual function for individuals is well recognised. Testosterone is contributory to a healthy sex life for both women and men. The British Society for Sexual Medicine (BSSM) has initiated and led the development of these guidelines for the assessment of testosterone deficiency in both women and men, for use within the UK and beyond. Clinical awareness of the possibility of testosterone...
The aim of this paper is to explore the potential value of questionnaires in routine clinical practice to assess female sexual dysfunction (FSD), and to identify if this could increase the competence of a physician in the initial management of women with these problems. The rationale to encourage Health Care Professionals (HCPs) to engage women in dialogue about their sexual health is that it may...
To study the sexual activities and prevalence of sexual dysfunctions in midlife Chinese women and their correlations with demographic factors, sexual dissatisfaction and interpersonal difficulty.This is a cross-sectional survey of a convenience sample of women aged 40–60, who requested gynecological checkup or attend social activities at Women's Club.Sexual activities, sexual dysfunctions, sexual...
Assessment of sexual function is a complex process, especially in women, which requires in any individual case: time, appropriate training and experience. The prevalence of female sexual dysfunction is quite variable depending on the studied population, assessment methods, comorbid conditions and treatments, and age. A large number of screening methods have been developed over the last decades which...
Investigate the effects of pre-operative menopausal status and HRT use on sexual outcomes following risk-reducing salpingo-oophorectomy (RRSO).Cross-sectional study of 119 women who underwent RRSO between 2009 and 2014.Data was collected via a questionnaire and serum test for testosterone and free androgen index (FAI). The questionnaire comprised demographic data and validated measures of sexual function,...
Female sexual dysfunction (FSD) and quality of life (QOL) are both multidimensional and have a bidirectional relationship across the reproductive life span and beyond. Methodological difficulties exist in estimating the real prevalence of FSD because it is hard to determine the level of distress associated with sexual symptoms in a large-scale survey. Approximately 40–50% of all women report at least...
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