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Over the past decade classification of female sexual dysfunction (FSD) has undergone intense scrutiny and revision, which mirrors the present understanding of women’s sexual function and behaviour.
Hypoactive Sexual Desire Disorder (HSDD) is diagnosed when an individual indicates persistent or recurrent blunted levels of sexual desire and/or a lack of sexual fantasies that cause marked distress and/or interpersonal difficulties [1]. This diagnosis is intended to include only individuals who experience dissatisfaction with their low levels of sexual desire. Women with this condition will often...
Joanne is one of approximately 11.3 million Americans with a history of cancer [1] and, like an increasing number of survivors, she is struggling with adjustments to her quality of life following cancer treatment. Of particular interest to this chapter is that, among other things, Joanne is suffering from female sexual arousal disorder (FSAD), which has been traditionally defined as an impairment...
Both cancer and cancer treatments can have deleterious effects on women’s ability to attain orgasm. The degree to which sexual functioning at large is impacted depends on a number of medical, psychological, and social factors including severity of the disease, treatment intensity and length, emotional status during cancer diagnosis and management, access to social support, and comorbid psychological...
Sexual pain disorders encompass a broad array of conditions which lead to difficult or painful sexual intercourse. The term dyspareunia is used in this chapter to describe recurrent or persistent urogenital pain that interferes with sexual and/or nonsexual activities. Prevalence estimates of dyspareunia ranged from 0.4 to 61% in one recent systematic review [1], and there is considerable evidence...
It was roughly 20 years ago when, in 1993, the US National Institutes of Health panel on impotence developed the rigorous definition for erectile dysfunction (ED), which was then described as the persistent inability to attain and/or maintain a penile erection sufficient to complete a satisfactory sexual intercourse [1]. In this context, a 3-month duration has been considered the minimum length of...
In men, the term hypogonadism generally refers to decreased levels of circulating testosterone. In reality, hypogonadism is much more difficult to define, given the myriad of end-organ responses to circulating androgens. The standard clinical diagnosis of hypogonadism relies on a combination of laboratory measurements of androgens and an assessment of signs and symptoms related to low androgens. For...
Peyronie’s disease (PD) is a psychologically and physically devastating disorder that is manifest by a fibrous inelastic scar of the tunica albuginea, resulting in palpable penile lesion in the flaccid condition and causing penile deformity including penile curvature, hinging, narrowing, shortening, and painful erections. In spite of multiple treatment options offered since Francois de la Peyronie...
Ejaculatory dysfunction is one of the most common male sexual disorders. The spectrum of ejaculatory dysfunction extends from premature ejaculation, through delayed ejaculation to a complete inability to ejaculate (known as anejaculation), and includes retrograde ejaculation.
Priapism represents one of the greatest challenges in therapeutic management among erectile disorders [1]. Priapism is defined as a prolonged and persistent penile erection lasting greater than 4 h, unassociated with sexual interest or stimulation [2, 3]. It constitutes a true disorder of erection physiology, associated with risks of structural damage to the penis and permanent erectile dysfunction...
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