Sexual Dysfunctions

2018 ◽  
Author(s):  
Lancer Naghdechi ◽  
Atef Bakhoum ◽  
Waguih William IsHak
Keyword(s):  
Sexual Interest ◽  
Sexual Pleasure ◽  
Treatment Modalities ◽  
Sexual Dysfunctions ◽  
Dsm 5 ◽  
Delayed Ejaculation ◽  
Arousal Disorder ◽  
Erectile Disorder ◽  
Female Orgasmic Disorder ◽  
Orgasmic Disorder

Sexuality and sexual medicine is an important and often understudied aspect of medicine and psychiatry. Often, patients and physicians avoid conversations having to do with sex. The Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) defines sexual dysfunctions as “a heterogeneous group of disorders that are typically characterized by a clinically significant disturbance in a person’s ability to respond sexually or to experience sexual pleasure”. This review addresses the diagnostic criteria, epidemiology, etiology, phenomenology, diagnostic work-up, treatment modalities, guidelines, and prognosis for sexual dysfunctions including male hypoactive sexual desire disorder, erectile disorder, premature and delayed ejaculation, female sexual interest/arousal disorder, female orgasmic disorder, and genito-pelvic pain/penetration disorder. The table lists sexual dysfunctions listed in DSM-5 with associated prevalence. This review contains 1 figure, 1 table and 20 references Key Words: DSM-5, erectile disorder, female orgasmic disorder, female sexual interest/arousal disorder, painful intercourse, premature ejaculation, sexual dysfunction

Female Sexual Disorders: Assessment, Diagnosis, and Treatment

CNS Spectrums ◽  
2011 ◽  
Vol 16 (2) ◽  
pp. 49-62 ◽  
Author(s):  
Sheryl A. Kingsberg ◽  
Gail Knudson
Keyword(s):  
Sexual Health ◽  
Theoretical Models ◽  
Sexual Problems ◽  
Sexual Disorders ◽  
Medical Conditions ◽  
Arousal Disorder ◽  
Female Orgasmic Disorder ◽  
Sexual Aversion ◽  
Orgasmic Disorder ◽  
Female Sexual Disorders

AbstractSexual health is important to overall health and quality of life. Sexual problems have been associated with relationship problems and may interfere with overall health and they may also be a marker for other undiagnosed comorbid medical conditions. In order for healthcare professionals to manage the sexual health concerns of their patients, it is important for them to understand what constitutes good sexual health. To that end, it is necessary to have a working knowledge of the evolving theoretical models offered to describe a healthy sexual response as well as an understanding of the neurobiology of sexual function. The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Revised lists six primary female sexual disorders: hypoactive sexual desire disorder, sexual aversion disorder, female sexual arousal disorder, female orgasmic disorder,dyspareunia, and vaginismus. Despite a growing awareness of the high prevalence of sexual disorders they are not typically identified nor treated. There are a number of reasons why clinicians fail to identify and treat sexual problems including insufficient training in sexual medicine and communication skills, time-constraints, and embarrassment. Treatment for female sexual problems is usually individualized and may include a combination of office-based education and basic counseling, cognitive-behavioral psychotherapy, pharmacotherapy, and treatment of concomitant medical conditions.

scholarly journals Timed intercourse in infertile couples doing more harm than benefits in terms of sexual dysfunction and time to pregnancy: a cohort study

2020 ◽  
Author(s):  
Sujoy Dasgupta ◽  
Leila Frodsham ◽  
Paramita Patra ◽  
Abhyuday Chanda
Keyword(s):  
Cohort Study ◽  
Sexual Dysfunction ◽  
Sexual Interest ◽  
Time To Pregnancy ◽  
Medical Disorders ◽  
Arousal Disorder ◽  
Female Orgasmic Disorder ◽  
Reproductive Techniques ◽  
Infertile Couples ◽  
Natural Conception

Objective: To study the differences in sexual dysfunction (SD) and time to pregnancy (TTP) between infertile couples pursuing timed intercourse (TI- around the time of ovulation) and regular intercourse (RI- at least twice a week). Design: Prospective cohort study Setting: Infertility clinics of Kolkata over three years Population or Sample: Infertile couples pursuing TI (n=283) or RI (n=88), having no preexisting sexual or psychiatric illness, and no medical contraindications to frequent intercourse. Methods: At the first visit, SD of both the partners was assessed using the Arizona Sexual Experiences Scale (ASEX) and the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V). The couples for whom natural conception was possible were followed up to determine TTP using Kaplan Meier Analysis. Main Outcome Measure: Differences in SD and differences in TTP. Results: TI significantly increased the risk of SD than RI for both males (Odds ratio [OR] 15.24, 95% confidence interval [CI] 7.96-29.15) and females (OR 5.52, 95% CI 2.38- 12.78). This difference persisted even after adjusting for age, medical disorders, obesity, smoking, cause of infertility, and previous assisted reproductive techniques. TI carried a higher risk of developing ED, premature ejaculation, male hypoactive sexual dysfunction, female sexual interest-arousal disorder, and female orgasmic disorder. IIEF-5 score was significantly better in the RI group than in the TI. The TTP for natural conception was similar between them (Log-rank p= 0.1365). Conclusions: TI increased the risk of sexual dysfunction without accelerating the time to achieve pregnancy, compared with RI.

Sexual dysfunctions

2015 ◽  
pp. 245-252
Author(s):  
Martin Brüne
Keyword(s):  
Sexual Activity ◽  
Cultural Practices ◽  
Sexual Interest ◽  
Point Of View ◽  
Sexual Pleasure ◽  
Hormonal Contraceptives ◽  
Sexual Dysfunctions ◽  
Arranged Marriage ◽  
Opposite Sex ◽  
Evolutionary Point

Sexual dysfunctions comprise heterogeneous disorders that are characterized by disturbed sexual responsiveness, reduced sexual desire, or problems in experiencing sexual pleasure. Women more frequently have problems in experiencing sexual arousal and pleasure, whereas men more often suffer from erectile dysfunction or dysfunctional ejaculation. From an evolutionary point of view, many sexual dysfunctions are caused by conflict relating to intra- and intersexual competition or cultural practices of controlling sexual activity of the opposite sex. Suppression of sexual interest in women may, for example, occur in patrilocal societies, where curbing one’s daughter’s sexual activity before her arranged marriage may eventually increase the parents’ reproductive success. Evolutionary hypotheses of female orgasm suggest that the function of orgasm in women could signal satisfaction and fidelity to their male partners. Premature ejaculation in men may relate to performance anxiety. Finally, hormonal contraceptives impact on the experience of sexual pleasure and mate choice in relevant ways.

scholarly journals Psychosocial Profile Of Subjects Presenting With Sexual Dysfunctions In Psychiatry Outpatient Department Of A Teaching Hospital In Nepal

2021 ◽  
Vol 10 (1) ◽  
pp. 72-75
Author(s):  
R. Poudel
Keyword(s):  
Sexual Dysfunction ◽  
Teaching Hospital ◽  
Sexual Interest ◽  
College Teaching ◽  
Well Being ◽  
Outpatient Department ◽  
Sexual Dysfunctions ◽  
Sexual Medicine ◽  
Medical College ◽  
Arousal Disorder

Introduction: Sexuality is way people experience and express themselves sexually. It influences psychological, physical and social well-being of both men and women. Sexual dysfunctions are believed to be among the commonly prevalent psychological disorders in the general population but there is a lack of published research papers and literature related to sexuality and sexual medicine from Nepal. The aim of the present study was to descriptively analyze the nature of sexual dysfunctions in a teaching hospital. Material And Method: Retrospective analysis of data from subjects attending the psychiatry outpatient department in Nepalgunj Medical College Teaching Hospital, Kohalpur over the calendar year 2019 was done. Sociodemographic and clinical parameters of the subjects were obtained from the OPD register. Diagnosis was made using the DSM-5. Results: Out of total 54 subjects, 92.6% were male while 7.4% were female. Married subjects constituted 79.6% while single/unmarried 20.4%. Premature ejaculation was the most common sexual dysfunction encountered (55.5%) followed by erectile disorder (33.3%) and female sexual interest/arousal disorder (5.5%). Male hypoactive sexual desire disorder was seen in 3.7% and genito-pelvic pain/penetration disorder was seen in 2%. Conclusion: Males more commonly seek medical help for sexual dysfunction than females. People especially females, hesitate to discuss and seek medical help for sexual dysfunctions. There is lack of research on sexual medicine and sexuality from Nepal and prevalence of various sexual dysfunctions is not known.

Difference or dysfunction?: Deconstructing desire in the DSM-5 diagnosis of Female Sexual Interest/Arousal Disorder

2021 ◽  
Vol 31 (1) ◽  
pp. 81-98 ◽  
Author(s):  
Emily J Thomas ◽  
Maria Gurevich
Keyword(s):  
Sexual Desire ◽  
Conceptual Analysis ◽  
Female Sexuality ◽  
Sexual Interest ◽  
Women's Bodies ◽  
Dsm 5 ◽  
Female Sexual Desire ◽  
Arousal Disorder ◽  
Healthy Female ◽  
Sociocultural Contexts

This article answers ongoing calls within critical sexuality scholarship to explore how constructions of women’s bodies influence and are influenced by broader sociocultural contexts. Specifically, this article offers a conceptual analysis of female sexual desire, highlighting the deeply political nature of its pathologization. We briefly explore dominant definitions and models of sexual desire to highlight the erasure of embodied desire as an important part of healthy female sexuality. The DSM-5 diagnosis of Female Sexual Interest/Arousal Disorder is critically analyzed to highlight how desire differences are framed as gendered, individual problems which sidelines relational, contextual, and sociopolitical factors contributing to individual distress. When the language of desire is displaced by the language of interest (particularly when framed as receptivity), the capacity to theorize wanting and entitlement is undermined. We argue that the pathologization of diverse desires obscures possibilities for embodied wanting and neglects the consideration that all types of desire (absent, frequent, physical, emotional) may represent normal sexual variations.

scholarly journals Evaluation of sexual dysfunction in gynecologic cancer survivors using DSM-5 diagnostic criteria

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Hao Lin ◽  
Hung-Chun Fu ◽  
Chen-Hsuan Wu ◽  
Yi-Jen Tsai ◽  
Yin-Jou Chou ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Endometrial Cancer ◽  
Sexual Dysfunction ◽  
Cancer Survivors ◽  
Diagnostic Criteria ◽  
Sexual Interest ◽  
Gynecologic Cancer ◽  
Multiple Logistic Regression ◽  
Dsm 5 ◽  
Arousal Disorder

Abstract Background In gynecologic cancer survivors, female sexual dysfunction (FSD) remains under-investigated. We attempted to estimate the prevalence of FSD associated with distress in gynecologic cancer survivors using diagnostic and statistical manual of mental disorders fifth edition (DSM-5) diagnostic criteria and to identify women at risk for FSD. Methods We conducted a cross-sectional analysis of premenopausal women aged 20–50 with various gynecologic cancers at least one year after treatment between January 2017 and December 2019. Data of sociodemographics and physical conditions were collected via face-to-face interview during outpatient clinic visits. The domains we used to define FSD were based on DSM-5 diagnostic criteria. Statistical analysis was carried out using Student's t test, Chi-square test and multiple logistic regression. Results A total of 126 gynecologic cancer survivors with a mean age of 42.4 years were included for analysis and 55 of them (43.7%) were diagnosed as having FSD associated with distress based on DSM-5 criteria. More than half of women (65.1%) reported decreased sexual satisfaction after cancer treatment. According to DSM-5 definition, the most common female sexual disorders were sexual interest/arousal disorder (70.9%), followed by genitopelvic pain/penetration disorder (60.0%), and orgasmic disorder (20.0%). In multiple logistic regression model, endometrial cancer diagnosis was the only independent factor predicting less influence of cancer treatment on FSD (OR 0.370; 95% CI 0.160, 0.856). Conclusion The first study to use DSM-5 criteria for estimation of FSD prevalence. This enables clinicians to identify which women are actually needed to seek medical help. A prevalence of 43.7% of FSD associated with distress was found in a group of gynecologic cancer survivors with the most common being sexual interest/arousal disorder. Endometrial cancer survivors were at low risk for developing FSD after treatment.

Paraphilic Disorders

2018 ◽  
Author(s):  
Lancer Naghdechi ◽  
Atef Bakhoum ◽  
Waguih William IsHak
Keyword(s):  
Sexual Interest ◽  
Treatment Modalities ◽  
Sexual Sadism ◽  
Paraphilic Disorder ◽  
Dsm 5 ◽  
Sexual Masochism ◽  
Paraphilic Disorders ◽  
Diagnostic Work ◽  
The Individual ◽  
Pedophilic Disorder

Sexuality and sexual medicine are important and often understudied aspects of medicine and psychiatry. Often, patients and physicians avoid conversations regarding sex. A paraphilic disorder is diagnosed when a paraphilia, defined by the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) as “any intense and persistent sexual interest other than sexual interest in genital stimulation or preparatory fondling with phenotypically normal, physically mature, consenting human partners”, results in distress or impairment to the individual, personal harm, or risk of harm, to others. This review covers the definition, diagnostic criteria, epidemiology, etiology, phenomenology, diagnostic work-up, treatment modalities, guidelines, and prognosis of paraphilias including voyeurism, exhibitionism, frotteurism, sexual masochism disorder, sexual sadism disorder, pedophilic disorder, and transvestic disorder. The table and figure list paraphilic disorders listed in the DSM-5 and paraphilias in the Other specified paraphilic disorders section of the DSM-5. This review contains 1 figure, 1 table, and 15 references. Key Words: DSM-5, exhibitionism, fetish, frotteurism, paraphilia, paraphilic disorder, pedophilic disorder, sexual masochism disorder, sexual sadism disorder, transvestic disorder, voyeurism

scholarly journals Sexual dysfunctions among patients in a psychiatric hospital

2020 ◽  
Vol 31 (2) ◽  
pp. 43-47
Author(s):  
AFM Riaz Rony ◽  
Md Faruq Alam ◽  
Muhammad Zillur Rahaman Khan
Keyword(s):  
Sexual Dysfunction ◽  
Sexual Interest ◽  
Psychiatric Patients ◽  
Sexual Experience ◽  
Cross Sectional Study ◽  
Sexual Dysfunctions ◽  
Cross Sectional ◽  
Urban Group ◽  
Arousal Disorder ◽  
Demographic Questionnaire

Information regarding sexual dysfunctions in psychiatric patients is insufficient though it affects a patient’s quality of life in various ways. The objective of this study was to assess the proportion and pattern of sexual dysfunctions among patient’s attending at the National Institute of Mental Health (NIMH), Dhaka. It was a cross-sectional study conducted from 01 February 2015 to 30 June 2015. A total of 161 patients (of 18-50 years of age) selected purposively and were interviewed after getting informed written consent. A semi-structured socio-demographic questionnaire and a pre-tested (Bengali version of) Arizona Sexual Experience Scale (ASEX) were used for collecting data. Sexual dysfunctions were diagnosed by using the Diagnostic and Statistical Manual for Mental Disorders, 5th edition (DSM-5). Results showed that the mean age of the respondents was 35.12(± 8.22) years. Most of them (75%) were aged between 20-40 years. The proportion of sexual dysfunctions was 67% and it was found more among males (70.3%) than females (62.9%). Among males, Erectile Disorder (35.1%) in indoor and Premature Ejaculation (27.3%) in outdoor were more common. Among females, most common sexual dysfunction was Sexual Interest/Arousal Disorder, of which 34.9% was in indoor and 44.4% in outdoor respondents respectively. The proportion of sexual dysfunction was higher in the semi- urban group (75%), those who were educated up to primary level (79%) and belonging to age group 40-50 years (79%). As sexual dysfunction and it’s impact on psychiatric patients are tremendous, sexual functioning of every patient needs special attention, care and early interventions for reducing sufferings. Bang J Psychiatry December 2017; 31(2): 43-47

scholarly journals Women's Endorsement of Different Models of Sexual Functioning Supports Polythetic Criteria of Female Sexual Interest/Arousal Disorder in DSM‐5

2015 ◽  
Vol 12 (9) ◽  
pp. 1978-1980 ◽  
Author(s):  
Lori A. Brotto ◽  
Cynthia A. Graham ◽  
Laurel Q. Paterson ◽  
Morag A. Yule ◽  
Kenneth J. Zucker
Keyword(s):  
Sexual Functioning ◽  
Sexual Interest ◽  
Dsm 5 ◽  
Arousal Disorder
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