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Results for “Sexual Dysfunction, Physiological”

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PubMedDate not supplied

The sexual concerns of african american, asian american, and white women seeking routine gynecological care.

PURPOSE: Because of limited knowledge regarding the sexual health of minority women, we described the types and frequency of sexual concerns among African American, Asian American, and white women. METHODS: The sexual concerns of eligible women who received their health care at a large military health care facility in Washington State were determined from December 1992 through January 1993 through the use of a questionnaire on women's sexual health that was developed by one of the authors. RESULTS: A high and similar prevalence of sexual concerns was reported among these women. The prevalence of certain sexual concerns among white, African American, and Asian American women differed significantly. A history of sexual coercion or physical/emotional abuse was strongly associated with a high prevalence of sexual concerns for each racial and ethnic group. CONCLUSION: Although women of different racial/ethnic backgrounds reported a high and similar prevalence of sexual concerns, there were significant differences in the prevalence of certain sexual concerns that may have differential health importance. Health-care providers should exercise caution when generalizing the sexual concerns of women from different racial/ethnic backgrounds.

Adult↗
PubMed2002

Sexual function and behavior in social phobia.

BACKGROUND: Social phobia is a type of performance and interpersonal anxiety disorder and as such may be associated with sexual dysfunction and avoidance. The aim of the present study was to evaluate sexual function and behavior in patients with social phobia compared with mentally healthy subjects. METHOD: Eighty subjects participated in the study: 40 consecutive, drug-free outpatients with social phobia (DSM-IV) attending an anxiety disorders clinic between November 1997 and April 1999 and 40 mentally normal controls. The Structured Clinical Interview for DSM-IV Axis I Disorders and the Liebowitz Social Anxiety Scale were used to quantitatively and qualitatively assess sexual function and behavior. RESULTS: Men with social phobia reported mainly moderate impairment in arousal, orgasm, sexual enjoyment, and subjective satisfaction domains. Women with social phobia reported severe impairment in desire, arousal, sexual activity, and subjective satisfaction. In addition, compared with controls, men with social phobia reported significantly more frequent paid sex (p < .05), and women with social phobia reported a significant paucity of sexual partners (p < .05). CONCLUSION: Patients with social phobia exhibit a wide range of sexual dysfunctions. Men have mainly performance problems, and women have a more pervasive disorder. Patients of both genders show difficulties in sexual interaction. It is important that clinicians be aware of this aspect of social phobia and initiate open discussions of sexual problems with patients.

Adult↗
PubMedDate not supplied

Using the extended PLISSIT model to address sexual healthcare needs.

Sexual health is a holistic concept which encompasses much more than the prevention of infections and unwanted pregnancy. This article defines sexuality and sexual health before discussing the nurse's role in identifying and meeting patients' sexuality and sexual health needs. The Ex-PLISSIT model is proposed as a useful tool for nurses working in primary care to address sexuality and sexual health.

Communication↗
PubMed1998

[Disorders in sexual function following hysterectomy].

The authors aims to examine the sexual function among patients prior to hysterectomy. Four groups were examined: group one--total hysterectomy with bilateral adnexectomy; group two--total hysterectomy without adnexectomy; group three--supracervical hysterectomy with bilateral adnexectomy and group four--supracervical hysterectomy without adnexectomy. A questionnaire aimed at Learning the sexual function and psychologic state of the patients and more importantly the effects of the hysterectomy on then was passed out. From the completed questionnaires we found that the most affected group was the one of total hysterectomy with bilateral adnexectomy. In all respects sexual function is disturbed in this group. Least affected are patients in groups three and four. In some of them we even found a slight increase in sexual function, which is regarded compensatory for eliminating the infertility complex arising from surgery of the most important female organs.

Adnexa Uteri↗
PubMed1999

[Sexual side effects of antidepressants].

Most antidepressant drugs have some sexual side effects. These side effects are caused by an increased neurotransmission of serotonin in the central nervous system, a stimulating effect at postsynaptic serotonin receptors and effects on the peripheral nervous system. Antidepressant-induced sexual disorders may impair patient compliance. Publications on sexual side effects are mainly case reports and few double blind placebo-controlled trials. This hampers generalisation of findings. The best treatment consists of prescribing another antidepressant which probably has hardly any or no sexual side effects. However, this entails the risks of reduced antidepressant effects and of non-sexual side effects. The extent of sexual side-effects among the serotonin reuptake inhibitor seems to differ. Antidepressants with few or no sexual side effects include those with noradrenergic and dopaminergic action (some tricyclic antidepressants, bupropion), as well as antidepressants with a postsynaptic receptor blocking action (nefazodone and mirtazapine).

Antidepressive Agents↗
PubMed2000

Cortical evoked potentials of the dorsal nerve of the clitoris and female sexual dysfunction in multiple sclerosis.

PURPOSE: We evaluated whether disrupting genital central nervous system pathways is associated with subjective reports of sexual dysfunction in women with multiple sclerosis. MATERIALS AND METHODS: We performed pudendal somatosensory evoked potential testing in and had sexual questionnaires completed by 14 women with a mean age of 47 years who had multiple sclerosis. RESULTS: The mean expanded disability status score was 5. All but 1 woman reported the desire for sexual intercourse. There was a high rate of dissatisfaction with their sex life and all study participants had concomitant bladder and bowel function problems. The most common sexual complaint was difficult or no orgasm, which was statistically associated with abnormalities or absence of 1 or both pudendal cortical evoked potentials. Fatigue and arousal disorders were also common. CONCLUSIONS: Women with multiple sclerosis have a high self-reported rate of sexual dysfunction, which decreases quality of life. Electrodiagnostic data imply that pudendal somatosensory innervation is necessary for normal female orgasmic function. More study is needed to confirm these findings.

Adult↗
PubMed2000

[A Swedish study of women treated for cervix cancer. Gynecologic cancer often affects sexuality].

Gynecological cancer and its treatments are often associated with physical, psychological and social consequences that affect the woman's and the couple's sexuality. Especially due to their impact on sexuality, physical changes distress the women considerably, and warrant consideration for women of all ages. Women with gynecological cancer ask for information about possible side-effects of the disease and treatment that can affect the sexual function. At follow-up visits these issues can be attended to through information, with specific suggestions including advice about topical estrogen and dilators, to alleviate possible long-term sequelae.

Adult↗
PubMedDate not supplied

Sexual dysfunction secondary to depressive disorders.

Human sexuality has received less systematic study and is less well understood than other aspects of mental and physical health. Although depression itself, apart from medication, is generally believed to be associated with sexual dysfunction, the few existing studies report wide discrepancies with regard to frequency, gender, and quality of sexual dysfunction. Loss of libido is frequently and consistently associated with major depression. Moreover, sexual dysfunction secondary to depression or other factors is often mistaken for that caused by antidepressant medication. Although antidepressants have long been associated with sexual dysfunction, the precise nature and magnitude of sexual side effects have not been fully appreciated. This article will review the literature on sexual dysfunction associated with unmedicated depression and offer a guide for the clinician evaluating and treating depressed patients with sexual problems.

Depressive Disorder↗