Sexual Dysfunctions: Risk Factors, Psychological Impact and Treatment Options


Frédérique Courtois, PhD (Editor)
Department of Sexology, Université du Québec à Montréal, Canada

Series: Sexology Research and Issues
BISAC: HEA042000

Sexual dysfunctions in men and women cover a wide range of disorders that can affect any phase of the human sexual response. They can originate from a variety of etiologies including (but not restricted to) neurological conditions, vascular diseases, psychological or psychiatric disorders, diabetes, lower urinary tract syndrome and prostatic conditions, all of which are covered in this book. Identifying the sexual dysfunction and its symptomatology is the first step to understanding the patient’s complaint, but the etiology of the sexual disorder can also be a part of the treatment options and influence their relative effectiveness.

This book is designed for a better understanding of the basics of human sexual functioning and the impact of various pathologies on the development and treatment of these dysfunctions. Following an initial definition of sexual dysfunctions in men (erectile failure, persistent erection, delayed, retrograde, premature, anhedonic or painful ejaculation) and in women (hypoactive sexual desire, sexual arousal deficit, persistent genital arousal, dyspareunia, vaginism, anorgasmia), and following a description of the normal sexual functioning in men and later in women, the book addresses the issue of contributing factors (predisposing, precipitating, maintaining factors), or etiologies, that can participate in the emergence or maintenance of sexual dysfunctions.

These include neurological conditions, which also highlight the role of the brain and neural pathways in modulating sexual responses, and their impact on genital reflexes and quality of life (eg. spinal cord injury, multiple sclerosis). They include conditions such as prostatic diseases and their treatment with radical prostatectomy, or apparently benign activities such as bicycle riding (and its resulting nerve entrapment) and their impact on men’s genital innervation and resulting in sexual dysfunctions. They also include general disease such as diabetes, which affects both men and women, and depression, and their resulting impact on sexual function and quality of life. Female pathologies such as women’s urogynecological disorders and aging on women’s normal function are also addressed, along with a discussion of the assessment’s limitations and unit care concerns (e.g. palliative care), which can contribute to the emergence or maintenance of sexual dysfunctions, and which are covered throughout the chapters of this book. (Imprint: Nova Biomedical )

Table of Contents

Table of Contents

Preface pp.vii

Chapter 1. Normal Sexual Function in Men
(Frédérique Courtois, Kathleen Charvier, Nicolas Morel Journel, Université du Québec à Montréal, Montréal, Canada, and others)
Chapter 2. Penis Size and Women’s Sexual Satisfaction
(Roberto Vaz Juliano, Margareth de Mello Ferreira dos Reis, Renata Gimenez Costa, Ricardo Moreno, Luana Lee, Lívia Job, Fernanda Gomiero, Ricardo Zagatti, Daniel Amado, Alexandre Borgheresi, Antonio Carlos Lima Pompeo and Marcos Tobias-Machado, Section of Andrology, Department of Urology, ABC Medical School, São Paulo, Brazil)
Chapter 3. Male Neurogenic Sexual Disorders: An Overview
(Rocco Salvatore Calabrò, Angela Marra and Placido Bramanti, IRCCS Centro Neurolesi “Bonino-Pulejo”, Messina, Italy)pp.21-36

Chapter 4. Sexual Dysfunction, Quality of Life and Psychological Impact of Spinal Cord Injury on Men
(Ana I. Cobo-Cuenca, Miguel Vírseda-Chamorro, Juan Pedro Serrano-Selva, Antonio Sampietro-Crespo, Manuel Esteban-Fuertes and Noelia Martín-Espinosa, University of Castilla la Mancha (UCLM), Spain, and others)pp.37-54

Chapter 5. Sexual Dysfunction after Radical Prostatectomy: Related Factors and Treatment
(Marcos Tobias-Machado, Ricardo Moreno, Renata Gimenez Costa, Fernanda Ramos, Luana Lee, Lívia Job, Margareth de Mello Ferreira dos Reis, Roberto Vaz Juliano and Antonio Carlos Lima Pompeo, Sections of Urologic Oncology and Andrology, Department of Urology, ABC Medical School, São Paulo, Brazil)pp.55-70

Chapter 6. Bicycle Riding as a Risk Factor for Male Erectile Dysfunction
(João Pedro Peralta, Ricardo Godinho, Carlos Rabaça and Amilcar Sismeiro, Department of Urology – Portuguese Institute of Oncology, Coimbra, Portugal)pp.71-80

Chapter 7. Sexual Dysfunction in Men and Women with Type 2 Diabetes Mellitus
(Sevilay Hintistan and Dilek Cilingir, Karadeniz Technical University, Health Sciences Faculty, Nursing Department, Pharmacy Faculty Building, Trabzon, Turkey)pp.81-104

Chapter 8. Erectile Dysfunction in Diabetic Men
(Zdravko Kamenov, Clinic of Endocrinology, Alexandrovska University Hospital, Medical University-Sofia, Sofia, Bulgaria)pp.105-138

Chapter 9. Effective Treatment of Major Depression and Accompanying Sexual Dysfunction
(Louis F. Fabre and Louis C. Smith, Fabre Kramer Pharmaceuticals, Inc., Houston, TX, USA)pp.139-162

Chapter 10. Normal Sexual Function in Women
(Frédérique Courtois and Kathleen Charvier, Université du Québec à Montréal, Montréal Canada, and others)pp.163-178

Chapter 11. Female Sexual Dysfunctions and Urogynecological Disorders
(Emilio Sacco and Daniele Tienforti, Urologic Clinic, Department of Surgical Sciences, “Agostino Gemelli” Hospital, Catholic University School of Medicine of Rome, Italy, and others)pp.179-210

Chapter 12. Sexual Dysfunction in Middle-Aged Women: A Review
(Patricia Uchoa Leitão Cabral and Ana Katherine da Silveira Gonçalves, Universidade Federal do Rio Grande do Norte – UFRN, Brazil and others)pp.211-222

Chapter 13. Limitations of the Female Sexual Function Index Total Score in Healthy Community-Dwelling Older Women
(Susan E. Trompeter, Ricki Bettencourt and Elizabeth Barrett-Connor, Division of General Internal Medicine, Department of Medicine, University of California, CA, USA, and others)pp.223-232

Chapter 14. Conditioning Factors among Palliative Care Professionals in the Assessment of Sexual Dysfunctions
(Claudio Calvo Espinós and Estefanía Ruiz de Gaona Lana, Palliative Care Service, Hospital San Juan de Dios (Navarra), Spain, and others)
Chapter 15. The Relation of Mental Health and Locus of Control to Sexual Functioning in Patients with Multiple Sclerosis
(Paraskevi Theofilou and Sophia Zyga, Centre for Research and Technology, Department of Kinesiology, Health & Quality of Life Research Group, Trikala, Thessaly, Greece, and others)pp.241-250

Index pp.253-267

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