This 3-part manual on sexual disorders is edited by 2 psychiatrists who have been engaged for more than 20 years in the clinical treatment of patients with sexual problems. Drs Balon and Segraves bring their rich experience to this field. Patients who have sexual disorders need extra time to present their questions of doubt, confusion, misunderstanding, and perhaps guilt and shame. They also need clarification and understanding-and possible answers and reassurance. Sex education in the home remains a wonderful rarity.
Clinical evaluation and management strategy for sexual dysfunction in men and women
Clinical Trials for Erectile Dysfunction | NIDDK
Introduction: The optimal approach for identification and evaluation of the sexual problems in men and women in primary care or general medicine practice has not been consensed. Methods: An International Consultation in collaboration with the major urology and sexual medicine associations assembled over multidisciplinary experts from 60 countries into 17 committees. Committee members established specific objectives and scopes for various male and female sexual medicine topics. The recommendations concerning state-of-the-art knowledge in the respective sexual medicine topic represent the opinion of experts from five continents developed in a process over a 2-year period.
Hypoactive sexual desire disorder HSDD , hyposexuality or inhibited sexual desire ISD is considered a sexual dysfunction and is characterized as a lack or absence of sexual fantasies and desire for sexual activity , as judged by a clinician. For this to be regarded as a disorder, it must cause marked distress or interpersonal difficulties and not be better accounted for by another mental disorder, a drug legal or illegal , or some other medical condition. A person with ISD will not start, or respond to their partner's desire for, sexual activity.
This is foundational and important. If considered clinical, then there is the need for a diagnostic and treatment model that addresses both sexual compulsivity and integrity disorders involving intimate partner abuse. Thus, it conceptualizes these disorders existing on a spectrum of both compulsive sexuality and abusive conduct or integrity disorder , with complex and varied etiology and underlying factors, such as developmental and complex trauma, gender pathology, personality disorders or character disturbance and un-integrated sexuality. Treatment has involved developing strategies to stop or contain specific sexual behavior, to gain control over problematic or medicating sexual behaviors. This is important and legitimate, and the cognitive-behavioral and regulation strategies have and can be effective in behavioral cessation and healthier coping.