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Louizos, Connie Celest. "Sexual Inhibition and Sexual Excitation in Erectile Dysfunction." Thesis, The University of Sydney, 2016. http://hdl.handle.net/2123/15843.
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Erectile dysfunction (ED) is a common problem with many aetiologies. The development of phosphodiesterase type 5 inhibitors (PDE5Is) has offered a highly efficacious therapeutic approach to the treatment of ED. However, a significant number of men fail to respond to medication, and others discontinue its use despite good therapeutic responses. Little is known about the determinants of low PDE5I efficacy or compliance. It is recognised that adequate sexual arousal is necessary in order for PDE5Is to have an effect, but arousability is rarely assessed during the routine therapeutic workup. It is therefore possible that unidentified low arousability contributes to therapeutic failure. The Dual Control Model of Sexual Response offers a theoretical framework for the investigation of sexual excitation and inhibition (which may impact on arousability) that can be undertaken using its associated questionnaire, the sexual excitation/sexual inhibition questionnaire (SIS/SES). The purpose of the studies reported in this thesis was to evaluate how the propensities of sexual excitation and inhibition relate to ED sufferers response to PDE5I therapy. The studies focused on men being treated by general practitioners for apparent psychogenic ED. Four studies were conducted. In the first study, the aim was to investigate whether individual differences in the propensity for sexual inhibition and excitation measured using the SIS/SES questionnaire predicted responses to PDE5Is. The study was based on the hypothesis that men with lower arousability, operationalized as low excitation, would be less responsive to PDE5I then men with higher excitation. Men aged 18 and older (N = 100) who were prescribed PDE5Is for the first time were recruited into the study and assessed at baseline and 3 months as part of their normal course of care. The severity of ED was assessed using the erection function (EF) scale of the International Index of Erectile Function (IIEF), and sexual inhibition and excitation were measured using the SIS/SES questionnaire. The results of this study showed that higher SES and IIEF-EF scores at the beginning of therapy were predictive of a larger improvement in IIEF-EF score in response to therapy. Sexual inhibition scores were not predictive of changes in IIEF-EF scores. The findings suggest that an individual’s propensity for sexual excitation influences their response to PDE5I therapy. In the clinical setting, evaluation of the propensity for sexual excitation may help practitioners determine which of the treatment options available is most likely to have the best result. It is possible that men with lower SES scores should receive PDE5Is at the highest possible dose. The second study evaluated whether the ongoing failure of PDE5I therapy to improve erectile function had an adverse impact on sexual excitation and/or inhibition, and therefore decreased the likelihood of a successful response in the future. Established PDE5I users completed the SIS/SES questionnaire at recruitment and three months later. On the basis of IIEF scores at recruitment, subjects were divided into two groups according to the severity of their ED - mildly affected (M) and mild – moderately affected (MM). SES scores were significantly lower, and SIS1 scores significantly higher in Group MM at recruitment and at three months (P < 0.001). In Group M, SES scores increased (P < 0.005) and SIS1 (P < 0.001) and SIS2 (P = 0.01) scores decreased over the three months of the study. In Group MM, SES scores decreased while SIS1 scores increased over the study period (P < 0.001). The results for Group M showed that men whose EF scores increased were more likely to experience increased SIS2 and decreased SES scores. Analysis of the results using multiple linear regression showed that SIS/SES variables were of little value in predicting erectile function (EF) at recruitment, or change in EF during the study period. This was an unexpected finding, because previous studies have consistently shown a link between SIS1 and IIEF-EF scores. It is possible that sexual excitation and inhibition, although fundamentally traits, may also be influenced by the current state of the patient. The findings of this study suggest that the severity of ED in non-responders influences how the state component of measured excitation and inhibition changes over time, with more severely affected patients experiencing changes that decrease the likelihood of a successful response to PDE5Is in the future. The third study built on the finding reported by Lykins et al (2012) that couples’ similarities in sexual excitation and inhibition predict sexual function in men who were not experiencing clinical ED. The aim was to investigate whether the degree of between-partner similarity or dissimilarity in the propensity for sexual inhibition and excitation in heterosexual couples (N = 189) predicted the severity of ED in patients who had sought treatment for ED. The severity of ED was assessed using the erection function domain of the International Index of Erectile Function (IIEF-EF), and sexual inhibition and excitation were measured, in both men and women, using the SIS/SES questionnaire. Regression analyses showed that men (ß = -0.21, t = -2.9, P = 0.004) and women’s SIS1 scores (ß = -0.42, t = -6.2, P = 0.001), and couple similarity in SES scores (ß = 0.19, t = 3.0, P = 0.002), were significant predictors of IIEF-EF score, and that couple similarity in SIS1 scores negatively predicts IIEF-EF, meaning better erectile function. In other words, lower SIS1 scores at baseline predicted a higher erectile function score on the IIEF-EF. In the fourth study, the aim was to determine whether sexual excitation and inhibition influenced patients’ expectations of the therapeutic response to PDE5Is, and whether those expectations were predictive of the actual therapeutic response. A questionnaire was developed and used to collect data on expectations in eighty men commencing PDE5I therapy, and after three and six months of treatment. At the same time, subjects completed the IIEF, SIS/SES and Beck’s Depression Inventory (BDI). SIS/SES scores were not predictive of scores of any items on the expectations questionnaire, nor was there any evidence of an effect on expectations on changes in IIEF or BDI scores. Although changes in IIEF and BDI scores from recruitment to 3 months were indicative of improved sexual function and less depression, scores on items on the expectations scale decreased, suggesting that expectations were not being met. The items for which scores decreased were the expectation to be prescribed a drug, that the drug would restore the sexual function to normal, would work within 30 minutes of administration, improve patients confidence to engage in sexual activity, and that the medication was the best treatment for ED across the three data collection points. The findings of the study suggested that the education of patients about how PDE5Is should be used was sub- optimal. The findings of these studies suggest that the measurement of sexual inhibition and excitation can provide some information that may be of use in planning PDE5I therapy. Specifically, the capacity to predict the response to medication may enable clinicians to create more realistic expectations in their patients, and therefore decrease the risk of dissatisfaction and discontinuation. If men with low arousability can be identified, it may be possible to implement counselling strategies to address the problem and improve the likelihood of therapeutic success. This concept can be extended to partners, given that these studies have shown that partner similarities predict some of the therapeutic response to PDE5Is.
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Baldwin, David Stewart. "Antidepressant drugs and sexual dysfunction." Thesis, University of Southampton, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.403830.
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Mitchell, Kirstin Rebecca. "Sexual dysfunction : conceptual and measurement issues." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2008. http://researchonline.lshtm.ac.uk/682371/.
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Despite a standard classification and array of self-report questionnaires, there is little consensus about how to define and measure sexual dysfunction. Recently the debate has been influenced by the pharmaceutical industry, leading to an increasingly medicalised view of sexual difficulties. The aim of this thesis was to explore the meaning of sexual (dys)function to those who have and have not experienced sexual difficulties; and to use these meanings to create a conceptual model and population prevalence measure of sexual dysfunction for use in UK community surveys. Thirty-two semi-structured interviews were conducted with individuals recruited from a GP practice, an HIV/AIDS Charity and a Sexual Problems Clinic. The data were analysed using principles derived from Grounded Theory. Variation in individual meaning was expressed in terms of three distinct versions of functional sex - the erotic, the interpersonal and the mechanistic - which framed the purpose of sexual activity, the criteria determining ideal sex, and threats to this ideal. The data highlighted several coping strategies that individuals adopted when their lived reality failed to match their ideal: changing circumstances to fit goals, for instance by seeking a medical cure; changing goals to fit circumstances, for instance by lowering expectations; And living with the gap between ideal and actual experience, for instance by avoiding the problem. Choice of strategy and the likelihood of successful adjustment were influenced by the severity of the problem, causal attributions made about the problem, and the partnership context. Thirty-one potential components of a functioning sex life were identified from the data. Using evidence both from the literature and from this study, 12 of these components were selected for inclusion in a conceptual model of sexual function. This model was transformed into a 19-item draft prevalence measure of sexual dysfunction ready for psychometric testing and validation.
4
Zhang, Xiang Rong. "Mechanisms of antipsychotic-induced male sexual dysfunction." Thesis, Queen's University Belfast, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.517534.
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Itkin, Natalie. "Treating Sexual Dysfunction in Orthodox Jewish Couples." Thesis, Alliant International University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3624617.
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Sexual dysfunction is a major clinical and social issue. There has been a lack of research literature exploring the treatment implications involved in conducting sex therapy with Orthodox Jewish couples. Many standard sex therapy treatment interventions are incongruent with the religious beliefs held by Orthodox Jewish individuals regarding what they consider to be sexually appropriate practices. In order to increase the probability of Orthodox clients getting the treatment they need, it is crucial for mental health clinicians to demonstrate a high-level of understanding, awareness, and sensitivity toward their clients' religious beliefs. By fostering a sense of appreciation and understanding of Orthodox Jewish sexual practices, the clinician can then gain the ability to increase their clients' level of trust, safety, comfort, and willingness to participate in the treatment process. This doctoral project explored the issues surrounding the provision of sex therapy to Orthodox Jewish couples, and aimed to bridge the gap between the research literature and clinical practice. The purpose of this project was to increase the level of awareness of mental health professionals regarding how Orthodox Jewish religious beliefs influence views about sexuality, understand the treatment implications that arise during sex therapy with Orthodox couples, and methods of effectively modifying standard sex therapy interventions by incorporating Jewish laws into the therapeutic process. The author also incorporated a summary of the clinical findings obtained from interviews conducted with four expert field consultants who have worked with Orthodox Jewish couples in their practices.
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Braymam, Melanie. "Sexual Dysfunction: Providers’ Willingness to Ask LGBQ Veterans About their Sexual Functioning." Antioch University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1555249670122064.
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Sahay, Rashmi. "Female Sexual Dysfunction in women with Multiple Sclerosis." University of Cincinnati / OhioLINK, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1276947276.
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Cantor, James M. "Reversal of fluoxetine-induced sexual dysfunction in male rats." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/nq64531.pdf.
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Yuen, Hang-yuk. "A study of sexual dysfunction in female breast cancer patients /." Hong Kong : University of Hong Kong, 1996. http://sunzi.lib.hku.hk/hkuto/record.jsp?B19470794.
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Nunes, Luciana Vargas Alves [UNIFESP]. "A acurácia da Escala de Experiência Sexual do Arizona (ASEX) para identificar disfunção sexual em pacientes do espectro da esquizofrenia." Universidade Federal de São Paulo (UNIFESP), 2009. http://repositorio.unifesp.br/handle/11600/8805.
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Publico-008.pdf: 1147299 bytes, checksum: c53fe718c40d4278be6155456942dfbe (MD5)Contexto: a disfunção sexual é frequente entre pacientes com esquizofrenia, sendo relatada como um dos mais incômodos efeitos adversos dos antipsicóticos e esta diretamente relacionada com adesão ao tratamento. Objetivo: a) avaliar a frequência da disfunção sexual em uma amostra de pacientes do espectro da esquizofrenia em tratamento com antipsicóticos; b) investigar 0 efeito dos diferentes antipsicóticos na função sexual; e c) avaliar a acurácia da Escala de Experiência Sexual do Arizona (AS EX) para identificar disfunção sexual. Método: pacientes ambulatoriais com esquizofrenia ou transtorno esquizoafetivo foram entrevistados através de questionários: ASEX e Escala Dickson-Glazer (DGSFi) para avaliação do funcionamento sexual, em uma única entrevista. Resultados: 137 pacientes foram entrevistados. A sensibilidade e especificidade da ASEX em relação a DGSFi foram: 80.8% ( 95% IC= 70.0%-88.5%) e 88.1 % (95% IC=76.5%-94.7%), e a taxa de classificação incorreta foi 9.5%. A curva ROC comparando a pontuação da ASEX e DGSFi revelou valor de 0.93 (IC=0.879¬0.970) com 0 ponto de corte da ASEX encontrando sendo 14/15. A disfunção sexual foi mais alta entre as mulheres (79.2%) do que nos homens (33.3%) (X2=27.41, gl=1, p<0.001). Conclusão: pacientes em tratamento com antipsicóticos mostraram alta frequência de queixas sexuais e ASEX provou ser um instrumento eficaz para identificar disfunção sexual em amostra de pacientes ambulatoriais do espectro da esquizofrenia. Mulheres mostraram frequência mais alta de disfunção, e desejo sexual e habilidade para alcançar orgasmo foram áreas mais afetadas. 0 uso de antipsicóticos, principal mente 0 uso de combinações, foi associado com piora do funcionamento sexual..
Background: sexual dysfunction is frequent in patients with schizophrenia, it is reported as one of the most distressing antipsychotic’s adverse effects and it is directly related to treatment compliance. Objective: a) to assess the frequency of sexual dysfunction in a sample of outpatients with schizophrenia and schizoaffective disorder under antipsychotic therapy; b) to investigate the effect of different antipsychotics on sexual function; and c) to evaluate the accuracy of the Arizona Sexual Experience Scale (ASEX) to identify sexual dysfunction. Method: Outpatients with schizophrenia or schizoaffective disorder were asked to fulfill both the ASEX and the Dickson Glazer Scale for the Assessment of Sexual Functioning Inventory (DGSFi) at a single interview. Results: 137 patients were interwied. The sensitivity and specificity of the ASEX in relation to DGSFi were: 80.8%, (95% CI= 70.0%-88.5%) and 88.1% (95% CI= 76.5%-94.7%), and the misclassification rate was 9.5%. The ROC curve comparing the ASEX and the DGSFi scores revealed a value of 0.93 (CI= 0.879-0.970), with the optimum cut-off point of ASEX being 14/15. Sexual dysfunction measured was higher in females (79.2%) than in males (33.3%) (2 = 27.41, d.f.=1, p<0.001). Discussion: Patients under antipsychotic treatment showed a high level of sexual complaints, and the ASEX proved to be an accurate instrument to identify sexual dysfunction in an outpatient sample of patients with schizophrenia spectrum. Females showed a higher frequency of sexual dysfunctions and sexual drive and ability to reach orgasm were the most affected areas. The use of antipsychotics, especially the combinations, was more likely to impair sexual functioning.
TEDE
BV UNIFESP: Teses e dissertações
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Bergmark, Karin. "Sexual dysfunction and other distressful symptoms in cervical cancer survivors /." Stockholm, 2002. http://diss.kib.ki.se/2002/91-7349-132-2.
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Yuen, Hang-yuk, and 袁亨玉. "A study of sexual dysfunction in female breast cancer patients." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1996. http://hub.hku.hk/bib/B31250336.
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Bohman, Ljung Daniella, and Lina Ekeroth. "Using the Dual Control Model to explore female sexual function and dysfunction in a Swedish sample: A cross-sectional study." Thesis, Örebro universitet, Institutionen för juridik, psykologi och socialt arbete, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-38178.
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Jacquet, Susan Ellen. "Sexual abuse experiences and family environment in childhood as predictors of sexual dysfunction and premarital relationships in adulthood /." Digital version accessible at:, 1999. http://wwwlib.umi.com/cr/utexas/main.
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Faro, Livi Ferreira Testoni de. "As disfunções sexuais femininas no periódico Archives of Sexual Behavior." Universidade do Estado do Rio de Janeiro, 2008. http://www.bdtd.uerj.br/tde_busca/arquivo.php?codArquivo=4439.
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Após o sucesso de vendas do Viagra, medicamento indicado para o tratamento da disfunção erétil, lançado em 1998, houve uma rápida proliferação de artigos, livros e encontros sobre as disfunções sexuais femininas. Desde 2000, um intenso debate sobre o envolvimento da indústria farmacêutica na produção biomédica sobre as disfunções sexuais femininas e a concomitante busca por um medicamento similar ao Viagra destinado às mulheres tem envolvido profissionais de diferentes disciplinas. Esta dissertação teve como objetivo investigar os discursos científicos sobre as disfunções sexuais femininas, através do exame dos artigos publicados no periódico Archives of Sexual Behavior, desde sua fundação, em 1971, até 2007. O periódico foi escolhido por sua legitimidade neste campo de saberes, por abranger um amplo período (36 anos) e seu caráter multidisciplinar. Pretendeu-se investigar quando, como e por quais grupos profissionais as disfunções sexuais femininas foram descritas e abordadas no periódico. No caso das chamadas disfunções sexuais, as descrições científicas, que vêm aumentando significativamente nos últimos anos, dão origem
a prescrições de terapias, medicamentos, intervenções cirúrgicas, programas de educação sexual e políticas públicas. Ou seja, subjacente a esse discurso, que afirma ser empírico e
imparcial, estão processos que se encontram muito além dos limites de um laboratório ou das atividades de um pesquisador. Buscou-se, assim, pensar a produção científica como produto
de articulações e negociações que se desenrolam em esferas diversas, envolvendo processos culturais, sociais, econômicos e também cognitivos ou científicos, em contraposição às
concepções que caracterizam a ciência como um projeto que apenas revela verdades. Para tanto, foi apresentado o contexto do surgimento de uma ciência da sexualidade, no decorrer do século XIX e, em seguida, o contexto no qual emergiram os discursos sobre as disfunções sexuais femininas, o que propiciou sua emergência naquele dado momento, o modo como foram definidas e por quem, como se articularam a processos sociais, econômicos e culturais e que transformações sofreram ao longo dos anos.After the sale success of Viagra, a medicament indicated for the treatment of erectile dysfunction, which was launched in 1998, there was a fast proliferation of articles, books and meetings on female sexual dysfunctions. Since 2000, an intense debate about the involvement of the pharmaceutical industry in the biomedical production related to female sexual dysfunctions and the simultaneous search for a medicament similar to Viagra aimed to women has been involving professional from different areas. The goal of this dissertation was to investigate scientific discourses on female sexual dysfunctions through the analysis of articles published in the periodical Archives of Sexual Behavior, since its foundation in 1971 until 2007. The periodical was chosen due to its legitimacy in this field of knowledge, for covering a vast period (36 years) and for its multidisciplinary nature. The intention was to locate when, how and by which professional groups female sexual dysfunctions were described and dealt with in the periodical. In the case of the so-called sexual dysfunctions, scientific descriptions, which have been significantly increasing in recent years, originate therapeutic prescriptions, medicaments, chirurgical interventions, sexual education programs and public policies. That is, subjacent to this discourse, which poses as empirical and impartial processes were found that reach quite beyond the limits of a lab or the activities of a researcher. Therefore, the aim was to think of the scientific production as a product of articulations and negotiations unfolded in diversified domains and involving cultural, social and economical processes, as well as cognitive and scientific ones, in contrast to the conceptions that characterize science as a project that only brings about the truth. For this, the context in which a science of sexuality emerged throughout the 19th Century was presented, followed by the context in which the discourses on female sexual dysfunctions appeared: what has facilitated their emergence in that given moment, how and by whom were they defined, how were they articulated to social, economical and cultural processes and which transformations they suffered throughout the years.
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Al-Momani, Muwafaq Mohammad. "Nurses' experience of caring for men with sexual dysfunction in Jordan." Thesis, University of Salford, 2011. http://usir.salford.ac.uk/26537/.
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Worldwide, sexual dysfunction is common among men regardless of age, ethnicity or cultural background therefore it is not unreasonable to assume such a problem exists within Jordan, despite the limited evidence available. This research examines the role of nurses in practice, nursing education and the impact of the Jordanian culture on the care of men with sexual dysfunction. The case study, using quantitative and qualitative mixed methods, questionnaires and semistructured interviews, explored in-depth the interplay of three key concepts: nurses' experiences, education and culture. Study instruments were translated, back-translated to establish semantic equivalence, then administered in Arabic or English (as preferred) to 462 nurses in the target population. Of these, 261 (58%) nurses completed the questionnaire, 17 of which agreed to take part in an interview. The findings identified that sexual health care and assessment for men was not an integral part of nursing practice with only 16 out of 261 nurses (6%) identifying having cared for and assessed the sexual health care needs of a male patient. Although, the majority of nurses (65%) recognised sexual health care was important for patients' health outcomes. Similar to other studies worldwide barriers to sexual health care included a lack of time to perform sexual health assessments due to a shortage of nurses and increased workload. However, both male and female nurses reported being openly discouraged by managers not to discuss sexual health with patients, even of the same sex, as this was culturally unacceptable. This was compounded by a medically dominated health profession, in which nurses identified a lack of autonomy to deliver sexual health care. Sexual dysfunction was perceived to be a hidden and unresolved problem within Jordan as a result of cultural and societal expectations, masculinity and perceived men's health beliefs, religious beliefs, lack of nursing confidentiality and trust. Only 30% of nurses felt equipped with the knowledge and skills to provide sexual health advice, with communication skills being identified as equally important. Nurses identified that gender based nursing education particularly for sensitive topics such as sexual health could definitely be delivered (either within the curriculum or through on-site specialist courses) to male and female nurses separately. The lack of sexual health care in nursing practice in Jordan could be an indicator of the low state of men's health services. In the context of improving men's sexual health a comprehensive strategy is necessary using education, awareness and developing appropriate gender sensitive health services congruent with the culture of Jordan.
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Beharry, Rochard Kelshall Sheldon. "Development and characterization of a rat model of female sexual dysfunction." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp05/MQ63269.pdf.
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Smith, Ellen Kaye. "An Examination of the Relationship between Authenticity and Female Sexual Dysfunction." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2059.
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Since the late 1990s, researchers have reported a high degree of sexual dysfunction among American women that is associated with significant negative consequences (e.g., reduced quality of life and sexual satisfaction). In addition, sexual satisfaction is a primary factor in marital stability. Because of the widespread impact on both individual well-being and marital relationships, female sexual dysfunction is a significant public health problem. Most research has supported the predominance of psychocultural factors in women's sexual issues. Authenticity, defined by Kernis and Goldman as acting in accord with one's natural inclinations, is associated with increased well-being, but researchers have often overlooked it in the literature on female sexual dysfunction. This study, guided by Kernis and Goldman's authenticity theory, argued that gender culture impairs the ability of women to be authentic in the sexual realm, and, thereby, increases the risk of sexual problems. The purpose of this research study was to examine the relationship between authenticity, as measured by The Authenticity Inventory, Version 3, and female sexual dysfunction, as measured by The Female Sexual Function Index and The Female Sexual Distress Scale, Revised, in a group of 55 women attending an online university. The hypothesis was that women with higher rates of dysfunction and/or distress would score lower on authenticity. The results from a regression analysis did not reach significance and failed to confirm the hypothesis; however, there was an association between distress and dysfunction. This study contributes to social change by examining an association between authenticity and female sexual dysfunction that is of help to researchers and therapists working with women in the area of sexual health.
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Saotome, Tomoko. "Sexual Dysfunction and Satisfaction in Japanese Couples During Pregnancy and Postpartum." Kyoto University, 2019. http://hdl.handle.net/2433/242657.
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MaseTshaba, Musa. "Incomplete sex re-assignment surgery and psychosocial functioning : a preliminary study." Thesis, University of Limpopo (Medunsa Campus), 2010. http://hdl.handle.net/10386/873.
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McCool, Megan Elizabeth [Verfasser], and Christian [Akademischer Betreuer] Apfelbacher. "Epidemiology and care of female sexual dysfunction / Megan Elizabeth McCool ; Betreuer: Christian Apfelbacher." Regensburg : Universitätsbibliothek Regensburg, 2017. http://d-nb.info/1126724602/34.
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Caselman, Gabrielle, Julia Dodd, Rebecca Altschuler, and Madison Hinkle. "Infertility’s Impact on Relationship Satisfaction: The Role of Sexual Dysfunction and Infertility Stigma." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/7336.
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Ho, Ming-sze Eugenie. "The nature and presentation of female sexual dysfunction in a group of Chinese diabetic population." Hong Kong : University of Hong Kong, 2002. http://sunzi.lib.hku.hk/hkuto/record.jsp?B24873135.
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Gomez, John-Paul. "Critical Discourse Analysis of Sexual Enhancement Medication Ads." ScholarWorks@UNO, 2004. http://scholarworks.uno.edu/td/179.
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This study contributes to the expanding critical range of discourse analysis by analyzing texts used to market Viagra and other "sexual enhancement medication," pharmaceuticals that treat "erectile dysfunction". Applying elements of Norman Fairclough's critical discourse analysis framework, this study examines as cultural artifacts Viagra, Levitra, and Cialis print advertisements and television commercials and it offers insight into the institutional discourse of "sexual enhancement medication" and how this discourse constructs male identity and subjectivity.
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Henckel, Marciela. "Impotência sexual masculina." Pontifícia Universidade Católica de São Paulo, 2009. https://tede2.pucsp.br/handle/handle/15889.
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The objective of this thesis is to describe research being done on adult male impotence. Clinical situations with manifestations of erectile dysfunction, which lead one to conceive of a psychopathology of impotence, allow an approach with several different perspectives. This research is being carried out from a psychoanalytic perspective and is being developed within the field of fundamental psychopathology. The text has five chapters. First we present a methodology based on the clinical method, where we describe an investigation which began with masters work and a masters degree, and moved on to the area of doctoral studies. This historical path was possible due to the enigmas that the clinical work produced, permitting articulation between aspects that originally consisted of inhibition in an individual s early childhood and later developed into impotence in adult life. The chapter on psychic and sexual impotence in men is comprised of discussions of clinical cases. The situations related to treatment led to formulations on the nature of inhibition in each case. We thus conceived that there is both a specific and a generalized inhibition, as developed by Freud when dealing with this notion. In terms of specific inhibition, desire is blocked, whereas, in generalized inhibition, the subject's capacity to desire is put into doubt. This distinction would seem to be essential for listening and conducting treatment in cases where the disappearance of sexual desire leads one to recognize the existence of psychic suffering
A proposta deste trabalho é apresentar os desdobramentos de uma pesquisa sobre impotência sexual masculina. Situações clínicas com manifestação de uma disfunção sexual nos homens, as quais nos sugerem pensar numa psicopatologia da impotência, permitem uma abordagem sob diferentes perspectivas. Esta pesquisa se desenvolve desde uma perspectiva psicanalítica e está circunscrita pelo campo da psicopatologia fundamental. O texto está composto por cinco capítulos. No primeiro deles nos dedicamos à apresentação da metodologia baseada no método clínico, onde percorremos os caminhos de uma investigação que teve origem no mestrado, chegando à situação problemática do doutorado. Tal percurso foi possível realizar pelos enigmas que a clínica produziu permitindo uma articulação entre o que, num primeiro momento, a inibição na infância interrogava com o que, num segundo momento, entendemos como impotência no adulto. Os casos clínicos compõem o capítulo sobre impotência psíquica e sexualidade masculina, sendo que tais situações de tratamento conduziram às formulações sobre a natureza da inibição em cada uma delas. Foi assim que pensamos na inibição específica e na inibição generalizada, influenciada pelas formulações freudianas sobre tal noção. Na primeira o desejo se encontra impedido, enquanto na segunda a condição desejante do sujeito fica colocada em questão. Tal distinção nos parece fundamental para a escuta e condução de tratamentos nos quais o desaparecimento do desejo sexual permite reconhecer a existência de um sofrimento psíquico
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何明詩 and Ming-sze Eugenie Ho. "The nature and presentation of female sexual dysfunction in a group ofChinese diabetic population." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2002. http://hub.hku.hk/bib/B31970564.
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Larsson, Sanna, and Maria Åhlander. "Mer än en påse på magen : En litteraturöversikt om patienter med enterostomi och hur de upplever sin sexualitet." Thesis, Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-6762.
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Bakgrund: Det finns många olika tillstånd som kan leda till att en person får en tarmstomi, och detta kan påverka en persons syn på den egna kroppen. En persons kroppsuppfattning är starkt kopplad till sexualiteten som är en viktig del i människors liv. Stomioperationer kan även ge fysiska skador som medför problem i opererade människors sexualliv. Patienter med stomi finns i alla vårdinriktningar, och det är därför viktigt för alla sjuksköterskor att kunna bemöta dem. Syfte: Syftet var att belysa hur patienter med enterostomi upplever sin sexualitet. Metod: Metoden var en litteraturöversikt där 15 vetenskapliga artiklar granskades, varav fem var kvalitativa, nio kvantitativa och en använde mixad metod. Artiklarna söktes fram genom kombinationer av olika sökord i databaserna CINAHL Complete och Pubmed med ett tidsspann på år 2008-2017. Resultat: I resultatet kunde fyra huvudteman och sex underteman identifieras. De huvudteman som hittades var En förändrad kropp, Fysisk sexuell funktion, Ett förändrat sexliv och Stöd från omgivningen. Resultatet visade på att många patienter upplever problem med sin sexualitet relaterat till stomin, både fysiska problem och hinder som följd av patientens egna tankar om sin stomi. Ett ökat behov av stöd och information kunde också identifieras hos patienterna, både från en eventuell partner, men även från sjukvårdens sida. Diskussion: Resultatet diskuteras med utgångspunkt i Parse's teori om humanbecoming. I diskussionen tas upp teman kring hur stöd och information från vården saknas av patienterna. Även bristen på forskning kring kvinnors sexuella upplevelser med stomi i jämförelse med den forskning som finns kring män diskuteras.Background: There are many reasons as to why a person receives a bowel ostomy, and this can affect the person’s view of their own body. A person's perception of the body is strongly linked to sexuality that is an important part of people's lives. Stoma surgery can also cause physical damage that causes problems in the sex life of the operated person. Patients with stoma will appear in all care settings, and it is therefore important for all nurses to be able to treat them. Aim: The aim was to illustrate how patients with an ostomy experience their sexuality Method: The method was a literature review where 15 scientific articles were reviewed, five of which were qualitative, nine quantitative and one used mixed method. The articles were identified through combinations of different keywords in the databases CINAHL Complete and Pubmed with a time span of the years 2008-2017. Results: In the results four main themes and six sub themes could be identified. The main themes were A Changed Body, Physical Sexual Function, A Changed Sex Life and Support from the Surroundings. The results showed that many patients experience problems with their sexuality related to their stoma, both physical problems and obstacles as a result of the patient's own thoughts about one's stoma. An increased need for support and information was also identified by the patients, both from an eventual partner and from the healthcare. Discussion: The result is discussed based on Parse's theory of humanbecoming. The discussion addresses topics about the lack of support and information for patients from the healthcare. The lack of research into women's sexual experiences with a stoma in comparison to the research that exists around men is also discussed.
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Berry, M. D. "Towards a psychodynamically-informed model for the integrative psychotherapeutic treatment of male sexual dysfunction." Thesis, University College London (University of London), 2015. http://discovery.ucl.ac.uk/1463233/.
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Empirical research on sex therapy appears to be a significant and growing area in the social sciences, with researchers evaluating the use of a variety of different psychotherapy modalities in the treatment of male sexual problems. However, although clinical literature suggests that sex therapists may use psychodynamic techniques in their clinical practice, current empirical research on the place of psychodynamic methods in the sex therapy field is negligible. This research project aims to help fill this gap. The primary aim of this research project is to identify the role of psychodynamic methods in sex therapy. The principal research question underlying this work is: to what extent do psychosexual therapy specialists currently employ psychodynamic therapy techniques in treating men’s sexual dysfunctions? A number of secondary aims also guided this research programme. This work aimed to gather data on: • the ways in which sex therapists conceptualize and use the biopsychosocial model, • the diagnostic and assessment protocols they use with male clients, • the methods they use in establishing clinical goals and developing case formulations, • the ways in which sex therapy specialists conceive of and assess the aetiology of male sexual problems, and • the place that psychodynamic versus cognitive behavioural therapy (CBT) techniques play in the treatment of male sexual dysfunction. The role of psychodynamic theory and technique was considered in relation to all of these factors. Methods: To evaluate these issues, this research project used a combination of: 1) a questionnaire-based survey, administered to practitioners in the sex therapy field, and 2) interviews with sex therapists and subject matter experts. The questionnaire sample 6 consists of specialist sex therapists, and psychotherapy generalists who have experience in treating male sexual dysfunction. By examining the differences in technique reported by these two populations, this research sought to establish what is unique about psychosexual therapy, and what specific role psychodynamic techniques play within this specialization. The qualitative data generated from the interviews were used to clarify the integrative practices by which psychodynamically-based theory and technique are included in the treatment of male sexual dysfunction. Results: The data indicate that both sex therapists and psychotherapy generalists make use of prototypical and distinctive psychodynamic techniques to a significant degree in their work treating male sexual problems. Sex therapists report using psychodynamic and CBT techniques to approximately the same degree. Psychotherapy generalists report a higher level of adherence to psychodynamic techniques than sex therapists. Sex therapists report a high level of endorsement of the biopsychosocial model, and report drawing on a range of psychotherapy frameworks, including psychodynamic methods. A high level of focus on psychosocial and relational factors is reported, and attachment theory is identified as a key clinical factor in sex therapists’ work. The data suggest that sex therapists view insight—including insight into unconscious factors—as an important element of the therapeutic change process. Conclusions: The data indicate that psychodynamic theory and technique are integral to sex therapy practices. Often, however, psychodynamic techniques may be used implicitly and psychosexual therapists may not explicitly recognize their perspective as psychodynamic. Additionally, psychodynamically-informed techniques that focus on the client’s relationships, early life and development, and gaining insight into aetiology, may be of particular importance in the sex therapy field, and represent an area for future research.
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Kern, Cristina Adriana Rodrigues. "Disfunção sexual masculina: compreensão psicanalítica." Universidade do Vale do Rio dos Sinos, 2010. http://www.repositorio.jesuita.org.br/handle/UNISINOS/4414.
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Esta Dissertação de Mestrado em Psicologia Clínica focalizou o estudo de caso de pacientes que manifestavam impotência sexual. Com base nas contribuições do referencial psicanalítico, mais especificamente, das teorizações de Bleichmar acerca da constituição do psiquismo e da constituição sexual masculina, foi desenvolvida uma pesquisa de delineamento qualitativo-exploratório. Dois estudos de casos de pacientes com disfunção erétil foram realizados, a partir dos relatos das sessões de psicoterapia. Os dados foram analisados por meio do Estudo de Caso em Psicanálise, identificando-se aspectos significativos da constelação familiar. Estes aspectos permitiram apontar a importância dos efeitos do processo de constituição do aparelho psíquico e constituição sexual masculina sobre as manifestações da sexualidade genital (adulta), bem como demonstrar a importância da escuta para reorganizar além da vida sexual, a potência diante da vida.
This Master's thesis in clinical psychology focused on the case study of patients who showed sexual impotence. Based on the contributions of psychoanalysis, more specifically, the theories of Bleichmar about the constitution of the psyche and of male sex, a study of exploratory qualitative research was designed. We investigated two case studies of patients with erectile dysfunction based on the reports of sessions of psychotherapy. Data were analyzed using the Case Study in Psychoanalysis. We identified significant aspects of family constellation that led to the conclusion about the importance of the effects of the constitution of the psychic apparatus and male sexual constitution on the manifestations of genital sexuality (adult). And also demonstrated the importance of listening to rearrange, beyond the sex life, the power to life.
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Fawcett, David. "The Influence of Profession and Therapy Type for the Cost Effective Treatment of Sexual Dysfunction." BYU ScholarsArchive, 2011. https://scholarsarchive.byu.edu/etd/3017.
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Sexual dysfunctions are serious mental health issues that impact an estimated one in three Americans. Due to the complex, relational nature of most sexual dysfunctions, mental health professionals trained to work with couples and their relationship interactions are likely to have better outcomes when treating clients with sexual dysfunction. Data from CIGNA Health Solutions was analyzed to explore differences in therapy outcome for various types of mental health professions when treating clients with sexual dysfunctions. The current research is a retrospective analysis of administrative data that explores whether or not type of profession (i.e. psychologists, Masters of social work, marriage and family therapist, or professional counselor) influences the outcome of mental health treatment. This study also explores whether therapy modality (i.e. individual, conjoint, or mixed mode, a combination of individual and conjoint therapy) influences therapy outcome. Treatment outcome was measured by recidivism rates, client drop out from therapy, the total number of sessions, and cost of treatment. Participants included 230 males and 189 females ages 18 to 101 (M =38.9, SD = 11.4) who received treatment for sexual disorders from 2001 to 2006. Participants were from all regions of the United States. Results indicate that overall, psychotherapeutic treatment for sexual dysfunctions is relatively brief, averaging about seven sessions across all professions. Results suggest that marriage and family therapists treat sexual dysfunctions using a conjoint and mixed mode approach more frequently than therapists with other licenses. Results also suggest that mixed mode therapy has drastically lower dropout rates and longer retention than individual or conjoint therapy. These results suggest that utilizing a combination of relational and individual sessions is beneficial to the treatment of sexual dysfunctions.
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Kunelius, P. (Pekka). "Sexual dysfunction:the roles of yohimbine hydrochloride and intracavernosal vasoactive drugs in the treatment of erectile dysfunction, the effect of transurethral resection of prostate on sexual functions and the impact of dihydrotestosterone on andropausal symptoms." Doctoral thesis, University of Oulu, 1999. http://urn.fi/urn:isbn:9514253868.
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Abstract
Altogether 406 patients were included in five studies, and all patients were examined and controlled in the Oulu University Hospital during the years 1991–1998.
Twenty-nine patients with mixed-type erectile dysfunction (ED) were recruited into a randomized, controlled, double-blind crossover comparison of placebo and high-dose yohimbine hydrochloride (36 mg per day orally). Positive clinical responses were obtained in 44% of the patients during yohimbine treatment and in 48% during placebo treatment.
Thirty patients with ED underwent an intracavernosal injection test (ICI) using three different active agents (prostaglandin E1(PGE1), papaverine hydrochloride (PV), moxisylyte (MS)) and physiological saline. PGE1 produced significantly better rigidity than either PV or MS.
Sixty-nine patients with ED who had started ICI therapy with PGE1 at least three years previously were invited to a control examination to find out the long-term outcome of this treatment and to evaluate the patients' overall satisfaction with their sexual life. 46.4% of the patients had discontinued PGE1 therapy, the mean time of using PGE1 having been 23.3 months (range 0–48 months). 34.8% of the patients reported that their own spontaneous erections had improved during the PGE1 therapy.
The sexual functions of 155 patients with benign prostatic hyperplasia (BPH) were evaluated before TURP and 6 and 12 months afterwards with questionnaires. Only 26% of the patients had completely satisfactory erections before TURP, while 22% had satisfactory erections 6 months later and 24% 12 months later. The majority of patients (about 70%) were satisfied with their sexual life both before and after the procedure.
123 men with symptoms of andropause participated in a randomized, placebo-controlled study to assess the effects of dihydrotestosterone (DHT) gel in men with andropausal symptoms. The drug was administered transdermally once a day during six months. Early morning erections improved significantly (p < 0.003) in the DHT group by the three-month control, the ability to maintain erections was better, and there was also a positive effect on libido. In the patients with a elevated (> 12) international index of the prostatic symptoms score (I-PSS) before DHT treatment, I-PSS decreased from 17.7 to 12.3 points.
As a conclusion yohimbine hydrochloride is no better than placebo in the treatment of patients with mixed-type ED. PGE1, PV and MS are well tolerated, and PGE1 was shown to be the most effective drug of the three. ICI therapy with PGE1 in long-term use is safe and effective. Sexual functions in men did not change after TURP, and this group of aging men were fairly satisfied with their sexual life despite of the fact that they had some ED and one third of the patients had not had intercourse during the previous year. Transdermal administration of DHT in aging men improves sexual function.
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Regadas, Rommel Prata. "Efeito do creme de jambu (acmella oleracea) sobre a funÃÃo sexual masculina e feminina." Universidade Federal do CearÃ, 2008. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=2582.
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CoordenaÃÃo de AperfeiÃoamento de NÃvel SuperiorO Jambu (Spilanthes oleracea ou Spilanthes acmella var oleracea ou Acnella oleracea) à uma planta tÃpica da regiÃo norte do Brasil, mais precisamente do ParÃ. à utilizado na culinÃria paraense, fazendo parte do prato de peixes como o TacacÃ, o Pato no Tucupi. AlÃm da utilizaÃÃo na culinÃria, tem tido outras aplicaÃÃes, principalmente como analgÃsica, anti-inflamatÃria e antifÃngica. Recentemente, tem sido utilizado como estimulante sexual em mulheres. Segundo a cultura popular, o aumento da excitaÃÃo feminina decorreria de uma atividade contrÃtil (aumento do peristaltismo) na vulva. Entretanto, nenhum estudo bem conduzido foi publicado na literatura mÃdica para confirmar se isso à realmente verdade. O presente estudo teve como objetivo avaliar se a pomada de Jambu realmente aumenta a excitaÃÃo e o desejo sexual feminino; se ocasiona algum impacto sobre o desejo e a satisfaÃÃo sexual masculina e, por fim, observar a sua seguranÃa e tolerabilidade. Dois ensaios clÃnicos randomizados, cruzados e placebo-controlados, foram realizados ao mesmo tempo: um para avaliar os homens que utilizaram o creme e o placebo e outro para avaliar as mulheres. Vinte e dois casais participaram do estudo. Utilizaram, durante as relaÃÃes sexuais, o creme de JAMBU e o placebo. Foram avaliados separadamente, por questionÃrios auto-aplicÃveis, antes e apÃs a utilizaÃÃo de cada pomada. Os questionÃrios utilizados foram o Ãndice Internacional de FunÃÃo ErÃtil (IIEF) e o Ãndice de Funcionamento Sexual Feminino (FSFI). A mÃdia de idade foi de 43,3 anos para os homens e de 40,5 anos para as mulheres. Verificou-se que, apÃs o tratamento, o desejo e a satisfaÃÃo sexual mensurados no grupo Jambu foram significantemente maiores que o observado no grupo Placebo, nos homens (P = 0,0008 e P = 0,0006, respectivamente). O desejo e a excitaÃÃo sexual na mulher mensurados no grupo Jambu tambÃm foram significantemente maiores que o observado no grupo Placebo (P = 0,0006 e P = 0,0005, respectivamente). Igualmente, apenas no grupo Jambu, houve um aumento significante sobre o desejo e a satisfaÃÃo sexual nos homens e sobre o desejo e a excitaÃÃo nas mulheres, apÃs o tratamento quando comparado aos valores basais (P = 0,0002 e P = 0,0003) e (P = 0,0001 e P = 0,0008, respectivamente). O mesmo nÃo ocorreu com o placebo. NÃo foi constatada diferenÃa estatisticamente significante em relaÃÃo à alteraÃÃo no tempo ejaculatÃrio (P = 0,7768) entre os grupos placebo e Jambu. TambÃm nÃo foi constatada diferenÃa estatisticamente significante em relaÃÃo à dor ou desconforto apÃs a utilizaÃÃo das pomadas, tanto no grupo masculino quanto no grupo feminino, (P = 0,7728 e P = 1,0000) entre os dois grupos. Conclui-se que o creme de Jambu (Acmella oleracea) aumentou a excitaÃÃo e o desejo sexual feminino e o desejo e a satisfaÃÃo sexual masculina durante atividade sexual, quando comparada ao placebo. NÃo houve alteraÃÃo no tempo ejaculatÃrio dos pacientes que utilizaram o creme. Os efeitos colaterais foram discretos e cessaram apÃs a sua remoÃÃo.
The toothache plant (Spilanthes oleracea or Spilanthes acmella oleracea or simply Acmella oleracea) is a well-known herb in Northern Brazil, especially in ParÃ, where it is referred to as jambu. Though commonly used in the local cuisine in dishes such as tacacà and pato-no-tucupi, it is also widely used to prepare analgesic, antiinflammatory and antifungal medications. Extracts of this plant have recently become popular as a topical sexual stimulant for women. The active substance in the herb, spilanthol, is believed to contract the vulva, but so far no medical study has been published confirming this. In the present randomized, double-blind, placebo-controlled crossover clinical study a cream was prepared from extracts of the toothache plant and tested with regard to its effect on female sexual desire and excitation and male sexual desire and satisfaction and ejaculation time, along with safety and tolerability. Twenty-two blinded couples used cream with and without extract of A. oleracea during two periods of 4 weeks. The participants were aged 43.3 years (men) and 40.5 years (women) on the average and were evaluated individually using self-reported questionnaires (the International Index of Erectile Function and The Female Sexual Function Index) before and after the use of each cream. Compared to placebo, male sexual desire and satisfaction (p=0.0008 and p=0.0006, respectively) and female sexual desire and excitation (p=0.0006 and p=0.0005, respectively) were significantly greater when couples were using the extract. Likewise, male sexual desire and satisfaction (p=0.0002 and p=0.0003, respectively) and female sexual desire and excitation (p=0.0001 and p=0.0008, respectively) only increased in relation to baseline values when couples were using extract. No significant differences were observed between extract and placebo with regard to ejaculation time (p=0.7768), nor with regard to pain and discomfort after intercourse, as reported by both genders (p=0.7728 and p=1.0000, respectively). It may be concluded that cream prepared from extracts of the toothache plant increased female sexual desire and excitation and male sexual desire and satisfaction during intercourse compared to placebo and baseline, without affecting ejaculation time. Side effects were negligible and subsided after completion of treatment.
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FERRO, Josepha Karinne de Oliveira. "Função sexual e fatores associados a disfução em homens com lesão medular traumática." Universidade Federal de Pernambuco, 2016. https://repositorio.ufpe.br/handle/123456789/18393.
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CAPES
Além das perdas motoras e sensitivas, o trato urinário e a função sexual são também afetados pela lesão medular, sendo a disfunção sexual um dos problemas mais comuns nestes pacientes e sua gravidade depende no nível e da complexidade da lesão. A alteração da função sexual acontece devido às mudanças no processo neurofisiológico, mas fatores psicossociais podem estar associados à disfunção. A perda da realização sexual, quando comparada à perda de autonomia, pode parecer uma consequência minoritária da lesão medular. No entanto, a função sexual é um importante componente de saúde, com evidências de que a redução da função e satisfação sexual resultam em baixa qualidade de vida, além de um fator fundamental na motivação, bem estar e satisfação. Apesar da relevância, o desempenho sexual após lesão medular ainda é um tema pouco abordado e bastante negligenciado durante o processo de reabilitação, além de serem escassos os estudos que verificam associações mais aprofundadas sobre a função erétil e os demais componentes da função sexual, fatores explicativos e preditivos de disfunção. OBJETIVO: avaliar a função sexual de homens com lesão medular traumática e analisar a associação da disfunção com fatores fisiológicos e não fisiológicos. MATERIAIS E MÉTODOS: Estudo observacional (CCAE 41221414.5.0000.5208) realizado com 45 homens, faixa etária entre 18 a 60 anos, com lesão medular traumática e vida sexual ativa. A função sexual foi avaliada pelo Índice Internacional de Função Erétil (IIFE) e nível e grau da lesão foram determinados seguindo as diretrizes da International Standards for Neurological Examination and Functional Classification of Spinal Cord Injury. Os dados foram coletados após seis meses da lesão, em hospitais de referência. Foram aplicadas técnicas de estatística descritiva e análise bivariada e multivariada, através de regressão logística ajustada para observar a associação entre a função sexual e fatores explicativos de disfunção, com nível de significância de 0,05. RESULTADOS: Participaram do estudo 45 indivíduos com idades entre 18 e 56 anos (média 34,0; IC 31,5 – 37,1) e tempo de lesão médio de 7,5 anos (IC 5,2 – 9,9). Lesões incompletas acima do segmento medular L2 foram as mais frequentes (66,7%). Ao analisar os domínios do IIFE, não foi observada associação entre disfunção sexual e complexidade da lesão, porém, os pacientes com lesões completas foram os que apresentaram mais grave disfunção orgástica (86,7%) e de satisfação (86,7%). Ao analisar a associação entre fatores explicativos para disfunção, percebeu-se que a presença parceira fixa é um fator protetor (OR: 0,22; IC95%:0,05-0,92) para disfunção erétil. Desejo sexual tem associação com parceira fixa (OR: 0,20; IC95%:0,04-0,84), masturbação (OR: 0,16; IC95%:0,04-0,67) e relação sexual no último mês (OR: 0,13; IC95%:0,01-0,92). Ejaculação presente (OR: 0,01; IC95%:0,00-0,15) foi considerado um fator protetor para disfunção orgástica, enquanto disfunção erétil (OR: 15,7; IC95%:1,38-178,58), um fator de risco. Ereção psicogênica (OR: 0,07; IC95%:0,01-0,69), frequência mensal de relação sexual (OR: 11,3; IC95%:2,0-62,8) e disfunção orgástica (OR: 7,1; IC95%:1,1-44,8) tem associação com satisfação. CONCLUSÃO: a resposta sexual altera-se após a lesão medular, tendo a função orgástica como a mais acometida, caracterizando o domínio que apresentou maior e mais grave disfunção. Fatores como presença de parceira fixa, ejaculação e masturbação são fatores de proteção para disfunção sexual. Disfunção erétil, orgástica e relações sexuais infrequentes são preditores de disfunção.
In addition to the motor and sensory loss, urinary tract and sexual function are also affected by spinal cord injury, and sexual dysfunction one of the most common problems in these patients and its severity depends on the level and complexity of the injury. The change in sexual function occurs due to changes in neurophysiological process, but psychosocial factors may be associated with dysfunction. The loss of sexual fulfillment, compared to a loss of autonomy, it may seem a minor consequence of spinal cord injury. However, sexual function is a major health component, with evidence that the reduction of sexual function and satisfaction resulting in lower quality of life, and a key factor in motivation and satisfaction welfare. Despite the relevance, sexual performance after spinal cord injury is still somewhat topic and largely neglected during the rehabilitation process, and few studies that verify deeper associations of erectile function and other sexual function, explanatory factors and predictive dysfunction. AIMS: To evaluate the sexual function of men with spinal cord injury and to analyze the association of the disorder with physiological and non-physiological factors. MATERIALS AND METHODS: Observational study (CEAC 41221414.5.0000.5208) conducted with 45 men, aged 18 to 60 years, with spinal cord injury and active sex life. Sexual function was assessed by the International Index of Erectile Function (IIEF) and level and degree of injury were determined following the guidelines of the International Standards for Neurological and Functional Examination Classi fi cation of Spinal Cord Injury. Data were collected after six months of injury in referral hospitals. Descriptive statistical techniques were applied and bivariate and multivariate analysis using logistic regression adjusted to observe the association between sexual function and explanatory factors of dysfunction, with a 0.05 significance level. RESULTS: The study included 45 subjects aged between 18 and 56 years, mean 34.0 (CI 31.5 to 37.1) and average injury time in years 7.5 (CI 5.2 to 9.9). incomplete lesions above the spinal segment L2 were the most common (66.7%). By analyzing the domains of IIEF, there was no association between sexual dysfunction and complexity of the injury, however, patients with complete injuries were those with more severe orgasmic dysfunction (86.7%) and satisfaction (86.7%). When analyzing the association between explanatory factors for dysfunction, it was realized that a primary partner presence is a protective factor (OR: 0.22; 95% CI: .05-.92) for erectile dysfunction. sexual desire is associated with a steady partner (OR: 0.20; 95% CI: 0.04 to 0.84), masturbation (OR: 0.16; 95% CI: 0.04 to 0.67) and sexual intercourse in the last month (OR: 0.13; 95% CI: 0.01 to 0.92). This ejaculation (OR: 0.01; 95% CI: .00-.15) was considered a protective factor for orgasmic dysfunction as erectile dysfunction (OR: 15.7; 95% CI: 1.38 to 178.58), a risk factor. psychogenic erection (OR: 0.07; 95% CI: 0.01 to 0.69), monthly frequency of intercourse (OR: 11.3; 95% CI: 2.0 to 62.8) and orgasmic dysfunction (OR: 7.1; 95% CI: 1.1 to 44.8) is associated with satisfaction. CONCLUSION: the sexual response changes after spinal cord injury, and orgasmic function as the most affected, featuring the area with the highest and most severe dysfunction. Factors such as the presence of fixed partner, ejaculation and masturbation are protective factors for sexual dysfunction. erectile dysfunction, orgasmic and infrequent sex dysfunction are predictors.
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Sakamoto, Takashi. "Changes in the sexual function of male patients with rectal cancer over a 2‐year period from diagnosis to 24‐month follow‐up: A prospective, multicenter, cohort study." Doctoral thesis, Kyoto University, 2021. http://hdl.handle.net/2433/263536.
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Salomão, Priscilla Bianchini. "Função sexual de mulheres com infertilidade." Universidade de São Paulo, 2016. http://www.teses.usp.br/teses/disponiveis/17/17145/tde-10012017-101301/.
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Introdução: A infertilidade é uma condição que afeta, universalmente, um percentual expressivo (8-15%) dos casais da população, sendo esta, uma condição associada frequentemente, a um incremento nas taxas de disfunção sexual e desajuste conjugal. Objetivos: Avaliar a função sexual de mulheres com infertilidade conjugal e avaliar o risco para ansiedade e depressão em mulheres com infertilidade conjugal. Métodos: Estudo controlado com 280 mulheres em idade reprodutiva, sendo 140 atendidas no Setor de Reprodução Humana do Departamento de Ginecologia e Obstetrícia da Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo (FMRP-USP) e 140 controles recrutadas na população geral de Ribeirão Preto - SP. A função sexual foi avaliada pelo Índice de Função Sexual Feminina (IFSF), e o risco para ansiedade e depressão foi aferido pela Escala de Ansiedade e Depressão (HAD-A, HAD-D). Resultados: Participaram do estudo 280 mulheres, sendo 140 do Grupo Infértil (GI) e 140 do Grupo Controle (GC). Do GI, 104(74,29%) apresentavam infertilidade primária, e 36(25,71%) infertilidade secundária, por fator feminino em 64(45,71%), fator masculino em 38(27,73%) e, em ambos 35(25,54%) dos casos. Do GI, 64(45,71%) foram submetidas a FIV/ICSI. Houve diferença significativa entre os grupos em relação a mediana de idade (GI 36 [32-38]; GC 34 [31-37]), (p=0,02). Não houve diferença entre os grupos em relação ao número de mulheres com menos de 40 anos e com idade maior ou igual a 40 anos (p=0,40). E também não houve diferença significativa entre os dois grupos em relação a idade dos parceiros, número de relações sexuais/semana, IMC, peso e estado civil. Houve diferença entre os grupos em relação ao tempo de relacionamento (GI, 11,80 ± 4,84 anos (1,50-24) vs. GC, 10,40 ± 5,73 (0,50-26), p=0,03). Estratificando por tempo de relacionamento no GI 10(7,14%) tinham < 5 anos de relacionamento contra 27(19,29%) no GC e, no GI 130(92,86%) tinham > 5 anos de relacionamento contra 113(80,71%) do GC, (p<0,01). A análise do IFSF evidenciou risco para disfunção sexual em 47(33,57%) do GI, e em 49(35%) do GC (p=0,90) e não houve diferença significativa entre os domínios do IFSF, a não ser pela diferença encontrada no domínio excitação, que foi maior no GC (p=0,04). Não houve diferença entre os grupos em relação ao risco para ansiedade e depressão. Os fatores de risco para disfunção sexual (DS), ansiedade e depressão, nos dois grupos, ajustado para as variáveis: faixa etária, IMC, estado civil, tempo de relacionamento, escolaridade, gestação, anticoncepção, partos, psicoterapia, cigarro, álcool, faixa etária do parceiro, risco para DS, ansiedade e risco para depressão evidenciou que mulheres que apresentam risco para ansiedade tem maior risco para DS. Mulheres com risco para depressão evidenciaram risco aumentado para DS. A DS foi fator de risco para ansiedade e depressão. As mulheres casadas apresentaram menos risco para depressão do que mulheres amasiadas. Conclusão: As mulheres não apresentaram risco para disfunção sexual em relação aos controles. A ansiedade e depressão constituem risco para disfunção sexual nessa amostra.Introduction: Infertility is a condition that affects, universally, a significant percentage (8- 15%) of couples. Infertility is often linked to an increase in sexual dysfunction rates and marital conflict. Objectives: To assess sexual function of infertile women and to assess the risk for anxiety and depression in infertile women. Methods: This is a controlled study with 280 women in reproductive age, being 140 women attended in Human Reproduction Sector of the Department of Gynecology and Obstetrics of the Ribeirão Preto Medical School, University of São Paulo (FMRP-USP), and 140 controls recruited from the general population in Ribeirão Preto - SP. Sexual function was assessed by the Female Sexual Function Index (FSFI), and the risk for anxiety and depression was measured by the Anxiety and Depression Scale (HAD-A, HAD-D). Results: Twenty eight women participated in this study, being 140 women in infertile group (IG) and 140 controls (CG). In the IG, 104 (74.29%) had primary infertility, and 36 (25.71%) secondary infertility. In the entire sample female factor was evident in 64 (45.71%) and male factor in 38 (27.73%), and both 35 (25.54%) cases. In the IG, 64 (45.71%) underwent FIV / ICSI. There was a significant difference between groups in relation to median age (IG 36 [32-38]; CG 34 [31-37]) (p = 0.02). There was no significant difference between groups in the number of women = 40 years (p = 0.40). There was no significant difference between groups regarding the age of partners, number of sexual intercourse/week, BMI, weight and marital status. There was difference between groups regarding the time of relationship (IG, 11.80 ± 4.84 years (1.50 to 24) vs. CG, 10.40 ± 5.73 (0.50 to 26), p = 0.03). Stratifying for relationship time in IG 10 (7.14%) were < 5 years of relationship vs. 27 (19.29%) in the CG, and IG 130 (92.86%) had > 5 year relationship vs. 113 (80.71%) CG (p <0.01). The risk for sexual dysfunction was observed in 47 (33.57%) of the IG, and in 49 (35%) of the control group (p = 0.90). There was no significant difference between the majority scores of FSFI, but there was significant difference between groups regarding arousal domain, which was higher in CG (p = 0.04). There was no difference between groups regarding the risk for anxiety and depression. Risk factors for sexual dysfunction (SD), anxiety and depression in both groups, adjusted for the variables: age, BMI, marital status, length of relationship, education, pregnancy, contraception, birth, psychotherapy, cigarettes, alcohol, partner\'s age, risk for SD, anxiety and risk for depression showed that women who are at risk for anxiety have a higher risk for SD. Women at risk for depression, showed increased risk for SD. The SD was a risk factor for anxiety and depression. Married women showed less risk for depression than women who only live together with a partner. Conclusion: Infertile women showed no risk for sexual dysfunction compared to controls. Anxiety and depression are risk for sexual dysfunction in this sample.
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Aene, Roya, and Alise Rudzite. "Kvinnors sexuella hälsa i samband med bröstcancer : En litteraturöversikt." Thesis, Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-8088.
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Bakgrund: Bröstcancer är den vanligaste cancerformen bland kvinnor i världen. Behandlingen medför olika konsekvenser som påverkar kvinnors liv och välbefinnande som kan leda till kvinnors sexuella hälsa, sexualitet samt relation till sig själv och sin partner blir påverkad. Syfte: Syftet var att beskriva upplevelser av sexuell hälsa hos kvinnor i samband med bröstcancer. Metod: En litteraturöversikt gjordes som innehåller fyra kvalitativa, fem kvantitativa och två vetenskapliga artiklar med mixad metod. Artiklarna analyserades och granskades enligt Fribergs metod. Resultat: Resultatet presenteras i sex temaområden som beskriver upplevelser av sexuell hälsa hos kvinnor med bröstcancer: Förändrad sexuell hälsa, Psykologiska konsekvenser, Kvinnans relation till sig själv och sin kropp, Relationer med partner, Kommunikationen med hälso- och sjukvårdspersonal och Fördomar kring bröstcancerbehandling. Diskussion: Diskussionen inkluderar en metoddiskussion och en resultatdiskussion. I metoddiskussionen diskuteras styrkor och svagheter, genomförda tillvägagångssätt samt kvalitetsgranskning av resultatartiklar. Vidare i resultatdiskussion diskuteras resultatets fynd utifrån Katie Erikssons teori om lidande samt andra studier och egna reflektioner.Background: Breast cancer is the most common form of cancer among women in the world. Breast cancer treatment has various consequences that can affect women’s lives and well-being, which can influence women’s sexual health, sexuality and relationship with themselves and their partners. Aim: The aim of this study was to describe experiences of sexual health among women in relation to breast cancer. Method: A literature review was conducted containing four qualitative, five quantitative and two scientific articles with mixed method. The articles were analyzed and reviewed according to Friberg’s method. Results: The results are presented in six thematic areas that describe experiences of sexual health among women with breast cancer: Altered sexual health, Psychological consequences, The woman’s relationship with herself and her body, Relationships with partner, Communication with healthcare providers and Prejudices regarding breast cancer treatment. Discussion: The discussion includes a method discussion and a discussion of results. The method discussion discusses strength and weaknesses, implemented procedures and quality review of results articles. Further in the results discussion the finding’s are discussed based on Katie Eriksson’s theory of suffering as well as other studies and writer’s own reflections.
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Dundon, Carolyn Marie. "The Cortisol/DHEA Ratio and Sexual Function in Women with and without a History of Depression." ScholarWorks @ UVM, 2014. http://scholarworks.uvm.edu/graddis/498.
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The comorbidity between female sexual dysfunction (FSD) and major depressive disorder (MDD) is well documented; however, the mechanism(s) underlying the relationship between these disorders has not been defined. The literature has associated the adrenal hormones cortisol and dehydroepiandrosterone (DHEA) with FSD and MDD, suggesting a biological mechanism that may elucidate the comorbidity between these disorders. Based on evidence pointing to a high cortisol/DHEA ratio (C/D Ratio) in MDD and low DHEA in FSD, this study investigated if the potential association between a high C/D Ratio and FSD would be greater for women with a history of MDD when compared to women without a history of MDD. Two groups of women (MDD history group; control group), each with a range of sexual function, collected saliva samples, completed questionnaires, and participated in a clinical interview and a psychophysiological assessment.
Results did not support the hypothesis that the relationship between the C/D Ratio and sexual function would be greater for women with a history of MDD. Relevant to the effects of hormones on sexual function, a higher C/D Ratio was associated with lower frequency of sexual activity and lower sexual assertiveness. Results also showed DHEA positively associated with overall frequency of sexual activity, while cortisol was associated with lower subjective assessment of sexual desire/arousal prior to erotic stimuli. Lastly, secondary analyses revealed a positive association between DHEA and frequency of sexual activity, which was mediated by women's sexual desire.
These results suggest that the effects of the C/D Ratio on FSD are not associated with a history of MDD. Results also point to contrasting roles for C/D Ratio and DHEA in FSD. In particular, a high C/D Ratio may have inhibitory effects on frequency of sexual activity and sexual assertiveness, while high DHEA may have facilitatory effects on sexual activity frequency through heightened sexual desire. Lastly, high cortisol may predispose women to have a negative assessment of sexual stimuli. These findings contribute to a further understanding of the roles of the C/D Ratio, DHEA, and cortisol in female sexuality and offer support for future studies investigating the role of these hormones in FSD.
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Fruge, Jeremiah E. "Association Between PTSD Symptom Clusters, Substance Use, Hypersexuality, and Erectile Dysfunction in Service Members and Veterans." DigitalCommons@USU, 2019. https://digitalcommons.usu.edu/etd/7573.
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Service members and veterans of the current era, Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF), and Operation New Dawn (OND) are at a high risk for a variety of psychological disorders and physical health impairments. Common disorders among male service members and veterans include posttraumatic stress disorder (PTSD), substance use, and hypersexuality. Each of these disorders affect all aspects of an individual’s life and can deteriorate important interpersonal relationships or impair functioning in a variety of contexts. All these variables can affect sexual health and functioning in these service members. Sexual functioning is an important aspect of overall well-being, relationship satisfaction, and marriage satisfaction. Conversely, sexual dysfunction can create interpersonal distress in important relationships and decrease overall well-being. One of the most common forms of sexual dysfunction in males is erectile dysfunction, and rates of sexual dysfunction are higher among male service members. These rates increase for combat veterans with a posttraumatic stress disorder (PTSD) diagnosis compared to those who do not have the same diagnosis. To date sexual dysfunction has been associated with PTSD, substance use, and hypersexuality. The current study examines how each of these disorders together are associated with erectile dysfunction in a sample of OEF/OIF/OND service members and veterans (N = 213). Exploratory analysis breaks down PTS symptoms into seven separate symptom clusters in an effort to determine what types of symptoms are most strongly associated with erectile dysfunction. The study recruited a sample of service members and veterans via Facebook and asked them to complete a survey battery that covered sexual health and assessed for PTSD, substance use, and hypersexuality. PTS symptoms were significantly associated with erectile dysfunction, in particular anhedonia and dysphoric arousal symptoms accounted for the most variance in this sample. Further research with clinical samples may strengthen these results or indicate additional symptom clusters that should be targeted in treatment and screening.
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Lara, Lucia Alves da Silva. "Influência do estrogênio na histomorfometria da parede vaginal: repercussões na função sexual." Universidade de São Paulo, 2008. http://www.teses.usp.br/teses/disponiveis/17/17145/tde-27092013-105629/.
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Introdução: O hipoestrogenismo causa alteração estrutural na vaginal que pode levar a alterações na resposta sexual. Tem sido reportado o afinamento da parede vaginal após a menopausa, porém, sem comprovação morfométrica. Objetivos: Verificar a espessura da parede vaginal em condições normo e hipoestrogenicas, correlacionar disfunção sexual com espessura da parede, expressão do receptor estrogênico e estradiol sérico. Métodos: Espécimes cirúrgicos da vagina de31 mulheres, sendo 18 normoestrogênicas e 13 na pós-menopausa, submetidas a colpoperineoplastia por prolapso genital I e II. Aferidos: FSH e estradiol, prolactina e TSH. Realizou-se: tricrômico de Masson e HE, histomorfometria, imunohistoquímica para receptores estrogênicos ?, semi-quantificados pelo H-score, função sexual aferida pelo GRISS. Resultados: A parede vaginal é mais espessa no grupo menopausa em relação ao grupo menacme (2,72±0,72mm e 2,16±0,43, p=0,01 e 2,63±0,71mm e 2,07±0,49mm, p=0,01). A espessura e a fração de área da camadamuscular são maiores no grupo menopausa (parede anterior:1,54±0,44 e 1,09±0,3mm, p=0,02 e posterior 1,45±0,47 e 1,07±0,44mm, p=0,03 e 0,51±0,10 e 0,42±0,11mm 2 , p=0,03 e 0,40±0,10 e 0,49±0,08 mm 2 , p=0,02). O epitélio vaginal do segmentoproximal é mais espesso do que o segmento médio na parede posterior (0,17±0,07mm, 0,15±0,05mm, 0,24±0,09mm, p=0,02). Não houve correlação entre dor coital, espessura daparede e concentrações do estradiol nos dois grupos. Conclusão: A parede vaginal é mais espessa após a menopausa. Neste estudo, não ocorreu associação entre disfunção sexual genital concentrações estrogênicas e espessura da parede vaginal.Hipoestrogenism causes structuralalteration on vaginal wall that can cause sexual problems. It has been reported vaginal wall thickness after menopause, however, without morphometric evidence. Objectives: To verify vaginal wall thickness in normal and hypoestrogenic conditions and to correlate sexual dysfunction with vaginal wall thickness, estrogen receptor expression and estradiol levels. Methods: Vagina surgical specimens of 18 pre and 13 post-menopausal women, submitted to surgery for genital prolapse I and II were examined. It had been surveyed: FSH and estradiol, prolactina and TSH to exclude other endocrinopatias. Masson´s tricrômico for morphometry and HE staining for histological analyses, and immunohistochemical staining for estrogen alpha receptor, quantified by H-score and the sexual function was accessed by GRISS. Results: Vaginal wall is thicker inthe post-menopausal group in relation to pre menopausal group (2,72±0,72mm e 2,16±0,43, p=0,01 e 2,63±0,71mm and 2,07±0, 49mm, p=0,01 anteriorand posterior wall, respectively). The fraction area and muscular layer thickness are bigger in the post-menopausal group (anterior: 1,54±0,44 and 1,09±0,3mm, p=0,02 and posterior wall 1,45±0,47 and 1,07±0,44mm, p=0,03 and 0,51±0,10 and 0,42±0,11mm2, p=0,03 and 0,40±0,10 and 0,49±0,08 mm2, p=0,02, respectively). Vaginal epithelium in the medium segment is thicker than the proximal one in the posterior wall (0,17±0,07mm, 0,15±0,05mm, 0,24±0,09mm, p=0,02). There is no correlation between coital pain, vaginal wall thickness and estradiol levels in the two groups. Conclusion:Vaginal wall is thicker after menopause. In this study, vaginal thickness and estrogen levels are not related to sexual dysfunction.
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Traeger, Lara N. "Cognitive Predictors of Health-related Quality of Life in Localized Prostate Cancer: A Lifespan Perspective." Scholarly Repository, 2009. http://scholarlyrepository.miami.edu/oa_dissertations/248.
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Research on aging indicates that older adults do not, as a group, report decreased health-related quality of life (HRQOL) despite age-related declines in physical health status. Several cognitive adaptation strategies have been suggested to underlie HRQOL stability in this population. Studies of older cancer patients nevertheless show substantial variance in post-treatment HRQOL outcomes, although cognitive mechanisms for individual differences have received little attention. The current study expanded on a developmental adaptation of self-regulation theory in which aging influences both self-vulnerability and perceptions of disease. A model was tested in which older age was hypothesized to predict better HRQOL via less severe illness perceptions in men treated for localized (Stage I and II) PC. Results indicated that age was not directly associated with HRQOL. However, older age was indirectly associated with better HRQOL via less severe PC perceptions. Further, this indirection association helped account for the positive association between age and HRQOL that three risk factors (income, comorbid disease burden, and sexual function) were shown to suppress. Perceptions of PC may promote HRQOL stability by mitigating age-related declines in health and income status. Disease perceptions thus represent critical components of health assessments and interventions for PC survivors of all ages, but particularly for men facing difficulties adapting to complex health profiles or normative lifespan challenges.
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Cobain, Marilyn Jeanette, and mikewood@deakin edu au. "Life events and cognitive processing in sexually dysfunctional individuals." Deakin University, 1996. http://tux.lib.deakin.edu.au./adt-VDU/public/adt-VDU20050825.151625.
Full textAbstract:
The aim of this study was to make an assessment of the role of the cognitive component in the development of sexual dysfunction.
Past studies have largely focused on the impact of particular events on sexual dysfunction and have not assessed the role of the perception of these events. A number of theories on sexual dysfunction have been developed to explain the influence of cognitions, but these have not been empirically tested.
This study investigated the role of the cognitive evaluation of sexual experiences among 30 sexually dysfunctional participants and 30 control participants who were matched on age, marital status and biological sex.
The Cognitive Aspects of Sexual Dysfunction Measure (CASDM) was constructed to evaluate sexual dysfunction. This measure was designed to tap into the major events in participants lives and, more importantly, the participants perceptions of these events.
The components assessed were the intergenerational (family of origin), individual, current life and relationship aspects of the persons life. These factors were measured from the responses to questions regarding the participant's cognitions about past experiences, the effect of the past experience on the participant at the lime it occurred and the influence this experience had on the participant's sense of self now, their relationship now and sexual functioning now.
The main findings in the intergenerational area were that past experiences were perceived by the sexually dysfunctional group to be having an impact on the self, relationships and their sexual functioning although there were no actual differences between the sexually functional and the sexual dysfunctional participants in the occurrence of the event.
For the individual factors, there were differences between the sexually functional and sexually dysfunctional participants in both values and lifestyle, although these were not perceived to be having an impact on the self, relationship and sexual functioning.
In the relationship area, anger was the major factor separating the sexually functional and sexually dysfunctional groups. Anger was high among the sexually dysfunctional participants and was perceived to be having an impact on self, the couples relationship and their sexual functioning. The importance of all these variables in providing a better understanding of the cognitive factors in sexual dysfunction was discussed. The findings demonstrate the importance of cognitions in influencing sexual functioning.
Clinicians should not simply deal with the life experiences of sexually dysfunctional people when attempting to change their behaviour, but should focus on changing cognitions about the behaviours in relation to sexual functioning.
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Dahlén, Erik, and Rikard Wallenstein. "När erektionen försvinner : Mäns erfarenheter av erektil dysfunktion till följd av diabetes mellitus typ 2. En litteraturöversikt." Thesis, Högskolan i Skövde, Institutionen för vård och natur, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-8101.
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Bakgrund: Det är känt att erektil dysfunktion, eller impotens, orsakas av förstorad prostata, depression och diabetes. Den typ av erektil dysfunktion som orsakas av diabetes har en mer komplicerad utveckling än övriga orsaker.Syfte: Syftet med denna litteraturöversikt var att belysa sexuellt aktiva mäns erfarenheter av erektil dysfunktion till följd av diabetes mellitus typ 2. Metod: Metoden som valdes var en litteraturöversikt med kvalitativa och kvantitativa artiklar. Datamaterialet bestod av tio kvantitativa och två kvalitativa artiklar. Resultat: Två kategorier identifierades såsom Livet påverkas samt Förståelse för situationen med underkategorier. Konklusion: Det råder kunskapsbrist i fråga om varför män drabbas av erektil dysfunktion. Många män anser inte att det finns någon fungerande behandling. Om kontroll av den erektila funktionen ingick i årskontrollen av diabetes tillsammans med en välgrundad information samt adekvat behandling skulle de drabbade männen och deras partner få bättre insikt och medvetande om problemet. Detta skulle leda till mindre oro, bättre sexuell och mental hälsa samt en bättre relation.Background: It is commonly known that erectile dysfunction, popularly known as impotence, is caused by several factors including enlarged prostate, depression and diabetes. The erectile dysfunction caused by diabetes has a more difficult progress than other causes.Aim: The aim of this study was to illustrate sexually active men’s experiences of erectile dysfunction caused by diabetes mellitus type 2. Method: The chosen method was a literature review based of qualitative and quantitative articles. Ten quantitative and two qualitative articles were analysed. Results: Two categories were identified, Affects on life and Understanding the situation with subcategories. Conclusions: There is lack of knowledge about why men suffer from erectile dysfunction. Several of the men do not believe there is a treatment for their problem. If erection status was a part of the annual diabetes check-ups as well as valid information and adequate treatment the men and their partner would have better knowledge and awareness about the condition. This would also result in less anxiety, better sexual and mental health and a better relation.
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Jones, Lee. "Discursive power games in counselling psychologists' therapeutic accounts of working with male sexual dysfunction : a Foucauldian analysis." Thesis, University of Roehampton, 2017. https://pure.roehampton.ac.uk/portal/en/studentthesis/Discursive-Power-Games-in-Counselling-Psychologists’-Therapeutic-Accounts-of-Working-with-Male-Sexual-Dysfunction(1a0082e1-8173-42a8-b940-7f7ea1d6a903).html.
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Male sexual dysfunction is considered to be a problematic discursive site due to the diverse ways in which it is constructed and therapeutically conceptualised. Under-researched within the discipline of counselling psychology to date, this diagnostic category needs to be explored to identify ways in which counselling psychologists construct this presenting problem. Therefore the aim of this research was to interrogate how a volunteer group of counselling psychologists understood and worked with male sexual dysfunction in order to make visible some of the masked discursive practices related to its diverse constructions. Ten counselling psychologists were interviewed and a Foucauldian discourse analysis conducted, which interrogated the discursive power games implicated in these participants' accounts. The findings produced firstly identified the wider contextual cultural norms that seemed to regulate male sexuality within gendered masculinity discourses. Secondly, three distinct discursive therapeutic subject positions and their related power games were identified as talked about by these participants. Overall, it is argued that these findings indicate that for these counselling psychologists, male sexual dysfunction is a mutable, diversely power-laden, and thereby problematic, construct. Furthermore this analysis may be understood as a contribution to counselling psychology in raising practitioners' awareness to the power games in their talk about working with male sexual dysfunction.
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Rosier, Mirna Veloso. "Para além da queixa sexual: um estudo sobre casamentos de longa duração e diagnóstico de disfunção sexual masculina." Universidade Catolica de Salvador, 2014. http://hdl.handle.net/123456730/216.
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O presente estudo caracteriza e analisa a história de casais que apresentam diagnóstico de disfunção sexual masculina. Parte-se da hipótese de que a satisfação conjugal, avaliada a partir de uma perspectiva individual, não é suficiente para revelar os processos desses casais, pois a observação revela que não obstante as queixas de insatisfação sexual a união entre eles fica preservada uma vez que os casais valorizam o amor, afeto e desenvolvimento de afinidades entre os cônjuges ao longo do casamento. Foram entrevistados quatro pares, encaminhados por profissionais da área de saúde para acompanhamento psicoterápico com a pesquisadora com enfoque sexual. Eles foram selecionados com base nos seguintes critérios de inclusão: casais de dupla carreira; união heterossexual; diagnóstico de disfunção masculina; relacionamento com cerca de dez anos de existência; de filhos; nível socioeducacional médio. Aprovado pelo Comitê de Ética em Pesquisa, o estudo observou os requisitos da pesquisa com seres humanos. As entrevistas em profundidade seguiram um temário construído especialmente para essa investigação, que contempla categorias sistêmicas que visam reconstituir a história do casal, a história do casamento, a história sexual e perspectivas para o futuro. As categorias são: eventos críticos, conflitos, estratégias para divisão de tarefas, significados do casal sobre satisfação conjugal e satisfação sexual. Os conteúdos produzidos por cada casal foram analisados com base nessas categorias e os resultados foram discutidos com base a visão masculina e feminina em relação à temática, fazendo uma análise comparativa dos dados obtidos com a literatura nacional e internacional.
The present essay describes and the history of marital couples analyzes who have a diagnosis of male sexual dysfunction. It starts with the hypothesis that marital satisfaction, ]assessed from an individual perspective, is not enough to reveal the processes of these couples, because observation reveals that despite the complaints of sexual dissatisfaction marriage between them is preserved as other circunstances, such as love,.affection andaffinities, play a significant role in presening the marital status. In order to explore the dynamics of marital couples, four pairs were interviewed according to the following inclusion criteria: dual-career couples; heterosexual union; Diagnosis of male dysfunction; relationship with about ten years of existence; of children; middle social and educational level. Approved by the ethics committee for research the study strictly observed the requirements of human research. The depth interviews occurred from an agenda specially created for this research; the agenda includes systemic categories that aim to reconstruct the history of the couple, history of marriage, sexual history and future prospects. These categories are: mutual concept of marital and sexual satisfaction. The results were analyzed based on these categories and were discussed from both, male and female vision of the theme by making an investigative analysis of data obtained from the national and international literature.
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Santos, Rodrigo Britto dos. "Ansiedade, depressão e características de personalidade em homens com disfunção sexual." Universidade do Vale do Rio dos Sinos, 2010. http://www.repositorio.jesuita.org.br/handle/UNISINOS/3279.
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A disfunção sexual é considerada um problema de saúde pública, por sua alta incidência em homens de todas as idades. O desempenho sexual é um dos aspectos de grande influência no bem-estar psicológico do ser humano, já que a sexualidade pode ser considerada um importante pólo estruturante da identidade e da personalidade dos indivíduos. Casos de disfunção sexual podem tanto originar, quanto serem originados por estados emocionais como ansiedade e depressão, bem como influenciar ou serem influenciados por aspectos da personalidade. O objetivo deste estudo foi investigar as características de personalidade e a incidência de ansiedade e depressão em homens com disfunção erétil e ejaculação precoce. Foram aplicados o Inventário de Depressão de Beck II (BDI-II), o Inventário de Ansiedade de Beck (BAI) e a Bateria Fatorial de Personalidade (BFP) em 42 pacientes de uma clínica de andrologia de Porto Alegre, com diagnóstico de disfunção sexual psicogênica e idade entre 18 e 45 anos. Os dados foram analisados quantitativamente, através de análise estatística descritiva e inferencial. Como resultado, foi encontrada incidência significativa de ansiedade e depressão em portadores de EP e DE, sendo que os últimos tiveram escores maiores. O alto escore em neuroticismo pareceu ser o fator de personalidade mais associado a essas disfunções. Com esse estudo, pretendeu-se obter um maior conhecimento a respeito dos aspectos emocionais e das características de personalidade desses pacientes, contribuindo assim para o seu tratamento.
Sexual dysfunction is considered a public health problem due to its high incidence on men throughout different age groups. The sexual performance is one aspect which influences the quality of human well-being, since it is a key element in identity organization and individual personality. Cases of sexual dysfunction can be originated by emotional states, such as anxiety and depression, as well as originate them. The objective of this study is to investigate personality characteristics and the incidence of anxiety and depression in men with erectile dysfunction and premature ejaculation. The Beck Depression Inventory II (BDI-II), the Beck Anxiety Inventory (BAI) and the Bateria Fatorial de Personalidade (BFP) were used to evaluate 42 patients from an andrology clinic in Porto Alegre, with a diagnostic of psychogenic sexual dysfunction and ages between 18 and 45 years old. Data were computed through quantitative descriptive and inferential statistic analysis. With this study, we aimed to gain a better understanding in relation to emotional aspects and personality of these patients, contributing to its treatment.
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Hagey, Derek Willis. "Collaborative treatment of erectile dysfunction: thoughts from the membership of the Sexual Medicine Society of North America." Diss., Kansas State University, 2012. http://hdl.handle.net/2097/13791.
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Doctor of PhilosophyDepartment of Family Studies and Human Services
Sandra Stith
Recent years have seen a rise in the medicalization of treatments for erectile dysfunction (ED). While there has been a divide between the medical and psychological communities, some have called for a more collaborative relationship. Little research has been done on the collaboration between medical professionals and psychotherapists in treating ED. This study seeks to increase current knowledge about medical professionals’ referral practices and communication post-referral. An online survey was developed and distributed to the members of the Sexual Medicine Society of North America (SMSNA) (N = 541). Survey questions inquired as to the factors that increased participants’ willingness to refer ED patients, the form of communication participants currently desire to have with psychotherapists and the participants’ desired level of communication with psychotherapists to whom they might refer. Less than ten percent of the medical professionals invited to participate in the study completed the survey (n=50). Those who did complete the survey were primarily male, specialized in urology and practiced in the U.S. Almost half the respondents were employed in an academic setting while just over half of respondents worked in hospital-based, group, or solo practices. Just over half of the survey participants practiced in urban areas. Although the number of medical professionals who completed the survey was small, findings indicated that those who completed a sexual medicine fellowship and who had a larger percentage of their patient population being seen for ED were more likely to refer patients to psychotherapists. Participants who have referred ED patients to psychotherapists reported little-to-no communication between them and the psychotherapists to whom they refer. The study participants expressed a desire to refer patients to psychotherapists who are experienced in working with both sexual and couples issues. Questions about the desires and experiences of medical professionals who have not referred to psychotherapists were not able to be answered because of the limited number of these individuals in the data set. Although the number of participants who completed the survey limits the generalizability of the data, this study demonstrates that most medical professionals who responded to the survey are willing to refer ED patients to psychotherapists.
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Squibb, Lisa. "Predictors and Moderators of Sexual Distress in Women with Persistent Genital Arousal Disorder." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3513.
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Persistent Genital Arousal Disorder (PGAD) is a complex, poorly understood condition characterized by unremitting, unwanted, distressing genital arousal which occurs frequently and for extended periods of time, often in the absence of sexual stimuli. The pathophysiology is unknown. Researchers have hypothesized underlying disorders of neurological, vascular, pharmacological and psychological origins. Possible causalities have been suggested including anxiety disorder, SSRI use, and pudendal nerve neuropathies among others. Despite the uncertainty of etiology, other aspects of the disorder are clearer, including distress and poor quality of life for many. In this study, I used a biopsychosocial model to examine three potential psychological predictors 'depression, stress, and anxiety' as well as moderators including erotophobia and perceived partner support on a sample of 51 women with PGAD. Quantitative survey methodology was used to collect information from women with PGAD who had sought care for their condition from a sexual medicine specialty clinic (San Diego Sexual Medicine) and members of an online PGAD support group. Results of the study indicated depression as the most significant predictor of distress of the three psychological variables under study. Neither erotophobia nor perceived social support moderated any of the psychological factors studied. Scores on the Female Sexual Distress Scale-Revised demonstrated clinically important levels of distress. The findings highlight the need for a biopsychosocial treatment approach to the condition, including psychological therapy. Implications for social change include the preservation of quality of life and reduced depression rates in women with PGAD.
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Marques, Bethânia Buzato. "Função sexual de mulheres com doença renal crônica." Faculdade de Medicina de São José do Rio Preto, 2018. http://hdl.handle.net/tede/449.
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES
Chronic kidney disease (CKD) is highly prevalent and is currently a worldwide public health problem. It entails physical and psychological consequences and requires adaptation and change of lifestyle. Also, alterations in sexual function of men and women affected by such a disease, as well as decrease in libido are found in both sexes. Objective: to evaluate the performance and sexual satisfaction of women with chronic kidney disease and compare levels of performance and sexual satisfaction in the two main modalities of renal replacement therapy – hemodialysis and renal transplantation. Method: a descriptive cross-sectional study with 49 women enrolled in renal replacement therapy modalities (hemodialysis and renal transplantation) at Hospital de Base in the city of São José do Rio Preto - SP. For data collection, it was used data sheet containing socio-demographic information, scale for evaluation of sexual activity in women (SQ-F) and semi-structured interview. Results: 65,3% of collaborators have reported intense changes in body image after CKD, as well as decrease in libido and sexual performance. About 89,8% of collaborators present impairement in the SQ-F question regarding sexual desire. In the comparison between treatments, difference was significant in all SQ-F, except for question related to pain. When the total score of the instrument was evaluated, the group undergoing hemodialysis achieved a mean score of 39,0 (poor to unfavorable), and the kidney transplant group 70,0 (regular to good). Transplant collaborators has nine times greater chance (odds ratio – 9,2) of achieving better score in the instrument. Conclusion: the performance and sexual satisfaction of women with chronic kidney disease are impaired, which may be associated with different factors. In the comparison between groups, this study demonstrated significantly better sexual functioning in the transplant group.
A doença renal crônica apresenta elevada prevalência e constitui atualmente, um problema de saúde pública mundial. Acarreta consequências físicas, psicológicas e exige adaptação e mudança de estilo de vida. São também encontradas alterações na função sexual de homens e mulheres acometidos pela Doença Renal Crônica, assim como a diminuição da libido em ambos os sexos. Objetivo: avaliar o desempenho e a satisfação sexual de mulheres portadoras de Doença Renal Crônica e comparar os níveis desempenho e satisfação sexual nas duas principais modalidades de terapia renal substitutiva – hemodiálise e transplante renal. Método: estudo descritivo transversal, tendo como participantes 49 mulheres inseridas em modalidades de terapia renal substitutiva: Hemodiálise e Transplante Renal no Hospital de Base na cidade de São José do Rio Preto - SP. Foi utilizada para coleta de dados, ficha contendo informações sócio demográficas, escala para avaliação da atividade sexual na mulher (QS-F) e entrevista semiestruturada. Resultados: 65,3% das colaboradoras identificaram mudanças intensas na imagem corporal após a DRC. Assim como, diminuição na libido e no desempenho sexual. Cerca de 89,8% das colaboradoras apresentam prejuízo na questão do QS-F referente ao desejo sexual. Na comparação entre os tratamentos, a diferença foi significativa em todas as questões do QS-F, exceto na questão relacionada à dor. Quando avaliado pelo escore total do instrumento o grupo em tratamento hemodialítico alcançou a pontuação média de 39,0 (ruim a desfavorável), já o grupo de transplante renal 70,0 (de regular a bom). As colaboradoras em transplante apresentam probabilidade nove vezes maior (odds ratio – 9,2) de alcançarem melhor escore no instrumento. Conclusão: houve prejuízo clinicamente significativo no desempenho e satisfação sexual das mulheres portadoras de doença renal crônica, alterações que podem estar associadas a diferentes fatores. Na comparação de grupos, este estudo demonstrou um funcionamento sexual significativamente melhor no grupo transplante.
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Lopes, Juliane da Silveira Ortiz de Camargo. "Disfunção sexual em mulheres com câncer de mama." Universidade Federal de Goiás, 2015. http://repositorio.bc.ufg.br/tede/handle/tede/4948.
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Fundação de Amparo à Pesquisa do Estado de Goiás - FAPEG
INTRODUCTION: Sexual dysfunctions are changes that often affect women with breast cancer as a result of multiple factors, particularly physical changes, treatment and course of the disease, but they can also be associated with cases of anxiety and depression. PURPOSE: Evaluate sexual dysfunction in women with breast cancer and associated factors. METHODS: Cross-sectional study with 167 women being treated for breast cancer at an oncology reference hospital in Goiânia-GO, from August to November 2014. Factors associated with sexual dysfunction in this group were assessed using a semi-structured script prepared by the researcher, the field of sexuality: desire, arousal, lubrication, orgasm, satisfaction and pain / discomfort were analyzed by applying the "Female Sexual Function Index (IFSF)" and anxiety and depression were checked using the Hospital Anxiety and Depression Scale (HADS ). The project was approved by the ethics committee of Hospital das Clinicas of research at the Federal University of Goiás and the Association Against Cancer in Goiás. Data analysis was performed using the chi-square test, Student's t test and Pearson's correlation considering the significance level of p <0.05. RESULTS: It was found that 79.0% of the sample had sexual dysfunction and of these, 86.8% and 86.3% had anxiety and depression, respectively. There was an association between various treatments for breast cancer as mastectomy, quadrantectomy, chemotherapy, chemo / radiotherapy (p <0.05) and the decline in scores in all areas of sexuality (desire, arousal, lubrication, orgasm, satisfaction and pain / discomfort) in women with sexual dysfunction. Other factors such as comorbidities (p = 0.042) and nonexistent menstrual cycle (p = 0.014) showed a significant association with sexual dysfunction in this group. There was a significant association between the presence of sexual dysfunction and anxiety in women with breast cancer (p = 0.038). Regarding the fields of sexuality it found that women with sexual dysfunction had a positive and significant correlation between anxiety and sexual arousal and a significant correlation, but inversely, between depression and sexual desire. CONCLUSION: Sexual dysfunction has affected 79% of women with breast cancer, causing decline in scores in all areas of sexuality. Factors such as comorbidity, non-existent menstrual cycle and anxiety were significantly associated with sexual dysfunction. Depression has an inverse correlation to the domain desire in this group.
INTRODUÇÃO: As disfunções sexuais são alterações que frequentemente acometem mulheres com câncer de mama em decorrência de múltiplos fatores, em especial modificações físicas, tratamento e percurso da doença, mas também pode associar-se a quadros de ansiedade e depressão. OBJETIVO: Avaliar a disfunção sexual em mulheres com câncer de mama e seus fatores associados. METODOLOGIA: Estudo transversal realizado com 167 mulheres, em tratamento para o câncer de mama, em um hospital referência em oncologia em Goiânia-GO, no período de agosto a novembro de 2014. Os fatores associados à disfunção sexual nesse grupo foram avaliados utilizando um roteiro semiestruturado elaborado pela pesquisadora, os domínios da sexualidade: desejo, excitação, lubrificação, orgasmo, satisfação e dor/desconforto foram analisados aplicando o “Índice de Função Sexual Feminina (IFSF)” e a ansiedade e depressão verificadas utilizando a Escala Hospitalar de Ansiedade e Depressão (HADS). O projeto foi aprovado pelo comitê de ética em pesquisa do Hospital das Clinicas da Universidade Federal de Goiás e pela Associação de Combate ao Câncer em Goiás. Para análise dos dados foram utilizados os testes do qui-quadrado, teste t de Student e correlação de Pearson, considerando o nível de significância para p<0,05. RESULTADOS: Verificou-se que 79,0% da amostra apresentou disfunção sexual e destas, 86,8% e 86,3% apresentou ansiedade e depressão, respectivamente. Houve uma associação entre diversos tratamentos para o câncer de mama, como mastectomia, quadrantectomia, quimioterapia, quimio/radioterapia (p<0,05) e o declínio nos escores em todos os domínios da sexualidade (desejo, excitação, lubrificação, orgasmo, satisfação e dor/desconforto) nas mulheres com disfunção sexual. Outros fatores como comorbidades (p=0,042) e ciclo menstrual inexistente (p=0,014) demonstraram associação significativa com a disfunção sexual nesse grupo. Houve uma associação significativa entre a presença de disfunção sexual e ansiedade nas mulheres com câncer de mama (p=0,038). Em relação aos domínios da sexualidade verificou-se que mulheres com disfunção sexual apresentaram uma correlação positiva e significativa entre ansiedade e excitação sexual e uma correlação significativa, mas inversamente proporcional, entre depressão e desejo sexual. CONCLUSÃO: A disfunção sexual afetou 79% das mulheres com câncer de mama, causando declínio nos escores em todos os domínios da sexualidade. Fatores como comorbidade, ciclo menstrual inexistente e ansiedade foram significativamente associados à disfunção sexual. A depressão apresenta uma correlação inversamente proporcional ao domínio desejo nesse grupo.
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Rabin, Eliane Goldberg. "Função sexual de mulheres portadoras de incontinência urinária e submetidas a tratamento cirúrgico." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2012. http://hdl.handle.net/10183/53150.
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Atualmente a International Continence Society (ICS) define IU como qualquer perda involuntária de urina e é considerada um problema social e/ou de higiene valorizando a queixa das pacientes. A prevalência da IU em mulheres adultas tem sido estimada entre 10 e 40 %, e pode piorar com o envelhecimento, paridade e obesidade. Uma doença de baixa morbidade é responsável por até 30% do movimento cirúrgico de um ambulatório de ginecologia; por isso, a indicação precisa do tratamento é fundamental. O tratamento cirúrgico deve ser oferecido para incontinência moderada a severa ou na falha do tratamento clínico. Vários estudos têm mostrado que a IU está associada com a disfunção sexual, relatados por até dois terços das mulheres, no mundo, com sintomas como dispareunia, ressecamento vaginal e dificuldade para atingir o orgasmo, entre outros. Objetivo: O objetivo deste estudo foi comparar a função sexual de mulheres com incontinência urinária, antes e depois do tratamento cirúrgico. Método: Este estudo foi realizado no Hospital de Clínicas de Porto Alegre e na Irmandade Santa Casa de Misericórdia de Porto Alegre entre agosto de 2009 e novembro de 2011. Tratase de um ensaio clinico controlado não randomizado que avaliou a função sexual de mulheres com incontinência urinária utilizando o instrumento Female Sexual Function Index (FSFI) e submetidas a tratamento cirúrgico (Burch ou Sling). A amostra total se constituiu de 38 mulheres que preencheram o questionário FSFI no pré-operatório e seis meses após Intervenção: Cirurgia de Burch ou Sling Instrumentos: Questionário FSFI, variáveis clínicas e demográficas. Resultados: Trinta e oito mulheres foram incluídas no estudo e assinaram o Termo de Consentimento Livre e Esclarecido. A média de idade das mulheres foi 48 anos, todas sexualmente ativas. Oito mulheres fizeram o procedimento cirúrgico tipo Burch e trinta mulheres tipo Sling. No grupo Sling as mulheres eram mais velhas do que as do grupo Burch tinham maior tempo de vida em comum com seus parceiros (24,3 + 11,9) e um IMC de sobrepeso/obesidade (28,4 + 3,3). Não houve diferença estatisticamente significativa no préoperatório nos domínios do FSFI, porém no pós-operatório o escore geral indicou uma melhora da função sexual. Conclusões: Os domínios desejo e excitação melhoraram significativamente após a cirurgia para toda a amostra estudada. Aquelas que apresentaram cistocele tiveram uma melhora da função sexual no domínio dor e desconforto.Aims: The Female Sexual Function Index (FSFI) is a scale to assess sexual dysfunction in women. This study compared sexual function of women with urinary incontinence before and after surgical treatment. Methods: This nonrandomized clinical controlled trial was conducted in the Hospital de Clínicas de Porto Alegre and in Irmandade Santa Casa de Misericórdia de Porto Alegre from August 2009 to November 2011, to evaluate the sexual function of women with urinary incontinence that underwent surgical treatment (Burch or sling procedure). The sample comprised 38 women that answered the FSFI questionnaire before operation and six months after the intervention. Results: Thirty-eight women were included in the study and signed an informed consent term. Mean age was 48.3 years; all were sexually active, had studied for at least eight years (65.8%), had steady partners whose mean age was 54 years and with whom they had lived for a mean 22.5 years. The desire and arousal domains improved significantly after surgery for all the women included in the study. Conclusions: The patients that had cystocele had an improvement in sexual function in the discomfort and pain domain.