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Andrea Lenzi - One of the best experts on this subject based on the ideXlab platform.
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premature ejaculation results in female Sexual distress standardization and validation of a new diagnostic tool for Sexual distress
The Journal of Urology, 2013Co-Authors: Erika Limoncin, M Tomassetti, Giovanni Luca Gravina, Giacomo Ciocca, Eleonora Carosa, Stefania Di Sante, Vincenzo Gentile, Vincenzo Mirone, Francesco Montorsi, Andrea LenziAbstract:Purpose: We measured premature ejaculation related female Sexual distress using a new diagnostic tool, the Female Sexual Distress Scale-Revised-Premature Ejaculation questionnaire.Materials and Methods: In this large-scale, Internet based population study we evaluated 2,109 women in a stable relationship during the last 6 months. The 1,361 women in the premature ejaculation group had no female Sexual Disorder but the partner had premature ejaculation alone. The 748 controls had no female Sexual Disorder and a partner without premature ejaculation. We determined questionnaire content and discriminant validity, internal consistency and test-retest reliability. Multivariate logistic regression with propensity score reweighting was done to determine the clinical impact of demographics on the perception of Sexual distress.Results: The questionnaire was well understood. Internal consistency was greater than 0.90 and 0.84 in the premature ejaculation and control groups, respectively. Test-retest reliability was ...
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evaluation of premature ejaculation
The Journal of Sexual Medicine, 2011Co-Authors: Emmanuele A Jannini, M Maggi, Andrea LenziAbstract:ABSTRACT Introduction Premature ejaculation (PE) is a prevalent, yet often underdiagnosed, Sexual Disorder that affects men of all ages. Identification of PE is hampered by stigma and embarrassment associated with the condition, and limited awareness that it is treatable. Because diagnosis informs treatment decisions that have an impact on clinical outcomes, the ability to diagnose PE accurately is vital to the successful management of this condition. Aim Provide an overview of how to evaluate and diagnose PE. Methods Review of the literature. Main Outcome Measures The taxonomy of PE based on onset, time, type, and comorbidities. Results Diagnosis of PE encompasses seven key steps: (i) Obtaining the patient's general medical and Sexual history; (ii) Classifying the symptom on the basis of onset (e.g., lifelong or acquired PE), timing (e.g., prior to or during intercourse), and type (e.g., absolute/generalized or relative/situational); (iii) Involving the partner to determine their view of the situation and the impact of PE on the couple as a whole; (iv) Identifying Sexual comorbidities (e.g., erectile dysfunction) to define whether PE is simple (occurring in the absence of other Sexual dysfunctions) or complicated (occurring in the presence of other Sexual dysfunctions); (v) Performing physical examination to check the man's Sexual organs and reflexes; (vi) Identifying underlying etiologies and risk factors (e.g., endocrine-, urological-, or psychorelational-/psychoSexual-related) to determine the primary cause of PE and any associated comorbidities; (vii) Discussing treatment options to find the most suitable intervention, according to the needs of the man and his partner. Conclusion A greater understanding of how to diagnose PE correctly, and a more widespread use of a structured diagnostic approach, could lead to better treatment outcomes in the future. Jannini EA, Maggi M, and Lenzi A. Evaluation of premature ejaculation.
Chris G Mcmahon - One of the best experts on this subject based on the ideXlab platform.
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dapoxetine a new option in the medical management of premature ejaculation
Therapeutic Advances in Urology, 2012Co-Authors: Chris G McmahonAbstract:Premature ejaculation (PE) is a common male Sexual Disorder which is associated with substantial personal and interpersonal negative psychological consequences. Pharmacotherapy of PE with off-label...
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The etiology and management of premature ejaculation.
Nature Clinical Practice Urology, 2005Co-Authors: Chris G McmahonAbstract:Premature ejaculation (PE) has a number of known causes, and the definition of what constitutes PE can differ. Several factors are used to assess the presence and extent of PE. Chris McMahon discusses the etiology and management of PE, and highlights the importance of selecting treatments that are appropriate to the cause of the condition Premature ejaculation (PE) is a common male Sexual Disorder. Normative data suggest that men with an intravaginal ejaculatory latency time of less than 1 min have 'definite' premature ejaculation, while men with intravaginal ejaculatory latency times of between 1 and 1.5 min have 'probable' premature ejaculation. Although there is insufficient empirical evidence to identify the etiology of PE, there is correlational evidence to suggest that men with PE have high levels of Sexual anxiety and altered sensitivity of central 5-hydroxytryptamine receptors. Pharmacological modulation of the ejaculatory threshold using daily or on-demand selective serotonin reuptake inhibitors offers patients a high likelihood of achieving improved ejaculatory control within a few days of initiating treatment, leads to improvements in Sexual desire and other Sexual domains, and is well tolerated.
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Pharmacological treatment of premature ejaculation.
Current Opinion in Urology, 1999Co-Authors: Chris G Mcmahon, Ramin SamaliAbstract:Ejaculatory dysfunction is the most common male Sexual Disorder and premature ejaculation the most common presentation of ejaculatory dysfunction. Convincing data are lacking from controlled clinical studies to support sustainable long term efficacy of psychoSexual counselling in the management of premature ejaculation. The pharmacological treatment of premature ejaculation is now receiving increased attention from both physicians with an interest in Sexual medicine and from the pharmaceutical industry.
Paul J Fedoroff - One of the best experts on this subject based on the ideXlab platform.
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sadism sadomasochism sex and violence
The Canadian Journal of Psychiatry, 2008Co-Authors: Paul J FedoroffAbstract:The true prevalence of Sexual sadism (and its variants) is unknown. However, all clinicians will knowingly or unknowingly encounter patients with this Disorder. Regretfully, few programs offer adequate education in normal Sexuality and even less provide training in the assessment and treatment of pathologic Sexual interests. This review synthesizes current theories about possible etiologies of criminal Sexual sadism and the resulting implications for diagnosis and treatment of this Sexual Disorder. Included is a review of theories of criminally sadistic Sexual motivations, response patterns, and physiology, including possible neurophysiologic factors and more complex interactions. This review focuses primarily on published English-language scientific studies of Sexual sadism. It should be noted that my use of the term sadism refers to nonconsensual Sexual aggression.
Ira D Sharlip - One of the best experts on this subject based on the ideXlab platform.
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aua guideline on the pharmacologic management of premature ejaculation
The Journal of Urology, 2004Co-Authors: Drogo K Montague, Jonathan P Jarow, Gregory A Broderick, Roger R Dmochowski, Jeremy P W Heaton, Ajay Nehra, Ira D SharlipAbstract:The three major forms of male Sexual dysfunction are ejaculatory dysfunction, erectile dysfunction (ED), and decreased libido (hypoactive Sexual desire Disorder). While survey findings vary considerably, most epidemiological studies suggest that premature ejaculation (PE) (also known as early ejaculation or rapid ejaculation) may be the most common male Sexual Disorder. Data from the National Health and Social Life Survey have revealed a prevalence of 21% in men ages 18 to 59 in the United States.1 Using various definitions, other studies report prevalences ranging from less than 5%2 to greater than 30%.3–5 A universally accepted definition of PE has yet to be established. Masters and Johnson proposed one of the earliest definitions that focused on the inability to delay ejaculation long enough for the woman to achieve orgasm fifty percent of the time, assuming that PE is the sole cause of the female anorgasmia.6 Kaplan first suggested that PE is primarily a problem of voluntary control over timing of ejaculation, a concept on which the current definition is based.7 The American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (4th ed, text revision) (DSM-IV TR) (2000) defines PE with an added emphasis on the emotional and interpersonal impact of ejaculation that occurs earlier than the male desires.8 Premature ejaculation has been subclassified into two forms: a primary (lifelong) form that begins when a male first becomes Sexually active and a secondary (acquired) form.9, 10 The present guidelines and recommendations are based on the following definition, which assumes the absence of partner Sexual dysfunction: Premature ejaculation is ejaculation that occurs sooner than desired, either before or shortly after penetration, causing distress to either one or both partners. The exact etiology of PE is unknown. Psychological/behavioristic and biogenic etiologies have been proposed. Consequently, the treatment of PE has encompassed psychological, behavioral, and pharmacologic interventions. Current treatments are largely based upon logical solutions (decreasing sensory input), behavior modification therapies, and observations of drug side effects (those with serotonin reuptake inhibiting activity). This guideline will address only pharmacologic therapies, as other therapies are not routinely prescribed by our target audience. To facilitate informed treatment decisions by physicians and their patients, recommendations on the use of medications currently available in the United States are provided. The majority of the recommendations contained herein are based on a consensus of expert opinion following review of the literature. In some cases, expert consensus is supplemented with a focused review of the limited data. This guideline does not preempt physician judgment in individual cases. Variations in patient subpopulations, physician experience, and available resources necessarily will influence choice of clinical strategy. Adherence to the recommendations presented in this document cannot assure a successful treatment outcome. For ease of review, the recommendations are bolded and followed by supporting text. The evidence supporting the recommendations is summarized in Appendices 1 to 3 (www.auanet.org).
Abhinav Tandon - One of the best experts on this subject based on the ideXlab platform.
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An epidemiological study of Sexual Disorders in south Indian rural population.
Indian Journal of Psychiatry, 2015Co-Authors: Ts Sathyanarayana Rao, M S Darshan, Abhinav TandonAbstract:Background: Sexuality is an important aspect of the personality of an individual and influences psychological, physical and social well-being of both men and women. It is a paradox, that in the country where 'kamasutra' (by Vatsyayana) took birth, there is a lack of research publications and Sexuality related literature; hence the current study was conducted, to estimate the prevalence and association of Sexual Disorders with various socio-demographic variables, in the selected rural population. Materials and Methods: Subjects who were Sexually active and fulfilled the study criteria were administered Arizona Sexual Experience Scale as screening tool for the presence of Sexual problems. Those who were found to be having Sexual problems were interviewed further using appropriate questionnaires. Results: 21.15% of the male subjects were diagnosed to have one (or more) Sexual Disorder. Prevalence of erectile dysfunction was found to be 15.77%, male hypoactive Sexual desire Disorder (HSDD) 2.56%; premature ejaculation was found to be prevalent in 8.76% of the male subjects. Around 14% of the female subjects were diagnosed to have female Sexual Disorders. Prevalence of female arousal dysfunction was found to be 6.65%, female HSDD 8.87%, female anorgasmia 5.67%, female dyspareunia 2.34% and female Sexual aversion Disorder was found to be prevalent in 0.37% of the female subjects. Conclusion: This study concluded that one in five males and one in seven females were suffering from one (or more) Sexual Disorder. Improving the training of undergraduate medical and nursing students in Sexuality related issues, increasing trained individuals in Sexual medicine by starting new courses, providing sex education to the general population using media and merging Sexual health care with primary care, are likely to play a significant role in addressing the increasing Sexual health morbidity.
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Sexual Disorders among elderly: An epidemiological study in south Indian rural population.
Indian Journal of Psychiatry, 2015Co-Authors: Ismail S, M S Darshan, Abhinav TandonAbstract:Background: Realizing a dearth of data on this topic, especially in the Indian context, an epidemiological study was conducted in a south Indian rural population to identify the Sexual activity patterns and Sexual problems among the population above 60 years of age. Objectives: (1) Assessment of Sexual activity patterns among individuals above 60 years. (2) Assessment of the prevalence of Sexual Disorders among individuals above 60 years. Materials and Methods: The study sample consisted of 259 participants, which included both males and females above 60 years of age. Subjects who were Sexually active and fulfilled the study criteria were administered Arizona Sexual Experience Scale as a screening tool, for the presence of Sexual problems. Those who were found to have Sexual problems were interviewed further using appropriate questionnaires. Results: Only 27.4% of the individuals above 60 years were Sexually active, and it progressively dropped as age advanced and none were Sexually active after 75 years of age. Among the Sexually active males, erectile dysfunction (ED) was prevalent in 43.5%, premature ejaculation in 10.9%, hypoactive Sexual desire Disorder (HSSD) in 0.77% and anorgasmia in 0.38% of the subjects. Among females, arousal Disorder was prevalent in 28%, HSSD in 16%, anorgasmia in 20% and dyspareunia in 8% of the subjects. Conclusion: The study gives us an insight into the Sexual problems of the elderly and brings home the point that Sexual problems are very much common among both men and women in the older population. Among elderly males, ED is the most common Sexual Disorder whereas in elderly females, arousal Disorder is the most prevalent female Sexual dysfunction, implicating biology plays an important role in men, whereas psychology plays an important role in women Sexual functioning.