This book is the result of an informal association between the editors which extends back to 1974. At the beginning, it was a tenuous alliance between physicians in quite different medical subspecialties-urology and psychiatry. As the alliance was forged, subspecialty rivalries and mistrust were replaced by a common clinical interest in the diagnosis and treatment of erectile problems. We quickly became aware of the high prevalence of such disorders, how poorly prepared we were to make accurate and re sponsible diagnosis and treatment plans, and how complicated an etiol ogical diagnosis could prove to be. A variety of biological and psychological influences bear on sexual function, and in many clinical contexts, diagnosis and treatment planning involves consideration of complex interactive var iables. The need for an expanded multidisciplinary team became obvious. The requisite knowledge base extended across too many subspecialty boundaries, and the necessary information was not available in a conve nient source. As we began accumulating the information base, we became aware that this information might be of value to other physicians. The authors enjoy the luxury of an academic setting in which special expertise can be readily assembled. Such resources are often unavailable to the physician in practice. Thus, it is our hope that this text can serve as a multi specialty team for the physician in solo practice. R. TAYLOR SEGRAVES New Orleans, Louisiana HARRY W.
This book will be of interest to mental health care professionals, including psychiatrists, psychologists, and social workers, who treat patients with sexual disorders.--Elizabeth Bruce "Family Journal: Counseling and Therapy for Couples and Families"
Now in a revised and expanded second edition, this comprehensive clinical guide remains a state-of-the-art synthesis of the literature, covering all aspects of treating erectile dysfunction (ED) and other related male sexual dysfunctions. Cardiovascular, hormonal, psychological and lifestyle factors are each considered in diagnosis and treatment, which includes pharmacological, surgical and prosthetic management strategies. The effects of prostate cancer and its treatment are also discussed, as are Peyronie’s disease, priapism and ejaculatory disorders. New chapters in this edition discuss the profound effects of lifestyle change on sexual function, alternative and internet drugs that affect sexual function, endovascular approaches to ED, penile length considerations, the effect of radiation on erectile function, and optimizing ED research. Presenting a better understanding of what causes erectile dysfunction and the effective medications and non-medication treatments used to treat the condition, this invaluable title offers all physicians, residents, and fellows – and even medical students and other health professionals such as nurse practitioners and physician assistants – an essential reference for enhancing diagnosis and treatment of this common and debilitating disorder.
An ideal introduction for sex therapy students and trainees, this volume provides an overview of the most common sexual dysfunctions and the full range of assessment and treatment approaches. The book begins with discussions of the main classes of sexual dysfunction, describing what is currently known about clinical presentation, prevalence, and etiological factors. Addressing the practical tasks of clinical evaluation and intervention, the authors clearly explain basic strategies and methods for working with clients.
This book provides a comprehensive guide for nurses practicing in any area of endocrinology and at any level of expertise. Endocrinology Nursing is a fast-developing specialty with nurses performing advanced roles and expanding their practice to run independent nurse-led services. Supported by the European Society of Endocrinology (ESE) and edited by members of the ESE Nurses Working Group, this is the first book ever published specifically for endocrine nurses. It is also an excellent resource for endocrinology specialty trainees, general practitioners, medical and nursing students, expert patients and nurses working in specialties such as fertility, osteoporosis, oncology, obesity, urology and gynaecology, who look after patients with endocrine-related disorders. This volume includes 13 sections and 69 chapters providing a comprehensive overview of adult and paediatric endocrinology but also a section on advanced practice, role development and nursing research. It has been written by an international team of more than 100 eminent nurses, physicians, surgeons, psychologists and other healthcare professionals, which makes this book a valuable resource for any multidisciplinary team. Many patient advocacy groups have contributed with case studies which emphasises the close working relationships with patients.
This book provides a comprehensive, state-of-the art review of the intersection of male and female reproductive and sexual health. The text comprehensively discusses the evaluation and management of physical, genetic, and psychological causes of male and female sexual dysfunction. Discussion of treatment focuses on current medical and surgical psychosexual therapies in both the male and female. The book highlights erectile, ejaculatory, and orgasmic disorders in the male; desire, arousal and orgasmic disorders in the female; and an integrated approach to the couple. Lifestyle modifications through diet and exercise and optimization of anthropomorphic characteristics are also discussed, including a holistic approach to these disorders that goes beyond a focus on the genital system alone. Sexual Dysfunction in Men and Women: An Interdisciplinary Approach serves as a resource for physicians and researchers interested in sexual medicine seeking a comprehensive overview of the practice and novel research in the field.
Premature ejaculation (PE) is a common male sexual complaint, with a self-reported prevalence of 20–30% in observational studies. Over the past 10–20 years, our understanding of PE has evolved from the initial premise that it is a psychological disorder to the current recognition of an underlying biological and probably genetic predisposition in many cases. This new understanding has been accompanied by novel approaches to the assessment and treatment of patients with PE. Premature Ejaculation is the first truly contemporary reference volume on the subject. It covers a broad range of aspects relevant to PE, including past and current definitions of the condition, the etiology of PE, its epidemiology, the impact of PE on both the patient and his partner, and the treatment of PE using pharmacotherapy and/or psychotherapy/cognitive behavioral therapy. The book is well illustrated and referenced, and the primary focus throughout is on evidence-based medicine. This timely and authoritative volume will be of great value to sexual health physicians, andrologists, endocrinologists, urologists, psychiatrists, sexologists, psychologists, and other interested healthcare professionals.
Erectile disorder (erectile dysfunction) is actually the failure to obtain and also maintain an erection secure sufficient for sex. Possessing erection difficulty periodically isn't really automatically a reason for problem. If erectile disorder is actually a continuous concern, nevertheless, it can easily induce stress and anxiety, influence your confidence and also help in partnership concerns. Concerns receiving or even maintaining an erection can easily additionally be actually an indicator of a rooting health and wellness disorder that demands therapy and also a danger aspect for cardiovascular disease. Whether you have actually one, you most likely presume you have actually a common understanding of penises. Nevertheless, erectile brokenness (ED) effects as much as 30 thousand males, a substantial amount of which cannot view just how or even why it happens. 1. Very most males along with ED do not definitely have actually ED. More experienced males are actually tied to expertise the sick results of erectile frustration compared to erectile brokenness. This signifies that receiving and also maintaining an erection has actually end up being more bothersome and also is actually more confusing compared to it utilized to become, however it is undoubtedly practical. 2. Penises are actually fragile. Without a doubt, you can easily rest your penis. Object to a trashed bone, nevertheless all of traits being actually equivalent, the capillaries interior the penis ruptured, inducing complicated increasing. 3. Erections occur very early. Like in the stomach, very early. Man babies can easily experience erections in the stomach. 4. Medications for ED do not typically function. Medications meant to aid males along with ED recoup a strong sex-related coexistence simply operate in all around 66% of instances. 5. More restricted penises create more significant erections. Investigation reveals that males along with more diminutive penises expertise erections that increment penis dimension through 86%. For much a lot longer penises, the advancement is actually more much like 47 per-cent. 6. The regular erection is actually 5.6 ins lengthy. The regular erect penis is actually scarcely except 5.6 ins. The details happened straightforwardly coming from focus on participants, that self-estimated, therefore there's the subject of the amount of misrepresented. 7. The world's greatest erection is actually thirteen.5 ins. Jonah Falcon is actually pointed out to have actually the world's greatest penis that, when erect, is actually over and also past 1 foot lengthy. When limp, it procedures 9.5 ins. 8. ED can easily flag an authentic clinical disorder. Every so often, sex-related problems are actually a sign of more significant problems. ED may be caused through coronary disease, diabetic issues, Parkinson's infection, different sclerosis, raised cholesterol, and after that some. 9. Erections may not be needed to have for climax. Without a doubt, males that can not complete erections may all the same have actually climaxes. 10. Lifestyle selections can easily create you more likely to ED. Liquor dependency, medication utilize, being actually obese, cigarette smoking cigarettes, particular meds, as well as "extracted bicycling" can easily motivate ED. 11. Males have actually in between 3 to 5 erections each evening. Constantly while you are relaxing, your penis is actually operating diligently. The regular guy conflicts as much as 5 erections while they remainder, each taking place all around half an hour. 12. ED stress and anxiety can easily exacerbate the condition. ED can easily induce psychological tension, and also psychological tension can easily induce ED. At the aspect when males are actually frustrated through their failing to carry out, it can easily create it significantly more tough to loss ED. Talking along with an expert or even sex consultant may assist.
Edited by two authorities in the field of sex therapy, represents a definitive critique of current theory and practice in the field. Diagnostic procedures are described in detail, as well as various medical, surgical, and psychological treatments for this prevalent male disorder. Annotation copyrigh
