Showing papers in "The Journal of Sexual Medicine in 2012"

TL;DR: Clinicians should be aware of a bidirectional association between depression and sexual dysfunction, and patients reporting sexual dysfunction should be routinely screened for depression, whereas patients presenting with symptoms of depression should be regularly assessed for sexual dysfunction.

TL;DR: The HD criteria proposed by the DSM-5 Work Group on Sexual and Gender Identity Disorders appear to demonstrate high reliability and validity when applied to patients in a clinical setting among a group of raters with modest training on assessing HD.

TL;DR: Wierckx et al. as mentioned in this paper described the effects and side effects of cross-sex hormone therapy in both transsexual men and women, and found that none of the transsexual women experienced a hormone-related cancer during treatment, while a substantial number of women suffered from osteoporosis at the lumbar spine and distal arm.

TL;DR: The sexual side effects of hormonal contraceptives are not well studied, particularly with regard to impact on libido, so healthcare providers must be aware that hormonal contraceptive can have negative effects on female sexuality so they can counsel and care for their patients appropriately.

TL;DR: In premenopausal women with HSDD, flibanserin 50 mg and 100’mg once daily at bedtime were well tolerated and associated with statistically significant improvements in SSE, sexual desire, and overall sexual function, and reduction of sexual distress, vs. placebo.

TL;DR: A role for genetic factors in the development of gender identity disorder is suggested by a systematic review of case studies of twins concordant or discordant for GID.

TL;DR: Penile LI-ESWT is a new modality that has the potential to treat a subgroup of severe ED patients and preliminary data need to be reconfirmed by multicenter sham control studies in a larger group of ED patients.

TL;DR: A positive effect of hormone therapy on transsexuals' QoL is suggested after accounting for confounding factors, which will be useful for healthcare providers of transgender persons but should be confirmed with larger samples using a prospective study design.

TL;DR: Fakhri et al. as mentioned in this paper proposed a subjective assessment instrument that allows cross-cultural comparison of female sexual dysfunction (FSD) using the Female Sexual Function Index (FSFI).

TL;DR: A shared activation within the insula, with a posterior-to-anterior pattern, from desire to love, suggests that love grows out of and is a more abstract representation of the pleasant sensorimotor experiences that characterize desire.

TL;DR: Tadalafil 5 mg significantly improved both ED and BPH-related outcomes through 12 weeks and was well tolerated, according to results of this multinational Phase 3 study.

TL;DR: There appears to be an association between female sexual health and vascular risk factors (hypertension, hyperlipidemia, metabolic syndrome/obesity, diabetes, and coronary heart disease) and more research is needed.

TL;DR: The majority of U.S. ob/gyns report routinely asking patients about their sexual activities, but most other areas of patients' sexuality are not routinely discussed, and physicians' personal and practice characteristics are correlated with these communication practices.

TL;DR: In most men who developed persistent sexual side effects despite the discontinuation of finasteride, the sexual dysfunction continued for many months or years, which should be made aware of the potential adverse medication effects.

TL;DR: There was a trend toward measured curvature improvement, and a significant gain in SPL in men using the combination therapy protocol, and length improvement is related to duration of use of the traction device.

TL;DR: Carvalheira et al. as discussed by the authors conducted a qualitative analysis of the reasons for ED patients discontinuing PDE5 treatment and found that noneffectiveness and psychosocial factors appeared to be the main reasons.

TL;DR: New findings on brain activity associated with recurrent clinical pain, functional brain changes associated with CBT and mindfulness, plus new data on stress systems within the skin along with data on increased stress load in women with PVD, support the use of mindfulness-based CBT for the recurrent pain and sexual suffering from PVD.

TL;DR: Randomized, double-blind, placebo-controlled studies have established the efficacy of the transdermal testosterone patch for relieving symptoms of HSDD in surgically and naturally menopausal women with and without concomitant estrogen or estrogen/progestin therapy.

TL;DR: Severity of ED, as objectively interpreted with IIEF-EF, accounts for a higher CCI, which may be considered a reliable proxy of a lower general male health status regardless of the etiology of ED.

TL;DR: Diminished masculinity was the only significant, independent predictor of sexual bother, even after accounting for sexual functioning status, and the association between diminished masculinity and sexual bother was strongest for men whose spouses perceived low marital affection.

TL;DR: Findings suggest that facilitative partner responses may aid in alleviating vulvovaginal pain and improving sexual satisfaction, whereas solicitous partner responses might contribute to greater pain.

TL;DR: A new lengthening surgical procedure based on a ventro-dorsal incision of the tunica albuginea, penile prosthesis implantation, and double dorsal-ventral patch grafting with porcine small intestinal submucosa that can easily resolve severe shortening of the penis due to Peyronie's disease is described.

TL;DR: ED is mainly associated with depressive symptoms, while PEDT score is positively associated with prostatitis symptoms and signs, phobic anxiety, and cFT.

TL;DR: Women's experiences of abortion may be influenced by perceived negative social attitudes and health professionals and abortion service providers might combat the perceived isolation of women undergoing abortion by attending not only to clinical/technical aspects of the procedure but also to women's psychological/emotional sensitivities surrounding the event.

TL;DR: Motmans et al. as discussed by the authors investigated the impact of socioeconomic and medical conditions on the quality of life (QOL) of transgenders in the context of qualitative and adequate medical care.

TL;DR: Jha et al. as mentioned in this paper investigated the impact of surgery for stress incontinence on sexual function and overall sexual function following continence surgery and found evidence for a significant reduction in coital incointinence post surgery (OR 0.11; 95% CI 0.07, 0.17).

TL;DR: In women, depression affects DISF scores more than DSM-IV diagnoses for sexual dysfunction, and with increasing severity of depression, sexual dysfunction becomes greater (lower DISf scores).

TL;DR: Higher levels of anxious and avoidant attachment were related to less satisfying sexual relationships, higher levels of sexual dysfunction, and different sexual intercourse frequencies and motivations for sex.

TL;DR: The assumption that women may experience only the clitoral, external orgasm is not based on the best available scientific evidence.

TL;DR: The association between men's sexual dysfunction and physical and psychological health is real and proven and should not be taken lightly but instead treated as a life-threatening medical problem.