Showing papers in "The Journal of Sexual Medicine in 2018"

TL;DR: The number of people with gender identity issues seeking professional help increased dramatically in recent decades, and special attention should be given to those who choose less common forms of treatment.

TL;DR: A low level of fertility preservation among trans persons is contrasted by a high level of desire for children, which highlights the importance of counseling trans individuals regarding fertility preservation options.

TL;DR: Body-gender congruence and body image satisfaction were higher, and depression and anxiety were lower among individuals who had more extensive GCT compared to those who received less treatment or no treatment at all, and in cohorts of transmasculine and transfeminine individuals.

TL;DR: The present meta-analysis shows that low T in aging men is a marker of CV risk and the possible benefits of T treatment in reducing this risk should be examined in longer-term, specifically designed trials.

TL;DR: There is now overwhelming evidence that erectile dysfunction is strongly associated with cardiovascular disease, such that newly presenting patients should be thoroughly evaluated for cardiovascular and endocrine risk factors, which should be managed accordingly.

TL;DR: This study demonstrates an association between depression and erectile dysfunction, and evaluations of the association between ED and depression are timely and relevant for clinicians, policymakers, and patients.

TL;DR: Corona et al. as discussed by the authors conducted a random effect meta-analysis considering all available data from pharmaco-epidemiological studies as well as randomized placebo-controlled trials (RCTs).

TL;DR: The study highlights the broad spectrum of genders in trans-individuals and associated health care needs and provides a novel approach to measure individual treatment progress in trans individuals.

TL;DR: Clinicians should be aware of the possibility that their patients with DSD not only might have transgender feelings and a desire to change gender, but also identify as different from male or female, and take non-binary genders into account.

TL;DR: Findings provide compelling evidence that cigarette smoking, alcohol, and physical activity are important for sexual dysfunction and should be of interest to clinicians treating men and women with complaints relating to symptoms of sexual dysfunction.

TL;DR: The blueprint for developing sexual history taking skills includes a spiral curriculum with varied teaching formats, incorporation of a sexual history script that incorporates inquiry about sexual wellness, and longitudinal assessment across the pre-clinical years.

TL;DR: Although LHRH agonists seem to be the most effective drugs in the treatment of paraphilic fantasies and behaviors, they should be reserved for patients with a paraphilic disorder and the highest risk of sexual offending because of their extensive side effects.

TL;DR: This is the first study of factors impacting a patient's choice of or a surgeon's recommendation for vulvoplasty over vaginoplasty as gender-affirming genital surgery and it is associated with high satisfaction and low decision regret.

TL;DR: Examination of the sex ratio of children referred to the Gender Identity Development Service in the United Kingdom between 2000 and 2017 showed both similarities and differences when compared to data from 2 other gender identity clinics for children, perhaps with the establishment of an international registry.

TL;DR: The PICS technique represents a safe and time-saving approach for residual curvature correction during IPP placement in patients with PD and prevents device puncture, because the collagen fleece does not require suture fixation into the defect after plaque incision.

TL;DR: Findings support the feasibility of adapting a mindfulness-based group treatment for situational ED and suggest that a mindfulness group therapy framework offers a feasible and potentially promising treatment avenue for men with situational ED.

TL;DR: The results demonstrate the usefulness of network analytics to hyper sexuality in a non-clinical sample and encourage future clinical and longitudinal explorations of hypersexuality using this novel approach.

TL;DR: The results seem to demonstrate that paraphilic thoughts and behaviors are quite widespread in the young population, and the distinction between healthy and pathological sexual interests may be better replaced by an all-encompassing approach considering ego-dystonic sexuality, hypersexuality, and their psychopathological correlates.

TL;DR: Significant advances must be made in undergraduate medical education in order to prepare future physicians to address critical issues such as sexually transmitted disease, family planning, and health disparities.

TL;DR: Knowing body shape and composition outcomes at 22 years of age will help care providers in counseling transgender youth on expectations of attaining the desired body phenotype, as this largest group of transgender adults to date who started treatment in their teens are presented.

TL;DR: Patients can benefit more in sexual performance from 12 sessions twice per week compared with 6 sessions once a week, and Retreating patients after 6 months could further improve erectile function without side effects.

TL;DR: In this study, combination therapy was superior in terms of penile curvature and erectile dysfunction improvement, and secondary outcomes were the change in sexual function and in the Peyronie's Disease Questionnaire.

TL;DR: Wives' orgasm (wives' self-report of frequency and husbands' perception of frequency) has a unique positive association with sexual satisfaction, even after taking into account other aspects of the orgasm experience and sexual communication.

TL;DR: There was a generation effect, with younger and middle-age men living without a partner becoming less sexually active and experiencing less desire compared with the previous survey.

TL;DR: Self-reported vaginal laxity was self-reported by 38% of women and significantly associated with parity, symptoms of prolapse, stress urinary incontinence, overactive bladder, reduced vaginal sensation during intercourse, and worse general sex life.

TL;DR: Effective management of ED may be achieved through a combination of patient risk factor modification and first-line therapy, taking into consideration any patient comorbidities known to be associated with ED.

TL;DR: The Penuma silicone implant can help patients cosmetically correct the penis with increased flaccid penile girth and achieve enhanced self-confidence and self-esteem over the short- and long term.

TL;DR: This study highlights the menopause-related morphological alterations in post-menopausal women, suggesting that the reduced GMV were closely associated with the symptoms of menoppause caused by the decreased levels of E2.

TL;DR: TachoSil seems to represent an effective solution for grafting after PIG and PP implantation, considering its advantages in operative time and cost compared with SIS, and long-term follow-up represents a strength factor.

TL;DR: This is one of the first studies to investigate male sexuality affected by endometriosis and the response rate of almost 50% is higher compared to other studies, and there is a need to evaluate qualitative factors that influence sexual satisfaction in endometiosis patients.