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https://www.readbyqxmd.com/read/29039892/step-by-step-male-to-female-transsexual-surgery
#1
Rodrigo Uliano Moser da Silva, Fernando Jahn da Silva Abreu, Gabriel M V da Silva, João Vitor Quadra Vieira Dos Santos, Nelson Sivonei da Silva Batezini, Brasil Silva, Tiago Elias Rosito
INTRODUCTION: After the diagnosis of transsexualism is confirmed therapy commences with psychotherapeutic preparation for the conversion, and after conversion, long-term patient rehabilitation is maintained for at least two years. The indication for surgery is chronic discomfort caused by discord with the patient's natural gender, intense dislike of developing secondary sex characteristics and the onset of puberty. The surgical conversion of transsexuals is the main step in the complex care of these problematic patients (1)...
October 17, 2017: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/29036845/sexual-concerns-after-spinal-cord-injury-an-update-on-management
#2
Marcalee Sipski Alexander, Carrie Mlynarczyk Aisen, Sterling Morrison Alexander, Mindy Lipson Aisen
BACKGROUND: Spinal Cord Injury (SCI) causes neurological impairment with resultant neurogenic sexual dysfunction which can compound preexisting psychological and medical sexual concerns. Understanding these concerns is important in managing the lifelong needs of persons with SCIs. OBJECTIVES: To provide an overview of the impact of SCI on sexuality along with a framework for treatment of sexual concerns. To briefly review male infertility and its treatments and pregnancy in females after SCI...
October 11, 2017: NeuroRehabilitation
https://www.readbyqxmd.com/read/29035798/sexual-function-and-related-factors-in-iranian-woman-with-epilepsy
#3
Zahra Atarodi-Kashani, Nourossadat Kariman, Abbas Ebadi, Hamid Alavi Majd, Nahid Beladi-Moghadam
PURPOSE: Epileptic women are faced with many sexual challenges in their life due to medical and non-medical factors. The present study was conducted to assess sexual function in epileptic women and its related factors. METHOD: The present cross-sectional study was conducted on 196 epileptic married women of reproductive age who were members of the Iranian Epilepsy Association and were selected continuously over six months through convenience sampling. The data collection tools included the Female Sexual Function Index (FSFI) and questions about the causes of sexual dysfunction...
October 5, 2017: Seizure: the Journal of the British Epilepsy Association
https://www.readbyqxmd.com/read/29028439/a-dyadic-approach-to-understanding-the-link-between-sexual-functioning-and-sexual-satisfaction-in-heterosexual-couples
#4
Patrícia M Pascoal, E Sandra Byers, Maria-João Alvarez, Pablo Santos-Iglesias, Pedro J Nobre, Cicero Roberto Pereira, Ellen Laan
Researchers have demonstrated that several dimensions of sexual functioning (e.g., sexual desire, arousal, orgasm) are associated with the sexual satisfaction of individuals in a committed mixed-sex (male-female) relationship. We extended this research by comparing a dyadic model that included both own (i.e., actor effect) and partner (i.e., partner effect) domains of sexual functioning to an individual model that included only actor effects. Participants were 124 mixed-sex couples who completed online measures of sexual functioning and sexual satisfaction...
October 13, 2017: Journal of Sex Research
https://www.readbyqxmd.com/read/29026793/sexual-function-mental-well-being-and-quality-of-life-among-kurdish-circumcised-women-in-iran
#5
Farzaneh Daneshkhah, Hamid Allahverdipour, Leila Jahangiri, Tatiana Andreeva
BACKGROUND: Female genital mutilation is an intentional inhumane procedure that threatens girls and women's health. It is especially widespread in developing countries due to cultural, traditional and religious preferences. The aim of the current study was to investigate how circumcision affects women's sexual function. METHODS: This cross-sectional study was conducted in the urban and rural area of Piranshahr County, Iran, in 2015 among convenience samples of 200 women, 15-49 yr old, who were applying to health care centers for receiving routine health care services...
September 2017: Iranian Journal of Public Health
https://www.readbyqxmd.com/read/29019272/amitriptyline-and-sexual-function-a-systematic-review-updated-for-sexual-health-practice
#6
Louis Wei-Hsi Chen, Melody Yun-Si Chen, Zhi-Ping Lian, Hung-Sheng Lin, Chia-Chang Chien, Hsin-Ling Yin, Yuan-Hsiang Chu, Kuo-Yen Chen
Amitriptyline is an old drug but is still prevalently used as the first-line treatment for a variety of common diseases. Surprisingly, knowledge of sexual risks with amitriptyline comes from only one clinical trial and several case reports from three decades ago. In the current study, a systematic review of the literature following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) related to amitriptyline and sexual dysfunction (SD) was performed. The frequency, gender-difference, types, disease-specificity and time course of SD, and the relationship between SD and nonsexual adversity were studied...
October 1, 2017: American Journal of Men's Health
https://www.readbyqxmd.com/read/28988393/sexual-function-in-adolescents-and-young-adults-diagnosed-with-cancer-a-systematic-review
#7
REVIEW
Amelia M Stanton, Ariel B Handy, Cindy M Meston
PURPOSE: The purpose of this systematic review was to identify, with supporting evidence, the impact of cancer and its treatment on the sexual function of adolescents and young adults. METHODS: PubMed, CINAHL, and PsycINFO articles were searched for relevant studies published in English. Fifteen studies, 13 quantitative and two qualitative, were included in this review. RESULTS: Results indicated that cancer during the adolescent and young adult period has a significant negative impact on certain domains of sexual function in both men and women...
October 7, 2017: Journal of Cancer Survivorship: Research and Practice
https://www.readbyqxmd.com/read/28986148/brain-activity-unique-to-orgasm-in-women-an-fmri-analysis
#8
Nan J Wise, Eleni Frangos, Barry R Komisaruk
BACKGROUND: Although the literature on imaging of regional brain activity during sexual arousal in women and men is extensive and largely consistent, that on orgasm is relatively limited and variable, owing in part to the methodologic challenges posed by variability in latency to orgasm in participants and head movement. AIM: To compare brain activity at orgasm (self- and partner-induced) with that at the onset of genital stimulation, immediately before the onset of orgasm, and immediately after the cessation of orgasm and to upgrade the methodology for obtaining and analyzing functional magnetic resonance imaging (fMRI) findings...
October 3, 2017: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/28964710/differential-dna-methylation-in-monozygotic-twins-discordant-for-female-sexual-functioning
#9
Andrea Burri, Myriam Leupin, Timothy Spector, Zoya Marinova
BACKGROUND: Research has repeatedly suggested genetic and environmental factors in the etiology underlying female sexual dysfunction (FSD). Because sexual functioning is a highly variable trait, epigenetics could provide a promising approach to tackle the origins of FSD and consequently offer a step-change in our understanding of these problems. AIM: To identify differentially methylated CpG positions for sexual functioning in a sample of monozygotic twin pairs discordant for sexual functioning...
September 27, 2017: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/28958593/opinion-paper-on-the-diagnosis-classification-of-sexual-arousal-concerns-in-women
#10
Stanley E Althof, Cindy M Meston, Michael A Perelman, Ariel B Handy, Chelsea D Kilimnik, Amelia M Stanton
BACKGROUND: In the professional literature and among our professional societies, female sexual dysfunction nomenclature and diagnostic criterion sets have been the source of considerable controversy. Recently, a consensus group, supported by the International Society for Women's Sexual Health, published its recommendations for nosology and nomenclature, which included only one type of arousal dysfunction, female genital arousal disorder, in its classification system. Subjective arousal was considered an aspect of sexual desire and not part of the arousal phase...
September 22, 2017: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/28923310/factors-associated-with-specific-diagnostic-and-statistical-manual-of-mental-disorders-fourth-edition-sexual-dysfunctions-in-breast-cancer-survivors-a-study-of-patients-and-their-partners
#11
Susanna B Hummel, Daniela E E Hahn, Jacques J D M van Lankveld, Hester S A Oldenburg, Eva Broomans, Neil K Aaronson
BACKGROUND: Many women develop sexual problems after breast cancer (BC) treatment. Little is known about BC survivors with a Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) sexual dysfunction and their partners, and the factors associated with their sexual functioning. AIM: To evaluate (i) patient-related and clinical factors associated with (a) specific DSM-IV sexual dysfunctions and (b) level of sexual functioning and sexual distress as reported by BC survivors and (ii) the association between the sexual functioning of BC survivors and that of their partners...
October 2017: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/28899827/a-randomized-trial-of-clitoral-vacuum-suction-versus-vibratory-stimulation-in-neurogenic-female-orgasmic-dysfunction
#12
Marcalee Alexander, Khurram Bashir, Craig Alexander, Lesley Marson, Raymond Rosen
OBJECTIVE: To examine safety and efficacy of use of a clitoral vacuum suction device (CVSD) versus vibratory stimulation (V) to treat orgasmic dysfunction in women with MS or SCI. DESIGN: Randomized clinical trial. SETTING: Two academic medical centers. PARTICIPANTS: Thirty-one women including 20 with MS and 11 with SCI. INTERVENTION: A 12-week trial of the use of a CVSD versus V MAIN OUTCOME MEASURES: Female Sexual Function Inventory (FSFI) and Female Sexual Distress Scale (FSDS)...
September 9, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28885410/distressing-sexual-function-at-midlife-unmet-needs-practical-diagnoses-and-available-treatments
#13
James A Simon, Vanessa A Lukas
Female sexual dysfunction (FSD) is characterized as chronic sexual symptoms that manifest with personal distress in the domains of desire, arousal, orgasm, and pain. Extensive epidemiologic evidence estimates that almost 50% of perimenopausal and postmenopausal women experience FSD. Screening for FSD is not readily conducted and patient-physician discussion of sexuality is limited by the lack of physician training on the topic and by the patient-held belief that sexual issues are not medical in nature. The purpose of this commentary is to provide clinicians with a framework to approach the discussion of FSD, to clinically identify FSD through patient symptoms and physical signs, and to manage FSD in perimenopausal and postmenopausal patients with the available U...
October 2017: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28859872/different-characteristics-of-the-female-sexual-function-index-in-a-sample-of-sexually-active-and-inactive-women
#14
Krisztina Hevesi, Veronika Mészáros, Zsuzsanna Kövi, Gabriella Márki, Marianna Szabó
BACKGROUND: The Female Sexual Function Index (FSFI) is a widely used measurement tool to assess female sexual function along the six dimensions of desire, arousal, lubrication, orgasm, satisfaction, and pain. However, the structure of the questionnaire is not clear, and several studies have found high correlations among the dimensions, indicating that a common underlying "sexual function" factor might be present. AIM: To investigate whether female sexual function is best understood as a multidimensional construct or, alternatively, whether a common underlying factor explains most of the variance in FSFI scores, and to investigate the possible effect of the common practice of including sexually inactive women in studies using the FSFI...
September 2017: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/28846767/effects-of-oral-vs-transdermal-estrogen-therapy-on-sexual-function-in-early-postmenopause-ancillary-study-of-the-kronos-early-estrogen-prevention-study-keeps
#15
MULTICENTER STUDY
Hugh S Taylor, Aya Tal, Lubna Pal, Fangyong Li, Dennis M Black, Eliot A Brinton, Matthew J Budoff, Marcelle I Cedars, Wei Du, Howard N Hodis, Rogerio A Lobo, JoAnn E Manson, George R Merriam, Virginia M Miller, Frederick Naftolin, Genevieve Neal-Perry, Nanette F Santoro, Sherman M Harman
Importance: Sexual dysfunction, an important determinant of women's health and quality of life, is commonly associated with declining estrogen levels around the menopausal transition. Objective: To determine the effects of oral or transdermal estrogen therapy vs placebo on sexual function in postmenopausal women. Design, Setting, and Participants: Ancillary study of the Kronos Early Estrogen Prevention Study (KEEPS), a 4-year prospective, randomized, double-blinded, placebo-controlled trial of menopausal hormone therapy in healthy, recently menopausal women...
October 1, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28843867/prevalence-of-sexual-dysfunction-in-infertile-versus-fertile-couples
#16
Amir A Gabr, Eman F Omran, Ahmed A Abdallah, Mohamed M Kotb, Eman Z Farid, Amira S Dieb, Doaa S Belal
OBJECTIVES: The primary aim of this study was to test the hypothesis that sexual dysfunction is higher in infertile females in relation to normal healthy women through comparing total and sexual domains scores in both groups. The secondary objectives were: to determine factors affecting occurrence of female sexual dysfunction (FSD) in all sample and to determine factors affecting the different sexual domain scores within the infertile group. STUDY DESIGN: This cross sectional study was done at Cairo University Hospital...
October 2017: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/28830740/how-do-psychological-risk-factors-predict-sexual-outcomes-a%C3%A2-comparison-of-four-models-of-young-women-s-sexual-outcomes
#17
Jessica S Tutino, Allison J Ouimet, Krystelle Shaughnessy
BACKGROUND: Recent research findings suggest that women who report high anxiety sensitivity (AS; the fear of physiologic sensations associated with anxiety) also report increased sexual dysfunction and decreased sexual satisfaction. Moreover, findings suggest that maladaptive emotion regulation (ER) can contribute to the relation between AS and psychological distress, thereby indirectly influencing sexual outcomes. Identifying relations among these variables and how they specifically relate to sexual outcomes could be vital for diagnostic and therapeutic purposes...
October 2017: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/28827036/urinary-incontinence-and-associated-female-sexual-dysfunction
#18
REVIEW
Erin R Duralde, Tami S Rowen
INTRODUCTION: Urinary incontinence (UI) and sexual dysfunction are common conditions often undiagnosed and untreated in women and are associated with decreased quality of life. AIM: To evaluate the relation between UI and female sexual dysfunction (FSD), considering incontinence type and the psychosocial and physiologic aspects of sexual function. METHODS: PubMed search of terms related to UI and FSD from 1979 to 2016 generated 603 published references, of which 26 were included...
August 18, 2017: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/28736964/exceptionalism-is-not-exceptional-in-relation-to-sexual-and-reproduction-mechanisms-contrasts-of-human-and-animal-sexuality
#19
REVIEW
Roy J Levin
Speculation that the release of oxytocin by orgasm in the human female during coitus facilitates fertility by enhancing uterine sperm transport has been criticized as having no unequivocal empirical human evidence. However, a counter claim that this supports human "exceptionalism" as some form of uterine sperm transport occurs in other species. This is a misconception as it ignores that human uterine peristalsis, powered by contractions of the smooth muscle of the archimyometrium, facilitates sperm transport even without any systemic oxytocin involvement...
July 24, 2017: Clinical Anatomy
https://www.readbyqxmd.com/read/28700039/sexual-dysfunction-in-females-with-depression-a-cross-sectional-study
#20
Krishnankutty Sreelakshmy, Rajmohan Velayudhan, Deepak Kuriakose, Rema Nair
Introduction: Female sexual dysfunction (FSD) in depression albeit common is strikingly understudied. The condition, if addressed properly, can be readily cured, improving the quality of life of the patient. Methods: A consecutive sample of drug-naïve married female patients with depression was assessed. Depression was diagnosed using the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I). Depression severity was assessed using the Hamilton Depression Rating Scale (HAM-D), and sexual dysfunction, the Female Sexual Function Index (FSFI)...
April 2017: Trends in Psychiatry and Psychotherapy
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