Management of Sexual Dysfunction in Men and Women

Larry I. Lipshultz, MD, PhD Professor of Urology Lester and Sue Smith Chair in Reproductive Medicine Chief, Division of Male Reproductive Medicine and Surgery Scott Department of Urology  Baylor College of Medicine Houston, TX Alexander W. Pastuszak, MD, PhD Center for Reproductive Medicine Scott Department of Urology Baylor College of Medicine Houston, TX Annamaria Giraldi, MD, PhD Clinical Professor of Psychiatry and Clinical Sexology Sexological Clinic, Psychiatric Center Copenhagen Rigshospitalet, Copenhagen University Hospital Institute of Clinical Medicine, University of Copenhagen Copenhagen, DenmarkAndrew T. Goldstein, MD, FACOG, IF Director, the Centers for Vulvovaginal Disorders Washington DC, New York NY, Annapolis, MD Associate Clinical Professor, Department of Obstetrics and Gynecology The George Washington University School of Medicine Washington, DC Michael A. Perelman, MD Clinical Professor of Psychiatry, Reproductive Medicine and Urology Weill Medical College, Cornell University Co-Director, Human Sexuality Program, The New York Presbyterian Hospital  New York, N.Y

Introduction:  Advocating for Transdisciplinary Treatment of Sexual Dysfunction.- Employing a Biopsychosocial Behavioral and Cultural Approach.- Why is Sex Important?.- The Impact of the Environment on Sexual Health.- Multicultural Sensitivity in the Treatment of Sexual Dysfunction.- Anatomy and Physiology of Erection, Ejaculation, and Orgasm.- Urologic and Clinical Evaluation of the Male with Erectile Dysfunction.- Urologic/Clinical Treatment of Erectile Dysfunction.- The Impact of Lifestyle Modification on Erectile Dysfunction.- Erectile Dysfunction in the Setting of Prostate Cancer.- Peyronie’s Disease and Other Anatomical Disorders.- The Future of Erectile Dysfunction Therapy I – Implementation of Translational Research.- The Future of Erectile Dysfunction Therapy II – Novel Pharmacotherapy and Innovative Technology.- Underlying Principles in Ejaculatory and Orgasmic Function and Dysfunction in the Male.- Clinical evaluation and treatment of disorders of ejaculation.- Evaluation and Treatment of Orgasmic Dysfunction.- Hypoactive Sexual Desire in Men.- Pelvic Floor Physical Therapy in the Treatment of Sexual Dysfunctions.- The Female Sexual Response: Anatomy and Physiology of Sexual Desire, Arousal, and Orgasm in Women.- Diagnosis of Female Sexual Dysfunction.- The Epidemiology and Diagnosis of Hypoactive Sexual Desire Disorder.  Causes of HSDD:  Situational, depression, drugs, chronic illnesses, and hormonal depletion.- Management of Hypoactive Sexual Desire Disorder (HSDD).- Diagnosis and Management of Female Sexual Arousal Disorder.- Diagnosis and Management of Female Orgasmic Disorder.- Vaginismus: When Genito-Pelvic Pain /Penetration Disorder Makes Intercourse Seem Impossible.- Diagnosis and Management of Sexual Pain Disorder: Dyspareunia.- New Concepts in the Understanding of Female Sexual Dysfunction.- Female Sexual Dysfunction and Cancer.- Female Sexual Dysfunction and Premature Menopause with focus on women’s wording.- Female SexualDysfunction and Infertility.- Female Sexual Dysfunction: Impact of the Life Cycle (Pregnancy, Children and Aging).- It Takes Two to Tango: Evaluation and Treatment of Sexual Dysfunction in the Couple.- Infertility and Sexual Dysfunction (SD) in the Couple.- Couples Therapy and Counseling.- The Intersection of Sexually Transmitted Infection and Sexual Disorders in the Couple.- Epilogue: Cautiously Optimistic For The Future of A Transdisciplinary Sexual Medicine.