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The Clinical Evaluation of Common Sexual Concerns

Published online by Cambridge University Press:  07 November 2014

John G. Halvorsen
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Abstract

Whose job is it to discover and manage patients' sexual concerns? If you believe that you have a role to play, just what is that role and how will you perform it? Sexual disorders are common, yet infrequently diagnosed. A willingness to inquire about sexual function is the most critical diagnostic step for clinicians. Once a problem is discovered, a systematic diagnostic process can uncover etiologic organic and psychogenic factors using customary diagnostic tools, including taking a psychosexual and medical history, comprehensive and focused physical examinations, psychological assessment instruments, laboratory tests, and special procedures.

Type
Review
Information
CNS Spectrums , Volume 8 , Issue 3: Sexual Dysfunction and Function , March 2003 , pp. 217 - 224
Copyright
Copyright © Cambridge University Press 2003

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References

REFERENCES

1.Frank, E, Anderson, C, Rubinstein, D. Frequency of sexual dysfunction in “normal” couples. N Eng J Med. 1978;299:111–115.CrossRefGoogle ScholarPubMed
2.Rosen, RC, Taylor, JF, Leiblum, SR, Bachman, GA. Prevalence of sexual dysfunction in women: results of a survey of 329 women in an outpatient gynecology clinic. J Sex Marital Ther. 1993;19:171–188.CrossRefGoogle Scholar
3.Spector, IP, Carey, MP. Incidence and prevalence of sexual dysfunctions: a critical review of the empirical literature. Arch Sex Behav. 1990;19:389–408.CrossRefGoogle ScholarPubMed
4.Laumann, EO, Paik, A, Rosen, RC. Sexual dysfunction in the United States: prevalence and predictors. JAMA. 1999;281:537–544.CrossRefGoogle ScholarPubMed
5.Report of the International Consensus Development Conference on Female Dysfunction: Defintions and Classifications. J Urol. 2000;163:888–893.CrossRefGoogle Scholar
6.Heiman, JR, Meston, CM. Evaluating sexual dysfunction in women. Clin Obstet Gynecol. 1997;40:616–629.CrossRefGoogle ScholarPubMed
7.American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Washington, DC: American Psychiatric Association; 1994.Google Scholar
8.Rosen, RC, Riley, A, Wagner, G, Osterloh, IH, Kirkpatrick, J, Mishra, A. The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunction. Urology. 1997;49:822–830.CrossRefGoogle ScholarPubMed
9.Rosen, R, Brown, C, Heiman, J, et al.The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther 2000;26:191–208.CrossRefGoogle ScholarPubMed
10.Halvorsen, JG. Sexual dysfunction: classification, incidence and prevalence, aetiology and initial patient evaluation. Bailliere's Clinical Psychiatry. 1997;3:43–62.Google Scholar
11.Feldman, HA, Goldstein, I, Hatzichristou, DG, Krane, RJ, McKinlay, JB. Impotence and its medial and psychosocial correlates: results of the Massachusetts Male Aging Study. J Urol. 1994;151:54–61.CrossRefGoogle Scholar
12.Hite, S. The Hite Report: A Nationwide Study of Female Sexuality. New York, NY: Dell; 1976.Google Scholar
13.Halvorsen, JG, Metz, ME. Sexual dysfunction, Part I: Classification, etiology and pathogenesis. J Am Board Fam Pract. 1992;5:51–61.Google ScholarPubMed
14.Sommer, F, Casper, HP, Esders, K, Klotz, T, Engelmann, U. Measurement of vaginal and minor labial oxygen tension for the evaluation of female sexual function. J Urol. 2001;165:1181–1184.CrossRefGoogle ScholarPubMed
15.Werbin, T, Salimpour, P, Berman, L, Krane, RJ. Effect of sexual stimulation and age on genital blood flow in women with sexual arousal disorder. J Urol. 1999;161(suppl 4):168.Google Scholar
16.Goldstein, I, Berman, JR. Vasculogenic female sexual dysfunction: vaginal engorgement and clitoral erectile insufficiency syndromes. Int J Impot Res. 1998;10(suppl 2):S84–S90.Google ScholarPubMed
17.Barber, HR. Sexuality and the art of arousal in the geriatric woman. Clin Obstet Gynecol. 1996;39:970–973.CrossRefGoogle ScholarPubMed
18.Lue, TF. Erectile dysfunction. N Eng J Med. 2000;342:1802–1813.CrossRefGoogle ScholarPubMed
19.Metz, ME, Pryor, JL, Nesvacil, LJ, Abuzzahab, F Sr, Kiznar, J. Premature ejaculation: a psychophysiological review. J Sex Marital Ther. 1997;23:3–23.CrossRefGoogle ScholarPubMed