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Organic lesions in the vessels, localized mainly within arteries, are responsible for more than half of cases of erectile dysfunction. Balloon angioplasty of the arteries supplying blood to the penis, mainly internal pudendal artery has become one of methods used in the treatment of ED. This therapeutic method may be particularly useful in patients, who do not respond properly to conservative treatment with the use of phosphodiesterase inhibitors. The angiography remains the standard in evaluation of patients considered for angioplasty. Doppler ultrasound (with the intracavernosal injection of prostaglandin E1) and angio-CT are also used. Angioplasty of pudendal artery is similar in process, preparation, and contraindications to other endovascular procedures performed on peripheral arteries. The patient can return to normal activities within 24 hours after the procedure. Percutaneous angioplasty of arteries proved to be effective in restoring sexual function in 57% and even up to 100% of patients depending on the location. Ongoing ZEN study (Zotarolimus-Eluting Stent System for the Treatment of Erectile Dysfunction In Males with Sub-Optimal Response to PDE5 Inhibitors) has been launched to assess the effectiveness of drug-eluting stents in the treatment of erectile dysfunction in men with unsatisfactory response to phosphodiesterase inhibitors. Clinical trial results will be published later this year.
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The aim of this study was to check whether there is a significant difference in the quality of sexual life among people after stroke and without an episode of stroke – comparing the average sum of the profile, and comparing the various features of the profile. Analysis of sexual dysfunction was carried out using a Mell-Krat scale. Sexual disorders are closely associated with the disorder in some chronic diseases, which are also major risk factors for stroke. Our research shows that there is a significant difference in the quality of sexual life of healthy people and people after stroke.
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Hypoactive sexual desire disorder – HSDD – is the most common type of female sexual dysfunction – FSD. It occurs among women of all ages. Women are reluctant to discuss sexual difficulties with their physicians so HSDD is often underdiagnosed. The investigations suggest that direct questioning by doctors is often critical to diagnose hypoactive sexual desire disorder. Another obstacle to the identification of HSDD is the considerable overlap in symptoms of various types of female sexual dysfunction (FSD). Current methods of treatment of HSDD are limited. The new investigations suggest that effective treatment of HSDD is possible.
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Pregnancy is an unforgettable period of every woman’s life. However one should not forget it is also a period of numerous changes taking place both in her body and in her environment. A woman has to face many responsibilities and reevaluate her life. She begins to think not only about herself and the partner, but also (and sometimes first of all) about the child developing in her womb. The changes include also her sexuality, which is affected by many factors, e.g. the physiology of pregnancy, self-perception of attractiveness, sexual life before pregnancy, relationship quality, culture. In this study we wanted to examine the correlation between the need and frequency of sexual contacts of pregnant women and their chosen personality traits. The study involved 60 women aged 19-40 years. The study used a test of the NEO-FFI, STAI and Mell-scale Gratings. As it turned out negative correlation between the need of sexual contacts exists at pregnant women and with level of fear as the feature. They also made a note essential statistically positive link between the need of sexual contacts at pregnant women and with level of the extroversion.
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Introduction – Cybersex may be defined as exchanging sexually explicit materials obtained in the Internet or as digital data in order to achieve sexual arousal. It is a kind of activity which may particularly strongly influence forming of identity, love, as well as field in which laws of natural selection might be applicable. Aim – The aim of this report is to describe cybersex in terms of social psychology. Material and methods – Databases MEDLINE, PsychINFO and PsychARTICLES were searched using the term „cybersex”. Results – Research by social psychologists proves that during internet communication the actual self is expressed more easily which contributes to the fact that initiating authentic relationship via Internet is facilitated. Easier expression of own sexual needs is particularly important for social groups in which communicating such longings is severely repressed as in cases of women and homosexuals. Reports also support hypotheses concerning cybersex based on the ground of evolutionary perspective. Typology of erotic relationships via Internet strikingly resembles such classifications designed for real life by social psychologists. Conclusions – Social psychology emphasizes developmental aspects of communication via the Internet including demarginalization of sexual self and even initiation of deep and authentic relationships based on common values which are later transferred into real life. Empirical data support that for women relational aspect of cybersex is more important than for men which also corresponds with evolutionary theories.
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Objective – The main purpose of the study was to investigate whether the timing of sexual initiation and the pattern of sexual activities had changed over time among young Polish women. Materials and Methods – Two hundred women, born between 1975 and 1995 in Wielkopolska region were administered the sexual screening questionnaire. It was the self-reported inquiry about the age for sexual début, contraceptive use at first, preferred forms of sexual activity and contraceptive use. Statistical evaluation was based on the chi-square test and ANCOVA models. Results – The findings revealed that the average age for sexual debut lowered significantly across subsequent cohorts of young women (F=9.11, p<0.001) and ranged from 19.11 (for women born in 1975) to 16.35 years of age (for women born in 1995) regardless of level of urbanization. The percentage of young women who had their first intercourse by the age of 15 years was 0 % in the cohort of women born in 1975 and 8.2% in the 1995 cohort. Other characteristics of sexual activity remained similar across studied cohorts of women. Condom use during the first sexual intercourse was the preferred form of contraception (59.2%) and 65% women have reported the use of contraception currently. As to the type of intercourse, all women (100%) reported the vaginal type as the most preferable. The most frequent number of sexual intercourses per month was 7 and more (41.7%). Conclusion – The age at starting the sexual activity has lowered significantly across two consecutive decades in Polish women. Early debut of sexual activity is believed to bring serious consequences, including unintended pregnancy, emotional stress and sexually transmitted diseases. The right age to start having sex remains the topical issue in public health.
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STD are both medical and social problem. Women are more often than men infected by STD. Non diagnosed and non cured STD can cause serious medical complications. Lack of prophylactic examinations and education about STD caused bad situation in this area. Aim of this study was evaluation of knowledge about STD students of Lublin’s universities. 150 students were examined. Based on examinations authors found that there is need for education about STD among students who are studying on non medical universities (especially men at age 21–23 years). They should be especially informed about such STD as chlamydia and trichomonas vaginalis. Medical staff should be the main source of knowledge about STD.
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Initially, traditional methods (aphrodisiacs i.e), behavioral methods, vacuum pumps, intracavernosal injections were applied in the treatment of erectile dysfunction (ED). Since 1998, PDE-5 inhibitors appeared to be the most efficient and safe treatment, that fulfills patients expectations. The cause of ED is a combination of bio-psycho-social factors. In many men, the appearance of ED is on early marker of different disease, i.e. cardiovascular, metabolic or depression. The first choice treatment in ED are PDE-5 inhibitors, that not only cure the disease but improve also the quality of life and relationship perceived by patients.
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Sexuality of people suffering from schizophrenia is an issue which generates little interest among professionals during diagnostics and treatment. This innate function of each human body, influenced by a complex of internal and external factors is one of vital elements determining a sense of health and quality of life according to WHO definition. Being an inherent aspect in everybody’s life sexuality affects their experiences including psychotic ones of people with schizophrenia. Schizophrenia typically strikes young people of reproductive age and the illness’s positive and negative symptoms make it difficult to build interpersonal relationships including sexual ones and contribute to sexual disorders. A negative social stereotype of a person with psychiatric disorder leads to stigmatization and discrimination and reduces their opportunities to build relationships and make sexual contacts. Additionally according to the rules while staying in hospital or other care institutions sexual activity is forbidden. Sexual disorders in patients with schizophrenia are also caused by pharmacotherapy and are one of essential factors responsible for non-compliance and treatment discontinuation. This article is based on literature identified through search of MEDLINE. So far few articles concerning the discussed issue have been published, however in recent years there has been a growing interest in this topic. Paying more attention to this aspect of life in people treated and rehabilitated by professionals would make it possible to understand patients better and help them to perform their social roles in a more effective way
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Sexual dysfunction is an important, but unfortunately underestimated problem in patients with multiple sclerosis. Creeping disability and sexual dysfunctions in multiple sclerosis are caused by demyelination lesions all over the white matter of central nervous system and psychological symptoms related to this chronic, recently still untreatable disease. The purpose of this article was to describe sexual dysfunctions in people with multiple sclerosis.
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The first research paper that suggested that sexual behavior during sleep may be a new type of parasomnia was published in 1996 by three researchers from the University of Toronto and the University of Ottawa. The reality of sexsomnia has been confirmed by sleep disorder researchers who have made PSG and video recordings of patients. The objective of this work was a review of the literature on sleep related disorders and abnormal sexual behaviors and experiences. The first classification of sleep related disorders and abnormal sexual behaviors was quoted. Several clinical cases of these disorders were mentioned. Clinicians across various specialties should be informed about the clinical and medical-legal aspects of sleep and sex and consider questioning their patients about any sleep and sex problems associated with their neurologic or medial disorders. Sexsomnia is not always problematic for those who experienced it or for their partners. There is a great variety in both frequency and levels to which people are affected by this disorder.
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The paper presents findings of a study on 487 men with diagnosed erectile dysfunction (ED), treated with Tadalafil 20 mg. The aim of this research was to evaluate side effects and their severity in a 4-point scale, as well as the impact on the treatment of ED. Severe side effects preventing from sexual activity were found in 3% of patients. Moderate side effects were found in 5,9% and mild in 22,9%, respectively.
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A particular form of obsessive-compulsive disorder manifested by homosexual obsessions has been focused on. Described are differential diagnosis as well as treatment methods. An emphasis has been put on diagnosing the syndrome for the sake of treatment options. A case of a patient suffering from the disorder and successfully treated with joined pharmaco- and psychotherapy has been presented.
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The article presents findings of a research by J.Taylor et al. evaluating PDE5 inhibitors (PDE5-I) side effects persistence time in men treated for erectile dysfunction (ED). The study shows that there is no relevant difference in efficacy between particular PDE5-I. The persistence of side effects was significantly longer in patients treated with Tadalafil and similar in Sildenafil and Vardenafil groups (apart from dyspepsia). Side effects lasting for longer than 12 hours were found in 3% of men treated with Sildenafil, 19% with Vardenafil and 30% with Tadalafil, respectively
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State of the art of human sexuality and sexual health have priority sense in the education process performed among population of intellectual disabled people. This group is especially sensitive to abnormal sexual behaviors by units who have sexual deviation. In addition these people can be socially marked or isolated because they do not have knowledge of their own sexuality. Among the reasonable intellectual disabled adult people it is observed extremely low sexual consciousness of their own body. Males and females with a medium intellectual disability possess less information about the structure of a human body and differences related to a particular sex. Moreover, they do not know sex organ terms. Adult females usually understand the man intentions improperly. It causes increase of the sexual abuse by the others and the appearance of unexpected pregnancy. Both male and female are characterized by ignorance about consequence of sexual activity and contraceptives. That is why these people should be acquainted with sexual behaviors and it should be part of the educational process.
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Both pregnancy, childbirth and breast – feeding undoubtedly influence women’s sexual behaviours. Changes in psyche, hormonal system, appearance and style of living are accompanied by changes of sexuality and self – attractiveness. Influence of these factors on a quality of the sexual life can be very varying dependent on woman character, personality and culture. Pregnancy is often linked to a low coital activity and sexual problems developed. The most frequent sexual dysfunctions are: a lower sexual desire, orgasm dysfunctions, reduction of sexual needs and intercourse frequency, dyspareunia. Their intensity varies in separate pregnancy trimesters. Changes during postpartum period and breast – feeding also influence women’s sexuality. The most important factors modifying women’s sexual behavior include: method of delivery, change of lifestyle related to breast – feeding and care of child, postpartum complaints, relations between partners, fear of another pregnancy and post-natal depression. Postpartum care mainly concentrates on the newborn not on the mother. It is important to attend to women with care and to discuss the issue of sexual health during pregnancy and after childbirth. Many questions are directed to family doctor especially during child-rearing, after puerperium, when women have not had a obstetric appointment yet. Sexual dysfunctions require education delivered by Health Professionals and frequently to refer a patient to a specialist consultations – sexuological and psychological. The paper is a review of literature concerning influence of pregnancy, childbirth and breast – feeding on women’s sexual life.
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Nowadays women’s sexuality is described in context of sexual dysfunction (e.g. HSDD, vaginismus) and influence of general medical disorders on women’s quality of life. This article is dedicated to results of the latest investigations and describes new trends in world’s sexuology
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Premature ejaculation (PE) is one of the most frequent male sexual dysfunctions that is recently intensively investigated in the field of sexual medicine. It results from the appearance of novel, promising medications and the need to create standards that facilitate conducting clinical trials and efficacy evaluation of particular therapeutical approaches. The article briefly presents an update on neurophysiology and therapy of PE. It also describes new diagnostic criteria promoted by the expert panel of the International Society for Sexual Medicine.
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