For the generation that reached sexual maturity in the 1960s, the "pill" became synonymous with sexual freedom and started a sexual revolution. For women it meant freedom from the fear of pregnancy, and for men enhanced sexual opportunity. The new era of the pill has nothing to do with fertility, but everything to do with sex. The first orally effective prescr- tion drug for treating erectile dysfunction (ED) was marketed in 1998. (R) Sildenafil (Viagra ) has rejuvenated the aging male veterans of the sexual revolution, forever changed the science of sexual medicine, and tra- formed society's perspective on aging and sex. This class of drugs, known as oral phosphodiesterase inhibitors (PDE-type 5), is highly effective in the treatment of ED. Since its introduction there has been a much greater awa- ness of ED, its comorbidities, and its effects on the quality of life. In 1997, while preparing to address the Endocrine Society on the occasion of the 92nd American Urological Association meeting, I first looked at the p- clinical studies of sildenafil. I thought "this will change everything" and it clearly has-changing practice patterns in sexual medicine, and the at- tudes of patients, potential patients, and their partners. Two new PDE-type (R) (R) 5 inhibitors, tadalafil (Cialis ) and vardenafil (Levitra ), were first approved by the European Committee for Proprietary Medicinal Products and subsequently by the Food and Drug Administration in 2003 and 2004.
Sexual dysfunction affects men of all ages and incidence rates are expected to double by 2025 resulting in a major health burden. Though normal sexual function is an important aspect of health and well-being, sadly, this common condition still carries an associated stigma. As a result, affected men are often reluctant to approach their doctor and, instead, may live for many years with sexual dysfunction, often to the detriment of their personal lives. Male Sexual Dysfunction: A Clinical Guide covers all the common problems encountered by the clinician in this rapidly expanding and developing field. With full color throughout, this easy to read guide provides a comprehensive and systematic approach to patient management. Packed with key features, every chapter will contain flow diagrams and algorithms, key points, clinical pearls, what to avoid boxes, and numerous tables, graphs and photographs . This book provides: * Comprehensive focus on the core clinical areas of physiology/pharmacology, investigation, diagnosis, management and surgical options * Coverage of all treatment pathways, including psychological, pharmacologic and surgical * A straightforward, logical approach to clinical management * An experienced and international editor and contributor team Expertly-written, this book is the perfect resource for urologists and general practitioners with an interest in this highly topical area, as well as those about to undergo their urology trainee examinations.
This book explores the full consequences of the dissociation between sexual behaviors and reproduction. Among the themes covered is the difference between the stereotyped sexual behaviors in non-human mammals and the astounding variety of human sexual behaviors. The role of learning in shaping sexual behaviors is explained, and it is shown how particular sexual experiences may be at the origin of common human sexual dysfunctions. Chapters on sexual incentives and a summary of the endocrine and central nervous control of sexual behaviors are included.
Treating Children with Sexually Abusive Behavior Problems: Guidelines for Child and Parent Intervention is a unique, pioneering venture in the area of sexual abuse. Unlike most books on sexual abuse, which focus on children as victims, this integrated treatment approach suggests ways to develop parallel treatment strategies for both parents and children who display harmful sexual behavior.In many ways a first in its field, Treating Children with Sexually Abusvie Behavior Problems gives you the tools to orchestrate your own treatment and intervention techniques, specifically for those children under age 12 who display sexually harmful or unlawful behavior. You'll find in this useful volume a one-of-a-kind approach to linking together individual, group, and family treatment into one integrated, comprehensive program that treats both perpetrator and victim in tandem. Effective applied techniques are presented to teach:
Erectile dysfunction can affect all age groups. Numerous physical and emotional risk factors may contribute to the problem. These risk factors can range from chronic diseases and medications to psychological factors. In the U.S. alone, it has been estimated that 18 to 30 million men suffer from erectile dysfunction. This number has increased significantly as awareness of the disorder has heightened. Researchers and health care professionals now have a better understanding of what causes erectile dysfunction and the effective medications and non-medication treatments used to treat the condition. Comprehensive and state-of-the-art, Contemporary Treatment of Erectile Dysfunction: A Clinical Guide synthesizes the literature and covers all aspects of treating erectile dysfunction and other related male sexual dysfunctions. This invaluable title offers all physicians, residents, and fellows -- and even medical students and other health professionals such as nurse practitioners and physician assistants -- an essential reference for enhancing diagnosis and treatment of this debilitating disorder.
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