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.
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.
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.
Shanghai's nightlife, from the mid-nineteenth century until the victory of the Communist Party in 1949, was dominated by the world of prostitution. Henriot portrays the Chinese sex trade, from the sophisticated life of the courtesan to the common life of street prostitution. He examines the extent to which these worlds were integral to Chinese social life, commercial trends, and Chinese mores and sexuality. Henriot draws a picture of a sector that was sensitive to economic and social change, and thus a good reflection of Shanghai's changing social structure, societal attitudes, and commercial development. This is the most comprehensive treatment available of a social phenomenon that has been much discussed in studies of Chinese culture, but largely neglected as a subject of serious historical concern. At the crossroads of social and intellectual history, this study gets beyond the curtain of exoticism for a realistic look at a vibrant sector of Shanghai's economic and cultural life.
All the characteristics and driving force of The Cleveland Clinic are to be found in this book on pelvic ?oor function. The Cleveland Clinic is a group practice founded in 1921 on the principles of cooperation, collaboration, and collegiality.Its founders believed that many physicians working together will discover better solutions to medical problems than physicians working in isolation. They believed that the combination of disciplines, with their inherent differences in philosophy and skills, will produce a better outcome than might have evolved singularly. The power of the collaborative approach is on full display in this book. The pelvic ?oor unites three separate organ systems. Before this time, each has been approached individually. Urologists, gynecologists, and colorectal surgeons are each trained in their own disciplines, and the pelvic ?oor is subsumed in these larger ?elds of study. When they combine their focus on the pelvic ?oor, they bring their unique perspectives and different approaches to a common goal: the relief of pelvic ?oor syndromes such as incontinence and pelvic organ prolaps
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