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Women's Sexual Health and Lifestyle Medicine
Published in Michelle Tollefson, Nancy Eriksen, Neha Pathak, Improving Women's Health Across the Lifespan, 2021
Megan Alexander, Shannon Worthman, Rashmi Kudesia, Michelle Tollefson
Taken together, these mechanisms suggest that all women, and perhaps especially those with chronic cardiometabolic and psychological conditions,10–17,19 may experience improved sexual health through positive lifestyle behavior modifications. Although an in-depth discussion of sexual dysfunction is beyond the scope of this chapter, the following sections will focus on an evidence-based lifestyle approach to sexual health, detailing relevant benefits from Lifestyle Medicine interventions.
The Opioid Epidemic
Published in Sahar Swidan, Matthew Bennett, Advanced Therapeutics in Pain Medicine, 2020
It is not surprising that the osteoporotic compression fracture rate is 1.5–6 times higher with opioid use.46 This further complicates the questions regarding the correlation between epidural steroid injections and osteoporotic compression fractures.47 Sexual dysfunction is noted in multiple studies.39 Decreased sexual behavior may be due to the direct action of opioids on µ and δ receptors in the hypothalamus.38
Gender and Sexuality
Published in Mohamed Ahmed Abd El-Hay, Understanding Psychology for Medicine and Nursing, 2019
Sexual dysfunctions are a heterogeneous group of disorders that are typically characterized by a clinically significant disturbance in a person’s ability to respond sexually or to experience sexual pleasure. An individual may have several sexual dysfunctions at the same time. In such cases, all of the dysfunctions should be diagnosed.
Repetitive Negative Thinking and Sexual Functioning in Portuguese Men and Women: A Cross-Sectional Study
Published in International Journal of Sexual Health, 2022
Maria Manuela Peixoto, Vera Ribeiro
Despite the relevance of the current data, this study had some limitations that should be considered. Although the sample size met the requirements of power analysis, the male sample was underrepresented compared to females. In addition, regarding sexual difficulties, only subclinical difficulties were assessed using self-report cutoff scores. Future studies should include clinical samples of men and women with a diagnosis of sexual dysfunction. In addition, only information on current psychotherapy and pharmacotherapy status was assessed and its effect controlled, but no mood or anxiety disorders were assessed. Also, the present study is a cross-sectional study, so no cause-and-effect conclusions can be drawn because cross-sectional studies demonstrate the relationship between variables and not causality. Further research is needed to better understand the role of transdiagnostic processes such as RNT in clinical and community samples.
Sexual dysfunction with major depressive disorder and antidepressant treatments: impact, assessment, and management
Published in Expert Opinion on Drug Safety, 2022
Joan Winter, Kimberly Curtis, Bo Hu, Anita H. Clayton
Some studies have demonstrated that psychotherapy may help with sexual dysfunction. Most of the therapy modalities evaluated have been cognitive behavioral therapy (CBT) or mindfulness-based therapy. A study investigating the effects of mindfulness on sexual function in women with low sexual desire and arousal utilized four 90-minute group sessions that included mindfulness training, psychotherapy and education. Women were put in 2 groups, those that began therapy immediately or after a 3-month waiting period. Compared to the delayed treatment group, the immediate treatment group showed significantly improved sexual desire, sexual arousal, lubrication, sexual satisfaction, and overall sexual functioning[162]. Limitations of the study include lack of a true control group (used a wait-list control), in addition to not using a validated assessment tool for sexual function. A single session of autogenic training (a form of mindfulness) was found to increase subjective female genital arousal and genital sensation in a small study[163]. Cognitive behavioral therapy has also been studied for anorgasmia in women, however similar to the mindfulness therapy study, these studies do not have adequate control groups[164]. Further systematic, controlled research is warranted, using validated questionnaires.
How Inclusion of Other in the Self Relates to Couple’s Sexuality and Functioning – Results from the German Health and Sexuality Survey (GeSiD)
Published in The Journal of Sex Research, 2022
Laura Pietras, Christian Wiessner, Peer Briken
Previous findings on the association of IOS and sexual functioning have to date been limited to women. Therefore, we planned to extend what is known about women with impaired sexual function in two ways: Firstly, by exploring specific sexual problems as proposed by ICD-11 guidelines (Briken et al., 2020; Reed et al., 2016) and secondly, by expanding research to additionally include male sexual problems and dysfunction. In clinical practice, the strain a sexual problem causes for the patient is one of the main diagnostic tools to determine whether a sexual problem should be characterized as a sexual dysfunction or not (Briken et al., 2020). This strain has been conceptualized as sexual distress i.e., personal distress experienced due to a specific sexual problem (Hendrickx et al., 2016). To clarify, the present article therefore refers to sexual problems as a sexual impairment or difficulty but regardless of whether or not this problem is considered distressing. However, the term sexual dysfunction refers to sexual problems that are indeed experienced as distressing or very distressing. Therefore, to further explore the possible compensatory role of IOS we hypothesized that how strongly someone is sexually distressed i.e., personally distressed by experiencing a specific sexual problem would be negatively related to the IOS they experience with their partner. H3: IOS will be negatively related to sexual distress due to experiencing sexual problems.