- Sexual function and dysfunction studies
- Sexuality, Behavior, and Technology
- Hormonal and reproductive studies
- Menopause: Health Impacts and Treatments
- Marriage and Sexual Relationships
- Sexual Differentiation and Disorders
- Pelvic floor disorders treatments
- Menstrual Health and Disorders
- Urinary Bladder and Prostate Research
- Adolescent Sexual and Reproductive Health
- Eating Disorders and Behaviors
- Endometriosis Research and Treatment
- Reproductive Health and Contraception
- LGBTQ Health, Identity, and Policy
- Estrogen and related hormone effects
- Evolutionary Psychology and Human Behavior
- Attachment and Relationship Dynamics
- Pharmacology and Obesity Treatment
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Maternal Mental Health During Pregnancy and Postpartum
- Sex and Gender in Healthcare
- Parkinson's Disease Mechanisms and Treatments
- HIV/AIDS Research and Interventions
- Psychosomatic Disorders and Their Treatments
- Workaholism, burnout, and well-being
University of Derby
2025
University of British Columbia
2013-2024
Vancouver General Hospital
2004-2018
University of British Columbia Hospital
2003-2018
Bolton NHS Foundation Trust
2016
Vancouver Hospital and Health Sciences Centre
1998-2010
University of Washington
2004
Pfizer (Japan)
2003
University of Canterbury
2003
Hertfordshire Community NHS Trust
2003
Female sexual dysfunction is highly prevalent but not well defined or understood. We evaluated and revised existing definitions classifications of female dysfunction.An interdisciplinary consensus conference panel consisting 19 experts in selected from 5 countries was convened by the Sexual Function Health Council American Foundation for Urologic Disease. A modified Delphi method used to develop classifications, build on framework International Classification Diseases-10 DSM-IV: Diagnostic...
To update practice guidelines for the therapeutic use of androgens in women. A Task Force appointed by Endocrine Society, American Congress Obestricians and Gynecologists (ACOG), Society Reproductive Medicine (ASRM), European Endocrinology (ESE), International Menopause (IMS) consisting six experts, a methodologist, medical writer. The commissioned two systematic reviews published data considered several other existing meta-analyses trials. GRADE methodology was used; strength recommendation...
Impairment of mental health is the most important risk factor for female sexual dysfunction. Women living with psychiatric illness, despite their frequent difficulties, consider sexuality to be an aspect quality life. Antidepressant and antipsychotic medication, neurobiology symptoms past trauma, difficulties in establishing relationships stigmatization can all contribute Low desire strongly linked depression. Lack subjective arousal pleasure are trait anxiety: sensations physical may lead...
In order to better assess and explain the multiple factors contributing our patients' sexual difficulties, we need construct a reasonably simple model of human response that illustrates, first, feedback mind as it orchestrates and, second, concept experiences can be undertaken for reasons are not strictly but intimacy-based. A is presented integrates responsive "spontaneous" desire, subsequent creation further stimuli in form emotions experienced, subjective mental excitement, accurate or...
Objective: The objective was to provide guidelines for the therapeutic use of androgens in women. Participants: Task Force composed a chair, selected by Clinical Guidelines Subcommittee (CGS) Endocrine Society, six additional experts, methodologist, and medical writer. received no corporate funding or remuneration. Evidence: used systematic reviews available evidence inform its key recommendations. consistent language graphical descriptions both strength recommendation quality evidence,...
An intimacy-based sex response cycle was used in the assessment of 47 women referred with low sexual desire. All could relate to model and multiple breaks cycles were identified. Emotional intimacy motivate find stimuli elicit arousal insufficient 50%. Sexual context minimal 53%. Psychological factors diminishing arousability identified 85%, depression contributing 43%. Androgen deficiency (the cause suggested by referring doctors) contributed 25%. Identifying missing components their...
Sildenafil citrate (Viagra Pfizer, New York, NY) is indicated for the treatment of erectile dysfunction in men. The nitric oxide-cyclic guanosine monophosphate pathway (NO-cGMP) involved penile erection and enhanced by sildenafil may also play a role some components female sexual arousal response. efficacy safety were evaluated estrogenized estrogen-deficient women with that included disorder (FSAD).Patients randomized to receive 10-100 mg or matching placebo. To assess efficacy, patients...
A large component of women's sexual desire is responsive rather than spontaneous. Therefore, motivation and ability to find respond stimuli experience arousal subsequent crucial, but complex. In ongoing relationships, a woman's appears be largely influenced by her emotional intimacy with partner wish enhance it. Drugs (including androgen replacement therapy) aimed at increasing spontaneous wanting (less characteristic women in long-term relationships) or their arousability may have role if...
A model of female sexual arousal shows the composite emotion subjective arousal, which results from conscious appraisal stimuli and their context in presence positive affective cognitive feedback. Genital feedback augments to a variable degree. congestion can be triggered by absence arousal. Then either is ignored or not interpreted as sexual. An anhedonic even dysphoric response sensations genital are further possibilities. This allows for various subtypes disorder thus facilitates choice...
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