Sexual Health Related Articles

Read about the latest advances in the field of sexual medicine

Biology of Erectile Dysfunction (ED)

Content written by Irwin Goldstein, MD

The regulation of sexual function by the central nervous system (CNS) remains poorly understood. Control of penile erection is organized in a diffuse network of multiple and interconnected sites within the CNS and specific neuronal pathways remain largely undefined. However, progress has been made in identifying key central structures that regulate the sexual arousal response in males.

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By Irwin Goldstein, MD
Biology of Female Sexual Dysfunction

Content written by Irwin Goldstein, MD

The structure and function of women's genitalia are highly dependent on the sex steroid hormonal milieu. As a woman ages or a young woman is exposed to medicines that interfere with the hormonal milieu (eg oral contraceptives, tamoxifene), her supply of sex steroid hormones (estradiol, testosterone and progesterone) diminishes significantly.

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By Irwin Goldstein, MD
Effects Of Psychologic Factors on Female Sexual Function

Content written by Sandra Leiblum, Ph.D.

Although ideally women would enjoy problem-free, easily arousing, gratifying sex, far too many women complain of an array of sexual inhibitions, from concerns about being seen naked to worries about their smells, sounds or sensations during sex. There are usually a variety of factors at play here. Typically, a host of past and present contributions, or what we sometimes think of as predisposing, precipitating, maintaining, and contextual factors, are responsible for sexual discontents and difficulties.

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By Sandra Leiblum, Ph.D.
Sexual Fantasy and Orgasm

Content written by Alessandra Rellini PhD & Gena Zollman

Sexual fantasy is defined as any mental imagery that is sexually arousing to an individual. A meta-review of the literature regarding sexual fantasy shows that 95% of men and women fantasize in many different contexts. Regardless of the context, use of fantasies is highly correlated with high sexual satisfaction, as well as an active and varied sex life.

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By Alessandra Rellini PhD & Gena Zollman
Erectile Dysfunction as a Predictor for Subsequent Atherosclerotic Cardiovascular Events

In spite of the mounting interest in the nexus between erectile dysfunction (ED) and cardiovascular (CV) diseases, there is little published information on the role of ED as a predictor for subsequent CV events. The findings show that ED is not only significantly associated with but is also strongly predictive of subsequent atherosclerotic CV events. This is even more striking when ED presents at a younger age.

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By Kew-Kim Chew, MBBS, FRCPEdin, FRCPGlasg, Judith Finn, PhD, MEdStudies, GradDipPH, BSc, DipAppSc(Nsg), RN, RM, ICCert, Bronwyn Stuckey, MBBS, FRACP, Nicholas Gibson, RN, BAppSci, PGradDipHlthAdmin, PhD, FRCNA, Frank Sanfilippo, BSc, BPharm, PGradDipPharm,
Effects of Weight Loss Intervention on Erectile Function in Older Men with Type 2 Diabetes

Overweight men with diabetes often report erectile dysfunction (ED), but few studies have examined effects of weight loss on this problem. This study examined 1-year changes in erectile function (EF) in overweight/obese men with type 2 diabetes participating in the Look AHEAD (Action for Health in Diabetes) trial.

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By Rena R. Wing, PhD, Raymond C. Rosen, PhD, Joseph L. Fava, PhD, Judy Bahnson, Frederick Brancati, MD, Isaias Noel C. Gendrano III, MPH, Abbas Kitabchi, PhD, MD, Stephen H. Schneider, MD, and Thomas A. Wadden, PhD
Motivational Change for the Management of Male Sexual Health Concerns

One of the most significant emerging risk factors for early or sentinel CAD in men is the presence of erectile dysfunction. In men, the penis can be a barometer of early vascular disease, and perhaps yield early detection. This is due to several factors: the small size of the penile arteries; the percentage of endothelial and smooth muscle cells per unit volume; and lastly, the fact that penis is an external organ and ED is easily recognized by men.

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By Martin M Miner MD
Predictors of Adult Sexual Activity in the United States

Individuals who engage in regular sexual intercourse are more likely to report good overall quality of life. Studies of sexuality in adolescents have focused on high-risk behaviors whereas similar studies in older adults have focused on sexual dysfunction.

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By Michael L. Eisenberg, MD, Alan W. Shindel, MD, James F. Smith, MD, MS, Benjamin N. Breyer, MD, and Larry I. Lipshultz, MD, MS
Sexuality During Pregnancy

Sexuality is an important part of health and well-being. Sexual behavior modifies as pregnancy progresses, influenced by biological, psychological, and social factors.

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By Joana Rocha Pauleta, MD, Nuno Monteiro Pereira, MD, PhD, and Luís Mendes Graça, MD, PhD
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