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Chapter 50 - Disorders of Desire, Arousal and Orgasm in the Male

from Section 3A - Sexual Dysfunction and Counselling

Published online by Cambridge University Press:  16 January 2024

Johannes Bitzer
Affiliation:
University Women's Hospital, Basel
Tahir A. Mahmood
Affiliation:
Victoria Hospital, Kirkcaldy
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Summary

Since the publication of Masters and Johnson’s Human Sexual Inadequacy in the 1970s, the general term sexual dysfunction became part of the vocabulary of clinical medicine and generally refers to sexual behaviour. Sexual functioning requires an integration of neurological, vascular and endocrine systems and interpretation in the brain. As a complex biopsychosocial process, in addition to the biological factors, including health and psychological status of the person/couple (mood, personality traits), and psychosocial factors like religious beliefs, personal experience, ethnicity and socio-demographic conditions play an important role in sexual functioning and satisfaction. It is important to keep in mind that sexual satisfaction does not always correlate with sexual function. Furthermore, partnered sexual activity involves interpersonal relationships and the unique attitudes, needs and responses of each of the partners. A problem in any of these areas may lead to sexual complaints or dysfunctions [1].

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Publisher: Cambridge University Press
Print publication year: 2024

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References

Reisman, Y, Porst, H, Lowenstein, L, Tripodi, MF, Kirana, PS (eds.). The ESSM manual of sexual medicine. Amsterdam: Medix, 2015.Google Scholar
American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th edition. Washington, DC: American Psychiatric Association, 2013.Google Scholar
World Health Organization. International statistical classification of diseases and related health problems. 11th revision. Geneva: World Health Organization, 2018. https://icd.who.int/browse11/l-m/en.Google Scholar
Mitchell, KR, Mercer, CH, Ploubidis, GB et al. Sexual function in Britain: Findings from the third National Survey of Sexual Attitudes and Lifestyles (NATSAL-3). Lancet. 2013;382:1817–29.CrossRefGoogle ScholarPubMed
Reisman, Y, Eardley, I, Porst, H. New developments in education and training in sexual medicine. J Sex Med. 2013;10(4):918–23. https://doi.org/10.1111/jsm.12140.CrossRefGoogle ScholarPubMed
Seagraves, KB, Segraves, KRT. Hypoactive sexual desire disorder: Prevalence and comorbidity. J Sex Marital Ther. 1991;17:55–8.Google Scholar
Brotto, LA. The DSM diagnostic criteria for hypoactive sexual desire disorder in men. J Sex Med. 2010;7:2015–30.CrossRefGoogle ScholarPubMed
Lindau, ST, Schumm, LP, Laumann, EO et al. A study of sexuality and health among older adults in the United States. N Engl J Med. 2007;357:762–74.CrossRefGoogle ScholarPubMed
Gabrielson, AT, Sartor, RA, Hellstrom, WJG. The impact of thyroid disease on sexual dysfunction in men and women. Sex Med Rev. 2019;7:57–7. https://doi.org/10.1016/j.sxmr.2018.05.002.Google ScholarPubMed
Carvalho, J, Nobre, PJ. Predictors of men’s sexual desire: The role of psychological, cognitive-emotional, relational, and medical factors. J Sex Res. 2011;48(2–3):254–62. https://doi.org/10.1080/00224491003605475.CrossRefGoogle ScholarPubMed
Carvalho, J, Nobre, PJ. Biopsychosocial determinants of men’s sexual desire: Testing an integrative model. J Sex Med. 2011;8(2):754–63.CrossRefGoogle ScholarPubMed
Nimbi, FM, Tripodi, F, Rossi, R, Simonelli, C. Expanding the analysis of psychosocial factors of sexual desire in men. J Sex Med. 2018;15(2):230–44. https://doi.org/10.1016/j.jsxm.2017.11.227.CrossRefGoogle ScholarPubMed
Brotto, L, Atallah, S, Johnson-Agbakwu, C et al. Psychological and interpersonal dimensions of sexual function and dysfunction. J Sex Med. 2016;13:538–71. http://dx.doi.org/10.1016/j.jsxm.2016.01.019.CrossRefGoogle ScholarPubMed
Nobre, PJ. Treatments for sexual dysfunctions. In Hoffman, S (ed.). Clinical psychology: A global perspective. Hoboken, NJ: Wiley-Blackwell, 2017, pp. 225–41.Google Scholar
Rosen, RC, Cappelleri, JC, Smith, MD et al. Development and evaluation of an abridged, 5-item version of the International Index of Erectile Function (IIEF-5) as a diagnostic tool for erectile dysfunction. Int J Impot Res. 1999;11:319–26.CrossRefGoogle ScholarPubMed
Porst, H. Erectile dysfunction. In Reisman, Y, Porst, H, Lowenstein, L, Tripodi, MF, Kirana, PS (eds.). The ESSM manual of sexual medicine. Amsterdam: Medix, 2015, pp. 426543.Google Scholar
Quinta-Gomes, A, Nobre, PJ. Personality traits and psychopathology on male sexual dysfunction: An empirical study. J Sex Med. 2011;8:461–9.CrossRefGoogle ScholarPubMed
Nobre, PJ, Pinto-Gouveia, J. Dysfunctional sexual beliefs as vulnerability factors to sexual dysfunction. J Sex Res. 2006;43:6875.CrossRefGoogle ScholarPubMed
Nobre, PJ. Psychological determinants of erectile dysfunction: Testing a cognitive-emotional model. J Sex Med. 2010;7:1429–37.CrossRefGoogle ScholarPubMed
Nobre, PJ, Pinto-Gouveia, J. Differences in automatic thoughts presented during sexual activity between sexually functional and dysfunctional males and females. J Cognit Therapy and Research. 2008;32:3749.CrossRefGoogle Scholar
Nobre, PJ, Pinto-Gouveia, J. Emotions during sexual activity: Differences between sexually functional and dysfunctional men and women. Archives of Sexual Behavior. 2006;35:815.CrossRefGoogle ScholarPubMed
Frühauf, S, Gerger, H, Schmidt, HM et al. Efficacy of psychological interventions for sexual dysfunction: A systematic review and meta-analysis. Archives of Sexual Behavior. 2013;42(6):915–33. https://doi.org/10.1007/s10508-012-0062-0.CrossRefGoogle ScholarPubMed
Munjack, DJ, Schlaks, A, Sanchez, VC et al. Rational-emotive therapy in the treatment of erectile failure: An initial study. J Sex and Marital Therapy. 1984;10:170–5. https://doi.org/10.1080/00926238408405942.CrossRefGoogle ScholarPubMed
McCabe, M, Price, E, Piterman, L, Lording, D. Evaluation of an Internet-based psychological intervention for the treatment of erectile dysfunction. Intern J Impot Research. 2008;20:324–30. https://doi.org/10.1038/ijir.2008.3.CrossRefGoogle ScholarPubMed
Brotto, L, Basson, R, Luria, M. A mindfulness-based group psychoeducational intervention targeting sexual arousal disorder in women. J Sex Med. 2008;5:1646–59.CrossRefGoogle ScholarPubMed
Brotto, L, Heiman, J. Mindfulness in sex therapy: Applications for women with sexual difficulties following gynaecologic cancer. Sexual & Relationship Therapy. 2007;22:311.CrossRefGoogle Scholar
Bossio, JA, Basson, R, Driscoll, M et al. Mindfulness-based group therapy for men with situational erectile dysfunction: A mixed-methods feasibility analysis and pilot study. J Sex Med. 2018;15(10):1478–90. https://doi.org/10.1016/j.jsxm.2018.08.013.CrossRefGoogle ScholarPubMed
Waldinger, MD. Premature ejaculation: Definition and drug treatment. Drugs. 2007;67:547–68.CrossRefGoogle ScholarPubMed
Althof, SE, McMahhon, CG, Waldinger, MD et al. An update of the International Society of Sexual Medicine’s Guidelines for the Diagnosis and Treatment of Premature Ejaculation (PE). Sex Med. 2014;2(2):6090.CrossRefGoogle ScholarPubMed
Waldinger, M. The neurobiological approach to premature ejaculation. J Urol. 1998;168:2359–67.Google Scholar
Berner, M, Günzler, C. Efficacy of psychosocial interventions in men and women with sexual dysfunctions: A systematic review of controlled clinical trials. Part 1. The efficacy of psychosocial interventions for male sexual dysfunction. J Sex Med. 2012;9:30893107.CrossRefGoogle ScholarPubMed
Giuliano, F. Neurophysiology of erection and ejaculation. J Sex Med. 2011;8:310–15.CrossRefGoogle ScholarPubMed
Clayton, A, Croft, HA, Handiwala, L. Antidepressants and sexual dysfunction: Mechanisms and clinical implications. Post Med. 2014;126:91–9.Google ScholarPubMed
Giuliano, F, Clement, P. Physiology of ejaculation: Emphasis on serotonergic control. Eur Urol. 2005;48:408–17. https://doi.org/10.1016/j.eururo.2005.05.017.CrossRefGoogle ScholarPubMed
Sønksen, J, Ohl, DA. Penile vibratory stimulation and electroejaculation in the treatment of ejaculatory dysfunction. Int J Androl. 2002;25:324–32. https://doi.org/10.1046/j.1365‐2605.2002.00378.x.CrossRefGoogle ScholarPubMed
Jenkins, LC, Mulhall, JP. Delayed orgasm and anorgasmia. Fertil Steril. 2015;104(5):1082–8.CrossRefGoogle ScholarPubMed
Rowland, D, Van Diest, S, Incrocci, L, Slob, AK. Psychosexual factors that differentiate men with inhibited ejaculation from men with no dysfunction or another sexual dysfunction. J Sex Med. 2005;2(3):383–9.CrossRefGoogle ScholarPubMed
Perelman, MA, Rowland, DL. Retarded ejaculation. World J Urology. 2006;24:645–52.CrossRefGoogle ScholarPubMed
Rowland, D, Perelman, M, Althof, S et al. Self-reported premature ejaculation and aspects of sexual functioning and satisfaction. J Sex Med. 2004;1(2):225–32.CrossRefGoogle ScholarPubMed
Wincze, JP, Carey, MP. Sexual dysfunction: A guide for assessment and treatment. 2nd edition. New York: Guilford Press. 2001.Google Scholar

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