Management of Sexual Dysfunction in Men and Women

Larry I. Lipshultz, MD, PhDProfessor of UrologyLester and Sue Smith Chair in Reproductive MedicineChief, Division of Male Reproductive Medicine and SurgeryScott Department of Urology Baylor College of MedicineHouston, TXAlexander W. Pastuszak, MD, PhDCenter for Reproductive MedicineScott Department of UrologyBaylor College of MedicineHouston, TXAnnamaria Giraldi, MD, PhDClinical Professor of Psychiatry and Clinical SexologySexological Clinic, Psychiatric Center CopenhagenRigshospitalet, Copenhagen University HospitalInstitute of Clinical Medicine, University of CopenhagenCopenhagen, DenmarkAndrew T. Goldstein, MD, FACOG, IFDirector, the Centers for Vulvovaginal DisordersWashington DC, New York NY, Annapolis, MDAssociate Clinical Professor, Department of Obstetrics and GynecologyThe George Washington University School of MedicineWashington, DCMichael A. Perelman, MDClinical Professor of Psychiatry,Reproductive Medicine and UrologyWeill Medical College, Cornell UniversityCo-Director, Human Sexuality Program,The New York Presbyterian Hospital New York, N.Y

• Introduction:  Advocating for Transdisciplinary Treatment of Sexual Dysfunction.- Employing a Biopsychosocial Behavioral and Cultural Approach.- Why is Sex Important?.- The Impact of the Environment on Sexual Health.- Multicultural Sensitivity in the Treatment of Sexual Dysfunction.- Anatomy and Physiology of Erection, Ejaculation, and Orgasm.- Urologic and Clinical Evaluation of the Male with Erectile Dysfunction.- Urologic/Clinical Treatment of Erectile Dysfunction.- The Impact of Lifestyle Modification on Erectile Dysfunction.- Erectile Dysfunction in the Setting of Prostate Cancer.- Peyronie’s Disease and Other Anatomical Disorders.- The Future of Erectile Dysfunction Therapy I – Implementation of Translational Research.- The Future of Erectile Dysfunction Therapy II – Novel Pharmacotherapy and Innovative Technology.- Underlying Principles in Ejaculatory and Orgasmic Function and Dysfunction in the Male.- Clinical evaluation and treatment of disorders of ejaculation.- Evaluation and Treatment of Orgasmic Dysfunction.- Hypoactive Sexual Desire in Men.- Pelvic Floor Physical Therapy in the Treatment of Sexual Dysfunctions.- The Female Sexual Response: Anatomy and Physiology of Sexual Desire, Arousal, and Orgasm in Women.- Diagnosis of Female Sexual Dysfunction.- The Epidemiology and Diagnosis of Hypoactive Sexual Desire Disorder.  Causes of HSDD:  Situational, depression, drugs, chronic illnesses, and hormonal depletion.- Management of Hypoactive Sexual Desire Disorder (HSDD).- Diagnosis and Management of Female Sexual Arousal Disorder.- Diagnosis and Management of Female Orgasmic Disorder.- Vaginismus: When Genito-Pelvic Pain /Penetration Disorder Makes Intercourse Seem Impossible.- Diagnosis and Management of Sexual Pain Disorder: Dyspareunia.- New Concepts in the Understanding of Female Sexual Dysfunction.- Female Sexual Dysfunction and Cancer.- Female Sexual Dysfunction and Premature Menopause with focus on women’s wording.- Female SexualDysfunction and Infertility.- Female Sexual Dysfunction: Impact of the Life Cycle (Pregnancy, Children and Aging).- It Takes Two to Tango: Evaluation and Treatment of Sexual Dysfunction in the Couple.- Infertility and Sexual Dysfunction (SD) in the Couple.- Couples Therapy and Counseling.- The Intersection of Sexually Transmitted Infection and Sexual Disorders in the Couple.- Epilogue: Cautiously Optimistic For The Future of A Transdisciplinary Sexual Medicine.