ITEMS IN AFP WITH KEYWORD:
Feb 1, 2020 Issue
Treatments for Postmenopausal Hypoactive Sexual Desire Disorder [FPIN's Clinical Inquiries]
Transdermal testosterone for the treatment of hypoactive sexual desire disorder in postmenopausal women results in an additional 0.92 sexually satisfying events per month, acne, and increased androgenic effects without major complications
Transdermal, but not oral, estrogen produced a small improvement in sexual function scores in menopausal women. The increases were very small and may not be noticeable by most women.
Flibanserin produces a minimal effect on sexual desire and minimally increases the number of satisfying sexual events in women (less than one-half an event per month increase). Many women will be unable to tolerate the adverse effects.
Although flibanserin results in a modest improvement in the number of satisfying sexual events (approximately one more per month vs. placebo), it does not improve other measures, is considerably expensive, and has significant adverse effects.
Female sexual dysfunction is often multifactorial, necessitating a multidisciplinary evaluation and treatment approach. Learn the criteria for diagnosing sexual dysfunction and possible treatment options.
Learn how the history and physical examination can help identify the most common causes, including vulvodynia, inadequate lubrication, postpartum dyspareunia, and vaginal atrophy.
Dec 1, 2012 Issue
AHA Releases Statement on Sexual Activity and Cardiovascular Disease [Practice Guidelines]
Decreased sexual activity and sexual dysfunction are common in patients with cardiovascular disease (CVD), and can lead to anxiety and depression. The American Heart Association (AHA) has published a scientific statement synthesizing data relevant to sexual activity and heart disease to provide reco...
The American College of Obstetricians and Gynecologists (ACOG) has released guidelines on sexual dysfunction in women. Sexual dysfunction is common in U.S. women but is underdiagnosed and undertreated, partly because patients are not likely to discuss it with their physician unless they are asked. ...
Erectile dysfunction (ED) is the most common sexual problem in men. The incidence increases with age and affects up to one third of men throughout their lives. It causes a substantial negative impact on intimate relationships, quality of life, and self-esteem. History and physical examination are su...
Female sexual complaints are common, occurring in approximately 40 percent of women. Decreased desire is the most common complaint. Normal versus abnormal sexual functioning in women is poorly understood, although the concept of normal female sexual function continues to develop. A complete history ...