with a reduction in sexual interest and response (Beck, 1967; Kennedy, Dickens, Eisfeld, & Bagby, 1999; Schreiner-Engel & Schiavi, 1986), an association that may be more marked in women than in men (Angst, 1998). A few studies have looked at the possibility that in some individuals, paradoxical increases in sexual interest might occur with depression. In a group of 57 clinically depressed men a...

Significant gaps remain in our understanding of the impact of most neurologic disorders, including brain dysfunction and MS. Recent methodology used to assess women with SCIs may be used as a model with which to study these other disorders. The availability of oral agents to treat sexual dysfunction in men should also stimulate research using these agents to treat sexual dysfunction in women.

Urinary incontinence (UI) is common and occurs in approximately 20% of the general female population, but it approaches 35% in women older than 60 years.1 The condition adversely affects quality of life (QoL), including social and sexual function.2 As American women age, the prevalence of pelvic floor disorders, such as UI, is also expected to increase.3 No less significant, sexual dysfunction ...

Hypoactive Sexual Desire Disorder (HSDD) is one of two sexual desire disorders in the Diagnostic and Statistical Manual of Mental Disorders (DSM) and is defined by the monosymptomatic criterion "persistently or recurrently deficient (or absent) sexual fantasies and desire for sexual activity" that causes "marked distress or interpersonal difficulty." This article reviews the diagnosis of HSDD i...

An increased prevalence of sexual disorders has been reported in patients with type 2 diabetes. The aim of this study is the assessment of the influence of the psychical condition, the concentration of glycated hemoglobin, the duration of diabetes, the body mass index, the age, and the subjective acceptance of the illness on sexual disorders occurring in women and men with type 2 diabetes. The ...

I reviewed the empirical literature for 1900-2008 on the paraphilia of Sexual Masochism for the Sexual and Gender Identity Disorders Work Group for the forthcoming fifth edition of the Diagnostic and Statistical Manual of Mental Disorders. The results of this review were tabulated into a general summary of the criticisms relevant to the DSM diagnosis of Sexual Masochism, the assessment of Sexua...

I reviewed the empirical literature for 1900-2008 on the paraphilia of Sexual Sadism for the Sexual and Gender Identity Disorders Workgroup for the forthcoming fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM). The results of this review were tabulated into a general summary of the criticisms relevant to the DSM diagnosis of Sexual Sadism, the assessment of Sexual...

Objective Sexual activity is an important dimension within quality of life. The fundamental psychological needs of an individual are represented by four psychodynamic factors: attachment, autonomy, sexual identity, and self-esteem. Sexual disorders are common in psychiatric patients and include desire, arousal, orgasmic, and pain disorders. Along with the positive aspects of human sexuality, ho...

Dyspareunia, ie coital pain, is a sexual dysfunction with a multifactorial and multisystemic etiology. Predisposing, precipitating and maintaining factors, biological (muscular, endocrine, immunitary, neurologic, vascular, iatrogenic) and psychosexual, may variably interact in the individual woman. The natural history of dyspareunia is basic to understand the current controversy on its “real” n...