By Richard Balon, R. Taylor Segraves
ISBN-10: 0824758269
ISBN-13: 9780824758264
Providing an authoritative choice of chapters from clinicians and researchers within the usa, Canada, and Europe, this reference comprehensively covers the newest figuring out within the etiology, pathophysiology, prognosis, and therapy of sexual disorder.
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Extra resources for Handbook of Sexual Dysfunction
Example text
I) The clinician first consulted by the patient will consider their interest, training, and competence. (ii) The bio-psychosocial severity and complexity of the SD as a manifestation of both psychosocial and organic factors will be evaluated. (iii) The clinician in consideration of the two previous criteria, together with patient preference, will determine who initiates treatment, as well as, how and when to refer. The guidelines for managing the relative severity of the dysfunction will essentially be expanded, but continue to match the type of treatment algorithm described in “The Process of Care” and other step-change approaches (42).
Differences between individuals in sexual style (sex script analysis) can determine which medication might be used by a couple effectively, with less change required in their “normal” sexual interactions. For instance, some couples mutually presume that the man is “in charge” and should initiate and seduce like he used to. As he is planning the sexual encounter, sildenafil or vardenafil might be good choices. However, tadalafil may be preferable, if a more spontaneous response to an externally evoked situation is desired.
As with any therapy, follow-up is essential to ensure an optimal treatment outcome. Initial failures examined at follow-up reveal critical information. The pharmaceutical acts as a therapeutic probe, illuminating the causes of failure or nonresponse (2,15,20). Retaking a quick current sexual 30 Perelman history provides a convenient model for managing follow-up. Other components of the follow-up visit include monitoring side effects, assessing success, and considering whether an alteration in dose or treatment is needed.
Handbook of Sexual Dysfunction by Richard Balon, R. Taylor Segraves
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