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(inhibited sexual excitement)
16 results
  • The Evaluation and Treatment of Delayed Ejaculation. [Review]
    Sex Med Rev 2014; 2(3-4):121-133Shin DH, Spitz A
  • CONCLUSIONS: The evaluation of this condition requires a focused history and physical, which includes a detailed sexual history, examination of the genitalia, and inquiry into the status of the partner. Laboratory tests are aimed at the detection of abnormalities in the blood count, glucose level, hormone levels, or kidney function. If a correctable etiology is discovered, treatment is directed towards the reversal of this condition. In some cases, the delayed ejaculation may be a lifelong problem. Also, in some cases the etiology of the delayed ejaculation may be irreversible, such as in the case of age-related sensation loss or diabetes-related neuropathy. In these instances treatment may require a combination of behavioral modification, sexual therapy, or perhaps pharmaceutical drugs. Participation of the partner in therapy may sometimes be necessary. Future investigations will continue to elucidate the complex biological and psychosocial factors which contribute to delayed ejaculation, leading to more effective treatments. Shin DH and Spitz A. The evaluation and treatment of delayed ejaculation. Sex Med Rev 2014;2:121-133.
  • Persistent genital arousal disorder (PGAD): case report of long-term symptomatic management with electroconvulsive therapy. [Case Reports]
    J Sex Med 2009; 6(10):2901-9Korda JB, Pfaus JG, … Goldstein I
  • CONCLUSIONS: ECT is known to induce cerebral excitatory and inhibitory neurotransmitter changes after acute and chronic administration. Sexual arousal is stimulated by the action of hypothalamic and limbic dopamine, noradrenaline, melanocortin, and oxytocin, and inhibited by serotonin, cerebral opioids, and endocannabinoids. Based on the patient's bipolar disorder, the mechanism of action of ECT and the observation of ECT effectiveness on her PGAD, we hypothesize the following: (i) bipolar disorder led to central hyperactive dopamine release, an important component in the pathophysiology of her PGAD; (ii) central serotonin deficiency after selective serotonin-reuptake inhibitor (SSRI) withdrawal resulted in a lack of inhibition of sexual excitement; (iii) ECT resulted in lowering of the hyperstimulated central dopamine release; and (iv) ECT led to an increase in sexual inhibition by stimulating serotonin activity. Further research in the central control of sexual arousal is needed.
  • Chronic fluoxetine inhibits sexual behavior in the male rat: reversal with oxytocin. [Journal Article]
    Psychopharmacology (Berl) 1999; 144(4):355-62Cantor JM, Binik YM, Pfaus JG
  • CONCLUSIONS: The reversal by oxytocin of the fluoxetine-induced deficit in ejaculations is consistent with the hypothesis that serotonin suppresses ejaculatory mechanisms by interrupting the action of oxytocin, which normally accompanies sexual behavior. Co-administration of oxytocin may help to alleviate the predominant sexual side effect of serotonin reuptake blockers.
  • Psychotropic drug-induced sexual function disorders: diagnosis, incidence and management. [Review]
    Drug Saf 1998; 19(4):299-312Clayton DO, Shen WW
  • The human sexual response can be divided into 3 phases: desire (libido), excitement (arousal) and orgasm. The fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) classifies sexual disorders into 4 categories: (i) primary; (ii) general medical condition-related; (iii) substance-induced; and (iv) 'not otherwise specified' sexual dysfunctions. Each of the 4 DSM-IV ca…
  • The lifetime prevalence of psychosexual dysfunction among 55 to 57-year-olds in Iceland. [Journal Article]
    Soc Psychiatry Psychiatr Epidemiol 1993; 28(2):91-5Líndal E, Stefànsson JG
  • In this study, the largest Nordic study of its kind, investigated psychosexual dysfunction among subjects aged 55-57 years. The cohort included 862 subjects of both sexes and all were interviewed using the Diagnostic Interview Schedule (DIS). Results showed that 122 subjects had a lifetime diagnosis of psychosexual dysfunction. The lifetime prevalence of psychosexual dysfunction was 14.4%; of inh…
  • [A pilot study of sexual problems in chronic schizophrenia: a report on 51 cases]. [Journal Article]
    Zhonghua Shen Jing Jing Shen Ke Za Zhi 1989; 22(5):282-4, 318Guo GY
  • In order to explore the sexual problems of chronic schizophrenics, 51 cases were investigated. The result showed that 42 cases (82.3%) had various kinds of sexual problems. The problems were erectile impotence, frigidity, premature ejaculation, no ejaculation, vaginismus and pain on coitus. Only 4 cases had increased sexual desire. The authors found that the main sexual problems of chronic schizo…
  • A psychometric analysis of the sexual arousability index. [Journal Article]
    J Consult Clin Psychol 1989; 57(1):123-30Andersen BL, Broffitt B, … Turnquist DC
  • The Sexual Arousability Index (SAI) assesses self-reported sexual arousal in women and was administered on four occasions to a group of normal sexually active women (n = 57) and to another group undergoing surgical gynecologic treatment (n = 66) that resulted in a predictable and clinical level of sexual dysfunction. These data were used for a psychometric analysis of the SAI. In terms of reliabi…
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