The document discusses sexual dysfunction and the sexual response cycle. It defines sexual dysfunction, outlines the typical sexual response cycle and phases of arousal, orgasm and resolution. It describes various dysfunctions like reduced libido, arousal issues, premature ejaculation and anorgasmia. Causes include psychological, relationship, medical and medication factors. Evaluation involves history, exam and sometimes labs. Treatment focuses on addressing underlying causes, education, counseling/therapy, and sometimes medications.
Female sexual dysfunction is common, affecting approximately 40% of women worldwide. It includes decreased sexual desire, arousal issues, inability to orgasm, and genital pain. It is caused by hormonal imbalances, neurological or vascular problems, relationship issues, stress, abuse history, and psychiatric disorders. Treatment depends on the specific issue, but may include hormones, drugs to increase arousal or desire, physical therapy, pain management, relationship counseling, and surgery in some cases. An accurate diagnosis is based on a thorough history and ruling out other potential medical causes.
Psychogenic impotence, also known as erectile dysfunction, has various potential causes including performance anxiety, relationship issues, medical conditions, and psychological factors. It is important to conduct a thorough sexual history and examination to determine if the cause is organic or psychogenic. Treatment may involve lifestyle changes, psychotherapy to reduce anxiety, cognitive behavioral therapy, and medications like PDE5 inhibitors. A multidisciplinary approach including medical treatment, counseling, and lifestyle modifications often provides the best outcomes.
Couple therapy can effectively treat sexual dysfunctions by addressing the four stages of the human sexual response cycle described by Masters and Johnson: excitement, plateau, orgasm, and resolution. Common female sexual dysfunctions addressed in therapy include hypoactive sexual desire disorder, female sexual arousal disorder, orgasmic disorder, and painful intercourse disorders. Common male dysfunctions treated include premature ejaculation, erectile dysfunction, and hypoactive sexual desire disorder. Treatment involves addressing psychological, medical, relationship, and intimacy factors that may be contributing to the sexual issues.
This document discusses aging and sexual function. It notes that as people live longer, more remain sexually active in late life. The five stages of sexual response are described. Common age-related changes are then outlined for both men and women, including declining testosterone levels in men and menopausal changes in women. Late life sexual dysfunctions are often multifactorial, caused by medical issues, medications, or psychological factors. Evaluation and treatments are discussed for common problems like low sexual desire, pain with penetration, and difficulty reaching orgasm. Maintaining open communication and understanding of changes can help couples have satisfying sexual relationships in late life.
This document discusses premature ejaculation (PE), including its definition, causes, diagnosis, and treatment options. PE is defined as ejaculating shortly after beginning sexual intercourse before the person desires. About 1 in 3 men experience PE. It is caused by biological factors like low serotonin levels as well as psychological factors like stress, depression, and relationship issues. Doctors diagnose PE through questions about a patient's sexual history and symptoms. Treatment options include psychological therapy to address emotional causes, behavioral techniques like the squeeze method to build ejaculatory control, and medical therapies like antidepressants to delay ejaculation.
Invited lecture by Dr Sujoy Dasgupta in the Webinar on "Sexual Dysfunction" organized by the BOGS (Bengal Obstetric and Gynaecological Society) and the Sexual Medicine Committee of FOGSI (federation of Obstetric and Gynaecological Societies of India) held in September, 2021
The document discusses sexual dysfunction and the sexual response cycle. It defines sexual dysfunction, outlines the typical sexual response cycle and phases of arousal, orgasm and resolution. It describes various dysfunctions like reduced libido, arousal issues, premature ejaculation and anorgasmia. Causes include psychological, relationship, medical and medication factors. Evaluation involves history, exam and sometimes labs. Treatment focuses on addressing underlying causes, education, counseling/therapy, and sometimes medications.
Female sexual dysfunction is common, affecting approximately 40% of women worldwide. It includes decreased sexual desire, arousal issues, inability to orgasm, and genital pain. It is caused by hormonal imbalances, neurological or vascular problems, relationship issues, stress, abuse history, and psychiatric disorders. Treatment depends on the specific issue, but may include hormones, drugs to increase arousal or desire, physical therapy, pain management, relationship counseling, and surgery in some cases. An accurate diagnosis is based on a thorough history and ruling out other potential medical causes.
Psychogenic impotence, also known as erectile dysfunction, has various potential causes including performance anxiety, relationship issues, medical conditions, and psychological factors. It is important to conduct a thorough sexual history and examination to determine if the cause is organic or psychogenic. Treatment may involve lifestyle changes, psychotherapy to reduce anxiety, cognitive behavioral therapy, and medications like PDE5 inhibitors. A multidisciplinary approach including medical treatment, counseling, and lifestyle modifications often provides the best outcomes.
Couple therapy can effectively treat sexual dysfunctions by addressing the four stages of the human sexual response cycle described by Masters and Johnson: excitement, plateau, orgasm, and resolution. Common female sexual dysfunctions addressed in therapy include hypoactive sexual desire disorder, female sexual arousal disorder, orgasmic disorder, and painful intercourse disorders. Common male dysfunctions treated include premature ejaculation, erectile dysfunction, and hypoactive sexual desire disorder. Treatment involves addressing psychological, medical, relationship, and intimacy factors that may be contributing to the sexual issues.
This document discusses aging and sexual function. It notes that as people live longer, more remain sexually active in late life. The five stages of sexual response are described. Common age-related changes are then outlined for both men and women, including declining testosterone levels in men and menopausal changes in women. Late life sexual dysfunctions are often multifactorial, caused by medical issues, medications, or psychological factors. Evaluation and treatments are discussed for common problems like low sexual desire, pain with penetration, and difficulty reaching orgasm. Maintaining open communication and understanding of changes can help couples have satisfying sexual relationships in late life.
This document discusses premature ejaculation (PE), including its definition, causes, diagnosis, and treatment options. PE is defined as ejaculating shortly after beginning sexual intercourse before the person desires. About 1 in 3 men experience PE. It is caused by biological factors like low serotonin levels as well as psychological factors like stress, depression, and relationship issues. Doctors diagnose PE through questions about a patient's sexual history and symptoms. Treatment options include psychological therapy to address emotional causes, behavioral techniques like the squeeze method to build ejaculatory control, and medical therapies like antidepressants to delay ejaculation.
Invited lecture by Dr Sujoy Dasgupta in the Webinar on "Sexual Dysfunction" organized by the BOGS (Bengal Obstetric and Gynaecological Society) and the Sexual Medicine Committee of FOGSI (federation of Obstetric and Gynaecological Societies of India) held in September, 2021
This document discusses sexual disorders as classified by DSM-5. It covers four main types: sexual dysfunctions, gender identity disorders, psychological disorders associated with sexual development, and paraphilias (disorders of sexual preference). Specific dysfunctions discussed in detail include male hypoactive sexual desire disorder, female sexual interest/arousal disorder, erectile disorder, and others. Causes, diagnostic criteria, and treatments are provided for several disorders.
This document defines and categorizes different types of sexual dysfunctions as outlined in the DSM-IV-TR. It discusses seven major categories: sexual desire disorders, sexual arousal disorders, orgasm disorders, sexual pain disorders, dysfunctions due to a general medical condition, substance-induced dysfunctions, and other specified dysfunctions. Within each category, specific dysfunctions such as hypoactive sexual desire disorder, erectile dysfunction, and vaginismus are defined and their potential causes and treatments are described.
Somatic symptom disorder is a condition where psychological stressors manifest as physical symptoms that cannot be fully explained medically. It affects 5-7% of the population, with women experiencing somatic pain about 10 times more often than men. Anyone can develop the disorder due to factors like a chaotic lifestyle, difficulty expressing emotions, childhood neglect, substance abuse, or other mental health conditions. Common physical symptoms include fatigue, pain, digestive issues, and skin problems. While the exact causes are unknown, stress is thought to release hormones that damage the body. Treatment involves cognitive behavioral therapy, medication, and working with mental health specialists to address the underlying psychological issues contributing to the somatic symptoms.
This document discusses sexual dysfunction in elderly women. It begins by outlining normal age-related changes in female sexual function, including decreased genital sensation and lubrication. It then defines several types of sexual dysfunction like low sexual desire or interest, difficulty achieving orgasm, and genital pain. Causes of sexual problems in older women are multi-factorial, including biological factors like menopause or illness, psychological issues, relationship factors, and sociocultural influences. Evaluation involves a sexual history and exam. Treatment depends on the underlying causes but may include lubricants, hormones, physical therapy, counseling, and managing side effects of medications.
Erectile dysfunction is the inability to get or maintain an erection firm enough for sex. It can be caused by physical or psychological factors such as vascular disease, diabetes, depression, or performance anxiety. Treatments include oral medications like Viagra, vacuum devices, injections, implants, or counseling. Premature ejaculation involves ejaculating sooner than desired during sex and can be treated with behavioral techniques or medications. Proper diagnosis involves taking a medical and sexual history to determine the underlying cause.
PMS affects 40% of women and causes psychological and physical symptoms related to the menstrual cycle. The exact cause is unknown but likely involves sensitivity to hormone fluctuations. Diagnosis requires tracking symptoms over two cycles which improve after menstruation. Treatment depends on severity but may include lifestyle changes, SSRIs, COCPs, or suppressing ovulation. CBT and some supplements like Vitex and calcium can also help reduce symptoms.
1) Impotence, also known as erectile dysfunction, is the inability to achieve or maintain an erection firm enough for sex. It can be caused by physical factors like vascular disease, diabetes, neurological conditions, or psychological factors like depression, anxiety, and relationship problems.
2) Diagnosis involves a medical history, physical exam, and tests like blood tests, Doppler ultrasound of the penis, or nocturnal penile tumescence monitoring.
3) Treatment options include oral medications like Viagra, vacuum pumps, penile injections or implants, counseling, lifestyle changes, and in some cases hormone therapy. Nursing care focuses on education, medication management, and psychological support.
Overview: Sexual dysfunction; sexual response cycle; types of sexual dysfunction - male: erectile dysfunction, pre-mature ejaculation, ejaculatory incompetence and female: vaginismus, dyspareunia, anorgasmia; causes- organic and psychosocial factors and management: sensate focus and management of specific dysfunction.
The document discusses sexual dysfunction, including its classification, causes, and treatment approaches. It defines sexual dysfunction as problems experiencing satisfaction from sexual activities. Two main models of sexual response are described, as well as classifications of dysfunctions from the ICD-10 and DSM-5. Medical and psychological factors that can contribute to sexual problems are outlined. The document also examines approaches to assessing and treating sexual dysfunction, such as cognitive-behavioral therapy and the PLISSIT model.
Sexual dysfunctions are defined as the inability to participate in sexual relationships as desired or the experience of distressing sexual problems that are persistent and recurrent. The DSM-5 categorizes four main types of sexual dysfunctions: sexual desire disorders, sexual arousal disorders, orgasmic disorders, and sexual pain disorders. Assessment of sexual dysfunctions involves considering medical, psychological, relational, and cultural factors, with treatment tailored based on the identified causes.
Sexual Disorders & Gender Identity Disorder (2).pptxTracyLewis48
This document provides information about sexual disorders and treatments. It discusses several types of sexual dysfunctions including disorders of desire, excitement, orgasm, and pain. Common causes are biological, psychological, and sociocultural factors. Treatments discussed include sex therapy, medications, and addressing physical or medical issues. The document also covers paraphilic disorders such as fetishism, exhibitionism, voyeurism, frotteurism, pedophilia, sexual masochism, and sadism. Causes may include psychodynamic issues, classical conditioning, or modeling behaviors.
Sexual Disorders & Gender Identity Disorder.pptxTracyLewis47
This document provides information about sexual disorders and treatments. It discusses several types of sexual dysfunctions including disorders of desire, excitement, orgasm and pain. It outlines their causes such as biological factors, psychological issues and sociocultural influences. The document also reviews treatments for sexual dysfunctions like sex therapy, medications, and therapies for specific disorders. Additionally, it covers paraphilic disorders and gender identity disorder.
This document discusses various types of sexual difficulties, including problems with desire, arousal, orgasm, and pain during intercourse. It outlines desire-phase difficulties such as hypoactive sexual desire disorder and dissatisfaction with sexual frequency. Excitement-phase difficulties include female and male arousal disorders as well as persistent genital arousal disorder. Orgasm difficulties and dyspareunia (painful intercourse) are also examined. Physiological factors like diabetes, cancer treatments, medications and general health problems are reviewed as potential contributors to sexual problems. Relationship, self-esteem and communication issues can also play a role in sexual difficulties.
Invited lecture delivered by Dr Sujoy Dasgupta in a Webinar organized by Sexual medicine Committee of FOGSI (Federation of Obstetric and Gynaecological Societies of India), held in February, 2022
Premature ejaculation is a common male sexual dysfunction characterized by the inability to delay ejaculation and can cause distress. It is classified as lifelong or acquired and has prevalence rates ranging from 2-33% depending on age and region. While the exact etiology is unknown, potential contributing factors include anxiety, penile hypersensitivity, serotonin receptor dysfunction, and multifactorial biological and psychosocial influences. Diagnosis involves assessing ejaculation latency, distress levels, and ruling out other conditions. Treatment options include behavioral techniques, pharmacotherapy like SSRIs, and counseling with success rates over 85% depending on commitment to therapy. Prognosis is generally good but relapse can occur without ongoing management.
This document discusses the evaluation and treatment of male sexual dysfunctions including hypoactive sexual desire disorder, premature ejaculation, erectile dysfunction, delayed ejaculation, and retrograde
SEXUAL DYSFUNCTIONS, PARAPHILIAS AND GENDER DYSPHORIA.pptxGeofryOdhiambo
1. The document discusses several common sexual dysfunctions including female sexual interest/arousal disorder, male hypoactive sexual desire disorder, erectile dysfunction, female orgasmic disorder, and delayed ejaculation.
2. For each dysfunction, the diagnostic criteria from the DSM-5 are provided, including symptoms that must be present for a minimum of 6 months and cause significant distress.
3. The neurophysiology of sexual response and factors influencing sexuality such as identity, orientation and behavior are also examined at a high level.
This document provides an overview of sexual disorders presented by Ujjwal Sharma. It classifies sexual disorders into four main types: gender identity disorder, psychological and behavioral disorders associated with sexual development, paraphilias (disorders of sexual preferences), and sexual dysfunction. Potential causes of sexual disorders include physical, hormonal, psychological, and lifestyle factors. Specific disorders like transsexualism, dual-role transvestism, and gender identity disorder of childhood are described. Symptoms and treatment options for sexual dysfunction are outlined. The nurse's role in assessment and management is also discussed.
Adhd Medication Shortage Uk - trinexpharmacy.comreignlana06
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
This document discusses sexual disorders as classified by DSM-5. It covers four main types: sexual dysfunctions, gender identity disorders, psychological disorders associated with sexual development, and paraphilias (disorders of sexual preference). Specific dysfunctions discussed in detail include male hypoactive sexual desire disorder, female sexual interest/arousal disorder, erectile disorder, and others. Causes, diagnostic criteria, and treatments are provided for several disorders.
This document defines and categorizes different types of sexual dysfunctions as outlined in the DSM-IV-TR. It discusses seven major categories: sexual desire disorders, sexual arousal disorders, orgasm disorders, sexual pain disorders, dysfunctions due to a general medical condition, substance-induced dysfunctions, and other specified dysfunctions. Within each category, specific dysfunctions such as hypoactive sexual desire disorder, erectile dysfunction, and vaginismus are defined and their potential causes and treatments are described.
Somatic symptom disorder is a condition where psychological stressors manifest as physical symptoms that cannot be fully explained medically. It affects 5-7% of the population, with women experiencing somatic pain about 10 times more often than men. Anyone can develop the disorder due to factors like a chaotic lifestyle, difficulty expressing emotions, childhood neglect, substance abuse, or other mental health conditions. Common physical symptoms include fatigue, pain, digestive issues, and skin problems. While the exact causes are unknown, stress is thought to release hormones that damage the body. Treatment involves cognitive behavioral therapy, medication, and working with mental health specialists to address the underlying psychological issues contributing to the somatic symptoms.
This document discusses sexual dysfunction in elderly women. It begins by outlining normal age-related changes in female sexual function, including decreased genital sensation and lubrication. It then defines several types of sexual dysfunction like low sexual desire or interest, difficulty achieving orgasm, and genital pain. Causes of sexual problems in older women are multi-factorial, including biological factors like menopause or illness, psychological issues, relationship factors, and sociocultural influences. Evaluation involves a sexual history and exam. Treatment depends on the underlying causes but may include lubricants, hormones, physical therapy, counseling, and managing side effects of medications.
Erectile dysfunction is the inability to get or maintain an erection firm enough for sex. It can be caused by physical or psychological factors such as vascular disease, diabetes, depression, or performance anxiety. Treatments include oral medications like Viagra, vacuum devices, injections, implants, or counseling. Premature ejaculation involves ejaculating sooner than desired during sex and can be treated with behavioral techniques or medications. Proper diagnosis involves taking a medical and sexual history to determine the underlying cause.
PMS affects 40% of women and causes psychological and physical symptoms related to the menstrual cycle. The exact cause is unknown but likely involves sensitivity to hormone fluctuations. Diagnosis requires tracking symptoms over two cycles which improve after menstruation. Treatment depends on severity but may include lifestyle changes, SSRIs, COCPs, or suppressing ovulation. CBT and some supplements like Vitex and calcium can also help reduce symptoms.
1) Impotence, also known as erectile dysfunction, is the inability to achieve or maintain an erection firm enough for sex. It can be caused by physical factors like vascular disease, diabetes, neurological conditions, or psychological factors like depression, anxiety, and relationship problems.
2) Diagnosis involves a medical history, physical exam, and tests like blood tests, Doppler ultrasound of the penis, or nocturnal penile tumescence monitoring.
3) Treatment options include oral medications like Viagra, vacuum pumps, penile injections or implants, counseling, lifestyle changes, and in some cases hormone therapy. Nursing care focuses on education, medication management, and psychological support.
Overview: Sexual dysfunction; sexual response cycle; types of sexual dysfunction - male: erectile dysfunction, pre-mature ejaculation, ejaculatory incompetence and female: vaginismus, dyspareunia, anorgasmia; causes- organic and psychosocial factors and management: sensate focus and management of specific dysfunction.
The document discusses sexual dysfunction, including its classification, causes, and treatment approaches. It defines sexual dysfunction as problems experiencing satisfaction from sexual activities. Two main models of sexual response are described, as well as classifications of dysfunctions from the ICD-10 and DSM-5. Medical and psychological factors that can contribute to sexual problems are outlined. The document also examines approaches to assessing and treating sexual dysfunction, such as cognitive-behavioral therapy and the PLISSIT model.
Sexual dysfunctions are defined as the inability to participate in sexual relationships as desired or the experience of distressing sexual problems that are persistent and recurrent. The DSM-5 categorizes four main types of sexual dysfunctions: sexual desire disorders, sexual arousal disorders, orgasmic disorders, and sexual pain disorders. Assessment of sexual dysfunctions involves considering medical, psychological, relational, and cultural factors, with treatment tailored based on the identified causes.
Sexual Disorders & Gender Identity Disorder (2).pptxTracyLewis48
This document provides information about sexual disorders and treatments. It discusses several types of sexual dysfunctions including disorders of desire, excitement, orgasm, and pain. Common causes are biological, psychological, and sociocultural factors. Treatments discussed include sex therapy, medications, and addressing physical or medical issues. The document also covers paraphilic disorders such as fetishism, exhibitionism, voyeurism, frotteurism, pedophilia, sexual masochism, and sadism. Causes may include psychodynamic issues, classical conditioning, or modeling behaviors.
Sexual Disorders & Gender Identity Disorder.pptxTracyLewis47
This document provides information about sexual disorders and treatments. It discusses several types of sexual dysfunctions including disorders of desire, excitement, orgasm and pain. It outlines their causes such as biological factors, psychological issues and sociocultural influences. The document also reviews treatments for sexual dysfunctions like sex therapy, medications, and therapies for specific disorders. Additionally, it covers paraphilic disorders and gender identity disorder.
This document discusses various types of sexual difficulties, including problems with desire, arousal, orgasm, and pain during intercourse. It outlines desire-phase difficulties such as hypoactive sexual desire disorder and dissatisfaction with sexual frequency. Excitement-phase difficulties include female and male arousal disorders as well as persistent genital arousal disorder. Orgasm difficulties and dyspareunia (painful intercourse) are also examined. Physiological factors like diabetes, cancer treatments, medications and general health problems are reviewed as potential contributors to sexual problems. Relationship, self-esteem and communication issues can also play a role in sexual difficulties.
Invited lecture delivered by Dr Sujoy Dasgupta in a Webinar organized by Sexual medicine Committee of FOGSI (Federation of Obstetric and Gynaecological Societies of India), held in February, 2022
Premature ejaculation is a common male sexual dysfunction characterized by the inability to delay ejaculation and can cause distress. It is classified as lifelong or acquired and has prevalence rates ranging from 2-33% depending on age and region. While the exact etiology is unknown, potential contributing factors include anxiety, penile hypersensitivity, serotonin receptor dysfunction, and multifactorial biological and psychosocial influences. Diagnosis involves assessing ejaculation latency, distress levels, and ruling out other conditions. Treatment options include behavioral techniques, pharmacotherapy like SSRIs, and counseling with success rates over 85% depending on commitment to therapy. Prognosis is generally good but relapse can occur without ongoing management.
This document discusses the evaluation and treatment of male sexual dysfunctions including hypoactive sexual desire disorder, premature ejaculation, erectile dysfunction, delayed ejaculation, and retrograde
SEXUAL DYSFUNCTIONS, PARAPHILIAS AND GENDER DYSPHORIA.pptxGeofryOdhiambo
1. The document discusses several common sexual dysfunctions including female sexual interest/arousal disorder, male hypoactive sexual desire disorder, erectile dysfunction, female orgasmic disorder, and delayed ejaculation.
2. For each dysfunction, the diagnostic criteria from the DSM-5 are provided, including symptoms that must be present for a minimum of 6 months and cause significant distress.
3. The neurophysiology of sexual response and factors influencing sexuality such as identity, orientation and behavior are also examined at a high level.
This document provides an overview of sexual disorders presented by Ujjwal Sharma. It classifies sexual disorders into four main types: gender identity disorder, psychological and behavioral disorders associated with sexual development, paraphilias (disorders of sexual preferences), and sexual dysfunction. Potential causes of sexual disorders include physical, hormonal, psychological, and lifestyle factors. Specific disorders like transsexualism, dual-role transvestism, and gender identity disorder of childhood are described. Symptoms and treatment options for sexual dysfunction are outlined. The nurse's role in assessment and management is also discussed.
Adhd Medication Shortage Uk - trinexpharmacy.comreignlana06
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kol...rightmanforbloodline
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Versio
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Version
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Version
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
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Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
sexual disorders.pptx
1.
2. Sexual dysfunctions
• For several months (DSM-5 – 6M, ICD-11 – Several months)
• Clinically significant distress
• Occurs frequently although maybe absent on some occasions (ICD – 11,
DSM-5 – 75-100% times )
• Not better explained by non-sexual mental disorder or severe relationship
distress or other significant stressors and not attributable to medication or
substance
• Specifiers
• Lifelong or Acquired:
• Specify whether: Generalized: Situational:
• Mild, Moderate, Severe (only DSM – 5)
3. Hypoactive sexual desire dysfunction
• Reduced or absent spontaneous desire (sexual thoughts or fantasies)
• Reduced or absent responsive desire to erotic cues and stimulation
or
• Inability to sustain desire or interest in sexual activity once initiated
• Any one of the 3 criteria is required
• To assess for presence of ED or PME that may contribute to the loss of
interest
• Individual differences in preference of initiation should be taken into
account
4. Female Sexual Interest/ Arousal Disorder
• Characterized by absence or marked reduction in response to sexual
stimulation in women, as manifested by any of the following:
• 1) Absence or marked reduction in genital response, including vulvovaginal
lubrication, engorgement of the genitalia, and sensitivity of the genitalia;
• 2) Absence or marked reduction in non-genital responses such as hardening
of the nipples, flushing of the skin, increased heart rate, increased blood
pressure, and increased respiration rate;
• 3) Absence or marked reduction in feelings of sexual arousal (sexual
excitement and sexual pleasure) from any type of sexual stimulation.
DSM-5 also mentioned reduced/absent sexual or erotic thoughts or fantasies
5. Male Erectile Dysfunction
• Inability or marked reduction in the ability in men to attain or sustain
a penile erection of sufficient duration or rigidity to allow for sexual
activity
• Majority of male treated for sexual dysfunction complaints of this
problem
• May have low self-esteem, low self-confidence and sense of lack of
masculinity
• Decreased satisfaction and desire are common in the partner
6.
7. Female Orgasmic Disorder
• Recurrent delay in, or absence of orgasm after a normal sexual
excitement phase that a clinician judges to be adequate in focus,
intensity, and duration
• In most cases, complaint is reported by the woman herself
• Causes- fears of impregnation, rejection , injury to vagina; hostility
toward men; poor body image, guilt about sexual impulses .
• Nonorgasmic women may be otherwise symptom free or may
experience frustration in a variety of ways.
8. Male early ejaculation
• Ejaculation that occurs prior to or within a very short duration of the
initiation of vaginal penetration or other relevant sexual stimulation,
with no or little perceived control over ejaculation
• DSM-5 mentions the time to be less than 1 minute following vaginal
penetration in case of lifelong problem
• Men report lack of control over delaying ejaculation
9. Male delayed ejaculation
• Inability to achieve ejaculation or an excessive or increased latency of
ejaculation, despite adequate sexual stimulation and the desire to
ejaculate
• Patient or the partner might feel exhausted during intercourse and
feel the partner to be less desirable
10. Sexual pain-penetration disorder
• Characterized by at least one of the following:
• 1) marked and persistent or recurrent difficulties with penetration, including
due to involuntary tightening or tautness of the pelvic floor muscles during
attempted penetration;
• 2) marked and persistent or recurrent vulvovaginal or pelvic pain during
penetration;
• 3) marked and persistent or recurrent fear or anxiety about vulvovaginal or
pelvic pain in anticipation of, during, or as a result of penetration
Avoidance behaviour seen
11. Assessment
• Assessment of type of sexual dysfunction, factors associated with or
contributing to sexual dysfunction and factors maintaining the sexual
dysfunction
• Detailed history taking (sexual, medical and psychosocial), focused
physical examination, laboratory tests (routine and specific) and
consultation with appropriate specialists
12. History taking
• Anticipate the embarrassment of patient and acknowledge that it
could be difficult talking about such issues
• Attention to be given to features distinguishing psychogenic from
organic
• Assess “timetable of life.”
• Past and present partner relationship
• Relationship between the couple with respect to nonsexual factors
• Substance and medication history
13. Physical Examination
• Ensure privacy, confidentiality & comfortability and convey it to the
patient
• Detailed assessment of gonadal function, vascular competence,
neurological integrity, and genital organ normalcy
• Focussed examination based on history
15. Goal of Assessment
• Does patient/couple actually have sexual dysfunction?
• Whether the dysfunction is primarily psychogenic or primarily organic?
• If the dysfunction has organic etiology, then is there a psychological overlay too?
• If there are more than one dysfunction, then which is the primary?
• Does patient has any comorbid psychiatric disorder?
• If subject has a psychiatric disorder, then is the sexual dysfunction secondary to it?
• If subject has a psychiatric disorder, then how severe it is?
• Is there a marital discord between the couple, which needs to be addressed?
• What is the motivation of the patient/couple to seek treatment?
• What is the level of psychological sophistication?
16. Management
• Principles – Formulation, Balancing the partners, Treatment options,
Selection of treatment
• General Non-pharmacological measures: Education about sexuality &
Relaxation exercises
• Specific Non-pharmacological management of Sexual Dysfunction -
Homework assignment for the couple - non-genital sensate focus,
genital sensate focus and vaginal containment
22. Specific Non Pharmacological treatment for
erectile dysfunction
• Men with erectile dysfunction often have difficulty attending to erotic
stimuli, especially when an erection develops, tending instead to
think about the quality of their erection or whether they will be able
to maintain it
• To specifically encourage the man to focus his attention on the
pleasurable sensations he experiences during the partner's genital
caressing (the use of a lotion can often heighten these sensations),
areas of his partner's body that he finds arousing, and the pleasure of
witnessing his partner's sexual arousal
23. Management
• Biological Treatments
• Pharmacotherapy
• PDE-5 inhibitors
• Sildenafil
• effect about 1 hour after ingestion, and its effect can last up to 4 hours.
• S/E- headaches, flushing, and dyspepsia.
• Vardenafil ,Tadalafil
• Other agents
• Oral phentolamine and apomorphine
• injectable and transurethral forms of alprostadil( PGE-1 analogue)
24. • Available data also suggests the safety of some of these PDE-5
inhibitors in patients with erectile dysfunction associated with
diabetes mellitus, spinal cord injury, chronic renal failure, Parkinson's
disease, antidepressant use and following radical prostatectomy
25. • Trazodone: One of the earliest drugs used in erectile dysfunction -
antagonistic effect on 5HT2C receptors and may also have adrenoceptor
antagonistic action.
• Yohimbine: α2-adrenergic blocker. Before introduction of sildenafil,
yohimbine was the most widely used oral medication for management of
erectile dysfunction.
• Apomorphine: Apomorphine is a dopamine agonist (D1 & D2 receptors)
and its sublingual form (Apo-SL) is a new central initiator of erection and
has been found to be effective in various types of erectile dysfunction.
Recent studies show that sublingual apomorphine has a safe cardiovascular
profile and thus making it a new treatment option for patients with
concomitant disease including cardiovascular disease and diabetes
mellitus.
26. • Phentolamine: competitive inhibitor of α- adrenergic receptor. Has
been suggested as an alternative to treatment of erectile dysfunction
in patients with cardiac illness.
• L-arginine: L-arginine is the precursor of Nitric Oxide (NO) and has
been shown to improve erections in 40% of patients.
27. • Androgen - useful for erectile dysfunction in men with severe
hypogonadism
• Injection – IM , 1-2 times /week
• Implants – every 3-6 months
• Gel, Patch – Daily use, Expensive
• S/E- Increased risk of Prostate CA, Regular S. PSA check
28. Vasoactive Intracavernosal Injections
• phentolamine mesylate, papavarine, vasoactive intestinal peptide
(VIP), forskolin and alprostadil
• Phentolamine mesylate - increasing cAMP and decreasing
intracellular Ca2+ and also possibly via nitric oxide synthase (NOS)
activation
• Papavarine - increasing cAMP thus decreasing intracellular smooth
muscle. It is used in papavarine (20-80 mg) induced penile erection
(PIPE) test to distinguish between psychogenic and organic ED
29. Intraurethral therapy
• Medicated urethral system for erection (MUSE), which contains 500-
1000 mg of alprostadil, has shown success rates varying from 43-69%
in efficacy studies. It has advantages that it can be self-administered
and has little systemic and local side effects.
30. Topical therapy (Transdermal delivery)
• Soft Enhanced Percutaneous Absorption (SEPA) + prostaglandin-E1
• Testosterone Gel - applied daily to the abdomen, back, thighs or
upper arms
31. Vacuum constriction devices
• work by exerting a negative pressure on the penis, which results in an
increase in corporeal blood flow and erection
• A constriction ring placed around the base of the penis prolongs the
erection by decreasing corporeal drainage
• Overall success rate with VCD has been reported to be around 90%,
with more than 80% of patients continuing with the device
32. Penile Prosthesis
• various forms of penile prosthesis, i.e., semi-rigid rod prosthesis
consists of two rod like cylinders that are implanted into corpora
cavernosum, mechanical rods (Dura II), malleable rods and inflatable
penile prosthesis (Unitary, two-piece, and three-piece devices).
• Usually 3 piece inflatable penile prosthesis is preferred as it leads to
more natural erections
33. Reconstructive surgery
• penile venous ligation or embolization - for venous leakage
• Arterial revascularization - young men with pure arteriogenic erectile
dysfunction
34. Pre Mature Ejaculation
• Stop-start technique - man lying on his back and focusing his attention
fully on the sensation provided by the partner's stimulation of his penis.
When he feels himself becoming highly aroused he is to indicate this to
her in pre-arranged manner at which point she need to stop caressing
and allow his arousal to subside. After a short delay this procedure is
repeated twice more, following which the woman stimulates her partner
to ejaculation.
• squeeze technique - When the man indicates he is becoming highly
aroused his partner should apply a firm squeeze to his penis for about
15-20 seconds. During applying the pressure, the forefinger and middle
finger are placed over the base of the glans and shaft of the penis, on the
upper surface of the penis, with the thumb placed at the base of the
undersurface of the glans. This inhibits the ejaculatory reflex
37. Female sexual Dysfunction
• Vaginismus - Helping the woman develop more positive attitudes
towards her genitals- Pelvic muscle exercises- Vaginal penetration-
Vaginal containment- Movements during containment
• Dyspareunia - sex education and teaching sensate focus- may be
helpful for the couple to avoid deep penetration positions (such as
vaginal entry from the rear) and to assume positions in which the
woman is in control of the depth of penetration (woman on top) or in
which penetration is not too deep (side by side or ‘spoons’ position)
• Arousal disorder- Sensate focusing, CBT, systematic desensitization,
individual and couples therapy, directed masturbation and
communication skills have been tried in arousal disorders with
moderate results
38. • Desire disorders- individual/couples therapy and medical/
psychological treatment
• flibanserin has been approved for the management of hypoactive
sexual desire disorder in premenopausal women. The recommended
dose is 100 mg per day at bed time
39. Termination of treatment
• Prepare for termination from the start of treatment: The
patient/couple should be told about the likely duration of therapy at
the beginning of the treatment. Setting the time frame will encourage
the patient/couple to work on the homework assignments.
• Towards the end of treatment extend the intervals between sessions:
The intervals between the last two to three sessions need to be
extended to two to three weeks.
40. • Prepare for relapse: The therapist need to prepare the couple for relapse.
About three-fourth of men will experience recurrence of their problem
following treatment. Hence, treatment also needs to assist men to cope
well with relapse. Most recurrences occur in a temporal pattern (i.e., will
occur more at certain times than at others) and usually improve naturally
or with self-initiated restart of treatment techniques. The understanding
that relapses are normal expected helps to reduce the anxiety and sense of
failure that may otherwise prolong erectile difficulties.
• Follow-up assessments: Follow-up assignments help the therapist to
evaluate the short-term effectiveness of treatment.
Dyspareunia is recurrent or persistent genital pain occurring before, during, or after intercourse
Vaginismus-Defined as a constriction of the outer third of the vagina due to involuntary pelvic floor muscle tightening or spasm, vaginismus interferes with penile insertion and intercourse
Patients suspected of hypogonadism need to be assessed for evidence of muscle development, size and structure of the penis, normal urethral opening, hypospadias, size and consistency of the testes and the prostate
The penis also needs to be examined for evidence of any masses or plaque formation, angulation, unprovoked persistent erection, or tight unretractable foreskin