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Author(s): NEI Press
Publisher: NEI Press
Date: 2010
Format: pdf
Language: English
ISBN10: 1422500829
Pages: 76
The aim of this book is to explain the underlying pathophysiology of hypoactive sexual desire disorder (HSDD), to increase physician awareness, to facilitate patient-physician and physician-patient communication, and to present the treatment options available.
Section 1. The Evolution of the Classification of Female Sexual Dysfunction:
explains the female sexual response cycle and how sexual desire disorder has been classified in the various Diagnostic and Statistical Manual of Mental Disorders volumes.
Section 2. The Neurobiology of Female Sexual Dysfunction:
explains the neurobiology of female sexual dysfunction and the role of the brain in this disorder.
Section 3. Facilitating Patient-Physician Communication:
explains the reasons underlying the patient-physician miscommunication.
Section 4. Sexual Questionnaires, Rating Scales, and Patient-Reported Outcomes:
provides tools to physicians to facilitate discussion and diagnosis of hypoactive sexual desire disorder.
Section 5. Treatments for Female Sexual Dysfunction:
introduces the general treatments, either approved or in clinical trials, for hypoactive sexual desire disorder.
Table of Contents
CME Information
Section 1. The Evolution of the Classification of Female Sexual Dysfunction
Classic Models of Human Sexual Response: Same for Men as for Women
The Female Sexual Response Cycle
Endorsement of Models of Sexual Response
Types of Female Sexual Dysfunction
Evolution of DSM Criteria of HSDD
Current DSM-IV-TR Criteria
What to Consider for DSM-V
Section 2. The Neurobiology of Female Sexual Dysfunction
What is Hypoactive Sexual Desire Disorder?
Trying to Define Desire
Drive is not Synonymous with Desire
Role of Testosterone in Women
Link between Testosterone and Sexual Desire
Role of Estrogen
Key Symptoms of Hypoactive Sexual Desire Disorder and How They are Linked to Specific Brain Regions
The Common Pathway of Reward
Pleasure Center of the Brain
Psychopharmacology of Sex
Sexual Desire and Reward Circuits
Neurotransmitters Involved in Sexual Arousal
Nitric Oxide and Sexual Arousal
Neurotransmitters and Orgasm
Section 3. Facilitating Patient-Physician Communication
Prevalence of Sexual Dysfunction in Women
Possible Reasons for Low Sexual Desire
Effects of General Medical Disorders on Sexual Function
Medication-Induced Sexual Dysfunction
Patient-Physician Communication
Barriers to the Treatment of Female Sexual Dysfunction
Section 4. Sexual Questionnaires, Rating Scales, and Patient-Reported Outcomes
Steps for a Brief Screening About Sexual Function
Sexuality Questionnaires
Decreased Sexual Desire Screener
Female Sexual Distress Scale
Female Sexual Function Index
Relationship between FSFI Scores and the Different Models of Female Sexual Response
Profile of Female Sexual Function
Sexual Satisfaction Scale for Women
The Sexual Interest and Desire Inventory for Women
Women's Sexual Interest Diagnostic Interview
Resources for Patients and for Physicians
Section 5. Treatments for Female Sexual Dysfunction
Low Sexual Desire, Low Dopamine
Clinical Trials for Hypoactive Sexual Desire Disorder Currently Recruiting Patients
Treatments
Flibanserin
Other Compound of Interest for Female Sexual Dysfunction in General: Bupropion
Other Compound of Interest for Female Sexual Dysfunction in General: Tibolone
Other Compound of Interest for Female Sexual Dysfunction in General: Bremelanotide
Summary
References
Appendix
Questions from the Female Sexual Function Index
Sexual Satisfaction Scale for Women
CME Posttest
Having the Sexual Dysfunction Discussion
Posttest and Activity Evaluation Answer Sheet
with TOC BookMarkLinks
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