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Related Experiment Videos

Sexual dysfunction, Part II: Diagnosis, management, and prognosis.

J G Halvorsen1, M E Metz

  • 1Department of Family Practice and Community Health, University of Minnesota, Minneapolis 55455.

The Journal of the American Board of Family Practice
|March 1, 1992
PubMed
Summary
This summary is machine-generated.

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Sexual dysfunctions are common and treatable. Diagnosis involves medical history and physical exams, with treatments ranging from psychological therapies to medical and surgical interventions. Success rates vary by disorder type.

Area of Science:

  • Sexual medicine
  • Psychiatry
  • Urology

Background:

  • Sexual problems are prevalent yet often undiagnosed.
  • Classified into four main categories: desire, arousal, orgasmic, and pain disorders.

Purpose of the Study:

  • To review the literature on sexual dysfunctions.
  • To outline diagnostic and treatment protocols.

Main Methods:

  • Comprehensive literature search of MEDLINE (1966-present) using keywords for specific sexual dysfunctions and "sexual dysfunction."
  • Inclusion of articles from reference lists of dysfunction-specific reviews.

Main Results:

  • Diagnosis hinges on physician inquiry and a systematic approach.
  • Treatment modalities include psychological therapies (e.g., cognitive-behavioral therapy, sensate focus), medical interventions (pharmacologic, surgical), and devices.

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  • High success rates (80-95%) for vaginismus, dyspareunia, erectile disorders, and female orgasmic dysfunction.

    • Conclusions:

    • Effective diagnosis and treatment protocols exist for various sexual dysfunctions.
    • Psychological and medical interventions yield good to excellent outcomes for many conditions.
    • Sexual desire disorders currently have the poorest long-term prognosis.