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Sexual dysfunction in medical practice.

Manohar J Shivananda1, T S Sathyanaryana Rao

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Sexual dysfunction is common in many medical disorders, impacting patient quality of life and recovery. Early recognition and management are crucial for improving health outcomes in patients with sexual dysfunction.

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Area of Science:

  • Medical practice
  • Sexual health
  • Clinical review

Background:

  • Sexual dysfunction is frequently linked to various medical conditions, often overlooked in clinical practice.
  • Unrecognized sexual dysfunction negatively affects patients' quality of life and can impede recovery from illness.
  • The prevalence of sexual dysfunction across major illnesses ranges from 20% to 75%.

Purpose of the Study:

  • To review recent literature on sexual dysfunction in medical practice.
  • To highlight the association between medical disorders and sexual dysfunction.
  • To discuss the impact of sexual dysfunction on patient recovery and quality of life.

Main Methods:

  • Literature search of PubMed, Clinical Key, Scopus, and Google Scholar.
  • Review period: November 2014 to May 2016.
  • Focus on recent findings concerning sexual dysfunction in medical contexts.

Main Results:

  • Sexual dysfunction is associated with most systemic disorders, affecting patients and their spouses.
  • It can serve as a predictor for future major adverse events.
  • Phosphodiesterase-5 inhibitors for erectile dysfunction show no increased risk of myocardial infarction or death.

Conclusions:

  • Sexual functioning is impaired across neurological, endocrinal, cardiovascular, and other disorders.
  • Conditions like stroke, epilepsy, diabetes, and hypertension significantly impact sexual health.
  • Judicious use of hypotensive drugs is advised due to their potential to cause sexual dysfunction.