Title Page
Foreword 1
Foreword 2
Preface
Acknowledgments
Contents
Detailed Contents
 
PART I Sex History-taking, Interviewing, and Assessment
References
 
CHAPTER 1 Talking About Sexual Issues: History-Taking and Interviewing
Some Research on General Aspects of Health-related Interviewing and History-Taking
Integrating Sex-related Questions into a General Health History
Studies in Medical Education That Relate to General Aspects of Sex History-taking
Studies in Medical Education on Sex History-taking in Relation to HIV/AIDS
What, Then , Is the Definition of a Sex (or Sexual) History?
Practical Aspects of Introducing Sexual Questions Into a Health-related History
Summary
References
 
CHAPTER 2 Talking About Sexual Issues: Interviewing Methods
Preliminary Issues
Interviewing Methods
Summary
References
 
CHAPTER 3 Screening For Sexual Problems
Screening Content: Dysfunctions Versus Difficulties
Epidemiology of Sexual Problems in Primary Care
Screening Criteria
Conclusion
References
 
CHAPTER 4 Sexual Dysfunctions: Diagnostic Topics And Questions
Pattern Of Sexual Dysfunction
Summary And Conclusions
References
 
CHAPTER 5 Context Of Sexual Disorders: Issues And Questions In The Present And Past
Prologue
Present Context: Immediate Issues And Questions
Context Of The Past: Remote Issues And Questions
Sexual-Developmental History
Rationale For Questions
Impact Of Hormonal Changes On Sexuality In Aging Women
Summary
References
 
CHAPTER 6 Assessing Sexual Dysfunctions And Difficulties: The Process
Window Of Opportunity
The Patient’s Partner
Interviewing A Solo Patient
Interviewing A Couple
First Visit
Second Visit
Third (or fourth) Visit
Physical Examination
Summary And Conclusions
References
 
CHAPTER 7 Talking About Sexual Issues: Gender And Sexual Orientation
Gender: Issues And Questions
Sexual Orientation: Issues And Questions
Summary
References
 
CHAPTER 8 Talking About Sexual Issues: Medical, Psychiatric, And Sexual Disorders (Apart From Dysfunctions)
Medical Disorders
Psychiatric Disorders
Sexual Disorders (Apart From Sexual Dysfunctions)
Summary
References
 
PART II Sexual Dysfunctions In Primary Care: Diagnosis, Treatment, And Referral
PRIMARY CARE TREATMENT OF COMMON SEXUAL  DYSFUNCTIONS: GENERAL CONSIDERATIONS
ASSUMPTIONS
Practice Pattern of the Health Professional
Classification of Sexual Disorders
Investigation of sexual dysfunctions: History-taking (always), Physical Examination (preferably) and Laboratory Examination (selectively)
Context of the Relationship
Therapeutic Focus: Present Versus Past
Education/Information as an Element of Treatment
Indications for Referral for Consultation or Continuing Care by a Specialist
References
 
CHAPTER 9 Low Sexual Desire In Women And Men
The Problem
Terminology
Problems In The Definition Of Sexual Desire
Classification Of Sexual Hypoactive Desire Disorders
Subclassification Of Hypoactive Sexual Desire Disorders: Descriptions
Epidemiology Of Hypoactive Sexual Desire Disorder
Components Of Sexual Desire
Hormones And Sexual Desire
Etiologies Of Hypoactive Sexual Desire Disorder
Investigation of Hypoact ive Sexual Desire Disorder
Treatment of Hypoactive Sexual Desire Disorder
Treatment Outcome of Hypoactive Sexual Desire
Indications for Referral for Consultation or Continuing Care by a Specialist
Summary
References
 
CHAPTER 10 Ejaculation/Orgasm Disorders
Premature Ejaculation
Delayed Ejaculation/Orgasm
Retrograde Ejaculation
Infrequent Ejaculation/Orgasm Disorders
References
 
CHAPTER 11 Erection Disorders
General Considerations
Situational (“Psychogenic”) Erectile Dysfunction
Generalized Erectile Dysfunction: Organic, Mixed, or UnDetermined Origin
Postscript
References
 
CHAPTER 12 Orgasmic Difficulties In Women
Prologue
The Problem
Terminology
Definition
Classification
Description
Epidemiology
Etiology
Investigation
Treatment
Indications For Referral For Consultation Or Continuing Care By A Specialist
Summary
References
 
CHAPTER 13 Intercourse Difficulties In Women: Pain, Discomfort, And Fear
The Problem
Terminology
Classification
Classification Problems: Distinguishing Dyspareunia And Vaginismus
Subclassification: Descriptions
Epidemiology
Etiology
Investigation
Treatment
Indications For Referral For Consultation Or Continuing Care By A Specialist
Summary
References
 
Appendix I First Assessment Interview With A Heterosexual Couple
Appendix II First Assessment Interview With A Solo Patient
Appendix III Case Histories For Role-play Interviews
Appendix IV Sex-Related Web Sites For Patients/Clients/Consumers And Health Professionals
Appendix V Medications & Sexual Function
Appendix VI Selected Self-Help Books For Patients/Clients