Understanding Sexual Medicine: A Guide for Family Practitioners and Students

Nature of human sexuality - and GP counselling.- Aims of this book.- What is sexuality ?.- The significance of male sex hormone.- Contributors to sexual drive.- The GP as counsellor.- 2 Expressing our sexuality - and patterns of sexual drive.- Common forms of sexual expression.- Other forms of sexual expression.- Patterns of sexual drive.- Changed expectations.- Effects of illness and drugs.- Video culture.- Environment - and obesity.- 3 Coitus in view today.- Current view of coitus.- Physiological variations.- Coital positions.- Some controversial points.- Surrrogates.- Physiological puzzles.- 4 Common sexual problems in the male partner.- Erectile dysfunction.- Ejaculatory dysfunction.- Altered libido.- Anxiety effects.- Deviations and difficulties.- Organic illness.- Mental illness.- Drugs.- 5 Common sexual problems in the female partner.- Altered libido.- Non-sexual marital pathologies.- Violence and aggression.- Dyspareunia.- Pregnancy.- Infection.- Performance anxieties.- Cosmetic turn-offs.- Religion.- Pregnancy - again.- Menopause and PMT.- Vaginismus.- Organic discomforts.- Drugs - again.- Alcohol.- The pill.- Physical illnesses.- Chronic diseases.- Surgery effects.- 6 Disability, handicap and sexuality.- Handicap and disability.- Type of problems.- An approach.- 7 Therapies and counselling.- Therapeutic approaches to sexual dysfunction.- Patterns of presenting problems.- History taking.- The clinical examination.- Diagnosis and prognosis.- Styles of therapy.- Partner types.- Other approaches to sex counselling and therapy.- Barriers.- Mixed therapy approach.- The limitation and therapy.- A fuller history.- Adaptable techniques.- Therapy of common sexual problems.- Reduced or absent libido.- Erectile dysfunction - emotional or psychological blocking.- Circumcision.- Phobias - and organic disorders.- Therapy of female partner problems.- Hormone replacement therapy.- Vaginismus.- Dyspareunia.- Sex drive stimulation.- Encouraging orgasm.- Performance anxiety.- Cosmetic surgery.- Sexual activity after an acute illness.- Headache and sexual function.- Honeymoon cystitis and the urethral syndrome.- Medical therapy for erection.- Surgical therapy for male dysfunction.- ‘Stuffing’ as therapy.- Criteria of success in sex therapy.- Sex after sixty.- Selected bibliography.- Index of Persons.- Index of Subjects.