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PubMed1990

[Retrograde ejaculation as a cause of aspermia following retroperitoneal lymph node excision and the effective use of alpha sympathomimetic drugs].

Retroperitoneal lymphadenectomy may produce in the majority of patients an irreversible loss of normal ejaculation due to lesion of presacral sympathetic nerve fibers. Libido and orgasm did remain unchanged. In 14.3% of the patients a retrograde ejaculations could evaluated. By application of alpha-sympathicomimetic drugs this could reversed to an antegrade ejaculation. However, fertility was altered strongly because of motility loss.

Administration, Oral↗
PubMed1990

[Chronic prostatis and sexual disorders in elderly men].

A study of 73 patients over 59 years of age with chronic prostatitis and copulative dysfunction revealed that these disorders are characterized by prolonged asymptomatic course of chronic prostatitis, complex structure of sexual pathology with prevailing disturbance of adequate erection, ejaculation and orgasm. Androgenous saturation, constitutional weakness of sexual function, somatic pathological conditions are of major significance in the development of sexual disorders in this category of patients.

Aged↗
PubMed1986

Testicular dysfunctions in patients after cytostatic treatment of non-seminomatous testis tumours.

In recent two years 28 patients were treated by combined cytostatic therapy for non-seminomatous testis tumour. Eleven months on the average since finishing chemotherapy they underwent andrological examination aimed at the changes of testicular function. Influence of cytostatics--bleomycin, cisplatinum and vinblastine on spermiogenesis of patient, on contralateral testis unaffected by tumour and on potency (data on erection, orgasm, volume of ejaculate and coitus frequency) was observed. 20% of patients had diminished contralateral testis. Decrease of ejaculate volume was stated by 64% of patients. Spermiogenesis damage was established in all patients (86% of patients had azoospermia and 14% had difficult oligoasthenospermia). One of the possible solutions of this negative effect on male fertility is represented by cryopreservation of semen before introduction of chemotherapy.

Adult↗
PubMed1989

[Surgical solutions to iatrogenic impotence following total cysto-prostatectomy].

Sixty-nine patients who underwent major pelvic surgery for bladder cancer were evaluated for sexual consequences. Impotence was observed in 85% of the patients after 48 radical cysto-prostatectomies. Among them, one third developed a parallel sexuality without erection but with orgasm: they are candidates for penile implants. In a small number (15%) of the patients, erections were preserved: this was observed in 5 out of 12 patients (41%) who were operated with the new technique sparing the cavernous nerves. An optimistic note emerges from surgical solutions, whether prophylactic or palliative, but one must insist on the necessity of a psychological support before and after the operation.

Aged↗
PubMed1989

A longitudinal study of sexuality and gynecologic health in abused women.

Although the nature of the sexual dysfunctions that result from rape and abuse may vary, the study reported here suggests that the dysfunctions become chronic. Sexually violent assaults alter a woman's affective as well as her gynecologic and physiologic life. The author determined the frequency of sexual dysfunction in 100 women: 30 rape victims, 35 abuse victims, and 30 case-matched controls. The sexual inventory evaluated for sexual fears, sexual desire, sexual arousal, and orgasm. To evaluate the impact of the abuse on the gynecologic health of the victims, the gynecologic examination and interview focused on pain, dyspareunia, vaginismus, dysfunctional uterine bleeding, vaginitis, and pelvic surgery. Over a period of two to four years after the violent event, 61% of the raped and abused women had some sexual dysfunction. Almost the same percentage had gynecologic problems. Studies of this nature are difficult because the victims are reluctant to participate and resistant to cooperate. Only 45% of the victims in the rape-crisis centers were willing to cooperate, while only 25% of those in the shelter for abused women were willing to provide a sexual history and consent to an interview and pelvic examination. Such factors need to be kept in mind when interpreting the data.

Adolescent↗
PubMedDate not supplied

Sexual behavior of infertile couples.

The role of sexual dysfunction was evaluated among 98 couples during infertility examination. The wife and the husband were interviewed separately and together. Sixty-six women were willing to report daily their sexual behavior in association with recording basal body temperature. Male sexual dysfunction was the primary cause of infertility in five couples (5%). Three pregnancies resulted after examination and simultaneous supportive discussion. Following a simple diary on sexual behavior, 19 of 66 women conceived (29%). Fourteen of these 19 women reported orgasm within two days preceding elevated basal body temperature. Open discussion about sex was possibly therapeutic. Infertility examinations should include an evaluation of the sexual behavior of couples, with special reference to frequency and timing of coitus.

Adult↗
PubMed1989

[Attitude and sex behavior following hysterectomy].

488 women have been asked after abdominal or vaginal hysterectomy by way of retrospective questionnaires about preoperative anxieties, postoperative psychosomatic complaints as well as disturbances of their vita sexualis. 48.6% of the patients had anxieties before operation and anaesthesia. After hysterectomy 71.9% of the women reported about hot flushes and other psycho-vegetative complaints. Although hot flushes occurred significantly more frequent in patients with salpingooophorectomy they could be observed also in one third of the women without removal of the ovaries. However libido, cohabitation frequency and orgasm ability were reduced significantly more frequent in the group of women after hysterectomy with salpingooophorectomy. This is caused by the failing blood supply to the ovary via the branches of the uterine artery. The reduce postoperative psychosomatic complaints as well as sexual dysfunctions it is important to give qualited instructions before and after the operation. On no account should a prophylactic exstirpation of the adnexa be carried out before the age of 50 years. A hormonal substitution is recommended to be done in time even for patients whose ovaries have not been removed suffering from psycho-somatio discomforts.

Adult↗
PubMed1979

The Biblical and Talmudic secret for choosing one's baby's sex.

The Biblical verse "If a woman emits semen and bears a manchild" (Leviticus 12:2) is interpreted by the Talmudic Sages and more recent Jewish sources to mean that if a woman emits her "semen" first, she will bear a male child but if the man emits his semen first, she will bear a female child. The Sages of the Talmud thus claimed to have known the secret of determining one's baby's sex. However, whether "emitting one's semen first" refers to orgasm, ovulation, both or neither, is not clear.

Bible↗
PubMed1988

[Sexuality following radical operations].

In a retrospective study to evaluate the sexuality of patients after radical surgery for cervical cancer, we interviewed with a standardized questionnaire 87 women who had undergone radical abdominal (N = 76) or radical vaginal (N = 11) hysterectomy between 1971 and 1985. Apart from employment and partnership, we assessed sexual behaviour as reflected by frequency of coitus, libido, and orgasm. The patients were questioned about each aspect preoperatively before knowing the diagnosis, post-operatively after the immediate effects of surgery had passed, and at the time of the interview. 6.6% of the women could be considered invalids. There was a clear decrease in frequency of coitus and an anxiety-related decrease of libido. However, the number of patients without sexual activity was not statistically different from that in an age-matched group of women who did not undergo surgery. 4.5% of partnerships broke up as an immediate consequence of the surgery. Only 20% of the patients felt they had been adequately informed of possible sexual consequences of treatment by the surgeon.

Adult↗
PubMed1988

The frequency of sexual problems among family practice patients.

Two hundred-twelve patients attending a family practice center participated in a questionnaire study of their sexual identity and function. Using conservative definitions of problems, 75% were identified as having at least one specific sexual problem area. Most of these problems were functional in nature and involved desire, arousal, or orgasm. While the frequency of sexual problems was high in both sexes among all age groups, identity problems were primarily seen among the young, and desire problems among older adults. The prevalence rate of reporting sexual problems did not differ significantly by sex. However, females reported more specific sexual problems than males. Only 26% of the subjects summarized their overall sexual lives as problematic and the vast majority of patients thought their family physicians were able to help with such problems. This study reaffirms the high prevalence of sexual disorders in the population. Given adequate training, family physicians may be the ideal providers of assistance for these problems.

Adolescent↗
PubMed1987

Fetishism revisited.

Following a brief review of the psychoanalytic literature on perversions, a case of fetishism is presented. The patient was a man who could only have an erection while wearing an apron. Nevertheless, it did not help him to reach an orgasm. He could only achieve this while having certain anxiety dreams that produced nocturnal pollutions. It is suggested that whatever the pregenital determinants of this perversion are, fetishism makes special reference to problems related to the phallic position (a concept suggested as an alternative to the notion of a developmental genetic phallic phase). References are made to the families of perverts and, specifically, to the function of the father.

Adult↗
PubMed1986

Sexual and bladder dysfunctions following surgery for rectal carcinoma.

A series of 475 patients who underwent surgery for rectal carcinoma were followed up and entered this study. Sexual and bladder function before and after surgery with respect to the surgical procedure was considered. 221 patients gave suitable information about their urinary function: bladder dysfunction was observed in 20% of amputated patients as against 13-14% of resected patients. 144 patients (103 males and 41 females) were available for a follow-up study of the sexual function. Sexual intercourse, libido, erection, ejaculation, dyspareunia, vaginal humidification, orgasm were the parameters examined. Almost all of them were more affected after abdominoperineal resection than after low anterior resection with manual or stapled anastomosis, although the difference was not always significant. In a few instances the rates were inverted. It is believed that these dysfunctions are not related to the type of surgery, but to required extent of radicality. Extreme care should be always taken when dissecting the end portion of the rectum to avoid injuries to the hypogastric plexus and the pudendal nerve.

Ejaculation↗
PubMed1985

[Implant operation of penile inflatable prosthesis for a patient with erectile impotence due to radical cystectomy: a case report].

The hydraulically inflatable penile prosthesis consists of an inflate-deflate pump, a storage reservoir and paired cylinders and it is able to provided a more physiologically functional penis. We report our surgical experience of implant of an inflatable penile prosthesis for postoperative impotence. The patient was a 51-year-old male with impotence, who had received radical cystectomy and ilial conduit formation for transitional cell carcinoma of the bladder (G3, pT3NoMo.) 9 months earlier. There was nothing particular except for the postoperative status on physical, laboratory and X-ray examinations. He was diagnosed to have organic impotence (vasculogenic) by sexual functional tests. Auto-injection of the corpus cavernosum with papaverine HCl was attempted but an erection was not induced by the injection. So, implant operation of an inflatable penile prosthesis was performed by the lower abdominal approach. His postoperative course was uneventable and practice to deflate and inflate the cylinders was started at 2 weeks after the operation and he was able to have sexual intercourse at 5 weeks after the surgery. Now (3 months after the operation), he can have sexual intercourse with an orgasm but without ejaculation and he and his wife are both satisfied with the postoperative status.

Carcinoma, Transitional Cell↗
PubMed1985

Sexual dysfunction in younger insulin-treated diabetic females. A comparative study.

The presence of sexual dysfunction was studied comparatively in 80 insulin treated diabetic women, 26-45 years of age, and in an age-matched control group of women without chronic somatic disease or psychiatric illness. We found no significant difference in the incidence of sexual dysfunction between the two groups (27.5% and 25% respectively). In diabetics and controls, the most common symptom of sexual dysfunction was reduced libido (22.5% in both groups) while only 18% complained of orgasmic dysfunction. In diabetics, sexual dysfunction was not correlated to age and diabetes duration. Sexual dysfunction was correlated to peripheral neuropathy but not to retinopathy, nephropathy, reduced beat-to-beat variation, regulation quality, insulin treatment and age at diabetes onset. Nearly half the patients reporting sexual dysfunction were without any late diabetic complications, indicating the influence of psychosocial factors. Somatopsychic reactions (emotional reactions to somatic disease) seem to be of relevance, although diabetic women may have less problems in this area than diabetic men. A better acceptance of the disease might partly explain the difference in sexual complications between diabetic males and females. Diabetic women and their partners should be offered, at least once a year, the possibility to discuss interpersonal relationships and the emotional aspects of living with diabetes. Most sexual problems should be handled in the diabetes clinic and only selected cases referred for sex therapy.

Adult↗
PubMed1985

A review of referrals to the psychosexual clinic at the Belfast City Hospital.

The number of patients seen at the psychosexual clinic has more than doubled in eight years. The diagnostic categories of the patients referred have also changed, especially in the area of homosexuality, and now show greater similarity to figures obtained in two reports from Great Britain, apart from a lower referral rate for orgasmic dysfunction. There is also an overall lower rate of referral in Northern Ireland. This raises the question as to whether or not there is a real difference in the prevalence of these disorders in the Province, compared with Great Britain.

Female↗
PubMed1968

On sexual apathy in the male.

Ever since World War II, there has been a noticeable change in the sexual behavior and responses in men and women. Women, in general, are becoming sexually more assertive and demanding and men more indifferent and lethargic. In patients of middle age, sexual boredom is particularly pronounced in men, whereas the post-menopausal female becomes more interested in sexual pleasure. In the youth of the "cool" generation, both boys and girls are quite open about sex, but their sexual activities precede emotional involvement. The similarities in dress and behavior of both sexes indicate a wish for a twin rather than a search for a lover. In the age group between 25 and 45, women demand equal orgasms since they have become economically independent and are relatively free of the fear of pregnancy. This seems to have mobilized a deep-seated unconscious fear and hatred of women in the male, making him sexually apathetic. In both sexes there is a growing alienation between romantic love and sex.

Humans↗
PubMed1984

[Chastity and healing power].

The idea of a connection between chastity and healing power is to be found as well in primitive cultures as in ethnomedicine and in the medicine of Antiquity. What is meant in the Hippocratic Oath, though, is not the sexual restraint of the physician himself, but moreover in the attitude towards his patient and all the people living in the same house with the patient. This is different, though, in ethnomedicine, where the healer is demanded to live sexually abstinent for a certain time and the persons assisting him are often expected to stay untouched, i.e. chaste. "Chastity", however, as conceived by the Ancient Greek and Roman meant the integrity of marital faith. The urine of women who were chaste in this sense was believed to have healing powers. Furthermore mention is made of an African tribe, of which it was said that its members originating definitely from this tribe only, were immune against the bite of snakes and therefore had a special capacity of healing bitten persons. Ethnomedicine, on the other side, attributes great power to those who lead an unchaste life as well as to illegitimately born children. We are here confronted with an ambiguity inherent in popular imagination of disease and healing. A figure of German poetry of the Middle Ages "Der Arme Heinrich" by Hartmann von Aue, f.i., is in search of the heartblood from a young, freeborn maiden which is to cure him from leprosy. In many cases objects used by virgins or unmarried men were believed to have healing powers. Especially the imagination of epilepsy and orgasm being related to each other, lead to the claim for sexual abstinence of the patient, yes, even for his castration. On the other hand, however, epileptics were recommended to have sexual intercourse. Fasting, sometimes together with sexual abstinence, was considered to be important for the healer and as well for the patient to be cured. Plants were given in order to lead to sexual abstinence. In primitive cultures the imagination of sexual activity leading to a loss of the powers that are needed for healing, is to be found very often.(ABSTRACT TRUNCATED AT 400 WORDS)

Disease↗
PubMed1984

[Clinical experience of bromazepam for psychogenic impotence patients].

A clinical trial was performed with the tranquilizer Bromazepam on 39 patients undergoing diagnosis of psychogenic impotence, and the drug effect was evaluated according to the criteria based on our protocol. The protocol specifies 8 tests (1 for libido, 4 for erection, 2 for ejaculation, 1 for orgasm) which are scored according to an arbitrary logarithmic scoring system. At the end of the study the points made in the 8 tests were added to obtain the total score as the basis for evaluation of the overall drug effect. After treatment all tests showed an improvement, and the improvement in erection during masturbation, reflective erection, and condition of ejaculation was statistically significant. The total score also improved from 16.77 +/- 2.62 (mean +/- S.D.) before treatment to 11.42 +/- 1.96 after treatment, and the change was again statistically significant (P less than 0.05). The rate of satisfaction as a subjective symptom of improvement also increased from 25.38 +/- 4.40% to 39.10 +/- 4.53%. The results of the present study provide evidence to indicate that Bromazepam is beneficial for psychogenic impotence.

Administration, Oral↗