TY - JOUR
T1 - Recommendations for the clinical evaluation of men and women with sexual dysfunction
AU - Hatzichristou, Dimitrios
AU - Rosen, Raymond C.
AU - Derogatis, Leonard R.
AU - Low, Wah Yun
AU - Meuleman, Eric J.H.
AU - Sadovsky, Richard
AU - Symonds, Tara
N1 - Funding Information:
Conflict of Interest: Dimitrios Hatzichristou receives research support from Astellas, Bayer Schering, Boehringer Ingelheim Eli Lilly, Sanofi Aventis Nd Pfizer; Raymond Rosen is an employee of New England Research Institutes, Inc., and receives research support from Bayer Schering, Boehringer; Ingelheim, Eli Lilly, Ferring Pharmaceuticals, Johnson and Johnson, and the National Institutes of Health (NIH). Dr. Rosen is a paid consultant for Boehringer Ingelheim, Ferring Pharmaceuticals, Johnson and Johnson and Sanofi-Aventis; Leonard Derogatis is a consultant for Boehringer-Ingelheim, BioSante, Fabre-Kramer Pharmaceuticals and Proctor & Gamble Pharmaceuticals. Wah Yun Low has nothing to declare. Eric Meuleman has nothing to declare. Richard Sadovsky is consultant for Boehringer-Ingelheim and Eli Lilly. Tara Symonds is an employee of Pfizer Ltd.
PY - 2010/1
Y1 - 2010/1
N2 - Introduction: The challenge in the field of sexual medicine is to develop evidence-based principles for clinical evaluation and create a uniform, widely accepted diagnostic and treatment approach for all sexual problems and dysfunctions, for both genders. Aim: To provide recommendations for the broad approach for assessing sexual problems in a medical practice setting; to develop an evidence-based diagnostic and treatment algorithm for men and women with sexual dysfunctions. Methods: The PubMed literature was reviewed. Expert opinion was based on the grading of evidence-based medical literature and the Delphi consensus process. Results: The Committee determined three principles for clinical evaluation and management: (i) adoption of a patient-centered framework, with emphasis on cultural competence in clinical practice; (ii) application of evidence-based medicine in diagnostic and treatment planning; (iii) use of a unified management approach in evaluating and treating sexual problems in both men and women. The International Consultation in Sexual Medicine-5 stepwise diagnostic and treatment algorithm was developed for that purpose. According to this algorithm, sexual, medical, and psychosocial history is mandatory, whereas physical examination and laboratory tests are highly recommended in most cases. Furthermore, the Brief Sexual Symptom Checklist (BSSC) for Men and BSSC for Women, and more recently the Sexual Complaints Screener (SCS) for Men and SCS for Women, were all endorsed for screening purposes. A classification system was also defined; clinically, sexual dysfunctions are categorized in three types according to their etiology (Type I: psychogenic; Type II: organic; Type III: mixed). Final recommendations on specialized diagnostic tests were based on level of evidence. Conclusions: A unified diagnostic and management strategy in sexual medicine, irrespective of condition and gender, would improve patients' sexual well-being. It would also lead to the development of academic curricula to provide practicing physicians across specialties with the needed skills to meet contemporary patients' needs in sexual medicine health-care delivery. Hatzichristou D, Rosen RC, Derogatis LR, Low WY, Meuleman EJH, Sadovsky R, and Symonds T. Recommendations for the clinical evaluation of men and women with sexual dysfunction.
AB - Introduction: The challenge in the field of sexual medicine is to develop evidence-based principles for clinical evaluation and create a uniform, widely accepted diagnostic and treatment approach for all sexual problems and dysfunctions, for both genders. Aim: To provide recommendations for the broad approach for assessing sexual problems in a medical practice setting; to develop an evidence-based diagnostic and treatment algorithm for men and women with sexual dysfunctions. Methods: The PubMed literature was reviewed. Expert opinion was based on the grading of evidence-based medical literature and the Delphi consensus process. Results: The Committee determined three principles for clinical evaluation and management: (i) adoption of a patient-centered framework, with emphasis on cultural competence in clinical practice; (ii) application of evidence-based medicine in diagnostic and treatment planning; (iii) use of a unified management approach in evaluating and treating sexual problems in both men and women. The International Consultation in Sexual Medicine-5 stepwise diagnostic and treatment algorithm was developed for that purpose. According to this algorithm, sexual, medical, and psychosocial history is mandatory, whereas physical examination and laboratory tests are highly recommended in most cases. Furthermore, the Brief Sexual Symptom Checklist (BSSC) for Men and BSSC for Women, and more recently the Sexual Complaints Screener (SCS) for Men and SCS for Women, were all endorsed for screening purposes. A classification system was also defined; clinically, sexual dysfunctions are categorized in three types according to their etiology (Type I: psychogenic; Type II: organic; Type III: mixed). Final recommendations on specialized diagnostic tests were based on level of evidence. Conclusions: A unified diagnostic and management strategy in sexual medicine, irrespective of condition and gender, would improve patients' sexual well-being. It would also lead to the development of academic curricula to provide practicing physicians across specialties with the needed skills to meet contemporary patients' needs in sexual medicine health-care delivery. Hatzichristou D, Rosen RC, Derogatis LR, Low WY, Meuleman EJH, Sadovsky R, and Symonds T. Recommendations for the clinical evaluation of men and women with sexual dysfunction.
KW - Algorithm
KW - Diagnosis
KW - Management
KW - Sexual dysfunction
KW - Sexual medicine
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U2 - 10.1111/j.1743-6109.2009.01619.x
DO - 10.1111/j.1743-6109.2009.01619.x
M3 - Article
C2 - 20092443
AN - SCOPUS:74049132687
SN - 1743-6095
VL - 7
SP - 337
EP - 348
JO - Journal of Sexual Medicine
JF - Journal of Sexual Medicine
IS - 1 PART 2
ER -