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Sexual Medicine and Andrology

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Andrology

Abstract

Sexual medicine issues play a role in medical practice in all disorders and diseases that affect sexual functions, sexual and/or partner experience and behavior, and gender identity. Sexual disorders can also be consequences of other illnesses and/or their treatment and can manifest as the result of sexual trauma. In any case, a basic understanding of human sexuality is beneficial for clinical work, distinguished into three different dimensions (desire, reproduction, and attachment), all closely intertwined. This basic understanding also permeates the principles of sexual medical diagnostics and therapy, the couple dimension being of essential importance. As a result, an integrative approach in sexual medicine, taking somatic and psychosocial factors into account, makes it possible to deal with couple-related problems in the same way as somatic therapy options.

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References

  • Abraham L, Symonds T, Morris MF (2008) Psychometric validation of a sexual quality of life questionnaire for use in men with premature ejaculation or erectile dysfunction. J Sex Med 5:595–601

    PubMed  Google Scholar 

  • Acevedo BP, Aron A, Fisher HE, Brown LL (2012) Neural correlates of long-term intense romantic love. Soc Cogn Affect Neurosci 7:145–159

    PubMed  Google Scholar 

  • Ahlers CJ, Schaefer GA, Beier KM (2004) Erhebungsinstrumente in der klinischen Sexualforschung und der sexualmedizinischen Praxis: Ein Überblick über die Fragebogenentwicklung in Sexualwissenschaft und Sexualmedizin. Sexuologie 11(3/4):74–97

    Google Scholar 

  • Ahlers CJ, Schaefer GA, Beier KM (2005) Das Spektrum der Sexualstörungen und ihre Klassifizierbarkeit im ICD-10 und DSM-IV. Sexuologie 12:120–152

    Google Scholar 

  • Ahlers CJ, Schaefer GA, Mundt IA, Roll S, Englert H, Willich SN, Beier KM (2011) How unusual are the contents of paraphilias? Paraphilia-associated sexual arousal patterns (PASAP) in a community-based sample of men. J Sex Med 8:1362–1370

    PubMed  Google Scholar 

  • Althof SE (2006) Prevalence, characteristics and implications of premature ejaculation/rapid ejaculation. J Urol 175:842–848

    PubMed  Google Scholar 

  • APA (2013) Diagnostic and statistical manual of mental disorders (DSM-5), 5th edn. APA-Press, Washington, DC

    Google Scholar 

  • AWMF-Leitlinie (2018) “Geschlechtsinkongruenz, Geschlechtsdysphorie und Trans-Gesundheit: S3-Leitlinie zur Diagnostik, Beratung und Behandlung” vom 18.10.2018; AWMF-Registernr. 138/001

    Google Scholar 

  • Balint M (1965) Die Urformen der Liebe und die Technik der Psychoanalyse. Huber-Klett, Bern

    Google Scholar 

  • Bartels A, Zeki S (2004) The neural correlates of maternal and romantic love. NeuroImage 21:1155–1166

    PubMed  Google Scholar 

  • Beier KM (1995) Aurorismus: Klinische Erscheinungsform einer “weiblichen Analogie” zur Perversion. Geburtsh Frauenheilk 55:323–330

    CAS  PubMed  Google Scholar 

  • Beier KM (2000) Female analogies to perversion. J Sex Marital Ther 26:79–93

    CAS  PubMed  Google Scholar 

  • Beier KM (2010) Sexuelle Präferenzstörungen und Bindungsprobleme. Sexuologie 17:24–31

    Google Scholar 

  • Beier KM (2021) Pedophilia, Hebephilia and sexual offending against children: the Berlin dissexuality therapy (BEDIT). Springer, Berlin

    Google Scholar 

  • Beier KM, Loewit K (2004) Lust in Beziehung. Einführung in die Syndyastische Sexualtherapie. Springer, Heidelberg

    Google Scholar 

  • Beier KM, Wille R, Wessel J (2006) Denial of pregnancy as a reproductive dysfunction: a proposal for international classification systems. J Psychosom Res 61:723–730

    PubMed  Google Scholar 

  • Beier KM, Bosinski HAG, Loewit K (2021) Sexualmedizin. Grundlagen und Klinik sexueller Gesundheit, 3rd edn. Elsevier, Urban & Fischer, München

    Google Scholar 

  • Berner W, Hill A, Briken P, Kraus C, Lietz K (2007) Behandlungsleitlinie Störungen der sexuellen Präferenz. Steinkopff, Darmstadt

    Google Scholar 

  • Bosinski HAG, Beier KM, Korte A, Siegel S (2021) Geschlechtsdysphorie bei Erwachsenen. In: Beier KM, HAG B, Loewit K (eds) Sexualmedizin, 3rd edn. Elsevier, Urban & Fischer, München, pp 395–433

    Google Scholar 

  • Bowlby J (1969) Attachment and loss, vol 1. Basic Books, New York

    Google Scholar 

  • Bowlby J (1980) Attachment and loss, vol 3. Basic Books, New York

    Google Scholar 

  • Braun M, Wassmer G, Klotz T, Reifenrath B, Mathers M, Engelmann U (2000) Epidemiology of erectile dysfunction: results of the ‘cologne male survey’. Int J Impot Res 12:305–311

    CAS  PubMed  Google Scholar 

  • Briken P, Matthiesen S, Pietras L, Wiessner C, Klein V, Reed GM, Dekker A (2020) Estimating the prevalence of sexual dysfunction using the new ICD-11 guide lines—results of the first representative, population-based German health and sexuality survey (GeSiD). Dtsch Arztebl Int 117:653–658. https://doi.org/10.3238/arztebl.2020.0653

    Article  PubMed  PubMed Central  Google Scholar 

  • Brisch KH (1999) Bindungsstörungen. Von der Bindungstheorie zur Therapie. Klett-Cotta, Stuttgart

    Google Scholar 

  • Buddeberg C (1996) Sexualberatung. Eine Einführung für Ärzte, Psychotherapeuten und Familienberater, 3rd edn. Enke, Stuttgart

    Google Scholar 

  • Chevret M, Jaudinot E, Sullivan K, Marrel A, De Gendre AS (2004) Impact of erectile dysfunction (ED) on sexual life of female partners: assessment with the index of sexual life (ISL) questionnaire. J Sex Med 5:595–601

    Google Scholar 

  • Chew KK, Bremner A, Jamrozik K, Earle C, Stuckey B (2008) Male erectile dysfunction and cardiovascular disease: is there an intimate nexus? J Sex Med 5:928–934

    PubMed  Google Scholar 

  • Dekker A, Matthiesen S, Cerwenka S, Otten M, Briken P (2020) Health, sexual activity, and sexual satisfaction—selected results from the German health and sexuality survey (GeSiD). Dtsch Arztebl Int 117:645–652. https://doi.org/10.3238/arztebl.2020.0645

    Article  PubMed  PubMed Central  Google Scholar 

  • Deneke FW (1999) Psychische Struktur und Gehirn: die Gestaltung subjektiver Wirklichkeiten. Schattauer, Stuttgart

    Google Scholar 

  • Diamond LM (2002) Having a girlfriend without knowing it. J Lesbian Stud 6:5–16

    PubMed  Google Scholar 

  • Ditzen B, Schaer M, Gabriel B, Bodenmann G, Ehlert U, Heinrichs M (2009) Intranasal oxytocin increases positive communication and reduces cortisol levels during couple conflict. Biol Psychiatry 65:728–731

    CAS  PubMed  Google Scholar 

  • Egle UT, Hoffmann SO, Steffens M (1997) Psychosoziale Risiko- und Schutzfaktoren in Kindkeit und Jugend als Prädisposition für psychische Störungen im Erwachsenenalter. Nervenarzt 68:683–695

    CAS  PubMed  Google Scholar 

  • Eisenberger N, Cole SW (2012) Social neuroscience and health: neurophysiological mechanisms linking social ties with physical health. Nat Neurosci 15:669–674

    CAS  PubMed  Google Scholar 

  • El-Hamd MA, Saleh R, Majzoub A (2019) Premature ejaculation: an update on definition and pathophysiology. Asian J Androl 21:425–432

    PubMed  PubMed Central  Google Scholar 

  • Englert H, Schaefer G, Roll S, Ahlers C, Beier K, Willich S (2007) Prevalence of erectile dysfunction among middle-aged men in a metropolitan area in Germany. Int J Impot Res 19:183–188

    CAS  PubMed  Google Scholar 

  • Feldman HA, Goldstein I, Hatzichristou DG, Krane RJ, McKinlay JB (1994) Impotence and its medical and psychosocial correlates: results of the Massachusetts male aging study. J Urol 151:54–61

    CAS  PubMed  Google Scholar 

  • Fisher WA, Rosen RC, Eardley I, Sand M, Goldstein I (2005) Sexual experience of female partners of men with erectile dysfunction: the female experience of men’s attitudes to life events and sexuality (FEMALES) study. J Sex Med 2:675–684

    PubMed  Google Scholar 

  • Fröhlich G (1998) Psychosomatik männlicher Sexualität. Sexuologie 5:203–211

    Google Scholar 

  • Görge G, Flüchter S, Kirstein M, Kunz T (2003) Sexualität, erektile Dysfunktion und das Herz: Ein zunehmendes Problem. Herz 28:284–290

    PubMed  Google Scholar 

  • Grundmann D, Krupp J, Scherner G, Amelung T, Beier KM (2016) Stability of self-reported arousal to sexual fantasies involving children in a clinical sample of pedophiles and hebephiles. Arch Sex Behav 45:1153–1162

    PubMed  Google Scholar 

  • Herkommer K, Niespodziany S, Zorn C, Geschwend JE, Volkmer BG (2006) Versorgung der erektilen Dysfunktion nach radikaler Prostatektomie in Deutschland. Urologe 45:336–342

    CAS  Google Scholar 

  • Holt-Lunstad J, Smith TB, Bradley J (2010) Social relationships and mortality risk. PLoS Med 7:e1000316

    PubMed  PubMed Central  Google Scholar 

  • Kleinplatz PJ, Ménard AD (2007) Building blocks toward optimal sexuality: constructing a conceptual model. Fam J 15:72–78

    Google Scholar 

  • Landgren V, Malki K, Bottai M, Arver S, Rahm C (2020) Effect of Gonadotropin-Releasing hormone antagonist on risk of committing child sexual abuse in men with pedophilic disorder: a randomized clinical trial. JAMA Psychiatry 77:897–905. https://doi.org/10.1001/jamapsychiatry.2020.0440

    Article  PubMed  Google Scholar 

  • Långstrőm N, Zucker KJ (2005) Transvestic fetishism in the general population: prevalence and correlates. J Sex Marital Ther 31:87–95

    PubMed  Google Scholar 

  • Laumann EO, Paik A, Rosen RC (1999) Sexual dysfunction in the United States: prevalence and predictors. JAMA 281:537–544

    CAS  PubMed  Google Scholar 

  • Laumann EO, Nicolosi A, Glasser DB, Paik A, Gingell C, Moreira E, Wang T, GSSAB Investigators’ Group (2005) Sexual problems among women and men aged 40-80 y: prevalence and correlates identified in the global study of sexual attitudes and behaviors. Int J Impot Res 17:39–57

    CAS  PubMed  Google Scholar 

  • Lee MH, Seo DH, Lee CW, Choi JH, Jeh SU, Lee SW, Choi SM, Hwa JS, Hyun JS, Chung KH, Kam SC (2020) Relationship between hypogonadal symptoms, sexual dysfunction and chronic prostatitis in middle-aged men by self-reported questionnaires, even without biochemical testosterone deficiency. World J Mens Health 38:243–249

    PubMed  PubMed Central  Google Scholar 

  • Masters WH, Johnson VE (1966) Human sexual response. Little, Brown, Boston. (dt.: die sexuelle Reaktion. Reinbek, Rowohlt 1970)

    Google Scholar 

  • Mathers MJ, Schmitges J, Klotz T, Sommer F (2007) Einführung in die Diagnostik und Therapie der Ejakulatio praecox. Dtsch Arztebl 104:A-3475–A-3480

    Google Scholar 

  • Medizinischer Dienst des Spitzenverbandes Bund der Krankenkassen—MDS (2020) Begutachtungsanleitung “Geschlechtsangleichende Maßnahmen bei Transsexualismus (ICD-10, F64.0).” https://www.mds-ev.de/fileadmin/dokumente/Publikationen/GKV/Begutachtungsgrundlagen_GKV/BGA_Transsexualismus_201113.pdf

  • Meyer-Lindenberg A, Domes G, Kirsch P, Heinrichs M (2011) Oxytocin and vasopressin in the human brain: social neuropeptides for translational medicine. Nat Rev Neurosci 12:524–538

    CAS  PubMed  Google Scholar 

  • Montagu A (1987) Körperkontakt. Klett-Cotta, Stuttgart

    Google Scholar 

  • Montorsi F (2005) Prevalence of premature ejaculation: a global and regional perspective. J Sex Med 2(Suppl 2):96–102

    PubMed  Google Scholar 

  • Pfaff DW (1999) Drive. Neurobiological and molecular mechanisms of sexual motivation. MIT Press, Cambridge

    Google Scholar 

  • Poeppl TB, Langguth B, Rupprecht R, Laird AR, Eickhoff SB (2016) A neural circuit encoding sexual preference in humans. Neurosci Biobehav Rev 68:530–536

    PubMed  PubMed Central  Google Scholar 

  • Ponseti J, Bosinski HAG, Wolff S, Peller M, Jansen O, Mehdorn HM, Büchel C, Siebner HR (2006) A functional endophenotype for sexual orientation in humans. NeuroImage 33:825–833

    PubMed  Google Scholar 

  • Porst H, Montorsi F, Rosen RC, Gaynor L, Grupe S, Alexander J (2007) The premature ejaculation prevalence and attitudes (PEPA) survey: prevalence, comorbidities, and professional help-seeking. Eur Urol 51:816–823

    PubMed  Google Scholar 

  • Rosen RC, Seidman SN, Menza MA, Shabsigh R, Roose SP, Tseng LJ, Orazem J, Siegel RL (2004) Quality of life, mood, and sexual function: a path analytic model of treatment effects in men with erectile dysfunction and depressive symptoms. Int J Impot Res 16:334–340

    CAS  PubMed  Google Scholar 

  • Rösing D, Berberich HJ (2004) Krankheits- und behandlungsbedingte Sexualstörungen nach radikaler Prostatektomie—Eine bio-psycho-soziale Betrachtung. Urologe A 43:291–295

    PubMed  Google Scholar 

  • Rösing D, Klebingat KJ, Berberich HJ, Bosinski HAG, Loewit K, Beier KM (2009) Sexualstörungen des Mannes—Diagnostik und Therapie aus sexualmedizinisch-interdisziplinärer Sicht. Dtsch Arztebl Int 106(50):821–828. https://doi.org/10.3238/arztebl.2009.0821

    Article  PubMed  PubMed Central  Google Scholar 

  • Rüegg JC (2003) Psychosomatik, Psychotherapie und Gehirn. Neuronale Plastizität als Grundlage einer biopsychosozialen Medizin. Schattauer, Stuttgart

    Google Scholar 

  • Savic I, Berglund H, Lindström P (2005) Brain response to putative pheromones in homosexual men. Proc Natl Acad Sci U S A 102:7356–7361

    CAS  PubMed  PubMed Central  Google Scholar 

  • Schäfer GA, Engert HS, Ahlers CJ, Roll S, Willich SN, Beier KM (2003) Erektionsstörungen und Lebensqualität: Erste Ergebnisse der Berliner Männer-Studie. Sexuologie 10:50–60

    Google Scholar 

  • Schedlowski M, Tewes U (1996) Psychoneuroimmunologie. Spektrum Akademischer Verlag, Heidelberg

    Google Scholar 

  • Seto MC (2012) Is pedophilia a sexual orientation? Arch Sex Behav 38:335–350

    Google Scholar 

  • Spitzer RL (2012) Spitzer reassesses his 2003 study of reparative therapy of homosexuality (letter to the editor). Arch Sex Behav 41:757

    PubMed  Google Scholar 

  • Stephens-Shields AJ, Wang C, Preston P, Snyder PJ, Swerdloff RS (2019) Clinically meaningful change in sexual desire in the psychosexual daily questionnaire in older men from the T trials. J Sex Med 16:951–953

    PubMed  PubMed Central  Google Scholar 

  • Stoléru S, Fonteille V, Cornélis C, Joyal C, Moulier V (2012) Functional neuroimaging studies of sexual arousal and orgasm in healthy men and women: a review and meta-analysis. Neurosci Biobehav Rev 36:1481–1509

    PubMed  Google Scholar 

  • Vincent CE (ed) (1964) Human sexuality in medical education and practice. Thomas, Springfield, IL

    Google Scholar 

  • Vogt HJ, Loewit K, Wille R, Beier KM, Bosinski HAG (1995) Zusatzbezeichnung “Sexualmedizin”—Bedarfsanalyse und Vorschläge für einen Gegenstandskatalog. Sexuologie 2:65–89

    Google Scholar 

  • WHO (1993) Internationale Klassifikation psychischer Störungen: ICD-10, Kapitel V (F): Klinisch-diagnostische Leitlinien. Huber, Bern

    Google Scholar 

  • WHO (2018). International statistical classification of diseases and related health problems (11th rev.). https://www.who.int/classifications/icd/en/

    Google Scholar 

  • Zeki S, Romaya JP (2010) The brain reaction to viewing faces of opposite- and same-sex romantic partners. PLoS One 5(12):e15802. https://doi.org/10.1371/journal.pone.0015802

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Zettl S, Hartlapp J (1997) Sexualstörungen durch Krankheit und Therapie. Ein Kompendium für die ärztliche Praxis. Springer, Berlin

    Google Scholar 

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Beier, K.M., Köhn, FM. (2023). Sexual Medicine and Andrology. In: Nieschlag, E., Behre, H.M., Kliesch, S., Nieschlag, S. (eds) Andrology. Springer, Cham. https://doi.org/10.1007/978-3-031-31574-9_43

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