The Journal of Sexual Medicine

Expert opinion

Managing a survivor of conflict-related sexual violence

Sharon Peleg Nesher and others

Sexual violence (SV) is defined as any sexual act or any attempt to obtain a sexual act through violence or coercion. SV is common. According to current estimates, 27%–65% of men and 30%–35.6% of women have been sexually victimized at some time in their lives. 1 A distinct type of SV is wartime ...

Latest Articles

Pelvic and vulvovaginal pain in medical students: insight into patient experience and gaps in medical education

Sarah Ponce and others

Pelvic and vulvovaginal pain (PVP) conditions involve many etiologies, involving the interplay of gynecologic, urologic, gastrointestinal, musculoskeletal, neurologic, and psychosocial factors. 1 These conditions will affect 20% of women during their lifetime and can be defined as pain occurring ...

Managing a survivor of conflict-related sexual violence

Sharon Peleg Nesher and others

Phalloplasty: which technique should I choose?

Wai Gin Lee and others

Penile reconstruction or phalloplasty is a demanding endeavor for the patient and the surgeon. The surgical techniques are complex and encompass different surgical disciplines (primarily Urology and Plastics). High rates of adverse events both in the phallus and the donor site can complicate ...

Burnout and career satisfaction among urologists specializing in sexual health

Sarah Schrup and others

Background While the rate of physician burnout has been characterized as relatively high among urologists compared to other specialties, a specific examination of burnout and predictors of burnout among urologists specializing in sexual medicine has not been conducted. Aim The aim of this study was ...

Treatment of hypoactive sexual desire disorder in women: why is the pipeline different for postmenopausal women?

Rachel Pope and Anna Myers

Drug development should incorporate postmenopausal women with hypoactive sexual desire disorder (HSDD). HSDD is defined as the lack of or loss motivation to engage in sexual activity due to absent or decreased desire for at least 6 months, with accompanying distress [ 1 ]. The ICD-11 and the ...

Transcutaneous electrical neural stimulation in patients with erectile dysfunction: a single arm pilot study

Gal Saffati and others

Erectile dysfunction (ED) is a common condition marked by the inability to achieve or sustain an erection suitable for satisfactory sexual activity 1 . Age-related factors, such as smooth muscle loss and increased fibrosis, can restrict the expansion of the corpus cavernosum, complicating the ...

Are patients undergoing intralesional collagenase Clostridium histolyticum injection therapy for Peyronie’s disease compliant? A 7-year analysis from a tertiary care men’s health center

Supanut Lumbiganon and others

Background Peyronie’s disease (PD) involves the formation of fibrous scar tissue in the penis, causing pain, deformity, and significant psychological and sexual distress. Intralesional injection of collagenase Clostridium histolyticum (CCH) has emerged as a promising non-surgical treatment, though ...

Assessing comfort levels with female sexual dysfunction among medical residents: a nationwide cross-sectional survey study and its implications for medical education

Mariah Milazzo and others

Background Female sexual dysfunction (FSD) affects 30%-50% of women but is substantially underdiagnosed and undertreated due in large part to the fact that just half of US medical schools offer formal sexual health teaching with an overwhelming skew toward male sexual health. Aim The aim of this ...

Sexual orientation, preferences, and gender identity: health, cognition, and life history strategies

Jaroslav Flegr and Jaroslava Varella Valentova

This study explores the relationships between sexual orientation, sexual preferences, gender identity, and their associations with health, cognitive performance, and life history strategies in a large, diverse sample of 5307 internet users. Data were collected via a 50-min survey assessing ...

Utilizing multimodal physical therapy for women complaining of sexual pain: a clinical perspective

Dee Hartmann

Female sexual pain, or dyspareunia, has any number of culpable etiologies. When considering chronic vulvar or superficial pain associated with vulvodynia, symptoms can be localized to pain only at the vulva, as in provoked vestibulodynia (PVD), or generalized, creating pain throughout the perineum ...

A critical assessment of online patient education materials for gender-affirming surgery: a systematic review and meta-analysis

Antoinette T Nguyen and others

Introduction Gender-affirming surgeries significantly improve the well-being of transgender and gender-diverse individuals. However, patients often rely on online patient education materials (OPEMs) to navigate surgical options, making readability, quality, and accessibility critical factors in ...

Global survey on penile implant surgeons’ preferences and intra-operative decision making

Sarah M Norton and others

Variations in patient and surgeon preferences exist in penile implant surgery but have not been previously documented. Our primary aim was to assess worldwide differences in availability, peri-operative variations and decision making in different clinical scenarios. An electronic questionnaire on ...

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