Ebook Clinical management in psychodermatology: Part 2
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Ebook Clinical management in psychodermatology: Part 2
Andrology5In Germany and other parts of Europe, andrology is seen as a subspecialty of dermatology, urology, and endocri nology. A survey' in doctors’ Ebook Clinical management in psychodermatology: Part 2’ practices revealed that about 29% of the women and 25% of the men (disregarding age differences) suffered from a functional sexual disorder (Buddeberg 1983).In an andrological practice, potency impairments are reported by 57.7% of the men (mean age 44.8 years), followed by an additional 14.6% who Ebook Clinical management in psychodermatology: Part 2also report loss of libido (Seikowski and Starke 2002). lhe focal points in andrological practice are erectile dysfunction; loss of libido, also in coEbook Clinical management in psychodermatology: Part 2
nnection with the "aging man” symptom complex; and impaired orgasm, such as ejaculalio praecox in young men. Erection problems arc a characteristic muAndrology5In Germany and other parts of Europe, andrology is seen as a subspecialty of dermatology, urology, and endocri nology. A survey' in doctors’ Ebook Clinical management in psychodermatology: Part 2clinical symptoms. The ICD-10 provides a systematized classification of psychosocial sexual disorders after exclusion of organic causes (Table 5.1).Sexual Aversion and Lack of Sexual EnjoymentIn sexual aversion (1CD 10: 1’52.10), the thought of a sexual partner relationship is coupled strongly with Ebook Clinical management in psychodermatology: Part 2negative feelings and causes so much fear and anxiety that sexual acts are avoided. A lack of sexual enjoyment (1CD 10: 1’52.11) is related, in whichEbook Clinical management in psychodermatology: Part 2
sexual reactions may proceed normally, but orgasm is experienced With out the corresponding feelings of lust.Excessive Sexual DriveAugmented sexual deAndrology5In Germany and other parts of Europe, andrology is seen as a subspecialty of dermatology, urology, and endocri nology. A survey' in doctors’ Ebook Clinical management in psychodermatology: Part 2the increasing liberalization in society. Women with excessive sex drive (sex mania) are generally termed nymphomaniacs. 1 or men, the terms are Don Juan com plex or satyriasis. The patients often have incorrect fantasies, incomplete knowledge, or even somatoform disorders. including body dysmorphic Ebook Clinical management in psychodermatology: Part 2 disorders.DyspareunlaPurely psychogenic pain during coitus (1CD 10: 1:52.6) is rare among men. Usually there is a nonspecific per sistent anogenitalEbook Clinical management in psychodermatology: Part 2
pain syndrome (Sect. 1.3.4). Chronic prostatitis must be considered first in painful ejaculation. Thorough urological diagnostics should be performed Andrology5In Germany and other parts of Europe, andrology is seen as a subspecialty of dermatology, urology, and endocri nology. A survey' in doctors’ Ebook Clinical management in psychodermatology: Part 2F52.0Lack or loss of sexual desire152.1Sexual aversion and lark of sexual enjoymentF52J2Erectile dysfunction: failure of genital responseF52.3Orgasmic dysfunctionF52.4Premature ejaculationF52.5Nonorganic vaginismusF52.6Nonorganic dyspareunia: pain during sexual intercourseF52.7Excessive sexual drive Ebook Clinical management in psychodermatology: Part 2152Chapter 5 • AndrologyImpaired OrgasmCharacteristically, in impaired orgasm (ICD-10: F52.3) there is a lack of or blocked orgasm despite maintainedEbook Clinical management in psychodermatology: Part 2
rigidity, whereby this may occur after a delay. Emotionally caused anorgasm in men is an absolute rarity in an drological practice.Impaired orgasms arAndrology5In Germany and other parts of Europe, andrology is seen as a subspecialty of dermatology, urology, and endocri nology. A survey' in doctors’ Ebook Clinical management in psychodermatology: Part 2nge of medication necessary.Premature EjaculationDefinition. F.jaculalio praecox (ICD-10: F52.4) is the inability to control ejaculation, which occurs prior to iinniissio (ejaculalio ante inlroilus vaginae) or shortly thereafter. Coitus is thus unsatisfying for both partners.Classification. To bette Ebook Clinical management in psychodermatology: Part 2r understand the emotional symptoms, two forms of premature ejaculation arc differentiated: primary ejaculatio praecox and secondary ejaculatio praecoEbook Clinical management in psychodermatology: Part 2
x.Primary' ejaculatio praecox manifests at the begin Hing of sexual experience, that is, usually in youth or early adulthood, and the course persists.Andrology5In Germany and other parts of Europe, andrology is seen as a subspecialty of dermatology, urology, and endocri nology. A survey' in doctors’ Ebook Clinical management in psychodermatology: Part 2genesis. Ejaculatio praecox is almost exclusively due to a psychosomatic disorder. A purely somatic hypothesis is hypersensitivity of the glans penis with exces sivc stimulation of spinal ejaculation centers (Si. Ĩ,ÍW-rence and Madakasira 1992).Emotional symptoms. Fjaculalio praccox often becomes ma Ebook Clinical management in psychodermatology: Part 2nifest in connection with a new partnership, partner ship conflicts, or other erectile dysfunctions and adjust ment disorders (Fig. 5.1).Concepts of lEbook Clinical management in psychodermatology: Part 2
earning theory are an important basis for understanding negative conditioning of the ejaculation reflex, from which the following central behavior theAndrology5In Germany and other parts of Europe, andrology is seen as a subspecialty of dermatology, urology, and endocri nology. A survey' in doctors’ Ebook Clinical management in psychodermatology: Part 2 an apparent ejaculatio praecox, attributable in fact to an erectile dysfunction, must be clarified.Psychotherapy. Premature ejaculation is relatively normal in young men. especially in early sexual experiences. Many men learn to have more or less good control over the ejaculation reflex over time.P Ebook Clinical management in psychodermatology: Part 2sychotherapeutic interventions are indicated in cases of persistent problematic ejaculatio praecox. Basic behavior therapy concepts and training progrEbook Clinical management in psychodermatology: Part 2
ams have been de veloped especially lor this (Masters and Johnson 1970).Andrology5In Germany and other parts of Europe, andrology is seen as a subspecialty of dermatology, urology, and endocri nology. A survey' in doctors’Andrology5In Germany and other parts of Europe, andrology is seen as a subspecialty of dermatology, urology, and endocri nology. A survey' in doctors’Gọi ngay
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