{"id":18,"date":"2005-05-01T00:44:58","date_gmt":"2005-05-01T04:44:58","guid":{"rendered":"https:\/\/www.bumc.bu.edu\/sexualmedicine\/defintions\/"},"modified":"2005-05-01T00:44:58","modified_gmt":"2005-05-01T04:44:58","slug":"defintions","status":"publish","type":"page","link":"https:\/\/www.bumc.bu.edu\/sexualmedicine\/defintions\/","title":{"rendered":"Sexual Medicine Definitions"},"content":{"rendered":"

Sexual Medicine<\/strong><\/p>\n

<\/p>\n

Sexual medicine is that medical discipline which embraces the study, diagnosis and treatment of
\nsexual health concerns of men<\/a> and women<\/a>.<\/em><\/p><\/blockquote>\n

Female Sexual Dysfunction (FSD)<\/h3>\n
from the American Foundation for Urologic Disease (AFUD) International Consensus Panel, Boston, USA 1998<\/h5>\n

\nHypoactive Sexual Desire Disorder (HSDD)
\nPersistent or recurrent deficiency and\/or absence of sexual fanatasies\/thoughts, and\/or desire for, or receptivity to, sexual activity, which causes personal distress.<\/em><\/p>\n

\nSexual Aversion Disorder
\nPersistent or recurrent phobic aversion to and avoidance of sexual contact with a sexual partner, which causes personal distress.<\/em><\/p>\n

\nSexual Arousal Disorder (FSAD)
\nPersistent or recurrent inability to attain or maintain sufficient sexual excitement, causing personal distress. It may be expressed as a lack of subjective excitement, or a lack of genital lubrication, or swelling, or other somatic responses.<\/em><\/p>\n

\nPersistent Sexual Arousal Syndrome (PSAS<\/a>)
\nA subclassification of female sexual arousal disorder, PSAS is defined as feelings of spontaneous, persistent and intense genital arousal with or without orgasm, with or without genital engorgement, in the absence of sexual desire.<\/em><\/p>\n

\nOrgasmic Disorder
\nPersistent or recurrent difficulty, delay in or absence of attaining orgasm following sufficient sexual stimulation and arousal, which causes personal distress.<\/em><\/p>\n

\nSexual Pain Disorders
\n\u2022Dyspareunia
\nRecurrent or consistent genital pain associated with genital intercourse.<\/em><\/p>\n

\n\u2022Vaginismus
\nRecurrent or persistent involuntary spasm of the musculature of the outer third of the vagina that interferes with vaginal penetration which causes personal distress.<\/em><\/p>\n

\n\u2022Non-Coital Sexual Pain Disorder
\nRecurrent of persistent genital pain induced by non-coital sexual stimulation.<\/em><\/p>\n

\nFemale Androgen Insufficiency Syndrome (formerly called androgen deficiency)
\nA pattern of clinical symptoms in the presence of decreased bioavailable testosterone and normal estrogen status. Clinical symptoms include:
\n\u2022diminished sense of well-being or dysphoric mood
\n\u2022peristent, unexplained fatigue
\n\u2022sexual function changes including decreased libido, sexual receptivity and pleasure
\n\u2022bone loss
\n\u2022decreased muscle strength
\n\u2022changes in cognition or memory
\nFree testosterone values should be at or below the lowest quartile of the normal range.<\/em><\/p>\n

Male Sexual Dysfunction (MSD)<\/h6>\n
from the World Health Organization (WHO) 1st International Consultation on ED, Paris, France 1999<\/h5>\n

Erectile Dysfunction (ED) or Impotence
\nConsistent or recurrent inability to attain and\/or maintain a penile erection sufficient for sexual performance.<\/em><\/p>\n

\nEjaculation and Orgasm
\n\u2022Orgasm
\nA pleasurable feeling (a cerebral event) usually associated with emission and\/or ejaculation.<\/em><\/p>\n

\n\u2022Emission
\nDeposition of seminal fluid components from the ampullary parts of the vasa deferentia, seminal vessicles and prostate gland into the posterior urethra.<\/em><\/p>\n

\n\u2022Ejaculation
\nPassage of seminal fluid through the urethra and its expulsion from the urethral meatus.<\/em><\/p>\n

\n\u2022Early Ejaculation (formerly called premature ejaculation or rapid ejaculation)
\nPersistent or recurrent occurrance of ejaculation with minimal sexual stimulation before, on or shortly after penetration and before the person wishes it.<\/em><\/p>\n

\n\u2022Delayed Ejaculation
\nUndue delay in reaching ejaculation during sexual activity.<\/em><\/p>\n

\n\u2022Anorgasmia
\nInability to achieve an orgasm during conscious sexual activity although nocturrnal emission may occur.<\/em><\/p>\n

\n\u2022Anejaculation
\nAbsence of ejaculation during orgasm.<\/em><\/p>\n

\n\u2022Retrograde ejaculation
\nBackward passage of semen into the bladder after emission, usually due to failure of closure of the bladder neck mechanism, demonstrated by presence of spematozoa in the urine.<\/em><\/p>\n

\nPeyronie’s Disease
\nInvolves the scarring of a region of the tunica of the erection chambers and the formation of a hard, nodular plaque which is most commonly on the top part of the penis just under the skin. Peyronie’s Disease may result in a bending of the erection toward the scarred, fibrous plaque. It may also result in painful intercourse (either from the erection itself or the pain felt by the partner), and erectile dysfunction.<\/em><\/p>\n

\nPriapism
\nAn involuntary, non-physiologic, usually painful prolonged erection that does not result from sexual desire. The corpus spongiosum and glands are not effected, it is not relieve by ejaculation, and my ironically result in permanent erectile dysfunction.<\/em><\/p>\n

\nHypogonadism
\nHaving a biovailable testosterone concentration below the normal range of bioavailable testosterone concentration for that of healthy, young adult men.<\/em><\/p>\n

<\/p>\n

Return to Home<\/a><\/h5>\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

Sexual Medicine Sexual medicine is that medical discipline which embraces the study, diagnosis and treatment of sexual health concerns of men and women. Female Sexual Dysfunction (FSD) from the American Foundation for Urologic Disease (AFUD) International Consensus Panel, Boston, USA 1998 Hypoactive Sexual Desire Disorder (HSDD) Persistent or recurrent deficiency and\/or absence of sexual fanatasies\/thoughts, […]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":13,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.bumc.bu.edu\/sexualmedicine\/wp-json\/wp\/v2\/pages\/18"}],"collection":[{"href":"https:\/\/www.bumc.bu.edu\/sexualmedicine\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.bumc.bu.edu\/sexualmedicine\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/sexualmedicine\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/sexualmedicine\/wp-json\/wp\/v2\/comments?post=18"}],"version-history":[{"count":0,"href":"https:\/\/www.bumc.bu.edu\/sexualmedicine\/wp-json\/wp\/v2\/pages\/18\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.bumc.bu.edu\/sexualmedicine\/wp-json\/wp\/v2\/media?parent=18"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}