Chapter

Title Page

Copyright Page

Contents

List of Contributors

Foreword

Preface

Chapter 1 History of the International Society for the Study of Women’s Sexual Health (ISSWSH)

References

Chapter 2 Sexual Medicine Education and Training

Introduction

Education and Training in Female Sexual Health Care for Practicing Clinicians

Education and Training in Female Sexual Health Care for Sexual Medicine Specialists

Conclusion

References

Part I Hypoactive Sexual Desire Disorder

Chapter 3 Nosology and Epidemiology of Hypoactive Sexual Desire Disorder

Nosology

Epidemiology

References

Chapter 4 Central Nervous System Anatomy and Neurochemistry of Sexual Desire

Introduction

The Sexual Brain

Structure of Female Sexual Behavior

Sexual Behavior of Human Females

Ovarian Hormones Set the Stage

How do We Study the Central Nervous System Regulation of Female Sexual Desire?

Excitation, Inhibition, and Disinhibition of Sexual Responses

Sexual Approach Behaviors

Solicitations

Pacing Behavior

Lordosis

Relevance of Animals to Humans

References

Chapter 5 Psychological Management of Hypoactive Sexual Desire Disorder

Introduction

Psychotherapy/Sex Therapy for Hypoactive Sexual Desire Disorder

Psychotherapy/Sex Therapy Outcomes

Integrating Psychotherapy in Multimodal Treatments for Hypoactive Sexual Desire Disorder

Conclusion

References

Chapter 6 Pathophysiology and Medical Management of Hypoactive Sexual Desire Disorder

Neurobiological Endocrinology

Pathophysiology

Diagnosis

Therapeutic Strategies for Hypoactive Sexual Desire Disorder

Conclusions

References

Part II Arousal Disorders

Chapter 7 Nosology and Epidemiology of Arousal Disorders in Women

Nosology

Epidemiology

References

Chapter 8 Anatomy and Physiology of Arousal

Introduction

Hemodynamic Considerations for Genital Sexual Arousal

Neural Regulation of Sexual Arousal

Regulation of Vaginal Lubrication

Modulation of Female Genital Arousal by Sex Steroid Hormones

Summary and Conclusions

References

Chapter 9 Psychological Management of Arousal Disorders

Introduction

Etiology: Psychological Factors that Impact Sexual Arousal

The Effects of Partner Dysfunction in Women

Health and Lifespan Considerations

Assessment of Sexual Response

Nonpharmacological Treatments

Psychological Treatment

Conclusions

References

Chapter 10 Pathophysiology and Medical Management of Female Genital Arousal Disorder

Physiology of Female Genital Arousal Responses

Subjective Component of Female Sexual Arousal

Nomenclature – Female Sexual Arousal Disorder (FSAD)

Risk Factors for Women with FGAD

Endocrine Changes and Endocrine Risk Factors in Women with Female Genital Arousal Disorder

Diagnosis of Women With Female Genital Arousal Disorder

Treatment of Women with Female Genital Arousal Disorder

Neurologic Interventions

Conclusions

References

Chapter 11 Pathophysiology and Medical Management of Persistent Genital Arousal Disorder

Introduction

International Society for the Study of Women’s Sexual Health (ISSWSH) Consensus Conference Nomenclature – Persistent Genital Arousal Disorder

Risk Factors and Clinical Etiology of Persistent Genital Arousal Disorder

Diagnosis of Women with Persistent Genital Arousal Disorder

Treatment of Women with Persistent Genital Arousal Disorder

Conclusion

References

Part III Orgasm Disorders

Chapter 12 Nosology and Epidemiology of Female Orgasm Disorder

Nosology

Epidemiology

References

Chapter 13 Peripheral and Central Neural Bases of Orgasm

Functional Anatomy

Brain Activity and Correlates of Orgasm

References

Chapter 14 Psychological Management of Orgasm Disorders

Introduction

Orgasm

Orgasms and the Sexual Response Cycle

Orgasms within the Cultural Framework

Orgasm Dysfunctions

Assessment

Diagnosis

Management/Treatment

Follow-Up and Referral

Acknowledgements

References

Chapter 15 Musculoskeletal Management of Orgasm Disorders

Introduction

Diagnosis

Evaluation of Musculoskeletal Function

Categories of Myofascial and Musculoskeletal Dysfunction

Overview of Treatment Options

Outcomes/Follow-Up

Screening/prevention

Conclusion

References

Chapter 16 Pathophysiology and Medical Management of Female Orgasm Disorder

Introduction

Genital Responses Prior to, During and Immediately after Orgasm in Women

ISSWSH Consensus Conference Nomenclature – Female Orgasm Disorder

Female Orgasm Disorders (ISSWSH Consensus Conference Nomenclature)

Risk Factors for Women with Female Orgasm Disorder

Diagnosis of Women with Female Orgasm Disorder

Treatment of Women with Female Orgasm Disorder

Conclusions

References

Chapter 17 Pathophysiology and Medical Management of Female Orgasmic Illness Syndrome

Introduction

ISSWSH Consensus Nomenclature – Female Orgasmic Illness Syndrome

Central Aversive Symptoms

Peripheral Aversive Symptoms

Conclusions

References

Part IV Sexual Pain Disorders

Chapter 18 Nosology and Epidemiology of Dyspareunia and Vulvodynia

Background

Nosology

Genetic Factors

Hormonal Factors

Inflammation

Musculoskeletal

Neurologic Mechanisms – Central

Peripheral – Neuro‐Proliferation

Psychosocial Factors

Embryological/Congenital Factors

Associated Factors – Conclusion

Additional Nosology

Prevalence

Impact

Conclusion

References

Chapter 19 Anatomy and Physiology of Sexual Pain

Introduction

Nociceptor Structure and Function

Hormonal Regulation

Somatic and Visceral Pain

Referred Pain

Vascular Pain

Inflammation

Peripheral and Central Sensitization

The Brain

Novel Future Directions

Summary

References

Chapter 20 Psychological Management of Provoked Vestibulodynia

Provoked Vestibulodynia

Psychosocial Factors

Treatment

Conclusions

References

Chapter 21 Musculoskeletal Management of Pelvic and Sexual Pain Disorders

Introduction

Pelvic Floor Anatomy

Pathophysiology of Sexual Pain

Musculoskeletal Evaluation

Physical Therapy Treatment of Pelvic and Sexual Pain Disorders

Physical Therapy Treatment Techniques

Adjunctive Modalities

Treatments with Physician Collaboration

Treatment for Specific Sexual Pain Diagnoses

Hormonally-Induced Dyspareunia

Conclusion

References

Chapter 22 Medical Management of Dyspareunia and Vulvovaginal Pain

Introduction

Evaluation

Treatment

Conclusions

References

Part V Future

Chapter 23 Future Developments and Research

Introduction: Historical and Regulatory Perspective

The Marketplace

References

Index

Supplemental Images

EULA