ABSTRACT
The impairment of sexual function diagnosed in approximately one third of apparently healthy men dictates the necessity of their rehabilitative treatment. The objective of the present study was to evaluate effectiveness of the combination of clinical homeopathy and dynamic electrical neurostimulation (DENS) for the restoration of disturbed sexual function. The study demonstrated that the efficiency of the proposed method in terms of dynamics of subjective and objective improvement surpasses that of isolated application of clinical homeopathy or DENS when compared against the use of placebo.
Subject(s)
Electric Stimulation Therapy , Materia Medica/administration & dosage , Sexual Dysfunction, Physiological/therapy , Adult , Humans , MaleABSTRACT
BACKGROUND: Female sexual dysfunction (FSD) is a highly prevalent condition. Nevertheless, the scientific literature has only recently begun to accumulate evidence for treatment modalities that address the underlying etiologies of FSD. AIM: The purpose of this systematic review is to elucidate what treatments are effective across the various symptom complexes of FSD. METHODS: Utilizing Meta-analysis of Observational Studies in Epidemiology guidelines, we conducted a systematic review of PubMed, EMBASE, clinicaltrials.gov, and the Cochrane Review databases. Eleven search strings, encompassing the terms "female sexual dysfunction" and "treatment," in combination with "vulvovaginal atrophy," "vaginismus," "vaginal atrophy," "vulvodynia," "vestibulitis," "hypoactive sexual desire," "arousal disorder," "sexual pain disorder," "genitourinary syndrome of menopause," and "orgasmic disorder" were utilized. 605 Relevant articles were retrieved. A total of 103 original studies met inclusion criteria. OUTCOMES: We assess peer-reviewed literature. RESULTS: 42 Treatment modalities were utilized, including 26 different classes of medications. Although outcome measures varied, the most substantial improvement across multiple studies was noted with various hormonal regimens. The most common treatments included hormonal therapy (25 studies), phosphodiesterase type-5 inhibitors (9 studies), botulinum toxin A (5 studies), and flibanserin (5 studies). The psychotherapeutic approach was detailed in 36 articles while 3 studies utilized homeopathic treatments. Numerous treatments showed efficacy in a single case series, including the promising results associated with the micro-ablative carbon-dioxide laser. Despite the marked improvement in specific FSD domains, neither pharmacologic treatments nor psychotherapeutic interventions demonstrate consistent disease resolution. CONCLUSIONS: Treatment of FSD is multi-factorial; medications alone do not resolve FSD. The wide variability of treatment and outcome measures across the literature attests to the complexity of FSD and the need for a treatment algorithm that addresses all 4 domains of FSD. Weinberger JM, Houman J, Caron AT, et al. Female Sexual Dysfunction: A Systematic Review of Outcomes Across Various Treatment Modalities. Sex Med Rev 2019;7:223-250.
Subject(s)
Sexual Dysfunction, Physiological/therapy , Sexual Dysfunctions, Psychological/therapy , Female , Humans , Treatment OutcomeABSTRACT
El objeto de este trabajo es hacer el diagnostico diferencia a traves de los sintomas de la sexualidad, se seis medicamentos que comporten con igual puntaje un sintoma local modalizado. (AU)
Subject(s)
Sexual Dysfunction, Physiological/therapy , Homeopathic TherapeuticsABSTRACT
Ce vaste sujet peut être considéré selon deux pôles: les troubles génitaux locaux ou loco-régionaux, infectieux ou autres, perturbant par leur intensité la sexualité, où l'homéopathie a l'avantage d'éviter les traitements lourds et leurs effets secondaires, et de pouvoir... (AU)
Subject(s)
Sexual Dysfunction, Physiological/therapy , Sexually Transmitted Diseases/therapyABSTRACT
La sexualite des gens ages ne peut qu'etre amoindrie, par rapport a celle des plus jeunes. Le medecin homeopathe a pour vocation de soigner. Il ne se contente pas d'observer ou de decrire des personnages qui... (AU)
Subject(s)
Case Reports , Humans , Male , Aged , Sexual Dysfunction, Physiological/therapy , Sexual Dysfunctions, Psychological/therapy , Aged , HomeopathyABSTRACT
Se estudiaron en una investigacion abierta 60 pacientes del sexo masculino padeciendo stress, impotencia y eyaculacion precoz, cuyas edades fluctuaban entre los 18 y 62 anos (edad promedio 40 anos), de los cuales 34 prestaban servicios en diferentes bancos: 10 se desempenaban como profesionistas 6 eran estudiantes de diversas disciplinas; 5 trabajaban en ocupaciones varias y los 5 restantes, habian pertenecido a instituciones bancarias pero a la sazon estaban jubilados. 50 de dichos casos correspondieron a varones circuncidados, mientras que en 44 individuos existia tabaquismo intenso, moderado y ocasional. 47 sujetos de estudio, bebian mas de una taza de cafe al dia, 47 pacientes consumian diariamente una o mas bebidas gaseosas a base de cola y 37 tomaban una o mas bebidas alcoholicas habitualmente. En 6 casos que cursaban simultaneamente con hipertension, se observo impotencia consecutiva al tratamiento previo clortalidona y metildopa, mientras que la totalidad de los casos tratados (100%), padecian stress en diferentes grados; en 37 se encontro impotencia psiquica (61%), y los otros 23 presentaban eyaculacion precoz (39%). Los 60 pacientes recibieron una dosis diaria de una tableta No.4 de trituracion de Phosphoricum acidum 3D, Glutamicum acidum 3D y Strychninum 3D antes de los alimentos y alternando los medicamentos, durante un lapso que fluctuo entre 15 y 60 dias con excelentes resultados en 49 casos (82%), siendo nulos o poco notables en 11 pacientes (18%). Asimismo todos los casos (100%), fueron tratados exclusivamente por homeopatia y seleccionados, individualizados y repertorizados siguiendo la tecnica homeopatica