Systematic Review of Sexual Dysfunction Among Veterans with Post-Traumatic Stress Disorder.

INTRODUCTION: The clinical observations that many Vietnam veterans complained of sexual problems after returning from active duty have led to the question of a correlation between post-traumatic stress disorder (PTSD) and sexual dysfunction (SD). AIM: The purpose of this review is to systematically review the current literature regarding SD in male veterans with PTSD. METHODS: A systematic literature search, primarily in PubMed, the Cochrane database, and PsycINFO, was conducted. The keywords Sexual Dysfunction, Psychological OR Sexual Dysfunction, Physiological AND Stress Disorders, and Post-Traumatic were used. All manuscripts with relevance to the aim of the review were reviewed and considered. MAIN OUTCOME MEASURE: A total of 123 results were generated from the search. There were 11 publications regarding SD in veterans with PTSD included in the review. RESULTS: The included studies are described in detail in the Results section. All but one study found an increased and significant prevalence of SD among male veterans with PTSD, especially erectile dysfunction and decreased sexual desire. SD increased in patients with PTSD, with a prevalence between 8.4% and 88.6%; the large prevalence range were partly the result of methodological differences. Only two studies have examined the correlation between the severity of PTSD symptoms and SD, with conflicting results. Samples were of relatively moderate size. Only a few confounding factors were accounted for in the included studies. CONCLUSION: Increasing evidence suggests a correlation between PTSD and SD, but still, relatively few studies have addressed these questions. Further investigation is needed into the correlation between PTSD and SD, preferably taking severity of PTSD symptoms into account, along with confounders such as use of psychotropic medication, somatic illness, drug and alcohol abuse, and comorbid psychiatric illness. Bentsen IL, Giraldi AGE, Kristensen E, and Andersen HS. Systematic review of sexual dysfunction among veterans with post-traumatic stress disorder. Sex Med Rev 2015;3:78-87.

Sexual dysfunctions in men treated for testicular cancer--secondary publication.

Patients treated for testicular cancer have increased risk of ejaculatory, orgasmic and erectile dysfunction compared with healthy men. The underlying relations are unclear. This review describes sexual dysfunctions that are associated with various treatment modalities. One meta-analysis and 11 original works were examined. About one third of the patients experience one or more sexual problems in relation to the treatment. Only retroperitoneal surgery can cause a specific sexual dysfunction, namely loss of ejaculation ability or ejaculatory functioning. Psychosexual causes are important for understanding sexual dysfunctions in patients with testicular cancer.

[Sexual dysfunction in men treated for testicular cancer]. / Seksuelle dysfunktioner hos maend, der er behandlet for testikelkraeft.

Patients treated for testicular cancer have a higher risk of ejaculatory, orgasmic and erectile dysfunctions compared with healthy males. The causality is not clear. In this paper we assess sexual dysfunction in the different treatment modalities based on primarily 1 meta-analysis and 11 original articles. During treatment, approximately 1/3 of patients experience one or more sexual dysfunctions. Only retroperitodineal surgery is significantly correlated with a specific sexual dysfunction, which is loss of ejaculation. Psychosexual causes seem to be important in the understanding of sexual dysfunctions in the aftermath of testicular-cancer treatment.