Cancer and Female Sexual Function
Sexual health is a concern that often goes unaddressed among female cancer survivors. Management of these issues depends upon the type of malignancy, stage and other tumor characteristics, treatment, and the history, concerns, and goals of the individual patient. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - April 10, 2024 Category: OBGYN Authors: Sandy J. Falk, Sharon Bober Source Type: research
Sexual Function in Post-surgical Transgender and Gender Diverse Individuals
Surgical treatment for gender dysphoria consists of facial, chest, and genital surgery. Chest and genital gender affirmation surgeries alter the form and function of the native organs. This can have a profound impact on sexual function for transgender and gender- diverse individuals. In this article, the authors will discuss the impacts that chest and genital gender affirmation surgeries can have on sexual function. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - April 9, 2024 Category: OBGYN Authors: Anna Schoenbrunner, Courtney Cripps Source Type: research
Pelvic Floor Disorders and Sexual Function
Pelvic floor disorders can result in laxity, hypertonicity or spasm, all of which can impact sexual function. It is important for clinicians to understand this impact in order to appropriately counsel and treat their patients. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - April 3, 2024 Category: OBGYN Authors: Lauren Cosgriff, Aparna Ramanathan, Cheryl B. Iglesia Source Type: research
Adolescent Sexuality
Adolescence is a unique time where there are many developmental changes occurring. Teenagers are striving to establish their personal identity as they are also developing a better understanding of their gender and sexual identity while navigating social expectations both in person and online. Therefore, clinicians must continue to support adolescent patients and their families by providing accurate and timely information so that they can have the tools they need to avoid the pitfalls of an uninformed adolescent experience. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - April 3, 2024 Category: OBGYN Authors: Jessica R. Long, Lauren F. Damle Source Type: research
Sexuality and Infertility
This article provides a summary on the relationship between sexuality and infertility and recommendations for the assessment and management of sexual dysfunction in women with infertility. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - April 3, 2024 Category: OBGYN Authors: Erika L. Kelley, Sheryl A. Kingsberg Source Type: research
Impact of Chronic Medical Disease on Sexual Function and Other Conditions
Chronic diseases are prevalent and impact sexual health and function. Screening for and managing sexual dysfunction in women with chronic diseases is important to optimize well-being and quality of life. Clinicians should consider the biopsychosocial impact of chronic diseases on sexual health, screen for direct and indirect factors, and identify medications that may cause dysfunction. The authors recommend a multidisciplinary approach to treat sexual dysfunction in women with chronic diseases, including sexual medicine specialists, sex therapists, and pelvic floor physical therapists when indicated. This review provides a...
Source: Obstetrics and Gynecology Clinics - April 3, 2024 Category: OBGYN Authors: Talia Sobel, Paru David Source Type: research
Sexual Dysfunction After Menopause
Female sexual dysfunction commonly occurs during the menopause transition and post-menopause due to hormonal, physiologic, and psychosocial factors. Sexuality is important to aging women; however, many are reluctant to seek treatment for their sexual concerns. Clinicians should be adept at managing and treating sexual dysfunction in this population. A multi-dimensional treatment approach that addresses modifiable mental, physical, and psychosocial factors is warranted to improve sexual function and quality of life. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - April 3, 2024 Category: OBGYN Authors: Monica Christmas, Susan Reed Source Type: research
Sexual Health for Transgender and Gender Diverse Individuals
Gynecologists play a critical role in the office evaluation of transgender and gender diverse individuals. This includes the provision of essential healthcare services including the treatment and prevention of human immunodeficiency virus and sexually-transmitted infections and screening for human papillomavirus infection-related diseases and cancers. Caring for patients who identify as transgender or gender diverse (TGD) and who have undergone gender-affirming surgical treatments is challenging due in part to clinical gaps in knowledge resulting from insufficient training and educational resources. A patient-centered appr...
Source: Obstetrics and Gynecology Clinics - April 3, 2024 Category: OBGYN Authors: Jocelyn Wascher, Aniruddha Hazra, Andrew R. Fisher Source Type: research
Optimizing Sexual Function: Clinical Practice Pearls for the Obstetrician-Gynecologist
Female sexual dysfunction is a common condition faced by many obstetrician-gynecologists. Up to 50% of cis-gendered women report some form of sexual distress; however, this number is likely higher, as surveys show women are reluctant to share concerns about their sexual health to their clinician due to the social stigma around sexuality. Moreover, even less is known about the incidence and prevalence of sexual dysfunction in gender-diverse individuals assigned female at birth. Despite the high prevalence of sexual concerns, many obstetrician-gynecologists feel unprepared to manage sexual concerns in their patients citing l...
Source: Obstetrics and Gynecology Clinics - March 23, 2024 Category: OBGYN Authors: Monica Christmas, Andrew R. Fisher Tags: Preface Source Type: research
Female Sexual Dysfunction: A Time to Question and Assist
Sexual problems are reported in up to 40% of women on routine questioning, and about one in eight has a sexual dysfunction. To meet diagnostic criteria for sexual dysfunction, a problem must be recurrent or persistent and cause personal distress or interpersonal difficulty. Sexual dysfunction is a topic that is not usually broached by female patients and health care workers. This widespread problem can be a source of awkwardness unless a specific, correctable problem is found. Furthermore, with a busy schedule, there is often little time to discuss sexual desire, inadequate lubrication, impaired arousal, inability to activ...
Source: Obstetrics and Gynecology Clinics - March 23, 2024 Category: OBGYN Authors: William F. Rayburn Tags: Foreword Source Type: research
Mindfulness and Management of Low Desire and Vulvovaginal Pain
Mindfulness is defined as present-moment, nonjudgmental awareness. By reducing self-criticism, and depression, and increasing self-compassion, attention, and interoceptive awareness, mindfulness has been found across a variety of systematic reviews and meta-analyses to significantly improve sexual desire, sexual pain, and sex-related distress. It helps individuals connect with their bodies, fostering a deeper understanding of sensations and desires while reducing the focus on negative, judgmental, and catastrophic sex-related and pain-related thoughts. By teaching individuals to focus on bare sensations, mindfulness has al...
Source: Obstetrics and Gynecology Clinics - March 9, 2024 Category: OBGYN Authors: Lori A. Brotto, Melanie Altas Source Type: research
Evidence for the Impact of Stress and Trauma on Sexual Function in Women
Stressors occur in a spectrum, ranging from daily hassles to life-threatening experiences, and can significantly impact sexual functioning. Thus, this review summarizes the intricate relationship between trauma spectrum experiences and women ’s sexual functioning. Biological mechanisms are described to elucidate the physiologic complexity that manifests because of trauma-related experiences. Additionally, both psychological and social implications are discussed. Treatment recommendations for practitioners working with women are discus sed, underscoring the importance of adopting a trauma-informed care model. (Source: Obs...
Source: Obstetrics and Gynecology Clinics - March 9, 2024 Category: OBGYN Authors: Leiszle Lapping-Carr, Maria Laura Pappa Source Type: research
Hormonal Contraception and Sexual Function
This article assesses the available literature on the associations between various hormonal contraceptive methods and sexual function and provides practical management insights. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - March 9, 2024 Category: OBGYN Authors: Mariam Saadedine, Stephanie S. Faubion Source Type: research
Implications of the Law on Reproductive and Sexual Health
The United States has a longstanding history of using laws to define the scope of government involvement in controlling personal matters related to sex and sexuality. Although the government serves a valuable role in protecting and promoting public health, sexual and reproductive health is unduly impacted by social stigma in ways that other fields of medicine are not. Consequently, this care is often singled out by legislation that limits rather than protects this care. Health care professionals are uniquely positioned to advocate for legal protection of the patient-provider relationship and for access to essential health ...
Source: Obstetrics and Gynecology Clinics - March 9, 2024 Category: OBGYN Authors: Catherine Hennessey, Hillary McLaren, Julie Chor Source Type: research
Obstetrics and Gynecology Care in Latinx Communities
The Latinx community represents the largest racial minority population in the nation. There are significant barriers to care and treatment as it relates to obstetrics and gynecology. Understanding cultural considerations is essential to improving care in this community. Public health strategies as well as policies to address racial health disparities facing the Latinx community are explored in this article. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - January 23, 2024 Category: OBGYN Authors: Felicia L. Hamilton, Versha Pleasant Source Type: research
