Here are chapters about Sexual aversion disorder from the online medical books listed above:
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Does the history indicate that the difficulty is on penetration? Difficulties on penetration usually point to a vulval or vaginal origin for the problem. In that case, bartholinitis, vulvitis, vulval ... DIAGNOSTIC WORKUP
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Is there a history of alcohol or drug ingestion? A host of antihypertensive drugs, including the beta-blockers, may cause impotence. In addition, tricyclic drugs, nicotine, and alcohol intoxication may cause impotence.
Is there ... DIAGNOSTIC WORKUP
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Dyspareunia is defined as painful and/or difficult sexual intercourse. There is a large differential requiring detailed history and physical exam. Distinguish primary dyspareunia (dyspareunia occurs from the outset of sexual experience) from secondary dyspareunia (dyspareunia was... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... Painful introduction of the male organ or pain during intercourse are both considered under this title. The mnemonic to use here is MINT. This can then be applied to the anatomic structures as we explore the genital tract. Of course, psychologic
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... Impotence may be due to local end-organ disease, dysfunction of the peripheral nerve pathways, disease of the spinal cord or brain, pituitary and other endocrine disorders, and “supratentorial” disorders. Thus recall of the various
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... Impotence is the inability to achieve and maintain penile erection sufficient to complete satisfactory sexual intercourse; ejaculation may or may not be affected. Impotence varies from occasional and minimal to permanent and complete.... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Geriatric pointers ... Pictures
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... Aging
Psychogenic causes
Testicular causes (primary or secondary)
Congenital hypogonadism (especially Froehlich's syndrome, Klinefelter's syndrome
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... Dyspareunia is genital pain associated with intercourse. It may be mild, or it may be severe enough to affect enjoyment of intercourse. Dyspareunia is commonly associated with physical problems; less commonly, with a psychological disorder. The... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... A major obstacle to sexual enjoyment, dyspareunia is painful or difficult coitus. Although most sexually active women occasionally experience mild dyspareunia, persistent or severe dyspareunia is cause for concern. Dyspareunia may occur with attempted... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Impotence is the inability to achieve and maintain penile erection sufficient to complete satisfactory sexual intercourse; ejaculation may or may not be affected. Impotence varies from occasional and minimal to permanent and complete.... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Geriatric pointers ... Patient counseling ... Pictures
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... Louis Kuritzky
Approach Impotence, defined as the consistent inability to get or maintain an erection sufficient for intercourse, is a patient-defined diagnosis. Because up to one-third of men aged more than 65... History ... Physical examination ... Testing ... Diagnostic assessment
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... Impotence is the inability to achieve and maintain penile erection sufficient to complete satisfactory sexual intercourse; ejaculation may be affected. Impotence varies from occasional and minimal to permanent and complete. Occasional impotence occurs in... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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