Treatments for Sexual aversion disorder
Treatments of Sexual aversion disorder: Online Medical Books
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Dyspareunia:
Treatment
(In a Page: Signs and Symptoms)
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Treatment varies depending on etiology
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Infections require appropriate antimicrobials
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Steroids or topical treatment may be indicated for dermatologic causes
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Topical treatments or oral hormone replacement may be indicated for endocrine-related causes
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Psychological causes may require counseling with behavioral feedback and/or pharmacological treatment
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Symptoms refractory to initial treatment of proper duration require prompt reconsideration and further workup
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Referral may be necessary for specialized cases or cases with psychiatric components
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Source: In a Page: Signs and Symptoms, 2004
Dyspareunia:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Treatment of physical causes may include creams and water-soluble gels for inadequate lubrication, appropriate medications for infections, excision of hymenal scars, and gentle stretching of painful scars at the vaginal opening. The patient may be advised to change her coital position to reduce pain on deep penetration.
Methods of treating psychologically based dyspareunia vary with the particular patient. Sensate focus exercises deemphasize intercourse itself and teach appropriate foreplay techniques. Education about contraception methods can reduce fear of pregnancy; education about sexual activity during pregnancy can relieve fear of harming the fetus.
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Source: Professional Guide to Diseases (Eighth Edition), 2005
Dyspareunia:
Patient counseling
(Professional Guide to Signs & Symptoms (Fifth Edition))
Encourage the patient to discuss dyspareunia openly. A woman may hesitate to report dyspareunia because of embarrassment and modesty.
To minimize dyspareunia, advise the patient to apply a vaginal lubricant before intercourse, to attempt different coital positions, and to increase foreplay time. Teach her Kegel exercises to reduce muscle tension. (See How to do Kegel exercises, page 263.)
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Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Impotence:
Patient counseling
(Professional Guide to Signs & Symptoms (Fifth Edition))
Encourage your patient to talk openly about his needs and desires, fears and anxieties, or misconceptions. Urge him to discuss these issues with his partner as well as what role both of them want sexual activity to play in their lives.
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Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Impotence:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Ensure privacy, confirm confidentiality, and establish a rapport with the patient.
▪ Help the patient feel comfortable about discussing his sexuality.
▪ Adopt an accepting attitude about the sexual experiences and preferences of others.
▪ Prepare the patient for screening tests for hormonal irregularities, Doppler studies of penile blood pressure to rule out vascular insufficiency, voiding studies, nerve conduction tests, evaluation of nocturnal penile tumescence, and psychological screening.
▪ Discuss counseling for the patient and his sexual partner, if the patient has psychogenic impotence.
▪ Provide interventions to treat the cause, if the patient has organic impotence.
▪ Prepare the patient for other forms of treatment such as surgical revascularization, drug-induced erection, surgical repair of a venous leak, and penile prostheses.
Patient teaching
▪ Discuss the importance of maintaining follow-up appointments and therapy for underlying medical disorders.
▪ Encourage him to talk openly about his needs and desires, fears and anxieties, or misconceptions.
▪ Urge the patient to discuss his feelings with his partner as well as what role both of them want sexual activity to play in their lives.
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Source: Nursing: Interpreting Signs and Symptoms, 2007
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