tailieunhanh - Handbook of sexual dysfunction - part 2

Lợi ích của tình dục với Kết hợp dược phẩm điều trị nhận thức hoặc hành vi cho ED (33-37). Đã có nhiều bài báo cũng giới thiệu sự kết hợp của phương pháp tiếp cận y tế và tâm lý cho điều trị ED (15,20,32,38,39). Thật không may, vào thời điểm này Không có thiết kế tốt nghiên cứu ngẫu nhiên Tập trung vào phương pháp tiếp cận tích hợp vào điều trị SD. | 22 Perelman Multiple case reports have summarized the benefits of combining sexual pharmaceuticals with cognitive or behavioral treatments for ED 33-37 . There were also multiple articles recommending the combination of medical and psychological approaches to the treatment of ED 15 20 32 38 39 . Unfortunately at this point there are no well-designed randomized control studies focused on integrated approaches to the treatment of SD. However many are optimistic that the data supporting this approach will be forthcoming. An excellent summary of this material on CTs primarily for ED with a few FSD studies can be found in Table 10 of the WHO 2nd Consultation on Erectile and Sexual Dysfunction Psychological and Interpersonal Dimensions of Sexual Function and Dysfunction Committee report 40 . Combination Therapy for Sexual Dysfunction Integrating Sex Therapy and Sexual Pharmaceuticals We know clinically that many PDE-5 nonresponders will be restored to sexual health through a CT integrating sex therapy and sexual pharmaceuticals. Yet how do we conceptualize such a model so that standard treatment algorithms could be stretched to incorporate this concept The answer is twofold. We need a schema for understanding psychosocial obstacles PSOs to successful treatment integrated into a model that executes that understanding. Combination therapy is the therapeutic modality of choice for any SDs. Combination therapy refers to a concurrent or step-wise integration of psychological and medical interventions. We have previously described developing adherence for this approach to ED with enthusiasm growing within the FSD treatment community 36 . Combination therapy is already being recommended for PE and is likely to be recommended for the full range of ejaculatory disorders 41 . Although desire disorders for men and women have a strong psychosocial cultural component there is little doubt that sexual desire has biological underpinnings and is likely to be distributed on the same .