Sexual medicine reviews最新文献

{"title":"The effect of technology-based interventions on adolescent and youth sexual health: an umbrella review.","authors":"Azam Rahmani, Serwan Jafar Bakey, Shukur Abdulkareem Mahmood, Zahra Amrollah Majdabadi, Malihe Tabarrai, Sevil Hakimi, Leila Allahqoli, Arezoo Fallahi, Nafiseh Zarei, Elham Ebrahimi, Leila Ghavami Garabad, Tayebeh Sasanfar, Sahar Khademioore","doi":"10.1093/sxmrev/qeag021","DOIUrl":"https://doi.org/10.1093/sxmrev/qeag021","url":null,"abstract":"<p><strong>Introduction: </strong>Adolescent and youth sexual health has become a public health challenge. This study aims to review existing systematic reviews on technology-based interventions for adolescent and youth sexual health and to identify effective interventions in this domain.</p><p><strong>Methods: </strong>This umbrella review examined all systematic review articles indexed in Web of Science, Scopus, and Medline, up to October 2023. Studies were included if they met the following criteria: (1) targeted adolescents and young adults, (2) contained interventions related to sexual and reproductive health with at least one technological intervention, (3) included randomized controlled trials and quasi-experimental studies with a comparison group, and (4) in single-group studies, pre-test and post-test assessments with a comparison group exposed only to a control group without other interventions. Relevant data were synthesized narratively, given the heterogeneity in outcomes, measurements, and effect sizes, which precluded meta-analysis.</p><p><strong>Results: </strong>Data extraction included 23 articles on technology-based interventions, with 5 meta-analyses and 18 systematic reviews. Outcomes were categorized into behavioral, cognitive, psychological, biological, and service-related classifications. Thirteen studies reported positive cognitive outcomes, and 3 reported positive service-related outcomes, indicating effective interventions. However, while the majority of reviews suggested positive effects on behavioral outcomes, some behavioral results did not show positive impacts. MHealth interventions did not impact pregnancy incidence or condom use. Reports suggested that social media and text messaging might affect behaviors such as sexually transmitted infection screening/testing and risky sexual behaviors, although evidence for these effects was weak.</p><p><strong>Conclusion: </strong>The study highlights the effectiveness of technology-based interventions in enhancing the sexual health of adolescents and young adults, particularly in cognitive and service-related outcomes. However, it also reveals inconsistencies in behavioral outcomes, indicating a need for further research to better understand these variations.</p>","PeriodicalId":21813,"journal":{"name":"Sexual medicine reviews","volume":"14 3","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148536961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vaginal massage in sexual medicine and pelvic health: a narrative review.","authors":"Koby Mike, Sujay Shemesh","doi":"10.1093/sxmrev/qeag070","DOIUrl":"https://doi.org/10.1093/sxmrev/qeag070","url":null,"abstract":"<p><strong>Introduction: </strong>Vaginal massage comprises a range of manual therapeutic techniques involving internal and external manipulation of vaginal and pelvic floor tissues. Although used in pelvic floor rehabilitation, manual therapy, and complementary medicine, its role in sexual medicine and women's pelvic health has not been comprehensively reviewed. This review summarizes and evaluates the current evidence regarding the therapeutic applications, clinical outcomes, and research gaps associated with vaginal massage.</p><p><strong>Methods: </strong>A narrative review was conducted using 8 electronic databases. Searches included the terms \"vaginal massage\", \"pelvic massage\", \"pelvic floor massage\", \"gynecological massage\", \"gynecology massage\", \"vaginal acupressure\", and \"Yoni massage\". Following predefined eligibility criteria, 14 clinical studies and case reports were included and synthesized narratively.</p><p><strong>Results: </strong>The studies were grouped into 4 clinical domains: sexual health (5 studies), pelvic floor dysfunction (PFD) (2), chronic pelvic pain (CPP) (4), and pelvic organ prolapse and uterine malposition (3). Across these conditions, vaginal massage was associated with improvements in sexual function, orgasmic capacity, dyspareunia, pelvic floor muscle function, CPP, prolapse-related symptoms, and quality of life. Proposed mechanisms included myofascial release, trigger point deactivation, improved tissue mobility and circulation, reduced pelvic floor hypertonicity, and enhanced body awareness. However, the evidence was limited by small sample sizes, heterogeneous massage techniques, poorly standardized protocols, multimodal interventions, and a predominance of case reports and uncontrolled studies.</p><p><strong>Discussion: </strong>Current evidence suggests that vaginal massage may be a useful adjunct to multidisciplinary management of selected sexual and pelvic floor disorders, particularly CPP and PFD. However, its efficacy remains uncertain because of methodological limitations and inconsistent reporting of treatment protocols. Well-designed randomized controlled trials with standardized interventions, validated outcome measures, and explicit reporting of ethical safeguards are needed to establish the efficacy, safety, and clinical role of vaginal massage in sexual medicine and pelvic health.</p>","PeriodicalId":21813,"journal":{"name":"Sexual medicine reviews","volume":"14 3","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149017406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Molecular mechanisms of icariin in the treatment of erectile dysfunction.","authors":"Chunyang Meng, Rui Jiang","doi":"10.1093/sxmrev/qeag051","DOIUrl":"https://doi.org/10.1093/sxmrev/qeag051","url":null,"abstract":"<p><strong>Introduction: </strong>The molecular mechanisms underlying the effects of icariin (ICA) on erectile dysfunction (ED) remain incompletely understood.</p><p><strong>Objective: </strong>To investigate the pharmacokinetics of ICA and its molecular mechanisms in the treatment of ED.</p><p><strong>Methods: </strong>A literature search was conducted in PubMed and Web of Science to identify studies evaluating the effects of ICA on erectile function.</p><p><strong>Results: </strong>The principal bioactive form of icariside in vivo is icariside II. ICA has been shown to improve under different pathological conditions through multiple molecular mechanisms, including activation of the NOS/NO/cGMP pathway, inhibition of the RhoA/ROCK pathway, reduction of autophagy in corpus cavernosum cells, suppression of advanced glycation end products, inhibition of programmed cell death in corpus cavernosum cells, inhibition of PDE5 activity, promotion of testosterone synthesis, and modulation of endogenous stem cell-related markers, which may contribute to penile tissue repair.</p><p><strong>Conclusion: </strong>ICA may ameliorate pathological changes associated with ED animal models with different etiologies through multi-target mechanisms; however, its clinical efficacy still requires further confirmation in high-quality randomized controlled trials.</p>","PeriodicalId":21813,"journal":{"name":"Sexual medicine reviews","volume":"14 3","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148536926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Update on curriculum standards for sexual health education, impact, and platforms for medical training: recommendations from the Fifth International Consultation on Sexual Medicine (ICSM 2024).","authors":"Sharon J Parish, Juliana M Kling, Eli Coleman, Ian Eardley, Sharon L Bober, Rafi Heruti, Eusebio Rubio-Aurioles, Yacov Reisman","doi":"10.1093/sxmrev/qeag030","DOIUrl":"https://doi.org/10.1093/sxmrev/qeag030","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Sexual problems are common throughout the lifespan. Therefore, it is important for medical students and other health professionals to receive instruction in sexual medicine that is sufficient to prepare them to address these issues as a routine part of practice.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;To consolidate and update recommendations published from prior International Consultations on Sexual Medicine and other consensus-based recommendations from across the world for standards of sexual health education (SHE) among medical students. To evaluate the status of recommendations for various health professionals and of existing training and educational platforms.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A conceptual review of previous reports on curriculum standards of SHE in medical schools and an updated literature review from 2016 to current was conducted.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;We provide a summary and comprehensive recommendations based on expert opinion, accumulated experience, and literature review for a sexual health curriculum for medical students, including how it should be taught, recognizing that curricula are diverse worldwide. Scant research exists regarding the impact of sexual medicine training on sustained clinical skills and patient outcomes. Existing sexual medicine education platforms can be applied, adapted, and optimized across training levels, disciplines, and geographic locations. We discuss opportunities to improve evaluation of knowledge and competency, as well as the importance of studying methodologies to improve curriculum and methods of evaluation, particularly for disciplines in which these curricula have not previously been evaluated.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Sexual medicine societies are encouraged to implement previous recommendations and make medical student SHE a priority. Extending these recommendations to post-graduate and practicing clinician and other health professionals' education would help close education and clinical practice gaps. Future training interventions should incorporate assessment of skill acquisition and meaningful patient outcomes, as well as integrate educational platforms including web-based formats, interactive technology, and experiential learning strategies.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Recommendations of expert consensus committee: &lt;/strong&gt;Sexual health educational curricula should be expanded to include sexual well-being and pleasure in addition to pregnancy and sexually transmitted infection (STI) prevention. (Strong) ISSM and affiliated sexual medicine societies (ASMS) should follow through on previous recommendations (ICSM 2009, 2016) and prioritize sexual health education in their missions. (Strong) Sexual medicine societies should join with other organizations to promote standards through position statements and other joint efforts. (Strong) ISSM/ASMS should play a key role in setting curriculum standards, promoting sexual health education in medical","PeriodicalId":21813,"journal":{"name":"Sexual medicine reviews","volume":"14 3","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148562957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"AI-mediated intimacy as a potential sexual-medicine exposure: clinical and research priorities.","authors":"Farhan Amin, Wajid Zaman, Adnan Amin","doi":"10.1093/sxmrev/qeag065","DOIUrl":"https://doi.org/10.1093/sxmrev/qeag065","url":null,"abstract":"","PeriodicalId":21813,"journal":{"name":"Sexual medicine reviews","volume":"14 3","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148797995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with sexual dysfunction in dialysis patients: a gender-specific systematic review and meta-analysis.","authors":"LongKe Xu, YuanFeng Lv, YaMei Lin, XiaoXia Cai, MeiJuan Zhu, XinYu Wang, LiXiang Ye, XiaoShan Wang, Li Chen, QiFan Wang, Rui Zhang","doi":"10.1093/sxmrev/qeag057","DOIUrl":"10.1093/sxmrev/qeag057","url":null,"abstract":"<p><strong>Introduction: </strong>Sexual dysfunction (SD) is an important complication in dialysis patients that affects quality of life but remains under-recognized in clinical practice. Previous reviews have mainly focused on prevalence, whereas systematic quantification of associated factors, sex-stratified comparisons, and evidence certainty evaluations remain limited.</p><p><strong>Objectives: </strong>This meta-analysis aimed to identify factors associated with SD in dialysis patients and explore sex-specific differences.</p><p><strong>Methods: </strong>This systematic review and meta-analysis included observational studies of adult dialysis patients identified from database inception to April 20, 2025. Extracted data included adjusted odds ratios and 95% confidence intervals. Study quality was assessed using the Agency for Healthcare Research and Quality checklist or the Newcastle-Ottawa Scale. Sensitivity analyses, subgroup analyses, publication bias assessment, and GRADE evaluations were conducted to assess the robustness and certainty of the evidence.</p><p><strong>Results: </strong>A total of 19 studies involving 4989 patients were included. The primary analysis showed that factors associated with SD in males included age, diabetes mellitus, smoking history, dialysis vintage, depression, diabetic nephropathy, alcohol consumption, and inadequate dialysis. In females, factors associated with SD included age, depression, beta-blockers, low educational attainment, menopausal status, chronic diseases, and diabetic nephropathy, whereas recombinant human erythropoietin was associated with lower odds of SD. After REML+HKSJ adjustment, age, diabetes mellitus, smoking history, dialysis vintage, depression, and diabetic nephropathy in males, and depression, lower educational attainment, and diabetic nephropathy in females remained statistically significant.</p><p><strong>Conclusions: </strong>Factors associated with SD in dialysis patients differed by sex. However, evidence certainty was limited by observational designs, heterogeneity, potential publication bias, and variations in measurement tools, diagnostic thresholds, and exposure definitions. Therefore, these findings reflect statistical associations rather than causal conclusions.</p>","PeriodicalId":21813,"journal":{"name":"Sexual medicine reviews","volume":"14 3","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148727011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An examination of the vulvar pain disorders, pain symptoms, and associated vulvovaginal findings experienced among hypermobile Ehlers-Danlos syndrome and hypermobility spectrum disorder patients: a scoping review.","authors":"Jenny Niedenfuehr, Paula Cuccaro, Vanessa Schick, David Stevens, Christine Markham","doi":"10.1093/sxmrev/qeag066","DOIUrl":"https://doi.org/10.1093/sxmrev/qeag066","url":null,"abstract":"<p><strong>Introduction: </strong>Vulvar pain disorders, pain symptoms, and associated vulvovaginal findings are underrecognized among hypermobile Ehlers-Danlos Syndrome (hEDS) and Hypermobility Spectrum Disorder (HSD) patients. These conditions are not commonly understood in clinical practice, underscoring the need to map which vulvar pain disorders and pain symptoms are identified, measured, and reported across studies in the literature.</p><p><strong>Objective: </strong>To review, synthesize, and examine the types of various vulvar pain disorders, pain symptoms, and associated vulvovaginal findings experienced among hEDS and HSD patients.</p><p><strong>Methods: </strong>Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines, we conducted a scoping review using a systematic search across five key databases: Medline (OVID), Embase, CINAHL, Cochrane, and Web of Science, as well as the first 200 results from Google Scholar. Medical Subject Headings and keyword search strings were systematically applied across databases.</p><p><strong>Results: </strong>A total of 1073 studies were identified and narrowed to 18 that examined distinct vulvar pain disorders, pain symptoms, and associated vulvovaginal findings in patients with hEDS and HSD. The vulvar pain disorders reported in the literature included vulvodynia (n = 4), vestibulodynia (n = 3), pudendal neuralgia (n = 2), and persistent genital arousal disorder (n = 2), while the pain symptoms included dyspareunia (n = 13) and sexual dysfunction with pain (n = 1). Associated vulvovaginal findings included desquamative inflammatory vaginitis (n = 2), vulvovaginal candidiasis (n = 2), labial swelling (n = 3), lacerations (n = 1), bruising (n = 1), tearing (n = 1), and fissures (n = 1). Vulvar pain disorders and their related symptoms and findings were identified through various approaches, including clinical diagnoses, chart reviews, administrative codes, participant self-reports, and specialty clinic evaluations.</p><p><strong>Discussion: </strong>The findings of this review underscore the heterogeneity of methods across studies and the inconsistent diagnostic labeling and evaluation of vulvar pain disorders and pain symptoms among hEDS and HSD patients globally. Future research should distinguish established diagnoses from symptoms and associated vulvovaginal findings and improve precision in study design, clinical evaluation, diagnostic criteria, and measurement methods.</p>","PeriodicalId":21813,"journal":{"name":"Sexual medicine reviews","volume":"14 3","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Obstacles and facilitators faced by people attracted to minors when seeking support for their paraphilic interest - a scoping review.","authors":"Daniela Filipa Dos Santos Barra, Diogo Telles-Correia, Patrícia Magda Monteiro Pascoal","doi":"10.1093/sxmrev/qeag062","DOIUrl":"https://doi.org/10.1093/sxmrev/qeag062","url":null,"abstract":"<p><strong>Introduction: </strong>Although awareness of the mental health needs of minor-attracted persons (MAPs) is growing, barriers continue to limit their access to care, and evidence on what influences their help-seeking behavior remains limited. Addressing this gap calls for public health strategies that enhance the prevention of child sexual abuse through healthcare provision for MAPs. This review aims to map the barriers and facilitators to help-seeking in this population to inform policies that improve healthcare access.</p><p><strong>Methods: </strong>Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, seven databases were searched without date restrictions, yielding 583 records. Of these, seven studies met the inclusion criteria and were included in the review. Data were charted and analyzed thematically.</p><p><strong>Results: </strong>Although the included studies provided valuable data, they exhibited methodological limitations that are discussed in the review. Four main barriers were identified (1): structural, including limited resources and fear of mandatory reporting (2); financial constraints (3); social, such as stigma from harmful media portrayals; and (4) individual, such as feelings of shame. Facilitators spanned three dimensions (1): structural, such as anonymous online platforms and specialized clinical training (2); social, such as anti-stigma campaigns, and (3) individual, including recognizing one's attraction as problematic.</p><p><strong>Discussion: </strong>These findings reveal a profound disconnect between MAPs' support needs and current healthcare capacity to provide accessible, non-stigmatizing care. Notable gaps remain regarding female and non-Western MAPs, longitudinal help-seeking trajectories, and interventions targeting psychological distress. Online communities and media emerged as paradoxical forces, capable of reinforcing isolation and stigma while also serving as low-threshold entry points into care. Addressing these barriers requires a multilevel approach combining structural reforms, clinical training, digital interventions, and anti-stigma campaigns, alongside policies that distinguish offending from non-offending MAPs to balance public safety with accessible, ethical care.</p>","PeriodicalId":21813,"journal":{"name":"Sexual medicine reviews","volume":"14 3","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148913416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social media and women's sexual self-concept: a scoping review of psychosexual, body image, and genital self-perception outcomes.","authors":"Aysu Yıldız Karaahmet, Parisa Gazerani","doi":"10.1093/sxmrev/qeag071","DOIUrl":"https://doi.org/10.1093/sxmrev/qeag071","url":null,"abstract":"<p><strong>Objective: </strong>Social media platforms have created digital environments that make women's bodies, sexuality, and self-presentation constantly visible, assessable, and comparable. Increasing evidence suggests that social media use can influence women's sexual self-concept through mechanisms such as appearance comparison, self-objectification, sexualized self-presentation, and genital self-perception. This scoping review aimed to map and synthesize the existing literature on the effects of social media use on women's sexual self-concept.</p><p><strong>Method: </strong>The study was conducted in accordance with the scoping review framework with the Joanna Briggs Institute methodology. The PRISMA-ScR guidelines were used in the reporting process. A systematic search was conducted across MEDLINE (via PubMed), PsycINFO, CINAHL, Embase, Web of Science Core Collection, and Scopus. English-language studies examining the relationship between social media use and women's sexual self-concept, genital self-perception, digital sexual self-presentation, or related psychosexual constructs were included. Findings were synthesized using a thematic analysis approach.</p><p><strong>Results: </strong>A total of 32 studies were included. The studies consisted mainly of cross-sectional and experimental research conducted with young women and adolescent girls. Instagram was the most frequently studied platform. As a result of the thematic synthesis, five main themes were identified: sexualized digital exposure and appearance comparison; self-objectification and self-sexualization processes; digital sexual self-presentation and online identity construction; genital self-perception and interest in labiaplasty; and sexual well-being, empowerment, and resistance mechanisms. Social media use was associated with body surveillance, appearance comparison, self-objectification, genital dissatisfaction, and interest in genital aesthetic procedures. Conversely, body-positive and vulva-positive content was associated with empowerment, resistance to restrictive beauty norms, and more positive self-perceptions.</p><p><strong>Conclusion: </strong>The findings suggest that social media constitutes a multi-layered sphere of influence on women's sexual self-concept, operating through interconnected psychosocial processes that may have both negative and positive implications. While appearance comparison, self-objectification, body surveillance, and genital dissatisfaction may undermine sexual self-perception, body-positive and vulva-positive digital content may foster empowerment, resistance to restrictive beauty norms, and more positive self-perceptions. However, the current evidence base consists largely of cross-sectional, qualitative, and short-term experimental studies, limiting causal interpretation. Further longitudinal and intervention-based research is needed across sexual medicine, digital health, and psychosexual research.</p>","PeriodicalId":21813,"journal":{"name":"Sexual medicine reviews","volume":"14 3","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149017377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Testosterone replacement in men with sexual dysfunction-a critical assessment of the Cochrane review by Lee et al. 2024.","authors":"Farid Saad, Abdulmaged M Traish","doi":"10.1093/sxmrev/qeag055","DOIUrl":"https://doi.org/10.1093/sxmrev/qeag055","url":null,"abstract":"","PeriodicalId":21813,"journal":{"name":"Sexual medicine reviews","volume":"14 3","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148654357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}