Sexual medicine reviews最新文献

{"title":"Sexual satisfaction in people and couples belonging to sexual orientation and gender diversities: a bibliometric analysis.","authors":"Pablo Mangas, Juan Carlos Sierra","doi":"10.1093/sxmrev/qeaf019","DOIUrl":"https://doi.org/10.1093/sxmrev/qeaf019","url":null,"abstract":"<p><strong>Introduction: </strong>Sexual satisfaction is a key component of individual and relational well-being and is defined as the subjective perception of enjoyment and fulfillment in sexual life. For individuals and couples belonging to sexual orientation and gender diversities (SOGDs), this satisfaction may be influenced by unique factors related to the experience of their sexual orientation and gender identity. However, the scientific literature exploring sexual satisfaction in these groups remains scarce. The present work analyzes the growth and characteristics of scientific production in this field of study.</p><p><strong>Objectives: </strong>Mapping scientific articles indexed in Scopus and Web of Science on the scientific production of sexual satisfaction in SOGD individuals and couples and identifying the production growth, sources, authors, countries and affiliations, relevant terms, and collaborative networks.</p><p><strong>Methods: </strong>A bibliometric analysis of 333 articles published in scientific journals was performed. The selected studies included terms related to the SOGD population and sexual satisfaction in the title, abstract and keywords. The articles covered the period 1976-2023 and were analyzed in terms of temporal production; authors, countries and institutions; relevant terms; trend topics; co-occurrence; and collaborations, using R-bibliometrix and VOSviewer.</p><p><strong>Results: </strong>The analysis revealed a progressive growth in scientific production, especially in the last decade. The main journals that published on the subject include The Journal of Sexual Medicine, Archives of Sexual Behavior, and The Journal of Sex Research. The studies were mainly concentrated in North American and European countries. Recurring terms such as HIV and relationship satisfaction were identified, while some SOGD collectives remained underrepresented. Additionally, limited intellectual collaboration networks were observed.</p><p><strong>Conclusions: </strong>This analysis highlights the need to expand research on sexual satisfaction in SOGD populations to include underrepresented regions and groups. A more inclusive and collaborative approach is recommended, addressing experiences of sexual satisfaction from affirmative and multicultural perspectives.</p>","PeriodicalId":21813,"journal":{"name":"Sexual medicine reviews","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754525","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":"Evaluation of erectile function in laboratory animals: an overview.","authors":"Jianxiong Ma, Yuhe Si, Yihao Chen, Jiahua Qian, Chenxi Wang, Qiang He","doi":"10.1093/sxmrev/qeaf017","DOIUrl":"https://doi.org/10.1093/sxmrev/qeaf017","url":null,"abstract":"<p><strong>Introduction: </strong>Erectile dysfunction (ED) is a common male sexual disorder that diminishes quality of life significantly. Despite extensive research, little is known about the complex physiological mechanisms of ED, in part owing to disparities between animal and human physiology. Comprehensive and objective assessment methods for animal models are crucial to bridge this translational gap.</p><p><strong>Objectives: </strong>Various experimental approaches for evaluating erectile function in rodent models are explored.</p><p><strong>Methods: </strong>A search of the medical literature was carried out in PubMed and Medline, focusing on original research and systematic reviews of original research on the evaluation of erectile function in experimental animals. Studies without erectile assessment methods or insufficient data, editorials, letters, commentaries, and non-English articles were excluded.</p><p><strong>Results: </strong>The ICP-to-mean arterial pressure ratio remains a valuable indicator for evaluating erectile function. Furthermore, laser speckle blood perfusion imaging technology offers an approach for assessing changes in cavernous blood flow, whereas infrared thermal imaging technology enables real-time temperature monitoring during erectile responses. Microscopic ultrasound and magnetic resonance imaging allow high-resolution observation of hemodynamic and histological changes in the rat model penis, real-time assessment of blood flow, and detailed anatomical information. Human-rat homologous marker detection using blood tests has high clinical relevance and translational potential. In addition, wearable adaptive penile rigidity monitoring (WARM) dynamically monitors erectile function by accurately and continuously detecting changes in the girth of the rat penis in a non-invasive manner. Utilizing ex vivo models of cavernous tissue, such as the cavernous artery and smooth muscle, can provide valuable insights into the mechanisms underlying ED and the pharmacological effects and efficacy of drugs.</p><p><strong>Conclusion: </strong>This comprehensive review covers diverse approaches, including new technologies, for assessing erectile function in rodent models, including new technologies. By addressing the limitations of the existing methodologies and providing a framework for accurate and reliable evaluations, this review provides a basis for further research on the pathophysiology of ED and potential therapeutic interventions.</p>","PeriodicalId":21813,"journal":{"name":"Sexual medicine reviews","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754457","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 deficiency and treatments: common misconceptions and practical guidance for patient care.","authors":"Mohit Khera, James M Hotaling, Martin Miner","doi":"10.1093/sxmrev/qeaf011","DOIUrl":"https://doi.org/10.1093/sxmrev/qeaf011","url":null,"abstract":"<p><strong>Introduction: </strong>Misconceptions about testosterone therapy are prevalent and there is an unmet need for a review of current literature that can be leveraged by physicians to deliver safe and effective care for men with hypogonadism.</p><p><strong>Objectives: </strong>This review aims to address common misconceptions about testosterone therapy using current literature and synthesize practical guidance for clinicians with patients who are starting testosterone therapy.</p><p><strong>Methods: </strong>A literature search of PubMed, Embase, CINAHL was carried out to identify associations between testosterone therapy and prostate cancer, cardiovascular risk, and hepatic toxicity; definitions of hypogonadism; and practical guidance for clinician with patients starting testosterone therapy.</p><p><strong>Results: </strong>There is no evidence to support the misconception that testosterone therapy leads to or promotes progression of prostate cancer, no evidence that testosterone therapy increases cardiovascular risk, no evidence that newer oral testosterone therapy formulations (eg, testosterone undecanoate) are associated with hepatic toxicity, and no consistent definition of hypogonadism among regulatory agencies and expert bodies. Clinicians should diagnose hypogonadism using testosterone concentrations and/or symptoms of testosterone deficiency, help patients select a testosterone therapy formulation that best fits their needs and preferences (including considerations for dose adjustment), ensure appropriate laboratory monitoring before and during treatment, and assess how patients are feeling during treatment.</p><p><strong>Conclusions: </strong>Testosterone therapy is not associated with increased prostate cancer or increased cardiovascular risk, newer oral testosterone therapy formulations are not associated with hepatic toxicity, and a strict definition of hypogonadism is difficult because patient individualization is required. Each patient in real-world clinical practices has unique baseline characteristics and will likely respond differently to testosterone therapy. As the primary goal of testosterone therapy is to provide relief from symptoms of hypogonadism, physicians should work with their male patients to create a comprehensive treatment plan that suits the patient's specific needs and preferences.</p>","PeriodicalId":21813,"journal":{"name":"Sexual medicine reviews","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754527","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":"Understanding the erectile dysfunction-cardiovascular disease connection: clinical and pathophysiological insights.","authors":"Jinshun An, Boyu Xiang, Jingxuan Peng, Dongjie Li","doi":"10.1093/sxmrev/qeaf014","DOIUrl":"https://doi.org/10.1093/sxmrev/qeaf014","url":null,"abstract":"<p><strong>Introduction: </strong>Erectile dysfunction (ED) and cardiovascular disease (CVD) share common pathophysiological mechanisms and molecular pathways, with ED serving as an independent risk factor and prognostic marker for CVD.</p><p><strong>Objectives: </strong>This review aims to explore the relationship between ED and CVD, analyze their shared pathophysiological mechanisms, and discuss the implications of these findings for clinical practice.</p><p><strong>Methods: </strong>A comprehensive literature review was conducted using PubMed, MEDLINE, and Web of Science databases, with keywords including \"erectile dysfunction,\" \"cardiovascular disease,\" \"endothelial dysfunction,\" \"inflammation,\" \"oxidative stress,\" \"NO/cGMP/PKG signaling pathway,\" \"RhoA/ROCK pathway,\" and \"testosterone deficiency.\"</p><p><strong>Results: </strong>The study found a positive correlation between ED and the incidence rate and severity of CVD, with shared mechanisms such as endothelial dysfunction, oxidative stress, and systemic inflammation. Mendelian randomization studies provided evidence of a causal relationship between genetically predicted CVD and ED risk, although reverse causality remains less clear. Early detection of ED may help prevent and manage CVD, with ED serving as a sentinel marker for asymptomatic coronary artery disease. The review also highlighted the potential of combining treatments like phosphodiesterase type 5 inhibitors with rho-associated protein kinase inhibitors or glucagon-like peptide-1 receptor agonists with testosterone therapy to optimize both cardiovascular and sexual outcomes.</p><p><strong>Conclusions: </strong>Understanding the association between ED and CVD is crucial for improving patients' quality of life and cardiovascular prognosis. Future research should focus on elucidating the mechanistic pathways underlying ED and CVD, validating causal relationships through long-term, multimodal studies, and developing standardized risk algorithms for early intervention. For clinical practice, proactive ED screening in high-risk populations and interdisciplinary collaboration between cardiologists and urologists are essential to prevent CVD progression and enhance patient quality of life.</p>","PeriodicalId":21813,"journal":{"name":"Sexual medicine reviews","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143736216","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":"Understanding the functional significance of the labia minora: a scoping review on sexual physiology.","authors":"Sara Perelmuter, Sarah Ponce, Meghana Chapalamadugu, Katelyn Maliszewski, Gabrielle Smotrich, Rachel Rubin","doi":"10.1093/sxmrev/qeaf018","DOIUrl":"https://doi.org/10.1093/sxmrev/qeaf018","url":null,"abstract":"<p><strong>Background: </strong>The labia minora, an essential yet understudied component of female genital anatomy, has been hypothesized to play a role in the female sexual function. Despite its potential importance, empirical evidence linking the labia minora's anatomical characteristics to sexual function remains limited.</p><p><strong>Aim: </strong>Through critically assessing the current literature on the labia minora, this scoping review aims to consolidate existing research on the labia minora's anatomy, vascularization, innervation, and its role in female sexual function.</p><p><strong>Methods: </strong>Scoping review methods according to (PRISMA-ScR) were followed. A comprehensive literature search was conducted across multiple databases, including PubMed, Web of Science, and Scopus, from database inception to March 31, 2024. Studies were screened for original research on anatomy, vascularization, innervation, and sexual function of the labia minora, and data were extracted from those meeting the inclusion criteria. The quality of the studies was assessed using the Oxford Centre for Evidence-Based Medicine Levels of Evidence and the JBI Critical Appraisal Tool.</p><p><strong>Results: </strong>Of the 480 studies identified, a total of 27 studies met the inclusion criteria, with the majority (56%) rated as \"good\" quality evidence. The labia minora was consistently found to have rich vascularization and a high density of nerve endings, suggesting a role in sexual arousal and engorgement. However, significant variations in labial morphology were noted, and the impact of these variations on sexual function remains unclear. Additionally, the role of hormonal influences, particularly androgens, on labial anatomy and function is poorly understood.Conclusion: The labia minora likely plays a critical role in female sexual function, yet many aspects of its anatomy and function are not well understood. Future research should prioritize detailed studies of its vascular and neural structures and the effects of hormonal changes to improve clinical outcomes and therapeutic interventions for vulvar-related conditions.</p>","PeriodicalId":21813,"journal":{"name":"Sexual medicine reviews","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143736217","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":"A review of the safety and efficacy of inflatable penile prosthesis ectopic reservoir placement.","authors":"Britney Atwater, Aaron Krug, Martin S Gross, Robyn Marty-Roix, Laura Chapin, Allen F Morey","doi":"10.1093/sxmrev/qeae067","DOIUrl":"10.1093/sxmrev/qeae067","url":null,"abstract":"<p><strong>Introduction: </strong>Patient medical and surgical history factors, such as prior prostatectomy, may lead surgeons to opt for ectopic reservoir placement rather than the standard reservoir location in the retropubic space (RPS) during inflatable penile prosthesis (IPP) placement.</p><p><strong>Objective: </strong>To examine the safety and effectiveness of ectopic reservoir placement used with three-piece IPPs in relation to reservoir placement in the RPS.</p><p><strong>Methods: </strong>A systematic review of MEDLINE/Pubmed and Embase databases was performed for literature between 1970 and 2022. Clinical studies and case reports describing three-piece IPP reservoir placement and clinical outcomes on AMS 700, similar products (such as Coloplast Titan), and three-piece IPPs where the manufacturer is not specified were included.</p><p><strong>Results: </strong>Seventy articles were identified that reported clinical outcomes on three-piece IPP reservoir placement, which included data on 9565 patients. Of these, 67% of the reservoirs (n = 6413) were placed in ectopic locations. These locations were defined as submuscular (n = 5207), retroperitoneal (n = 405), sub-external oblique (n = 50), peritoneal (n = 42), subcutaneous (n = 10), and did not specify the ectopic location (n = 694). A total of 670 patients had ectopic placement of the AMS 700 reservoirs specifically. Overall, there were no elevated rates in safety outcomes between RPS and ectopic placement. Fourteen studies directly compared safety and/or efficacy outcomes between RPS and ectopic placement and did not report any significant differences between patient groups.</p><p><strong>Conclusions: </strong>Ectopic reservoir placement of three-piece IPPs, including AMS 700, is comparable in terms of safety, efficacy, and patient satisfaction to RPS reservoir placement. Ectopic reservoir placement of the AMS 700 device is also similarly comparable to ectopically placed reservoirs of other IPPs as reported in the literature. Surgeons should consider ectopic implantation for patients at higher risk of complications associated with reservoir placement into the RPS.</p>","PeriodicalId":21813,"journal":{"name":"Sexual medicine reviews","volume":" ","pages":"20-32"},"PeriodicalIF":3.6,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565023","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":"A systematic review on the prevalence of a silent female disorder in Arabic-speaking countries and the Middle East: sexual dysfunctions and the role of culture.","authors":"Stephanie Zakhour, Walter Gonçalves, Aline Sardinha, Michelle Levitan, Antonio Egidio Nardi","doi":"10.1093/sxmrev/qeae070","DOIUrl":"10.1093/sxmrev/qeae070","url":null,"abstract":"<p><strong>Introduction: </strong>Female sexual dysfunction (FSD) remains a silent problem, especially in Arabic-speaking countries and the Middle East and most of the data are from Western countries. Sociocultural determinants haven't been getting the same attention as biological and psychological factors when studying sexual health.</p><p><strong>Objectives: </strong>To assess the prevalence of FSD in the Arab and Middle Eastern world and understand the sociocultural determinants related.</p><p><strong>Methods: </strong>On January 13, 2024, we searched electronic databases including Pubmed, Scielo, PsycArticles, Scopus, Cochrane Library and Google Scholar, Middle East Current Psychiatry, and Journal of Middle East Women's Studies, following PRISMA guidelines. Female participants, aged at least 16 years old from Middle East or Arabic-speaking countries, including North Africa, and cross-sectional studies in Arabic, English, and/or French were included. After careful screening of titles, abstracts, and full texts, ineligible articles were excluded.</p><p><strong>Results: </strong>A total of 19 papers were included in the present review. The most common FSD in each country were as follows: in Egypt, Turkey, Morocco, and Jordan, desire problems. In Iran, orgasm problems, and pain. In Palestine, pain. In Saudi Arabia, arousal. Sociocultural determinants such as language, poor sexual education, poor sexual self-awareness-and of partners-, lack of training, and help-seeking were related to FSD.</p><p><strong>Conclusions: </strong>FSD is prevalent in Arabic-speaking countries and the Middle East, yet little to no attention is given to this matter. Causes for FSD are mainly cultural, and Arab and Middle Eastern healthcare professionals lack training. Culturally sensitive, evidence-based studies regarding sexual health need to be conducted.</p>","PeriodicalId":21813,"journal":{"name":"Sexual medicine reviews","volume":" ","pages":"62-78"},"PeriodicalIF":3.6,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565030","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":"Physical therapy approach and non-invasive modalities in treatment of vaginal laxity: a literature review.","authors":"Lama Eid, Mina George, Doaa A Abdel Hady","doi":"10.1093/sxmrev/qeae071","DOIUrl":"10.1093/sxmrev/qeae071","url":null,"abstract":"<p><strong>Introduction: </strong>Pelvic floor physical therapy (PFPT) and noninvasive modalities can be more safe and available treatments for vaginal laxity (VL) with less risk of postsurgical complications.</p><p><strong>Objectives: </strong>The purpose of this review is to define the concepts of PFPT and noninvasive modalities, examine the evidence supporting those modalities as a treatment for VL, and evaluate their effectiveness.</p><p><strong>Methods: </strong>Between 2002 and 2023, clinical studies including women diagnosed with VL were examined in the Web of Science, Cochrane Library, Scopus, and PubMed databases. Exclusion criteria included studies with no outcomes or inadequate data, procedures, suggestions, editorials, book chapters, letters to editors, reviews, meta-analyses, animal research, and articles in languages other than English.</p><p><strong>Result: </strong>Only seventeen studies have been identified. Four studies have demonstrated the impact of PFPT (low- and medium-energy radiofrequency (RF), ultrasound, low-energy laser treatment, par sacral stimulation, the knack method, and pelvic floor exercises), and thirteen studies have discussed the impact of noninvasive modalities (RF, combined multipolar RF with pulsed electromagnetic, combined RF and pulsed electromagnetic field, high-intensity focused ultrasound, CO2 laser, combining multipolar RF and hybrid fractional laser, microfocused ultrasound, and the VIVEVE surface-cooled RF) on vaginal laxity.</p><p><strong>Conclusion: </strong>This review indicates many knowledge areas that must be attempted in order to understand the influence of nonstrengthening physical therapy and noninvasive methods on vaginal laxity. In addition to the mechanisms behind their impacts. In addition, we strongly recommend that more clinical trials of high methodological and interventional quality are required to investigate the efficacy of various physical therapy approaches, including electrical stimulation, biofeedback exertion, acupressure, manual therapy, neuromodulation, core exercise therapy, hydrotherapy, well-designed ultrasound therapy protocols, and vaginal weight training.</p>","PeriodicalId":21813,"journal":{"name":"Sexual medicine reviews","volume":" ","pages":"79-88"},"PeriodicalIF":3.6,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142591683","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":"Exploring the link between comorbid insomnia and sleep apnea (COMISA) and erectile dysfunction: implications for male sexual health.","authors":"Monica Levy Andersen, David Gozal, Sergio Tufik","doi":"10.1093/sxmrev/qeae068","DOIUrl":"10.1093/sxmrev/qeae068","url":null,"abstract":"<p><strong>Introduction: </strong>This review explores the interplay between comorbid insomnia and sleep apnea (COMISA) and erectile dysfunction (ED), 2 conditions that significantly impact men's health. COMISA, a recently recognized condition characterized by the coexistence of insomnia and obstructive sleep apnea, has been shown to disrupt sleep architecture and cause intermittent hypoxia. These disturbances are increasingly linked to the exacerbation of ED, a prevalent issue among men. Understanding the connection between COMISA and ED is crucial for developing integrated treatment approaches that address both sleep and sexual health.</p><p><strong>Objectives: </strong>We aim to explore the epidemiological, physiological, and potential therapeutic intersections of COMISA and ED. This review sets out to develop a better understanding of the relationship between these conditions and to emphasize the need for an integrated diagnostic and therapeutic approach that addresses both sleep and sexual health.</p><p><strong>Methods: </strong>Through a comprehensive analysis, including a detailed examination of extant studies, we address the hormonal imbalances and alterations in neural pathways that collectively contribute to the complex pathophysiology of ED and how these are particularly susceptible to the concurrent presence of COMISA.</p><p><strong>Results: </strong>Our analysis indicates that disruptions in sleep architecture and intermittent hypoxia associated with COMISA can exacerbate ED. Hormonal imbalances, endothelial dysfunction, autonomic imbalance, and increased inflammation and oxidative stress are key mechanisms through which COMISA influences ED. These factors collectively impair vascular health, reduce testosterone levels, disrupt neural control of erections, and contribute to the severity of ED.</p><p><strong>Conclusions: </strong>This review underscores the necessity for an integrated approach to diagnosis and therapy that considers both sleep and sexual health to improve overall outcomes. These insights should foster a deeper understanding of the relationship between COMISA and ED, encourage further research in this area, and potentially lead to the development of innovative treatment strategies to manage these closely intertwined health concerns.</p>","PeriodicalId":21813,"journal":{"name":"Sexual medicine reviews","volume":" ","pages":"105-115"},"PeriodicalIF":3.6,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11785434/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142508337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the relationship between temporomandibular disorders and sexual function.","authors":"Kalichman Leonid","doi":"10.1093/sxmrev/qeae063","DOIUrl":"10.1093/sxmrev/qeae063","url":null,"abstract":"<p><strong>Introduction: </strong>Temporomandibular disorders (TMDs) encompass various conditions affecting the temporomandibular joint and surrounding structures, often presenting with pain, limited movement, and functional impairments. TMDs may affect kissing and oral sex, in addition to influencing sexual function, as any other chronic pain condition.</p><p><strong>Objective: </strong>The study sought to examine the connection between TMDs and sexual function.</p><p><strong>Methods: </strong>A literature review was conducted, synthesizing evidence from various disciplines, including dentistry, physical therapy, psychology, and sexual medicine. Relevant studies were analyzed to elucidate the multifaceted nature of TMDs and their potential impact on sexual health.</p><p><strong>Results: </strong>Emerging evidence suggests a complex relationship between TMDs and sexual function, with chronic pain, psychological distress, and physiological factors potentially contributing to sexual dysfunction.</p><p><strong>Conclusion: </strong>Understanding the interconnectedness of TMDs and sexual function is essential for providing comprehensive care. Further research is needed to assess the association between TMDs and sexual dysfunction, elucidate the underlying mechanisms, and develop targeted interventions that address both TMD symptoms and sexual health concerns.</p>","PeriodicalId":21813,"journal":{"name":"Sexual medicine reviews","volume":" ","pages":"89-93"},"PeriodicalIF":3.6,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141154","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}