Treating Male Sexual Dysfunction: Which Treatment Comes First?
The question of "which should be first?" in treating male sexual problems was recently discussed by experts in the October 7, 2013 online edition of the Journal of Sexual Medicine.
The discussions addressed the following:
• use of testosterone and/or phosphodiesterase type 5 inhibitors (PDE5s) to treat hypogonadal men with erectile dysfunction (ED)
• treatment of premature ejaculation (PE)
• the roles of counseling and psychotherapy in MSD treatment
Dr. Andrea M. Isidori and Dr. Andrea Lenzi, both of the “Sapienza” University of Rome, covered the first topic, noting that treatment for hypogonadal men with ED depends on the diagnosis itself and the age of the patient.
Younger men might start with testosterone therapy and then add an PDE5 if necessary. Older men might benefit from the reverse: PDE5 first, then testosterone if needed.
Dr. Antonio Aversa, also of the “Sapienza” University of Rome, joined Dr. Lenzi in the discussion of PE. They suggested that clinicians consider both physical and psychological factors before making treatment decisions.
Finally, Dr. Stanley E. Althof of Case Western Reserve University School of Medicine in Florida, USA discussed pharmacotherapy vs. psychotherapy for treating sexual problems. He explained that sometimes a combination treatment is warranted.
Dr. Emmanuele A. Jannini of the University of L’Aquila, who led the discussion, concluded, "Intuition, experience, and available evidence should guide the choice of which treatment to use first. This decision is highly critical in influencing the therapeutic outcome as well as the patient’s and couple’s adherence.”
Please click here to learn more.
New Research: Breast Cancer Development in Transsexuals
What is the incidence of breast cancer in transsexuals undergoing cross-sex hormone treatment? Our latest research summary examines this question.
"Breast Cancer Development in Transsexual Subjects Receiving Cross-Sex Hormone Treatment" by Louis J. Gooren MD, PhD; Michael A.A. van Trotsenburg MD, PhD; Erik J. Giltay MD PhD; and Paul J. van Diest MD, PhD was published in the Journal of Sexual Medicine in September.
The researchers examined data from male-to-female and female-to-male populations in the Netherlands. They found that cross-sex hormone treatment did not appear to increase the risk of breast cancer in either group. Incidence rates were similar to those of male breast cancers.
Please click here for more details on this study.
2014 Membership Renewal
As 2014 approaches, we would like to again thank you for your continued support and loyalty to the International Society for Sexual Medicine. It is you, the membership community, who drives and shapes the ISSM.
In order to ensure that you will have uninterrupted access to all of ISSM's membership benefits, including the Journal of Sexual Medicine, we kindly ask you to pay your ISSM membership dues for 2014 in a timely manner either through one of our affiliated societies or directly with us through this link. Of course, if you have already paid your membership dues, we thank you.
Also, if your contact information has changed, please take a moment to update it through Your ISSM Membership.
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