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DESCRIPTION: Gessler Strasse 17, Regensburg, Germany. Predictors of female sexual dysfunction are multifaceted and vary from country to country. A synthesis of potential risk factors and protective factors may aid healthcare practitioners in identifying populations at risk, in addition to revealing modifiable factors to prevent sexual dysfunction among reproductive-age women.

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Sexual function and qualify of life in women with spina bifida: Are the women with spina Yoonhye Ji · Eun Kyoung Choi · Sang Woon Kim. Sang Won Han Female sexual dysfunction was evaluated with the Korean version of the FSFI ( female . Factors Influencing Sexual Function in Postmenopausal Married Women. Kwai Han Yoo, Danbee Kang, Im Ryung Kim, Eun Kyung Choi, Jin Seok Kim, Sexual dysfunction is a common long-term complication of. erectile dysfunction (ED); the remaining four studies reported the incidence of female sexual dysfunction (FSD). .. married men aged 45–75 years; all of whom under- went four .. 45 Shin HW, Rha YC, Han DH, Chung S, Yoon IY, Rhee CS.

Gessler Strasse 17, Regensburg, Germany. Predictors of female sexual dysfunction are multifaceted and vary from country to country. A synthesis of potential risk factors and protective factors may aid healthcare practitioners in identifying populations at risk, in addition to revealing modifiable factors to prevent sexual dysfunction among reproductive-age women. Observational studies which assessed the prevalence and predictors of female sexual dysfunction in reproductive-age women were systematically sought in relevant databases — Significant predictors were extracted from each included publication.

A qualitative analysis of predictors was performed with a focus on types of sexual regimes and level of human development. One hundred thirty-five studies from 41 countries were included in the systematic review.

Consistently significant risk factors of female sexual dysfunction were: Consistently significant protective factors included: Some factors however had an unclear effect: The sexual and reproductive lives of women are highly impacted by female sexual dysfunction, and a number of biological, psychological and social factors play a role in the prevalence of sexual dysfunction. Healthcare professionals who work with women should be aware of the many risk factors for reproductive-age women.

Future prevention strategies should aim to address modifiable factors, e. The online version of this article According to the Diagnostic and Statistical Manual for Mental Disorders 5th edition,female sexual dysfunction entails the following disorders: Sexual dysfunction has a biopsychosocial etiology, i.

At the level of the individual, doctors aim to determine the etiology of the dysfunction and treat it accordingly. At the level of the population, however, researchers aim to predict which factors might put one population at risk over another population.

Identifying these predictors and their effect whether protective or risk-inducing may aid health professionals to better detect and potentially prevent sexual problems from arising. Past literature reviews have identified a number of similar biological, psychological and social predictors of female sexual dysfunction across different populations. In a systematic review on sexual dysfunction in both men and women, age, education, socio-economic status, and marital status were found to have an influence on male and female sexual dysfunction [ 4 ].

Predictors of sexual dysfunction are numerous, and various approaches can be used to classify and assess them. In this analysis, however, the aim was not to quantify the magnitude of the effect of a single predictor but to uncover the breadth of predictors in heterogeneous populations around the globe and to identify possible trends.

In order to provide a more structured analysis of the multifaceted risk factors and protective factors in these populations, the predictors of female sexual dysfunction were examined using paradigms which focused on gender inequality. Two global studies, in particular, have shed some light on the association between female sexual function and gender inequality.

In the wealth of data, they identified common gender-based Yoon han wife sexual dysfunction of sexual attitudes in behaviors across the 29 surveyed countries [ 7 ].

A closer look at the responses in each country revealed that women in gender-equal regimes rated their satisfaction with sexual functioning at However, differences were greater between men and women in the two male-centered regimes. A meta-regression of the collected data showed a positive correlation between the prevalence of female sexual dysfunction and the Yoon han wife sexual dysfunction of gender inequality in a country Gender Inequality Index from the United Nations Development Program [ 18 ].

Further stratification of these results by world region illustrated that more developed regions e. The meta-analysis also stratified the prevalence rates according to sexual regimes, as identified by the GSSAB research group.

While the overall prevalence rate of female sexual dysfunction was not significantly different between the three regimes, there were in fact significantly lower rates of pain disorders, orgasm disorder and lubrication difficulties in the gender-equal regime compared to the mixed and Asian male-centered sexual regimes.

The results of these two large-scale studies cannot show causality between sexual dysfunction and gender inequality, but they do underline the importance of examining sexual health outcomes in terms of the level of gender inequality in a society. With the rise in publications on female sexual dysfunction [ 9 ], an updated summary of the predictors of female sexual dysfunction is needed. The following qualitative analysis and its narrative synthesis will summarize the risk Yoon han wife sexual dysfunction protective factors related to female sexual dysfunction among reproductive-age women in multiple countries and simultaneously shed further light on the aspect of gender inequality.

CRD and is available in published form [ 11 ]. Searches were limited to studies of humans, to the English language, and to the time frame January 1, until July 10, The search was performed by an experienced medical research librarian. All titles and abstracts were screened for their relevance. Articles identified through hand searches were considered for inclusion based on their titles. A standard form was designed and used to evaluate the full-text publications for inclusion.

Two investigators independently assessed each publication for eligibility and compared their results. If there was a discrepancy in their assessment, a final decision was taken based on discussions with a third reviewer.

A second hand search was performed using the reference lists of all included articles. Cross-sectional, cohort, and case-control studies were eligible for this systematic review. Validation studies, reviews, reports, and commentaries were not included. Clinical populations or populations of women who were surveyed for a particular disease or illness were excluded, as the purpose of this systematic review was to capture the prevalence and risk factors present in the general population.

Studies that addressed FSD in infertile women or couples and studies that examined spouses and partners of men with erectile disorder were also excluded. The research question Yoon han wife sexual dysfunction on reproductive-age women in the general population.

Any studies that focused primarily on menopausal, postmenopausal, pregnant, or lactating women were excluded. Because Yoon han wife sexual dysfunction epidemiologic studies covered a broad age range of women, a numeric cutoff was used for the studies that did not specify which women were of Yoon han wife sexual dysfunction age.

Further details regarding the search strategy, search terms, the assessment of bias, and the meta-analytical prevalence of female sexual dysfunction have been published elsewhere or may be requested from the corresponding author [ 1 ].

PRISMA flow chart showing number of citations retrieved from a systematic literature search in multiple databases. Data were extracted from the included studies using an electronic data extraction form created in Microsoft Access. The extraction form was pre-designed and pilot-tested. A pilot test was performed with 20 randomly selected publications on the prevalence of female sexual dysfunction.

Based on the results of the pilot test, Yoon han wife sexual dysfunction form was revised by the investigators. Analyses of odds ratios and correlations within the included studies were examined in order to determine which predictors proved to be significant.

Where possible, information on significant predictors was taken from multivariate analyses; otherwise data from univariate analyses were extracted. Once all data were extracted from the included publications, the data were examined and verified by a second author. Discrepancies in data entry were documented, discussed and revised accordingly. Non-significant risk factors were also listed. The predictors extracted from the publications were then stratified using two different schemes: Using clustered data on sexual attitudes, satisfaction, behaviors, as well as prevalence rates of sexual dysfunction, Laumann et al.

The third cluster, also considered male-centered, entailed only Asian countries: The significant predictors of female sexual dysfunction were stratified according to type of sexual regime and presented in a Venn diagram or in narrative form. For the individual domains of female sexual dysfunction desire disorder, arousal disorder, lubrication difficulties, orgasm disorder and pain disordera narrative synthesis of the results was given.

Using these data, each country is given a GII value between 0 and 1: Based on the GII value, countries are sorted into quartiles with the following human development groups: A link to the GII and the human development groups can be found here: The significant risk factors of female sexual dysfunction were stratified according to level of human development and illustrated in the form Yoon han wife sexual dysfunction word clouds.

Due to a large number of highly-specific medical conditions addressed in these publications, only the significant risk factors which were identified in at least two separate studies were Yoon han wife sexual dysfunction in the word cloud. This allowed for better comparison across the levels of human development.

Furthermore, the word clouds were designed to be sensitive to the number of publications in which a certain risk factor had been identified, i. For the individual domains of female sexual dysfunction desire disorder, arousal disorder, lubrication difficulties, orgasm disorder and pain disordera narrative synthesis of the results was provided.

The systematic literature search resulted in eligible studies from 41 countries. Factors which consistently had a Yoon han wife sexual dysfunction, protective effect across all domains were: Thirty-eight publications could not be categorized, because the country of study had Yoon han wife sexual dysfunction been investigated in the GSSAB. However, 56 publications could be categorized into the following types of sexual regimes: Independent of the type of sexual regime, a lack of sexual knowledge, medical illness, poor physical health, older age, depression and smoking were found to be common significant risk factors for female sexual dysfunction.

Some risk factors were however unique to the individual regimes. Other risk factors unique to this regime were female genital mutilation, restrictive upbringing, Yoon han wife sexual dysfunction living and dieting.

Two significant risk factors which surfaced in Asian studies were also mid to upper income as well as alcohol consumption. Some of the significant protective factors noted in the various regimes included: Risk factors for desire disorder were multitudinous but rather similar across all regimes socio-economic difficulties, relationship difficulties, physical and mental health issues, etc.

The protective factors for desire disorders in the regimes were Yoon han wife sexual dysfunction unique. In gender-equal regimes, smoking and alcohol consumption had a protective effect, as well as spontaneous sexual initiation, masturbation, being in a non-exclusive relationship and having an imbalance of commitment in a relationship woman more committed than man.

For the mixed male-centered regime, alcohol consumption had a protective effect, as well as spontaneous sexual initiation, a varied sexual Yoon han wife sexual dysfunction and sex education.

Finally, for Asian male-centered sexual regimes, having a liberal attitude towards Yoon han wife sexual dysfunction and being pregnant were protective factors for desire disorder. Protective factors for arousal disorder in gender-equal regimes were: In contrast, being single was a risk factor for arousal disorder in the mixed male-centered regime and higher education was found to be a risk factor in Asian countries.

Notably, having liberal sex values and a high acceptance for pornography were two further risk factors for arousal disorder in the Asian male-centered sexual regime. Older age was a risk factor in mixed male-centered sexual regimes and gender-equal sexual regimes; relationship dissatisfaction was unique to the gender-equal sexual regime while being single was unique to the male-centered sexual regime. No protective factors for lubrication difficulties could be identified in the studies.

Protective factors of orgasm disorder across all regimes are worth highlighting: With orgasmic disorder, there were more risk factors associated with the partner in both gender-equal and Asian regimes: Lastly, for pain disorder, older age was found to be a risk factor and a protective factor for all three sexual regimes.

Using the GII quartiles, the predictors were assessed in terms of the level of human development HD in the given country. The GII data cover all countries which were represented in our data.

Reading too much into this? erectile dysfunction (ED); the remaining four studies reported the incidence of female sexual dysfunction (FSD). .. married men aged 45–75 years; all of whom under- went four .. 45 Shin HW, Rha YC, Han DH, Chung S, Yoon IY, Rhee CS. Kwai Han Yoo, Danbee Kang, Im Ryung Kim, Eun Kyung Choi, Jin Seok Kim, Sexual dysfunction is a common long-term complication of..

Skip to search form Skip to main content. Prevalence and medical management of erectile dysfunction in Asia. Here we review the prevalence of ED in Asia, associated factors that may influence sexual attitudes and sexual behaviours, and randomized clinical trials RCTs of phosphodiesterase-5 PDE-5 inhibitors to evaluate the clinical efficacy and safety of PDE-5 inhibitors in Asian men.

From This Paper Figures, tables, and topics from this paper. Erectile dysfunction Search for additional papers on this topic. Topics Discussed in This Paper. Erectile dysfunction Penile Erection vardenafil tadalafil.

Androgen receptors are expressed in both stromal and endothelial cells of adult masculine human corpus cavernosum Schultheiss et al. Clinical development of finasteride followed observations that prepubertal castration prevents androgenic alopecia Hamilton, and that male pseudohermaphrodites possess nonpalpable prostates, small beards, and must neither androgenic alopecia nor acne Imperato-McGinley et al.

Pseudohermaphrodites are often raised as female but unexpectedly virilize at puberty, with inclined masculinization of exotic genitalia Imperato-McGinley et al. Men exposed to finasteride had an increase done baseline of plasma testosterone levels; to each men with baseline testosterone in the lowest tertile, plasma testosterone peaked at 1 year, soon after steadily declined, but did remain overhead baseline during the entire 4-year survey Roehrborn et al.

Men with prostatic hyperplasia who were exposed to dutasteride had an incorporation over baseline of serum testosterone levels at one year Hong et al. However, a long-term study found that men with prostatic hyperplasia who were exposed to finasteride had a ongoing, and clinically critical, decline in testosterone over 45 months Traish et al.

The FDA granted marketing approval on finasteride 5 mg in , finasteride 1 mg in , and dutasteride 0. Per the full prescribing word FPI , finasteride 5 mg is indicated for the treatment of symptomatic benign prostatic hyperplasia BPH in men with an enlarged prostate to redeem symptoms, reduce the risk of pointed urinary retention, and reduce the hazard of the letch for for surgery including transurethral resection of the prostate TURP and prostatectomy.

Per the FPI, finasteride 1 mg is indicated for the treatment of manful pattern hair extermination androgenic alopecia Merck, b.

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  • Female sexual dysfunction affects 41% of reproductive-age women worldwide, . with husband;” the term “partner” was used instead of “husband” or “spouse. Sznajder KK, Harlow SD, Burgard SA, Wang Y, Han C, Liu J. Gynecologic pain .. Choi H, Kim JH, Park JY, Shim JS, Lee JG, Yoon HY, Bae JH.
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erectile dysfunction (ED); the remaining four studies reported the incidence of female sexual dysfunction (FSD). .. married men aged 45–75 years; all of whom under- went four .. 45 Shin HW, Rha YC, Han DH, Chung S, Yoon IY, Rhee CS. PDF | Erectile dysfunction (ED) is an important worldwide health issue that has a among younger married men in a rural area in China. Sexual function and qualify of life in women with spina bifida: Are the women with spina Yoonhye Ji · Eun Kyoung Choi · Sang Woon Kim. Sang Won Han Female sexual dysfunction was evaluated with the Korean version of the FSFI ( female . Factors Influencing Sexual Function in Postmenopausal Married Women.

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