Clicca qui per scaricare

La medicalizzazione della sessualità maschile
Titolo Rivista: RIVISTA DI SESSUOLOGIA CLINICA 
Autori/Curatori:  
Anno di pubblicazione:  2018 Fascicolo: Lingua: Italiano 
Numero pagine:  31 P. 5-35 Dimensione file:  316 KB
DOI:  10.3280/RSC2018-001001
Il DOI è il codice a barre della proprietà intellettuale: per saperne di più:  clicca qui   qui 


Nelle società occidentali gli script sociali definiscono la sessualità maschile come attiva, caratterizzata da un costante ed elevato desiderio sessuale, ed orientata alla prestazione, attribuendo così un ruolo centrale all’erezione. Per effetto di questo orientamento, la sessualità maschile è sempre più oggetto di medicalizzazione, ovvero essa è trattata come patologia nella misura in cui devia da un immaginario stereotipico socialmente condiviso. Nei recenti trial farmacologici l’attenzione è stata quindi incentrata su alcuni aspetti dell’attività sessuale come l’aumento percentuale del numero di eventi definiti "sessualmente soddisfacenti" e questa prospettiva sulla quantità anziché sulla qualità dell’attività sessuale è stata criticata. La difficoltà nel comprendere i vissuti di questi uomini potrebbe derivare da un bias di base, rappresentato dal significato che gli uomini attribuiscono all’espressione "rapporto soddisfacente" con tutta probabilità fortemente influenzato dagli script sessuali dominanti e quindi centrata sugli aspetti quantitativi, piuttosto che emotivi. Tale carenza, potrebbe in una certa misura spiegare il fenomeno di abbandono delle terapie farmacologiche anche quando efficaci. Per questo, la necessità di sviluppare una visione più complessa e ricca della condizione di difficoltà sessuale appare sempre più importante e centrale per la medicina sessuale.


Keywords: Disfunzioni sessuali, terapia sessuale, sessualità maschile, medicalizzazione, medicina sessuale

  1. Abraham L., Symonds T., May K., Althof S.E., Hallam-Jones R., Rosen R.C., (2009). Psychometric validation of gender nonspecific sexual confidence and sexual relationship scales in men and women. The Journal of Sexual Medicine, 6: 2244-54.
  2. Althof S.E. (2002a). Quality of life and erectile dysfunction. Urology, 59: 803-10.
  3. Althof S.E. (2002b). When an erection alone is not enough: Biopsychosocial obstacles to lovemaking. International Journal of Impotence Research, 14: S99-S104.
  4. Althof S.E., Leiblum S.R., Chevret-Measson M., Hartmann U., Levine S.B., McCabe M., Plaut M., Rodrigues O., Wylie K. (2005). Psychological and interpersonal dimensions of sexual function and dysfunction. The Journal of Sexual Medicine, 2: 793-800.
  5. Althof S.E., Eid J.F., Talley D.R., Brock G.B., Dunn M.E., Tomlin M.E., Natanegara F., Ahuja S. (2006). Through the eyes of women: The partners’ perspective on tadalafil. Urology, 68: 631-5.
  6. Althof S.E. (2010). What’s new in sex therapy. The Journal of Sexual Medicine, 7: 5-13.
  7. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders. 4th ed, text revision. Washington, DC: American Psychiatric Press.
  8. American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders. 5th ed. Washington, DC: American Psychiatric Press.
  9. Apfelbaum B. (2000). Retarded ejaculation: a much misunderstood syndrome. In: Rosen R., Lieblum S., eds. Principles and practice of sex therapy. 2nd edition. New York: Guilford Press, pp. 205-41.
  10. Aversa A., Pili M., Francomano D., Bruzziches R., Spera E., La Pera G., Spera G. (2009). Effects of vardenafil administration on intra-vaginal ejaculatory latency time in men with lifelong premature ejaculation. International Journal of Impotence Research, 21: 221-7.
  11. Aytac I.A., McKinlay J.B., Krane R.J. (1999). The likely worldwide increase in erectile dysfunction between 1995 and 2025 and some possible policy consequences. BJU International, 84: 50-6.
  12. Bancroft J., Janssen E., Strong D., Carnes L., Vukadinovic Z., Long J.S. (2003). The relation between mood and sexuality in heterosexual men. Archives of Sexual Behavior, 32: 217-30.
  13. Bancroft J. (2005). The endocrinology of sexual arousal. Journal of Endocrinology, 186: 411. 

  14. Baumeister R.F., Catanese K.R., Vohs K.D. (2001). Is there a gender difference in strength of sex drive? Theoretical views, conceptual distinctions, and a review of relevant evidence. Personality and Social Psychology Review, 5: 242-73., 10.1207/S15327957PSPR0503_5DOI: 10.1207/S15327957PSPR0503_5
  15. Bergeron S., Khalifé K., Dupuis M., McDuff P. (2016). A randomized clinical trial comparing group cognitive-behavioral therapy and a topical steroid for women with dyspareunia. Journal of Consulting and Clinical Psychology, 84(3): 259-68.
  16. Bergeron S., Khalifé S., Glazer H.I., Binik Y.M. (2008). Surgical and behavioral treatments for vestibulodynia: two-and-one-half year follow-up and predictors of outcome. Obstetrics and Gynecol, 111: 159-66.
  17. Bernal R.M., Henry G.D. (2012). Contemporary patient satisfaction rates for three-piece inflatable penile protheses. Advanced Urology, 707321., 10.1155/2012/707321DOI: 10.1155/2012/707321
  18. Berner M., Günzler C. (2012). Efficacy of psychosocial interventions in men and women with sexual dysfunctions—a systematic review of controlled clinical trials: part 1-the efficacy of psychosocial interventions for male sexual dysfunction. The Journal of Sexual Medicine, 9: 3089-107.
  19. Bettocchi C., Verze P., Palumbo F., Arcaniolo D., Mirone V. (2008). Ejaculatory disorders: pathophysiology and management. Nature Clinical Practice. Urology, 5: 93-103.
  20. Binik Y.M., Hall K.S.K. (2014). Introduction: the future of sex therapy. In: Binik Y.M., Hall K.S.K., eds. Principles and practice of sex therapy. 5th ed. New York: Guilford Press, pp. 1-11. 

  21. Bokhour B.G., Clark J.A., Inui T.S., Silliman R.A., Talcott J.A. (2001). Sexuality after treatment for early prostate cancer: Exploring the meanings of “erectile dysfunction”. Journal of General Internal Medicine, 16: 649-55. 

  22. Borràs-Valls J.J., Gonzales-Correales R. (2004). Specific aspects of erectile dysfunction in sexology. International Journal of Impotence Research, 16: 3-6.
  23. Briganti A., Salonia A., Deho’ F., Zanni G., Barbieri L., Rigatti P., Montorsi F. (2005). Clinical update on phosphodiesterase type-5 inhibitors for erectile dysfunction. World the Journal of Urology, 23: 374-84.
  24. Bronner G., Ben-Zion I.Z. (2014). Unusual masturbatory practice as an etiological factor in the diagnosis and treatment of sexual dysfunction in young men. The Journal of Sexual Medicine, 11: 1798.
  25. Brotto L. (2010). The DSM diagnostic criteria for hypoactive sexual desire disorder in men. The Journal of Sexual Medicine, 7: 2015-30.
  26. Brotto L.A., Heiman J.R., Tolman D.L. (2009). Narratives of desire in mid-age women with and without arousal difficulties. The Journal of Sex Research, 46: 387-98., 10.1080/00224490902792624DOI: 10.1080/00224490902792624
  27. Brotto L.A., Bitzer J., Laan E., Leiblum S., Luria M. (2010). Women’s sexual desire and arousal disorders. The Journal of Sexual Medicine, 7: 586-614.
  28. Brotto L., Atallah S., Johnson-Agbakwu C., Rosenbaum T., Abdo C., Byers S., Graham C., Nobre P., Wylie K. (2016). Psychological and Interpersonal Dimensions of Sexual Function and Dysfunction. The Journal of Sexual Medicine, 13: 538-71.
  29. Buvat J., Maggi M., Gooren L., Guay A.T., Kaufman J., Morgentaler A., Schulman C., Tan H.M., Torres L.O., Yassin A., Zitzmann M. (2012). Endocrine aspects of male sexual dysfunctions. The Journal of Sexual Medicine, 1627-56.
  30. Buvat J., Maggi M., Guay A., Torres L.O. (2013). Testosterone deficiency in men: systematic review and standard operating procedures for diagnosis and treatment. The Journal of Sexual Medicine, 10: 245-84.

  31. Carson C., Shabsigh R., Segal S., Murphy A., Fredlund P. (2005). Efficacy, safety, and treatment satisfaction of tadalafil versus placebo in patients with erectile dysfunction evaluated at tertiary-care academic centers. Urology, 65: 353-9.
  32. Carvalheira A., Santana R., Pereira N.M. (2015). Why Are Men Satisfied or Dissatisfied with Penile Implants? A Mixed Method Study on Satisfaction with Penile Prosthesis Implantation. The Journal of Sexual Medicine, 12: 2474-80.
  33. Carvalho J., Nobre P. (2010). Gender issues and sexual desire: the role of emotional and relationship variables. The Journal of Sexual Medicine, 7: 2469-78.
  34. Carvalho J., Nobre P. (2011). Biopsychosocial determinants of men’s sexual de-sire: Testing an integrative model. The Journal of Sexual Medicine, 8: 754-63.
  35. Coombs P.G., Heck M., Guhring P., Narus J., Mulhall J.P. (2012). A review of outcomes of an intracavernosal injection therapy programme. BJU International, 110(11): p. 1787-91.
  36. Cuijpers P., van Straten A., van Oppen P., Andersson G. (2008). Are psychological and pharmacologic interventions equally effective in the treatment of adult depressive disorders? A meta-analysis of comparative studies. Journal of Clinical Psychiatry, 69(11): 1675-85.
  37. Cuijpers P., van Straten A., Hollon S.D., Andersson G. (2010). The contribution of active medication to combined treatments of psychotherapy and pharmacotherapy for adult depression: A meta-analysis. Acta Psychiatrica Scandinavica, 121: 415-23.
  38. Davies S., Katz J., Jackson J. L. (1999). Sexual desire discrepancies: Effects on sexual and relationship satisfaction in heterosexual dating couples. Archives of Sexual Behavior, 28: 553-67., 10.1023/A:1018721417683.DOI: 10.1023/A:1018721417683.
  39. DeBusk R.F., Pepine C.J., Glasser D.B., Shpilsky A., DeRiesthal H., Sweeney M. (2004). Efficacy and safety of sildenafil citrate in men with erectile dysfunction and stable coronary artery disease. American Journal of Cardiol, 93: 147-53. 

  40. Delgado Martín J.A., Blázquez Izquierdo J., Silmi Moyano A., Martínez E. (2008). Factores determinantes de la satisfacción del paciente con el tratamiento para la disfunción eréctil. Actas Urológicas Españolas, 32: 995-1003.
  41. Delmonte M.M. (1984). Case reports on the use of meditative relaxation as an intervention strategy with retarded ejaculation. Biofeedback and Self Regulation, 9: 209-14.
  42. Derogatis L.R., Komer L., Katz M., Moreau M., Kimura T., Garcia M. Jr., Wunder-lich G., Pyke R. (2012). Treatment of hypoactive sexual desire disorder in premenopausal women: efficacy of flibanserin in the VIOLET study. The Journal of Sexual Medicine, 9: 1074-85.
  43. Donatucci C., Taylor T., Thibonnier M., Bangerter K., Gittelman M., Casey R. (2012). Vardenafil improves patient satisfaction with erection hardness, orgasmic function, and overall sexual experience, while improving quality of life in men with erectile dysfunction. The Journal of Sexual Medicine, 1: 185-92.
  44. Dosch A., Rochat L., Ghisletta P., Favez N., Linden M.V. (2015). Psychological Factors Involved in Sexual Desire, Sexual Activity, and Sexual Satisfaction: A Multi-factorial Perspective. Archives of Sexual Behavior.
  45. Eardley I., Donatucci C., Corbin J., El-Meliegy A., Hatzimouratidis K., McVary K., Munarriz R., Lee S.W. (2010). Pharmacotherapy for erectile dysfunction. The Journal of Sexual Medicine, 7(1 Pt 2): 524-40.
  46. Edwards D., Hackett G., Collins O., Curram J. (2006). Vardenafil improves sexual function and treatment satisfaction in couples affected by erectile dysfunction (ED): A randomized, double-blind, placebo-controlled trial in PDE5 inhibitor-naive men with ED and their partners. The Journal of Sexual Medicine, 3: 1028-36.
  47. Feldman H.A., Goldstein I., Hatzichristou D.G., Krane R.J., Mc Kinlay J.B. (1994). Impotence and its medical and psychosocial correlates: results of the Massachusetts Male Aging Study. The Journal of Urology, 151: 54-61.
  48. Feldman H.A., Longcope C., Derby C.A., Johannes C.B., Araujo A.B., Coviello A.D., Bremner W.J., McKinlay J.B. (2010). Age trends in the level of serum testosterone and other hormones in middle-aged men: longitudinal results from the Massachusetts Male Aging Study. Journal of Clinical Endocrinology and Metabolism. 95: 4542-8.
  49. Frohlich P., Meston C. (2002). Sexual functioning and self-reported depressive symptoms among college women. The Journal of Sex Research, 39: 321-5., 10.1080/00224490209552156DOI: 10.1080/00224490209552156
  50. Frühauf S., Gerger H., Schmidt H.M., Murder T., Barth J. (2013). Efficacy of psychological interventions for sexual dysfunction: a systematic review and meta-analysis. Archives of Sexual Behavior, 42: 915-33.
  51. Gehring D. (2003). Couple therapy for low sexual desire: A systemic approach. Journal of Sex and Marital Therapy, 29: 25-38., 10.1080/713847099DOI: 10.1080/713847099
  52. Gil A., Martinez E., Oyaguez I., Palacios G., Rejas J. (2001) Erectile dysfunction in a primary care setting: Results of an observational, no-control-group, prospective study with sildenafil under routine conditions of use. International Journal of Impotence Research, 13: 338-47.
  53. Gittens P., Moskovic D.J., Avila D.Jr., Chandrashekar A., Khera M., Lipshultz L.I. 2011). Favourable female sexual function is associated with patient satisfaction after inflatable penile prosthesis implantation. The Journal of Sexual Medicine, 8: 1996-2001.
  54. Gonzalgo M.L., Brotzman M., Trock B.J., Geringer A.M., Burnett A.L., Jarow J.P. (2003). Clinical efficacy of sildenafil citrate and predictors of long-term response. The Journal of Urology, 170: 503-6.
  55. Grace A., Cosgrove L., Pearrow M., Anaya M. (2006). Toward a new paradigm for psychiatric diagnoses in sexology. Sexualities, 9: 295-314.
  56. Graham C.A., Sanders S.A., Milhausen R.R., McBride K.R. (2004). Turning on and turning off: A focus group study of the factors that affect women’s sexual arousal. Archives of Sexual Behavior, 33: 527-38.
  57. Guay A.T., Spark R.F., Bansal S., Cunningham G.R., Goodman N.F., Nankin H.R., Petak S.M., Perez J.B. (2003). American Association of Clinical Endocrinologists medical guidelines for clinical practice for the evaluation and treatment of male sexual dysfunction: A couple’s problem. Endocrine Practice, 9: 77-96., 10.4158/EP.9.1.77DOI: 10.4158/EP.9.1.77
  58. Gupta R., Kirschen J., Barrow R.C. (1997). Predictors of success and risk fac-tors for attritionin the use of intracavernous injection. The Journal of Urology, 157(5): 1681-6.
  59. Hanson-Divers C., Jackson S.E., Lue T.F., Crawford S.Y., Rosen R.C. (1998) Health outcomes variables important to patients in the treatment of erectile dysfunction. The Journal of Urology, 159: 1541-7.
  60. Hatzichristou D., Cuzin B., Martin-Morales A., Buvat J., Porst H., Laferriere N., Bandel T.J., Montorsi F. (2005). Vardenafil improves satisfaction rates, depressive symptomatology, and self-confidence in a broad population of men with erectile dysfunction. The Journal of Sexual Medicine, 2: 109-16.
  61. Hatzimouratidis K., Eardley I., Giuliano F., Hatzichristou D., Montorsi F., Vardi Y., Wespes E., European Association of Urology (2014). Guidelines on Male Sexual dysfunction: erectile dysfunction and premature ejaculation. European Guidelines. European Urology, 57(5): 804-14.
  62. Hatzimouratidis K., Hatzichristou D. (2004). Treatment options for erectile dysfunction in patients failing oral drug therapy. EAU Update Ser 2: 75-83.
  63. Hatzimouratidis K., Hatzichristou D. (2007). Sexual dysfunctions: classifications and definitions. The Journal of Sexual Medicine, 4: 41.
  64. Hawton K. (1989). Sex therapy: a practical guide. Oxford: Oxford University Press.
  65. Heaton J.P.W., Hackett G., Savage D., Padley R.J. (2002). Patient choice is critical in managing erectile dysfunction. European Urology Supplements, 1: 33-7.
  66. Heaven P.L., Crocker D., Edwards B., Preston N., Ward R. Woodbridge N. (2003). Personality and Sex. Personality and Individual Differences, 35: 411-19., 10.1016/S0191-8869(02)00203-9DOI: 10.1016/S0191-8869(02)00203-9
  67. Hwang I., Yang D.O., Park K. (2013). Self-reported prevalence of and attitudes toward premature ejaculation in a community-based study of married couples. World Journal of Men’s Health, 31: 70.
  68. Jannini E.A., Isidori A.M., Aversa A., Lenzi A., Althof S.E. (2010). Which is first? The controversial issue of precedence in the treatment of male sexual dysfunctions. The Journal of Sexual Medicine, 10: 2359-69.
  69. Janssen E., McBride K., Yarber W., Hill B., Butler S. (2008). Factors that influence sexual arousal in men: A focus group study. Archives of Sexual Behavior, 37: 252-65.
  70. Kennedy S.H., Dickens S.E., Eisfeld B.S., Bagby R.M. (1999). Sexual dysfunction before antidepressant therapy in major depression. Journal of Affective Disorders, 56: 201-8.
  71. Kirby M.G., White I.D., Butcher J., Challacombe B., Coe J., Grover L., Hegarty P., Jackson G., Lowndes A., Payne H., Rees J., Sangar V., Thompson A. (2014). Development of UK recommendations on treatment for post-surgical erectile dysfunction. International Journal of Clinical Practice, 68(5): 590-608.
  72. Klann N., Hahlweg K., Baucom D.H., Kroeger C. (2011). The effectiveness of couple therapy in Germany: A replication study. Journal of Marital Family Therapy, 37: 200-8.
  73. Kloner R.A., Mullin S.H., Shook T., Matthews R., Mayeda G., Burstein S., Peled H., Pollick C., Choudhary R., Rosen R., Padma-Nathan H. (2003). Erectile dysfunction in the cardiac patient: How common and should we treat? The Journal of Urology, 170: S46-50.
  74. Laumann E.O., Nicolosi A., Glasser D.B., Paik A., Gingell C., Moreira E., Wang T. (2005). Sexual problems among women and men aged 40-80 y: Prevalence and correlates identified in the Global Study of Sexual Attitudes and Behaviors. International Journal of Impotence Research, 17: 39-57.
  75. Laumann E.O., Paik A., Rosen R.C. (1999). Sexual dysfunction in the United States: Prevalence and predictors. JAMA, 281: 537-44.

  76. Levine S.B. (2002). Re-exploring the concept of sexual desire. Sexual and Relationship Therapy, 28: 39-51. doi10.1080/009262302317251007.
  77. Levine S.B. (2003). The nature of sexual desire: A clinician’s perspective. Archives of Sexual Behavior, 32: 279-85., 10.1023/A:1023421819465DOI: 10.1023/A:1023421819465
  78. Lewis R., Bennett C.J., Borkon W.D., Boykin W.H., Althof S.E., Stecher V.J., Siegel R.L. (2001). Patient and partner satisfaction with Viagra (sildenafil citrate) treatment as determined by the Erectile Dysfunction Inventory of Treatment Satisfaction Questionnaire. Urology, 57: 960-5. 

  79. Lindau S.T., Schumm L.P., Laumann E.O., Levinson W., O’Muircheartaigh C.A., Waite L.J. (2007). A study of sexuality and health among older adults in the United States. The New England Journal of Medicine, 357: 762-74.
  80. Lledó-García E., Jara-Rascón J., Moncada Iribarren I., Piñero- Sánchez J., Aragón-Chamizo J., Hernández-Fernández C. (2015). Penile prosthesis first and re-placement surgeries: Analysis of patient and partner satisfaction. The Journal of Sexual Medicine,12: 1646-53.
  81. Maggi M., Buvat J., Corona G., Guay A., Torres L.O. (2013). Hormonal Causes of Male Sexual Dysfunc ons and Their Management (Hyperprolactinemia, Thy-roid Disorders, GH Disorders, and DHEA). The Journal of Sexual Medicine, 10: 661-77.
  82. Manne S., Badr H., Zaider T., Nelson C., Kissane D. (2010). Cancer-related communication, relationship intimacy, and psychological distress among couples coping with localized prostate cancer. Journal of Cancer Survivorship, 4 (1): 74-85.
  83. Mark K.P., Murray S.H. (2012). Gender differences in desire discrepancy as a predictor of sexual and relationship satisfaction in a college sample of heterosexual romantic relationships. Sexual and Relationship Therapy, 38: 198-215. doi10.1080/0092623X.2011.606877.
  84. Martinez-Jabaloyas J.M., Queipo-Zaragoza A., Pastor-Hernandez F., Gil-Salom M., Chuan-Nuez P. (2006). Testosterone levels in men with erectile dysfunction. BJU International, 97: 1278-83.
  85. McCabe M.P., Althof S.E. (2014). A systematic review of the psychosocial out-comes associated with erectile dysfunction: does the impact of erectile dysfunction extend beyond a man’s inability to have sex? The Journal of Sexual Medicine, 2: 347-63.
  86. Murray S.H., Milhausen, R.R. (2012). Sexual desire and relationship duration in young men and women. Sexual and Relationship Therapy, 38: 28-40., 10.1080/0092623X.2011.569637.DOI: 10.1080/0092623X.2011.569637.
  87. McCabe M.P., Sharlip I.D., Atalla E., Balon R., Fisher A.D., Laumann E., Lee S.W., Lewis R., Segraves R.T. (2016). Definitions of Sexual Dysfunctions in Women and Men: A Consensus Statement from the Fourth International Consultation on Sexual Medicine 2015. The Journal of Sexual Medicine, 13: 135-43.
  88. McCarthy B.W. (1984). Strategies and techniques for the treatment of inhibited sexual desire. Journal of Sex and Marital Therapy, 10: 97.
  89. McCullough A., Siegel R.S., Tseng L-J. (2006). Women’s satisfaction with sexual intercourse is associated with their partner’s improved erectile function and satisfaction after treatment of erectile dysfunction with Viagra® (Sildenafil Cit-rate). The Journal of Sexual Medicine, 3(suppl 3): 258.
  90. McCullough A.R., Carson C.C., Hatzichristou D. (2006). A prospective study of the beneficial effects of dose optimization and customized instructions on patient satisfaction with sildenafil citrate (Viagra) for erectile dysfunction. Urology, 68: 38-46.
  91. McMahon C.G., McMahon C.N., Leow L.J., Winestock C.G. (2006). Efficacy of type-5 phosphodiesterase inhibitors in the drug treatment of premature ejaculation: A systematic review. BJU International, 98: 259-72.
  92. McMahon C., Lee G., Park J., Adaikan P.G. (2012). Premature ejaculation and erectile dysfunction prevalence and attitudes in the Asia- Pacific Region. The Journal of Sexual Medicine, 9: 454.
  93. Meana M., Hall K.S.K., Binik Y.M. (2014). Sex therapy in transition: are we there yet? In: Binik M., Hall K.S.K., eds. Principles and practice of sex therapy 5th ed. New York: Guilford Press, pp. 541-57.
  94. Melnik T., Soares B.G., Nasello A.G. (2008). The effectiveness of psychological interventions for the treatment of erectile dysfunction: systematic review and meta-analysis, including comparisons to sildenafil treatment, intracavernosal injection, and vacuum devices. The Journal of Sexual Medicine, 5: 2562-74.
  95. Melnik T., Althof S., Atallah A.N., Puga M.E., Glina S., Riera R. (2011). Psycho-social interventions for premature ejaculation. Cochrane Database Systematic Reviews, 8: CD008195., 10.1002/14651858.CD008195DOI: 10.1002/14651858.CD008195
  96. Meuleman E.J.H., van Lankveld J.J.D.M. (2005). Hypoactive sexual desire disorder: an underestimated condition in men. BJU International, 95: 291-6.
  97. Michael A., O’Keane V. (2000). Sexual dysfunction in depression. Human Psycho-pharmacology. Clinical and Experimental, 15: 337-345., 10.1002/1099-77.DOI: 10.1002/1099-77.
  98. Miri M., AliBesharat M., Asadi M., Shahyad S. (2011). The relationship between dimensions of personality and sexual desire in females and males. Procedia - Social and Behavioral Sciences, 15: 823-7.
  99. Montorsi F., Padma-Nathan H., Glina S. (2006). Erectile function and assessments of erection hardness correlate positively with measures of emotional well-being, sexual satisfaction, and treatment satisfaction in men with erectile dysfunction treated with sildenafil citrate (Viagra). Urology, 68: 26-37.
  100. Moreira E.D. Jr., Glasser G., Brock D.B., Nicolosi A., Laumann E.O., Paik A., Wang T., Gingell C. (2005). Helpseeking behaviour for sexual problems: The global study of sexual attitudes and behaviors. International Journal of Clinical Practice, 59: 6-16.
  101. Mulhall J., Althof S., Brock G., Goldstein I., Jünemann K-P., Kirby M. (2007). Erectile dysfunction: Monitoring response to treatment in clinical practice— Recommendations of an international consensus panel. The Journal of Sexual Medicine, 4: 448-64.
  102. Mulhall J., King R., Glina S., Hvidsten K. (2008). Importance of and satisfaction with sex among men and women worldwide: Results of the Global Better Sex Survey. The Journal of Sexual Medicine, 5: 788-95.
  103. Murray S.H., Milhausen R.R., Graham C.A., Kuczynski L. (2017). A Qualitative Exploration of Factors That Affect Sexual Desire Among Men Aged 30 to 65 in Long-Term Relationships. The Journal of Sex Research, 54: 319-330., 10.1080/00224499.2016.1168352DOI: 10.1080/00224499.2016.1168352
  104. Nazareth I., Boynton P., King M. (2003). Problems with sexual function in people attending London general practitioners: cross sectional study. British Medical Journal, 327: 423.
  105. Nelson C.J., Brock D., Dean R.C. (2014). Delayed ejaculation and orgasm. In: Mulhall J.P., Hsiao W., eds. Men’s sexual health and fertility: a clinician’s guide. New York: Springer, 145-58. 

  106. Nicolosi A., Laumann E.O., Glasser D.B., Moreira J., Paik A., Gingell C. (2004). Sexual behavior and sexual dysfunctions after age 40: The global study of sexual attitudes and behaviors. Urology, 64: 991-7.
  107. Nicolosi A., Moreira E.D. Jr., Villa M., Glasser D.B. (2004). A population study of the association between sexual function, sexual satisfaction and depressive symptoms in men. Journal of Affective Disorders, 82: 235-43.
  108. Parazzini F., Menchini Fabris F., Bortolotti A., Calabrò A., Chatenoud L., Colli E., Landoni M., Lavezzari M., Turchi P., Sessa A., Mirone V. (2000). Frequency and Determinants of Erectile Dysfunction in Italy. European Urology, 37: 43-9., 10.1159/000020098DOI: 10.1159/000020098
  109. Perelman M.A. (2006). A new combination treatment for premature ejaculation: A sex therapist’s perspective. The Journal of Sexual Medicine, 3: 1004.
  110. Perelman M.A. (2011). Erectile dysfunction and depression: screening and treatment. Urologic Clinics of North America, 38: 125-39.
  111. Perelman M.A. (2014). Delayed ejaculation. In: Binik Y.M., Hall K.S.K., eds., Principles and practice of sex therapy. New York: Guilford Press, 138-55.
  112. Perimenis P., Roumeguere T., Heidler H., Roos E., Belger M., Schmitt H. (2009). Evaluation of patient expectations and treatment satisfaction after one year tadalafil therapy for erectile dysfunction: The DETECT study. The Journal of Sexual Medicine 6: 257-67.
  113. Pisano F., Falcone M., Abbona A., Oderda M., Soria F., Peraldo F., Marson F., Barale M., Fiorito C., Gurioli A., Frea B., Gontero P. (2015). The Importance of Psychosexual Counselling in the Re-Establishment of Organic and Erotic Functions after Penile Prosthesis Implantation. International Journal of Impotence Research, 27: 197-200.
  114. Porst H., Burnett A., Brock G., Ghanem H., Giuliano F., Glina S., Hellstrom W., Martin-Morales A., Salonia A., Sharlip I. and the ISSM Standards Committee for Sexual Medicine (2013). SOP conservative (medical and mechanical) treatment of erectile dysfunction. The Journal of Sexual Medicine, 10: 130-71.
  115. Porst H., Gacci M., Büttner H., Henneges C., Boess F. (2014). Tadalafil once daily in men with erectile dysfunction: an integrated analysis of data obtained from 1913 patients from six randomized, double-blind, placebo-controlled, clinical studies. European Urology, 2: 455-64.
  116. Ralph D., Eardley I., Kell P., Dean J., Hackett G., Collins O., Edwards D. (2007). Improvement in erectile function on vardenafil treatment correlates with treatment satisfaction in both patients and their partners. BJU International, 100:130-6.

  117. Ramsay R. (2001). The clinical challenger of assimilative integration. American Journal of Psychotherapy, 11: 21-42.
  118. Richardson D., Goldmeier D. (2006). BASSH Special Interest Group for Sexual Dysfunction. Recommendations for the management of retarded ejaculation: BASHH Special Interest Group for Sexual Dysfunction. International Journal of STD & AIDS, 17: 7-13.
  119. Rosen R.C., Seidman S.N., Menza M.A., Shabsigh R., Roose S.P., Tseng L.J., Orazem J., Siegel R.L. (2004). Quality of life, mood, and sexual function: A path analytic model of treatment effects in men with erectile dysfunction and depressive symptoms. International Journal of Impotence Research, 16: 334-40.
  120. Rosen R., Shabsigh R., Berber M., Assalian P., Menza M., Rodriguez-Vela L., Porto R., Bangerter K., Seger M., Montorsi F. (2006). Efficacy and tolerability of vardenafil in men with mild depression and erectile dysfunction: The depression-related improvement with vardenafil for erectile response study. The American Journal of Psychiatry, 163: 79-87.
  121. Rosen N.O., Bergeron S., Sadikaj G., Glowacka M., Baxter M.L., Delisle I. (2014). Relationship satisfaction moderates the associations between male partner responses and depression in women with vulvodynia: a dyadic daily experience study. Pain, 155: 1374-83.
  122. Rowland D., McMahon C.G., Abdo C., Chen J., Jannini E., Waldinger M.D., Ahn T.Y. (2010). Disorders of orgasm and ejaculation in men. The Journal of Sexual Medicine, 7: 1668.
  123. Rowland D., Cooper S., Macias L. (2008). Pharmaceutical companies could serve their own interests by supporting research on the efficacy of psychotherapy on premature ejaculation. International Journal of Impotence Research, 20: 115-20.
  124. Rowland D., van Diest S., Incrocci L., Slob A.K. (2005). Psychosexual factors that differentiate men with inhibited ejaculation from men with no dysfunction or another sexual dysfunction. The Journal of Sexual Medicine, 2, 3: 383-389.
  125. Rubio-Aurioles E., Bivalacqua T.J. (2013). Standard operational procedures for low sexual desire in men. The Journal of Sexual Medicine, 10, 1: 94-107.
  126. Sadowski D.J., Phil M., Butche M.J., Köhler T.S. (2016). A Review of Pathophysiology and Management Options for Delayed Ejaculation. Sexual Medicine Reviews, 4: 167-76.
  127. Salonia A., Burnett A.L., Graefen M., Hatzimouratidis K., Montorsi F., Mulhall J.P., Stief C. (2012). Prevention and management of post-prostatectomy sexual dysfunctions part 2: recovery and preservation of erectile function, sexual desire, and orgasmic function. European Urology, 62(2): 273-86.
  128. Segraves R., Balon R., Clayton A. (2007). Proposal for changes in diagnostic criteria for sexual dysfunctions. The Journal of Sexual Medicine, 4: 567.
  129. Seidman S.N., Roose S.P., Menza M.A., Shabsigh R., Rosen R.C. (2001). Treatment of erectile dysfunction in men with depressive symptoms: results of a pla-cebo-controlled trial with sildenafil citrate. The American Journal of Psychia-try, 158: 1623-30.
  130. Shabbir M., Mikhailidis D.M., Morgan R.J. (2004). Erectile dysfunction: An underdiagnosed condition associated with multiple risk factors. Current Medical Research and Opinion, 20: 603-6., 10.1185/030079904125003458DOI: 10.1185/030079904125003458
  131. Shin D., Spitz A. (2014) The evaluation and treatment of delayed ejaculation. Sexual Medicine Reviews, 2: 121.
  132. Simonelli C., Fabrizi A., Rossi R., Silvaggi C., Tripodi F., Michetti P.M. (2010). Clinical sexology: an integrated approach between the psychosomatic and the somatopsychic. Sexologie, 19: 3-7.
  133. Skoumal R., Chen J., Kula K., Breza J., Calomfirescu N., Basson B.R., Kopernicky V. (2004). Efficacy and treatment satisfaction with on-demand tadalafil (Cialis) in men with erectile dysfunction. European Urology, 46: 362-9.

  134. Soran H., Wu F.U. (2005). Endocrine causes of erectile dysfunction. International Journal of Andrology, 28 Suppl 2: 28-34.
  135. Souverein P.C., Egberts A.C.G., Meuleman E.J.H., Urquhart J., Leufkens H.G.M. (2002). Incidence and determinants of sildenafil (dis)continuation: The Dutch cohort of sildenafil users. International Journal of Impotence Research,14: 259-65.
  136. Spector I.P., Carey M.P., Steinberg L. (1996). The Sexual Desire Inventory: Development, factor structure, and evidence of reliability. Sexual and Relationship Therapy, 22: 175-90., 10.1080/00926239608414655DOI: 10.1080/00926239608414655
  137. Stulhofer A., Busko V., Brouillard P. (2010). Development and bicultural validation of the New Sexual Satisfaction Scale. The Journal of Sex Research, 47: 257-268., 10.1080/00224490903100561DOI: 10.1080/00224490903100561
  138. Sundaram C.P., Thomas W., Pryor L.E., Sidi A.A., Billups K., Pryor J.L. (1997). Long-term follow-up of patients receiving injection therapy for erectile dysfunction. Urology, 49(6): 932-5., 10.1016/S0090-4295(97)00079-4DOI: 10.1016/S0090-4295(97)00079-4
  139. Tausch T.J., Chung P.H., Siegel J.A., Gliga L., Klein A.K., Morey A.F. (2015). Intraoperative Decision-Making for Precise Penile Straightening during Inflatable Penile Prosthesis Surgery. Urology, 86: 1048-52.
  140. Teloken P., Nelson C., Mullhall J. (2012). Outcomes with medical treatment of secondary delayed orgasm proposal of a clinical care pathway. The Journal of Urology, 187: 606.
  141. Ter Kuile M.M., Melles R., de Groot H.E., Tuijnman-Raasveld C.C., van Lankveld J.J. (2013). Therapist-aided exposure for women with lifelong vaginismus: a randomized waiting-list control trial of efficacy. Journal of Consulting and Clinical Psychology, 81(6): 1127-36.
  142. Van Minnen A., Kampman M. (2000). The interaction between anxiety and sexual functioning: A controlled study of sexual functioning in women with anxiety disorders. The Journal of Sexual and Relationship Therapy, 15: 47-57., 10.1080/14681990050001556DOI: 10.1080/14681990050001556
  143. Weeks G.R. (2005). The emergence of a new paradigm in sex therapy: integration. The Journal of Sexual and Relationship Therapy, 20: 89-103., 10.1080/14681990412331333955DOI: 10.1080/14681990412331333955
  144. Wittmann D., Foley S., Balon R. (2011). A biopsychosocial approach to sexual recovery after prostate surgery: the role of grief and mourning. The Journal of Sexual and Relationship Therapy, 37(2): 130-44., 10.1080/0092623X.2011.560538DOI: 10.1080/0092623X.2011.560538
  145. World Health Organization (1992). International statistical classification of diseases and related health problems. 10th ed. Geneva: World Health Organization. 

  146. Zachar P., Kendler K.S. (2007). Psychiatric disorders: a conceptual taxonomy. The American Journal of Psychiatry, 164: 557.
  147. Zhang H., Yip A.W., Fan S., Yeps P.S. (2013). Sexual Dysfunction among Chinese married men aged 30-60 years: a population-based study in Hong Kong. Urology, 81: 334.

, in "RIVISTA DI SESSUOLOGIA CLINICA" 1/2018, pp. 5-35, DOI:10.3280/RSC2018-001001

   

FrancoAngeli è membro della Publishers International Linking Association associazione indipendente e no profit per facilitare l'accesso degli studiosi ai contenuti digitali nelle pubblicazioni professionali e scientifiche