Sexual medicine

Indications and value of self-administered vaginal swabs for STIs and vaginitis

Indications and value of self-administered vaginal swabs for STIs and vaginitis

By Dr. Roberto Leon on November 1, 2017

I came across a publication in the British Medical Journal by Sarah A. Schoeman: Assessment of best single sample for finding chlamydia in women with and without symptoms: a diagnostic test study. Participants took a vaginal swab before a routine gynecological exam, and clinicians then took an endocervical swab during examination.

Minimal evidence of benefit from medications to increase sexual desire By Dr. Rosemary Basson

Minimal evidence of benefit from medications to increase sexual desire

By Dr. Rosemary Basson on May 21, 2014

Aside from testosterone replacement to younger men with proven testosterone deficiency, evidence of benefit from hormonal or pharmacological therapy to increase sexual desire is minimal.

Post Menopausal

When vulvovaginal atrophy involves loss of genital sexual sensitivity: local (vaginal) dehydroepiandrosterone (DHEA) shows promise

By Dr. Rosemary Basson on December 3, 2013

Recent studies have shown that the local delivery of the main precursor hormone of testosterone and estrogen, dehydroepiandrosterone (DHEA) effectively treats dyspareunia and dryness from VVA and does not increase serum levels of estrogen and testosterone.

Patient care

Provoked vestibulodynia (PVD) needs holistic management and a chronic pain approach

By Dr. Rosemary Basson on June 10, 2013

How to manage PVD is an extremely common question. PVD affects 12 -15 % women most of whom are relatively young. The common co-morbidity of PVD strongly supports a chronic pain approach.

Don’t request testosterone levels for women’s low sexual desire

Don’t request testosterone levels for women’s low sexual desire

By Dr. Rosemary Basson on August 15, 2011

Although men with repeatedly low serum testosterone levels typically have low sexual desire, no such link has been identified in women.

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