By Kevan R. Wylie
ABC of Sexual Health offers a complete assessment of this significant, yet tricky topic and contains interpreting assets in addition to details on specialist societies, sufferer teams and on-line resources.
Fully revised and accelerated to hide a number new content material and subject matters together with mental, urological, gynaecological, endocrinological and psychiatric elements of sexual wellbeing and fitness, the consequences of medicine, sexual disorder, sexual orientation, gender id, paraphilias, forensic sexology, dermatoses, and psychosexual treatment and education.
ABC of Sexual Health is a realistic advisor for all basic practitioners, family members physicians, trainees and clinical scholars eager to enhance speaking, interpreting and coping with sufferers with sexual illnesses.
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Additional resources for ABC of Sexual Health
5 The subtle dermatitis over the labia majora demonstrates an allergic contact dermatitis affecting the vulva Female Dermatoses 33 them that the vulval problems are related to the skin lesions elsewhere. It is therefore necessary to ask patients with psoriasis if they have any genital discomfort or irritation so as not to miss an opportunity to treat. Atopic vulvitis Vulval eczema as part of atopic eczema is particularly common in young children. Like patients with psoriasis, it is easy for patients not to think that their eczema can affect the vulval region.
The commonest causes of hyperprolactinaemia include a microprolactinoma (<1 cm diameter), compression of the pituitary stalk by pituitary adenomas or other tumours and primary hypothyroidism and commonly used drugs which include metoclopramide, sulpiride and tricyclic antidepressants). However no cause may be identified and this is known as idiopathic hyperprolactinaemia. 3 Investigations for hypogonadism Screening in the presence of hypogonadal symptoms Total testosterone (TT) before 1100 h If TT <12 nmol/l repeat second TT with LH, FSH Prolactin SHBG If LH, FSH low or prolactin elevated investigate for structural pituitary lesion MRI Pituitary Check Ferritin If LH FSH elevated Karyotype serum testosterone levels when all classical causes of hypogonadsim have been excluded.
The patient might be feeling about the examination will help make the examining HCP more a sympathetic ally rather than an invader of privacy and dignity. The examining HCP might also wish to look at their own ideas and feelings of the genitalia. There may be cultural or religious reasons as to why they are uncomfortable about such an examination. These might be discussed with a more senior and experienced colleague. It should go without saying that the HCP has at least some understanding of the organic and psychological aspects of sexual medicine, as well as being reasonably informed about the relevant genital anatomy and physiology.