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Controlled studies in the United States, UK, and Spain have
consistently found that approximately 75% of patients who
experience sexual side effects from prescribed medication will not
volunteer this information without direct questioning. Nonetheless,
many clinicians do not have easy access to reliable information
concerning sexual side effects of pharmacological agents. This
handy reference provides up-to-date and rapid access to the latest
available data concerning sexual side effects of various
pharmacological agents for psychiatrists and physicians. Initial
chapters are devoted to a brief review of the physiology of sexual
function, the prevalence of sexual dysfunction in the general
population, and how to identify drug-induced sexual dysfunction.
Following the initial overview chapters, subsequent chapters are be
grouped by classes of drugs, allowing clinicians and physicians
rapid access to clinically relevant information. Separate chapters
are devoted to data concerning sexual side effects of
antidepressants, antianxiety drugs, antipsychotic agents,
antihypertensives, urological agents, cardiovascular drugs, and
other classes of drugs. The chapters focus on common sexual side
effects that may be unspoken causes of treatment noncompliance such
as inability to ejaculate, anorgasmia, difficulty in reaching
orgasm, erectile dysfunction, and lubrication failure. Reports of
decreased libido are often difficult to interpret; for that reason,
data concerning libido will only be reported if the evidence
clearly supports a diagnosis of disturbed libido as a drug side
effect. Final chapters are devoted to pharmacological treatment of
sexual disorders.
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