Sexual medicine
Mr Giangiacomo Ollandini - Urology
Created on: 10-03-2014
Updated on: 04-03-2023
Edited by: Jay Staniland
What is sexual medicine?
Sexual medicine is a medical specialty that deals with sexual health.
Sexual health is defined by the World Health Organisation as “a state of physical, emotional, mental and social well-being in relation to sexuality”. This includes not only the absence of disease or sexual dysfunction, but “a positive and respectful approach to sexuality and sexual relationships”. The speciality of sexual medicine is concerned with both of these aspects of sexual heath.
Conditions that can affect sexual health
A specialist in sexual medicine understands the wide range of conditions and injuries can adversely affect the experience of having sex, and how these can be managed.
In women, this can include:
- ovarian, vaginal or cervical cancer
- uterine fibroids
- urinary tract infections
- endometriosis
- nerve damage after pelvic surgery such as hysterectomy
In men, this can include:
- prostate or testicular cancer
- benign prostatic hyperplasia
Both men and women can also be affected by:
- arthritis
- spinal cord injury
- sexual transmitted infections, including gonorrhoea, herpes, genital warts, chlamydia, and syphilis
Finally, conditions such as diabetes and heart disease can affect both men and women in terms of fatigue, mobility, and self-confidence.
Types of sexual dysfunction
Sexual problems include any type of difficulty that affects how much you enjoy or want sexual activity. In addition to the conditions above, sexual dysfunction can be caused by trauma, changes in hormone levels, stress, drug or alcohol use, medications, or mental health problems. In some cases it is not clear what the cause is.
Types of sexual dysfunction experienced by men include:
- erectile dysfunction
- delayed or premature ejaculation
- anejaculation
- retrograde ejaculation
- painful orgasm
Types of sexual dysfunction experienced by women include:
- painful intercourse
- vaginismus
- clitoral pain
Both men and women can be affected by a low sex drive, anorgasmia, sperm allergy, post-orgasmic illness syndrome (POIS), and “post-sex blues”.
What does sexual medicine involve?
Sexual medicine can involve:
- Clinical treatment of specific sexual disorders through medication, physiotherapy or surgery.
- Rehabilitation following an injury or surgery.
- Sex therapy or counselling to address the psychological element of some types of sexual dysfunction.
- Education and advice to promote healthy sexual relationships.
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Experts in Sexual medicine
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Mr Giangiacomo Ollandini
UrologyExpert in:
- Andrology
- Infertility
- Sexual medicine
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Private Care at Chelsea and Westminster Hospital
Private Care at Chelsea and Westminster Hospital
Chelsea and Westminster Hospital, 369 Fulham Rd.
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The Saxon Clinic - part of Circle Health Group
The Saxon Clinic - part of Circle Health Group
V7 Saxon St, Coffee Hall, Milton Keynes MK6 5LR
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Private Care at Chelsea and Westminster Hospital
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The Saxon Clinic - part of Circle Health Group
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