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The Free Dictionary Language Forums
Tuesday, February 18, 2020
Sunday, April 5, 2020 9:38:26 AM
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Last 10 Posts
Do the Exact Opposite of Murica
Monday, March 16, 2020 4:43:35 PM
To listen to health experts and to discipline oneself are crucial. I could not agree more. President Trump's hand-shaking habit on TV screens in front of millions of people and while knowing that he has been exposed to (not necessarily infected by) SARS-CoV-2 makes me wonder about how serious we, humans, are about respecting the recommendations made by health experts and our self-discipline.
Monday, March 16, 2020 4:32:14 PM
SARS-CoV-2 resulting in the disease termed COVID-19 belongs to a large family of viruses called Coronaviruses. Coronaviruses also include SARS-CoV-1 (SARS) and MERS-CoV (MERS). These viruses are zoonotic viruses meaning they mainly circulate among certain animals and that via some genetic mutations they start to infect humans. If you remember, SARS-CoV-1 was circulating among civet cats in China and MERS-CoV among camels in the Middle East before they started to infect humans. The same applies to SARS-CoV-2 virus which is thought by some experts to have started spreading among pangolins in China before developing some mutations that resulted in its ability to infect humans.
For some reason, infected children with SARS-CoV-2 tend to have mild symptoms. Chinese reports indicate that only 2% of COVID-19-related hospitalizations were children and adolescents. As children are considered to have a relatively weaker immune system in comparison with adults and are known to suffer from several infections both viral and bacterial that rarely occur in adults I cannot help asking the question why this is not the case with COVID-19. Any thoughts?
Sunday, March 15, 2020 7:46:47 PM
Finally, I could not see much evidence to support the use of Yohimbine, a natural substance, in FSIAD. It has been suggested to be used for both male and female sexual dysfunction but no high-quality studies are available to support this that I could find. However, it is generally safe and it seems that several of supplements and even fat burners and workout boosters contain Yohimbine.
Sunday, March 15, 2020 7:20:52 PM
In 2008, a study titled 'Testosterone for Low Libido in Postmenopausal Women Not Taking Estrogen' was published in the NEJM. This study concluded that 'In postmenopausal women not receiving estrogen therapy, treatment with a patch delivering 300 μg of testosterone per day resulted in a modest but meaningful improvement in sexual function. The long-term effects of testosterone, including effects on the breast, remain uncertain.'
Sunday, March 15, 2020 7:14:51 PM
Did you know that the brain is the primary sex organ? Women need to feel connected and relaxed and also relieved from stress.
'Sex for men is a stress reliever while sex for women requires relief from stress' has been reported as the heterosexual dilemma.
So how to treat FSIAD?
The management is usually psychological + pharmacological. Psychotherapy includes CBT, sex therapy, couples counselling, support groups and others. Medications actually include Viagra and testosterone. Yes you heard it right. Viagra which is used for erectile dysfunction in men can also be used for FSIAD. Testosterone is prescribed very carefully by certain specialists to postmenopausal women with this condition. Unfortunately, the available data is limited in terms of efficacy. It seems that sex therapy is praised by some experts.
Sunday, March 15, 2020 7:03:18 PM
So how common?
The prevalence of low desire associated with sexually related personal distress peaks in women aged 45 to 64 years (12.3%); however, women 18 to 44 years old are also affected (8.9%). This is quite substantial even though some experts think it is a conservative percentage.
What are the factors that contribute to female desire and arousal?
Feeling desired by partner
Feeling accepted by partner
Sunday, March 15, 2020 6:31:56 PM
DSM-4 had 2 separate diagnoses, one diagnosis was hypoactive sexual desire disorder (HSDD) and female sexual arousal disorder (FSAD). In 2013, DSM-5 (fifth edition) was released. The 2 conditions were merged into one and they called it female sexual interest/arousal disorder (FSIAD). So what is FSIAD??
A. Absence or significantly reduced sexual interest/arousal for at least 6 months (with at least 3 of the following symptoms):
1. Absent/reduced interest in sexual activity
2. Absent/reduced sexual/erotic thoughts or fantasies
3. No/reduced initiation of sexual activity; unresponsive to partner’s attempt to initiate sexual activity
4. Absent/reduced sexual excitement/pleasure during sexual activity in at least 75% of encounters
5. Absent/reduced sexual interest/arousal in response to any internal or external cues (e.g., written, verbal, visual)
6. Absent/reduced genital or non-genital sensations during sexual activity in at least 75% of sexual encounters
B. The problem causes clinically significant distress
C. The sexual dysfunction is not better explained by:
1. Non-sexual mental disorder
2. Severe relationship distress (e.g., partner violence) or other stressors
3. Effects of a substance/medication or another medical condition
Sunday, March 15, 2020 6:30:16 PM
So I raised the question about sexual dysfunction in women as it is such a common problem on one hand and there are misconceptions about it on the other hand. It turns out that this important condition that does impact our relationships is still a taboo. I feel that in the 21st century, and in a forum titled 'Medicine' where people are obviously seeking medical knowledge, there should be no taboos and no one should be hushed by anyone. However, I am not totally surprised as I am aware that such topic could make even some professionals and physicians uncomfortable to discuss and females suffering with the condition and their partners become the victims not only of the condition but also of the bashfulness of some (not all) professionals. Obviously, we can be wrong about a few things but this forum could be one of the places where our knowledge evolves. It is great to seek knowledge from professionals when possible, but some of us might be professionals and hundreds of professionals share their thoughts on different platforms on the internet. Also, what some professionals feel is solid knowledge today could be quite refutable tomorrow. There are many examples of this in medicine. A forum will not replace a physician's office but it can be a place to discuss and learn.
Yes, I am a male, and I see no problem raising this question about women. Some women and lots of men could learn a lot from such a discussion. It might help someone identify a problem that could be threatening the integrity of their relationship.
So what is sexual dysfunction in women??
Friday, March 6, 2020 9:49:04 AM
The New England Journal of Medicine gives, probably, better opportunity to discuss it. Try on Instagram for free, if you are not a subscriber to the NEJM.
The US National Library of Medicine through the National Institute of Health offers access to the papers treating on medicine. Their search engine is for free as are majority of their articles. This also gives an opportunity to discus the matter with professionals and not with speculators. Especially, if you know how to put a question and are not on the first year of medical studies.
Yes Taurine, I am certain there is plethora of information on the reputable NEJM and yes I am a subscriber. I do try to quote some studies when posting. However, I think that non-professionals can also share their opinion and their experiences. As a matter of fact, it is not just that non-professionals learn from professionals, but also that professionals learn from non-professionals, esp. in the field of medicine. We all have our unique experiences and we can learn from each other and evolve. ED is an important topic and I wonder what people (not just experts) think about it.
Friday, March 6, 2020 8:21:41 AM
Erectile dysfunction (ED) is a common problem in males. It is reported that 5% of men that are 40 years old have complete ED. As you would guess, the percentage increases as men get older. Male sexual function involves 3 components namely libido which is our interest and desire, erection and orgasm. It might stem from psychogenic factors or actual physical illnesses. There are a number of ways to help improve ED in men. What about sexual dysfunction in women? What does it mean? What could it involve? How common is it? What are the treatments for this condition? Let's discuss?
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