Trends in Andrology and Sexual Medicine – serie

This book presents a comprehensive study of scrotal ultrasound, helping readers cope with the growing number of pathology pictures revealed by accurate ultrasound examinations, and highlighting the novel applications of contrast-enhanced ultrasonography and elastography.This unique reference guide to scrotal ultrasonography draws on the accumulated expertise of the Experimental Medicine Department at “Sapienza” University, where the andrological ultrasonography unit has performed over 10,000 testicular ultrasound examinations for various conditions and explored experimental new imaging techniques. This core experience has been enriched by insightful contributions from several international experts to form one of the most comprehensive collections of ultrasound images, many in full color, of scrotal pathology in the world.The book’s emphasis on functional interpretation of the images, supplemented by clinical data, make it a unique tool for clinical management. This approach is intended to increasingly familiarize clinicians with the potentials of ultrasonography, from the basics to the most advanced approaches, so as to encourage them to incorporate this examination as a central component of the diagnostic pathway

This book addresses the fundamental importance of the proper assessment and treatment of sexual disorders in patients with mental disorders with regard to their treatment outcomes and adherence to therapies.In fact, patients with mental disorders often suffer from sexual dysfunctions and in many cases, pharmacological treatment causes sexual-dysfunction side-effects. However, anxiety disorders, personality disorders, eating disorders and psychotic disorders are often also characterized by sexual symptoms that have a profound impact on sexual function. The psychopathology of sexual behavior investigates deficits in the mind-body relationship that are expressed through sexual symptoms such as erectile dysfunction, premature ejaculation, vaginismus, orgasmic disorders, or lack of sexual desire. These symptoms can be considered both prodromal and as a consequence of psychological or psychiatric suffering.Written by a multidisciplinary team of experts, this book offers a valuable guide for psychiatrists, andrologists, gynecologists and psychologists.

The aim of this book is twofold: to promote an awareness of cultural differences in connection with sexual medicine among health care providers, and to demonstrate how such differences are relevant to the care and treatment of patients with sexual issues.Individual sexuality represents the cumulative effects of biological, psychological, and cultural influences. Yet much of the study of sexuality—including issues ranging from sexual identity to sexual response—has been conducted through a Western lens.  Although a substantial body of work in anthropology has taken up the study of human sexuality from a cross-cultural perspective, two points are notable. First, this work seldom crosses the desks of medical and psychological health practitioners, and second, the relevance of specific cultural differences is rarely apparent to the typical sexual health practitioner. To address this situation, this book adopts a global perspective, focusing on how cultural practices and values can impact health care, treatment, and outcomes. In this regard, it covers three broad domains: Sexual Identity and Orientation; Sexual Response and Dysfunction; and Sexual Diversity. Each chapter consists of two parts: a general description of the relevant issues, and a discussion of how these issues can be relevant to clinical practice.The book offers a valuable, practical tool for specialists in sexual medicine and sexual psychology, for sexual healthcare givers, and for sexological researchers who want to better serve their patients by developing an awareness of and sensitivity to cultural differences, and by providing a framework for dealing with issues of sexuality and sexual health that takes cultural values into consideration, while adhering to best practices in patient care.

The aim of this book is twofold: to promote an awareness of cultural differences in connection with sexual medicine among health care providers, and to demonstrate how such differences are relevant to the care and treatment of patients with sexual issues.Individual sexuality represents the cumulative effects of biological, psychological, and cultural influences. Yet much of the study of sexuality—including issues ranging from sexual identity to sexual response—has been conducted through a Western lens.  Although a substantial body of work in anthropology has taken up the study of human sexuality from a cross-cultural perspective, two points are notable. First, this work seldom crosses the desks of medical and psychological health practitioners, and second, the relevance of specific cultural differences is rarely apparent to the typical sexual health practitioner. To address this situation, this book adopts a global perspective, focusing on how cultural practices and values can impact health care, treatment, and outcomes. In this regard, it covers three broad domains: Sexual Identity and Orientation; Sexual Response and Dysfunction; and Sexual Diversity. Each chapter consists of two parts: a general description of the relevant issues, and a discussion of how these issues can be relevant to clinical practice.The book offers a valuable, practical tool for specialists in sexual medicine and sexual psychology, for sexual healthcare givers, and for sexological researchers who want to better serve their patients by developing an awareness of and sensitivity to cultural differences, and by providing a framework for dealing with issues of sexuality and sexual health that takes cultural values into consideration, while adhering to best practices in patient care.

This atlas provides valuable information on crucial aspects of sperm examination as well numerous meaningful color illustrations. It discusses successful evaluation of the sperm morphology and the cellular elements other than spermatozoa, enabling readers to unambiguously interpret seminal cytologic images and compare reports for diagnostic, therapeutic and prognostic purposes.With its extensive collection of colored images, the book is intended as a reference resource for students and technicians in the field of andrology as well as practitioners and clinicians in andrology, urology, pathology, IVF and other ART programs

This atlas provides valuable information on crucial aspects of sperm examination as well numerous meaningful color illustrations. It discusses successful evaluation of the sperm morphology and the cellular elements other than spermatozoa, enabling readers to unambiguously interpret seminal cytologic images and compare reports for diagnostic, therapeutic and prognostic purposes.With its extensive collection of colored images, the book is intended as a reference resource for students and technicians in the field of andrology as well as practitioners and clinicians in andrology, urology, pathology, IVF and other ART programs

This book presents the latest insights into all the critical aspects of Klinefelter’s Syndrome, in order to promote a more homogeneous a medical approach to this condition, leading to better and more “evidence-based” support, and improving patient satisfaction.It offers physicians and all health professionals involved in treating these patients (andrologists, pediatricians, endocrinologists, psychologists) a comprehensive overview and a useful tool for their daily clinical practice.

This book presents the latest insights into all the critical aspects of Klinefelter’s Syndrome, in order to promote a more homogeneous a medical approach to this condition, leading to better and more “evidence-based” support, and improving patient satisfaction.It offers physicians and all health professionals involved in treating these patients (andrologists, pediatricians, endocrinologists, psychologists) a comprehensive overview and a useful tool for their daily clinical practice.

This book provides healthcare professionals, the medical community, residents and students with an up-to-date handbook on current female and male contraceptive options. It illustrates the process of contraceptive development, from ancient times to steroid discovery up to the most recent formulations that provide not only an optimal contraceptive efficacy but also complimentary health benefits for women. It offers a comprehensive overview of the current knowledge on this topic, ranging from biological contraceptive mechanisms to the challenges of contraceptive use in different clinical conditions. It also presents reviews of the current latest, including preclinical and clinical research, to provide detailed and up-to-date information on recently developed contraceptives. It also features a section on counseling, which is highly relevant to optimal contraceptive provision and compliance. Each chapter has been written by a leading expert in the field and provides a comprehensive reference on the topic as well as practical implications. As such, this book provides accessible and authoritative information for clinicians in their everyday practice and for students interested in expanding their knowledge on the topic.

This book provides healthcare professionals, the medical community, residents and students with an up-to-date handbook on current female and male contraceptive options. It illustrates the process of contraceptive development, from ancient times to steroid discovery up to the most recent formulations that provide not only an optimal contraceptive efficacy but also complimentary health benefits for women. It offers a comprehensive overview of the current knowledge on this topic, ranging from biological contraceptive mechanisms to the challenges of contraceptive use in different clinical conditions. It also presents reviews of the current latest, including preclinical and clinical research, to provide detailed and up-to-date information on recently developed contraceptives. It also features a section on counseling, which is highly relevant to optimal contraceptive provision and compliance. Each chapter has been written by a leading expert in the field and provides a comprehensive reference on the topic as well as practical implications. As such, this book provides accessible and authoritative information for clinicians in their everyday practice and for students interested in expanding their knowledge on the topic.

This book addresses and summarizes the main andrological disorders (genital, reproductive or sexual diseases) that may originate in childhood or adolescence.Since many of the andrological diseases that occur in adulthood originate before the age of 18 and sometimes even during gestation, andrological evaluation is essential during childhood to highlight anomalies in the genital organs. During puberty, evaluation can help to monitor growth and secondary sex characteristics, and to assess e.g. the possible presence of an eunucoid habitus, gynecomastia, testicular hypotrophy or varicocele, a very common pathology in young people. During adolescence, the assessment of risk factors, such as those related to certain lifestyles, is of fundamental importance for primary prevention. Moreover, in late adolescence the focus shifts to preventing sexually transmitted infections, or to dealing with possible discomforts related to the sexual sphere. Finally, ensuring young people’s genital and sexual health also means protecting their fertility.  Written by respected experts in the field, this book constitutes an innovative resource, combining updated, reliable and comprehensive information with agile consultation in order to provide a streamlined approach to the care of children and adolescents with such disorders.

This book addresses and summarizes the main andrological disorders (genital, reproductive or sexual diseases) that may originate in childhood or adolescence.Since many of the andrological diseases that occur in adulthood originate before the age of 18 and sometimes even during gestation, andrological evaluation is essential during childhood to highlight anomalies in the genital organs. During puberty, evaluation can help to monitor growth and secondary sex characteristics, and to assess e.g. the possible presence of an eunucoid habitus, gynecomastia, testicular hypotrophy or varicocele, a very common pathology in young people. During adolescence, the assessment of risk factors, such as those related to certain lifestyles, is of fundamental importance for primary prevention. Moreover, in late adolescence the focus shifts to preventing sexually transmitted infections, or to dealing with possible discomforts related to the sexual sphere. Finally, ensuring young people’s genital and sexual health also means protecting their fertility.  Written by respected experts in the field, this book constitutes an innovative resource, combining updated, reliable and comprehensive information with agile consultation in order to provide a streamlined approach to the care of children and adolescents with such disorders.

This new edition aims to examine the impacts of maltreatment of both children and social minorities, such as homosexuals and gender dysphoric individuals or those affected by disabilities, in women, in patients, and describes skills that are of value in supporting victims of maltreatment and preventing discrimination. On this purpose, the new book is not only an update of the current literature on the topic, but will be also enriched by chapters dealing with the subtle border between courtship and harassment, with the responsibilities of the health professionals, with the role of internet and pornography in the “economy” of abuses and sexual slavery, with forensic aspects of the abuses and with therapy of both suffered and operated sexual violence starting from prevention as social education until medical approaches.   This new edition will be particularly useful to sexual medicine specialists, medical doctors, psychologists and psychiatrists, as well as graduate students in these disciplines, but also to sociologists, educators and law professionals. By fostering a better understanding of discrimination triggers and effects, this new edition will help clinicians and mentors to provide improved support through the tailoring of therapies to the needs of maltreated and abused individuals.

This new edition aims to examine the impacts of maltreatment of both children and social minorities, such as homosexuals and gender dysphoric individuals or those affected by disabilities, in women, in patients, and describes skills that are of value in supporting victims of maltreatment and preventing discrimination. On this purpose, the new book is not only an update of the current literature on the topic, but will be also enriched by chapters dealing with the subtle border between courtship and harassment, with the responsibilities of the health professionals, with the role of internet and pornography in the “economy” of abuses and sexual slavery, with forensic aspects of the abuses and with therapy of both suffered and operated sexual violence starting from prevention as social education until medical approaches.   This new edition will be particularly useful to sexual medicine specialists, medical doctors, psychologists and psychiatrists, as well as graduate students in these disciplines, but also to sociologists, educators and law professionals. By fostering a better understanding of discrimination triggers and effects, this new edition will help clinicians and mentors to provide improved support through the tailoring of therapies to the needs of maltreated and abused individuals.

This books focuses on all main medical disorders that affect the sexual health of patients. From the medical disorder and its impact on sexuality and from the sexual symptom as signal of underlying disease, this book highlights the importance of the sexual interview as essential element of medical history. The aim is to increase the scientific knowledge in human sexuality and sexual health in order to optimize the identification of the pathophysiology of sexual dysfunction from disease and to increase the quality of life of patients, promoting the proactivity of doctors in the care of the sexual sphere. Many medical disorders have negative effects on the different dominions of sexual function (desire, arousal, orgasm, ejaculation, and pain). Chronic disease also affects subsidiarily sexual function in many ways, including fatigue, pain, dependency impairment of self-image and impacting relationships. On the other hand sexual symptoms may be a signal of serious underlying disease. This book will be of benefit to GPs, gynecologists, andrologists, sexual medicine professionals, and all healthcare providers interested in the topic.

This books focuses on all main medical disorders that affect the sexual health of patients. From the medical disorder and its impact on sexuality and from the sexual symptom as signal of underlying disease, this book highlights the importance of the sexual interview as essential element of medical history. The aim is to increase the scientific knowledge in human sexuality and sexual health in order to optimize the identification of the pathophysiology of sexual dysfunction from disease and to increase the quality of life of patients, promoting the proactivity of doctors in the care of the sexual sphere. Many medical disorders have negative effects on the different dominions of sexual function (desire, arousal, orgasm, ejaculation, and pain). Chronic disease also affects subsidiarily sexual function in many ways, including fatigue, pain, dependency impairment of self-image and impacting relationships. On the other hand sexual symptoms may be a signal of serious underlying disease. This book will be of benefit to GPs, gynecologists, andrologists, sexual medicine professionals, and all healthcare providers interested in the topic.

An up-to-date edited open access book on the role of sexual dysfunctions in general, and of erectile dysfunction in particular, i) to early predict non-communicable diseases, ii) to motivate patients to modify wrong lifestyles, iii) to improve follow-up efforts.A part of the expert in sexual medicine, a large number of professionals will be interested in reading and quoting this book, from andrologists to urologists, from cardiologists to endocrinologists, from internists to mental health professionals.

This book provides a comprehensive, structured collection of Multiple-Choice Questions (MCQs) covering the field of Andrology, with a strong focus on examination preparation and clinical application. It integrates basic embryology, infectious diseases, reproductive health, sexual dysfunctions, and dermatological manifestations of systemic conditions into a question-and-answer format with detailed explanations. This work emphasizes clinical reasoning and pathophysiological understanding, ensuring that learners not only identify the correct answer but also grasp why alternatives are incorrect. Each chapter is designed to parallel standard curricula for andrology training programs, making it ideal for postgraduate exams, board certification, and academic teaching. The inclusion of more than 1,500 questions, provides an extensive review resource. Each question is followed by an evidence-based explanation, reflecting current literature and guidelines. This approach bridges the gap between rote learning and applied clinical knowledge. The book also highlights recent advances, such as molecular genetics in reproductive medicine, evolving concepts in sexual dysfunction, and updates on global sexually transmitted disease management. The text ensures both academic rigor and practical utility. This volume will serve as a definitive reference for medical residents, clinicians, and academic educators, enhancing knowledge retention and exam performance while fostering a deeper understanding of andrological science.

This book focuses on the use of various molecules with antioxidant properties in the treatment of major male genital tract disorders, especially male infertility, erectile dysfunction, and accessory gland infection. The coverage also includes discussion of pathophysiology, the molecular basis of male infertility, and the rationale for use of antioxidants, with particular attention to coenzyme Q10 and carnitine. Oxidative stress occurs when the production of reactive oxygen species, including free radicals, exceeds the body’s natural antioxidant defences, leading to cellular damage. Oxidative stress is present in about half of all infertile men, and reactive oxygen species can produce infertility both by damaging the sperm membrane, with consequences for sperm motility, and by altering the sperm DNA. There is consequently a clear rationale for the use of antioxidant treatments within andrology, and various in vitro and in vivo studies have indicated that many antioxidants indeed have beneficial impacts. In providing a detailed and up-to-date overview of the subject, this book will be of interest to both practitioners and researchers in andrology, endocrinology, and urology.

This book presents a comprehensive study of scrotal ultrasound, helping readers cope with the growing number of pathology pictures revealed by accurate ultrasound examinations, and highlighting the novel applications of contrast-enhanced ultrasonography and elastography.This unique reference guide to scrotal ultrasonography draws on the accumulated expertise of the Experimental Medicine Department at “Sapienza” University, where the andrological ultrasonography unit has performed over 10,000 testicular ultrasound examinations for various conditions and explored experimental new imaging techniques. This core experience has been enriched by insightful contributions from several international experts to form one of the most comprehensive collections of ultrasound images, many in full color, of scrotal pathology in the world.The book’s emphasis on functional interpretation of the images, supplemented by clinical data, make it a unique tool for clinical management. This approach is intended to increasingly familiarize clinicians with the potentials of ultrasonography, from the basics to the most advanced approaches, so as to encourage them to incorporate this examination as a central component of the diagnostic pathway

This book addresses the fundamental importance of the proper assessment and treatment of sexual disorders in patients with mental disorders with regard to their treatment outcomes and adherence to therapies.In fact, patients with mental disorders often suffer from sexual dysfunctions and in many cases, pharmacological treatment causes sexual-dysfunction side-effects. However, anxiety disorders, personality disorders, eating disorders and psychotic disorders are often also characterized by sexual symptoms that have a profound impact on sexual function. The psychopathology of sexual behavior investigates deficits in the mind-body relationship that are expressed through sexual symptoms such as erectile dysfunction, premature ejaculation, vaginismus, orgasmic disorders, or lack of sexual desire. These symptoms can be considered both prodromal and as a consequence of psychological or psychiatric suffering.Written by a multidisciplinary team of experts, this book offers a valuable guide for psychiatrists, andrologists, gynecologists and psychologists.

This book focuses on the use of various molecules with antioxidant properties in the treatment of major male genital tract disorders, especially male infertility, erectile dysfunction, and accessory gland infection. The coverage also includes discussion of pathophysiology, the molecular basis of male infertility, and the rationale for use of antioxidants, with particular attention to coenzyme Q10 and carnitine. Oxidative stress occurs when the production of reactive oxygen species, including free radicals, exceeds the body’s natural antioxidant defences, leading to cellular damage. Oxidative stress is present in about half of all infertile men, and reactive oxygen species can produce infertility both by damaging the sperm membrane, with consequences for sperm motility, and by altering the sperm DNA. There is consequently a clear rationale for the use of antioxidant treatments within andrology, and various in vitro and in vivo studies have indicated that many antioxidants indeed have beneficial impacts. In providing a detailed and up-to-date overview of the subject, this book will be of interest to both practitioners and researchers in andrology, endocrinology, and urology.