A comprehensive text on female sexual function and dysfunction that offers a multi-disciplinary, biopsychosocial approach to diagnosis and treatment

Textbook of Female Sexual Function and Dysfunction offers a multi-disciplinary, biopsychosocial approach and provides guidance for the safe and effective diagnosis and treatment of various sexual health issues. With contributions from an international panel of experts, the text provides the scientific basis of the clinical recommendations for dealing with problems of sexual, desire, arousal, orgasm and pain.

The text is clearly organised around the four major disease states in female sexual dysfunction (FSD) and is officially endorsed by the International Society for the Study of Women's Sexual Health (ISSWSH). The authors cover a wealth of topics such as hypoactive sexual desire disorder, psychological management of sexual disorders, anatomy and physiology of sexual dysfunction and pain and information on future developments and research. In addition, the text reviews all FDA approved medications for sexual dysfunction and contains consideration of off-label treatments for FSDs. This important text:

•    Offers the only textbook to highlight female sexual dysfunction in light of recently approved FDA medications

•    Contains a unique biopsychosocial approach from a collaborative team of physicians, psychologists, physical therapists as well as other sexual health professionals

•    Presents a comprehensive text led by one of the foremost global experts in Women's Sexual Health, Irwin Goldstein, founder of ISSWSH, with three other past presidents and one president-elect

Written for any professional dealing with women's sexual health, Textbook of Female Sexual Function and Dysfunction offers an invaluable guide to the most safe and effective diagnosis and treatment.

The Editors

IRWIN GOLDSTEIN, MD, IF, the Director of Sexual Medicine at Alvarado Hospital, Clinical Professor of Surgery at the University of California at San Diego, and Director of San Diego Sexual Medicine. He is also Editor-in Chief of Sexual Medicine Reviews, an official journal of the International Society for Sexual Medicine and the International Society for the Study of Women's Sexual Health, San Diego, California, USA.

ANITA H. CLAYTON, MD, IF, David C. Wilson Professor and Chair, Department of Psychiatry and Neurobehavioral Sciences and Professor of Clinical Obstetrics and Gynecology, University of Virginia School of Medicine, Charlottesville, Virginia, USA.

ANDREW T. GOLDSTEIN, MD, IF, Director of the Center for Vulvovaginal Disorders in Washington DC and New York City, Clinical Professor, Department of Obstetrics and Gynecology, The George Washington University School of Medicine and Health Sciences, Washington, DC, USA.

NOEL N. KIM, PHD, IF, Chief Scientist, Institute for Sexual Medicine, San Diego, California, USA.

SHERYL A. KINGSBERG, PHD, IF, Division Chief, OB/GYN Behavioral Medicine, University Hospitals Cleveland Medical Center, Professor, Reproductive Biology, Case Western Reserve University School of Medicine, Professor, Psychiatry, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.

List of Contributors vii

Foreword ix

Preface xi

1 History of the International Society for the Study of Women’s Sexual Health (ISSWSH) 1
Sue W. Goldstein

2 Sexual Medicine Education and Training 7
Sharon J. Parish and Johannes Bitzer

Part I Hypoactive Sexual Desire Disorder 17

3 Nosology and Epidemiology of Hypoactive Sexual Desire Disorder 19
Leonard R. Derogatis

4 Central Nervous System Anatomy and Neurochemistry of Sexual Desire 25
James G. Pfaus and Sherri L. Jones

5 Psychological Management of Hypoactive Sexual Desire Disorder 53
Sheryl A. Kingsberg and Stanley E. Althof

6 Pathophysiology and Medical Management of Hypoactive Sexual Desire Disorder 59
Anita H. Clayton and Linda Vignozzi

Part II Arousal Disorders 101

7 Nosology and Epidemiology of Arousal Disorders in Women 103
Leonard R. Derogatis

8 Anatomy and Physiology of Arousal 107
Kwangsung Park and Noel N. Kim

9 Psychological Management of Arousal Disorders 127
Isbelia Segnini and Tuuli M. Kukkonen

10 Pathophysiology and Medical Management of Female Genital Arousal Disorder 145
Irwin Goldstein

11 Pathophysiology and Medical Management of Persistent Genital Arousal Disorder 161
Barry R. Komisaruk and Irwin Goldstein

Part III Orgasm Disorders 173

12 Nosology and Epidemiology of Female Orgasm Disorder 175
Leonard R. Derogatis

13 Peripheral and Central Neural Bases of Orgasm 179
Emmanuele A. Jannini, Nan Wise, Eleni Frangos, and Barry R. Komisaruk

14 Psychological Management of Orgasm Disorders 197
Sara Nasserzadeh

15 Musculoskeletal Management of Orgasm Disorders 211
Karen Brandon

16 Pathophysiology and Medical Management of Female Orgasm Disorder 221
Irwin Goldstein and Barry R. Komisaruk

17 Pathophysiology and Medical Management of Female Orgasmic Illness Syndrome 239
Irwin Goldstein and Barry R. Komisaruk

Part IV Sexual Pain Disorders 245

18 Nosology and Epidemiology of Dyspareunia and Vulvodynia 247
Tami Serene Rowen and Andrew T. Goldstein

19 Anatomy and Physiology of Sexual Pain 257
Melissa A. Farmer

20 Psychological Management of Provoked Vestibulodynia 281
Caroline F. Pukall and Sophie Bergeron

21 Musculoskeletal Management of Pelvic and Sexual Pain Disorders 295
Sara K. Sauder, Fiona McMahon, and Amy Stein

22 Medical Management of Dyspareunia and Vulvovaginal Pain 319
Andrew T. Goldstein and Susan Kellogg Spadt

Part V Future 337

23 Future Developments and Research 339
James A. Simon

Index 349