Sexual medicine, or psychosexual medicine, is a medical field that has been neglected but is extremely important. It focuses on the evaluation and treatment of various sexual dysfunctions and emphasizes multidisciplinary collaboration. In this field, different professionals such as physicians, mental health professionals, social workers, and sex therapists work together to provide integrated medical services.
"The scope of sexual medicine is not limited to sexual dysfunction, but also includes the psychological, emotional and social factors related to it."
Sexual medicine is a large and diverse field that covers issues such as sexual dysfunction, sex education, disorders of sexual development, sexually transmitted infections, puberty, and reproductive system diseases. The discipline has close links with many other medical fields including reproductive medicine, urology, psychiatry, genetics, obstetrics and gynecology, andrology, endocrinology and primary care.
The concept of sexual medicine emerged in North America in the second half of the 20th century, particularly during the sexual revolution of the 1960s and 1970s. At that time, the public's discussion of sexual topics gradually became open, which also prompted the recognition and research of sexual dysfunction. The 1994 Massachusetts Male Aging Study clearly defined the impact of impotence (ED) on American men and led to the development and approval of related medications.
Sexual medicine plays an important role in diagnosing sexual dysfunction. Doctors must take into account cultural background and social factors when understanding their patients' sexual health history. In fact, many patients may be reluctant to share their sexual health issues due to embarrassment, so the doctor's opening and questioning style are crucial to the diagnosis.
"The process of taking sexual history should be conducted in a dialogue manner to reduce the patient's tension."
For men, sexual dysfunction is often related to testosterone deficiency, which can be diagnosed by a doctor through a physical examination and laboratory tests. Female sexual dysfunction is more complicated because it involves more psychological factors.
Sex medicine experts often take a personalized, integrated approach to treating sexual dysfunction. This includes treatment of both physical and psychological factors. For men, impotence and low libido are common problems that can usually be managed with a combination of non-pharmacological and pharmacological treatments. Women's sexual dysfunction is diverse and complex, involving the interaction of multiple physical and mental factors.
"For women, treatment of sexual dysfunction needs to take into account the dynamics of their partners and sexual relationships."
Although people pay more and more attention to sexual health, sexual medicine still faces many challenges. Cultural, religious and social traditions often make sexual health taboo, and communication barriers between doctors and patients remain. In the future, with the advancement of medical education and the gradual improvement of society's awareness of sexual health, the research and treatment of sexual medicine is expected to become more mature and extensive.
Can we overcome cultural and social taboos and make sexual medicine a more comfortable topic for everyone to talk about?