Hormonal Therapy for Male Sexual Dysfunction

Description

Hormonal therapy offers a potentially powerful approach to the treatment of sexual disorders in men. However the interplay of different hormones within different bodily systems is carefully balanced; judicious judgement is required in the therapeutic use of hormones to minimize unwelcome side effects. A better understanding of how hormones work will help the physician to better tailor therapies for improved sexual responses in men.   Hormonal Therapy for Male Sexual Dysfunction will provide the rationale for hormonal therapy in male sexual disorders, explaining the language of sexual endocrinology and its application in clinical practice. The aim of this book is to provide a clinical ‘in the office’ or ‘at the bedside’ guide to effective patient care for sexual medicine physicians, urologists, gynecologists and other health-care providers in practice and in training. The tone will be practical, not academic. The working assumption is that readers want to know what (and what not) might or should be done, without over emphasis on the why. That said, it is important to review the crucial basic science necessary for effective diagnosis and management, and to provide reminders in  the context of the practical chapters. It will not be heavily referenced, in line with a more practical approach. This allows for smoother reading (and also relieves the burden of comprehensive citing from authors). Key evidence (clinical trials, Cochrane or other meta analyses) should be summarized in ‘Evidence at a Glance’ boxes and key references such as reviews, major papers can be provided in the ‘selected bibliography’ at the end of each chapter.   Practical guidance will be provided through: - the use of algorithms and guidelines where they are appropriate - ‘Tips and Tricks’ boxes – hints on improving outcomes perhaps via practical technique, patient questioning etc - ‘Caution’ warning boxes – hints on avoiding problems, perhaps via contraindications - ‘Science Revisited’ – quick reminder of the basic science principles necessary for understandingContent: Chapter 1 Male Gender Identity and Masculine Behavior: The Role of Sex Hormones in Brain Development (pages 1–10): Baudewijntje P. C. Kreukels and Peggy T. Cohen?KettenisChapter 2 Pheromonal Regulation of Male Sexuality (pages 11–27): Andrea Mazzatenta, Diego Mazzatenta and Alessandro CellerinoChapter 3 Hormonal Regulation of Erectile Function, from Basic to Bedside (Androgen, Estrogen, Prolactin, GH, Thyroid Hormones) (pages 28–41): Annamaria Morelli, Linda Vignozzi and Mario MaggiChapter 4 Testosterone and Other Hormonal Therapies (Antiestrogen, DHEA, Thyroid Hormones) for Erectile Dysfunction (pages 42–54): Gianni Forti, Giovanni Corona, Linda Vignozzi and Mario MaggiChapter 5 Risk and Benefit of Androgen Deprivation Therapy in Prostate Cancer (pages 55–71): Giovanni Corona, Mauro Gacci, Elisabetta Baldi, Gianni Forti and Mario MaggiChapter 6 Hormonal Regulation of Male Sexual Desire: The Role of Testosterone, Estrogen, Prolactin, Oxytocin, Vasopressin, and Others (pages 72–82): Antonio R. Granata, Valeria Pugni, Vincenzo Rochira, Lucia Zirilli and Cesare CaraniChapter 7 Endocrinology of the Ejaculatory Process (Thyroid Hormones, Prolactin, Oxytocin, Testosterone) (pages 83–93): Emmanuele A. Jannini and Andrea LenziChapter 8 Paraphilic Disorders: Diagnosis and Treatment (pages 94–110): Alessandra D. Fisher, Elisa Bandini, Helen Casale and Mario MaggiChapter 9 Sexual Aspects of Klinefelter's Syndrome and other Sex?Chromosome Disorders (pages 111–117): Linda Vignozzi, Annamaria Morelli and Mario MaggiChapter 10 Sexual Counterpart of Hormonal Male Contraception (pages 118–127): Maria Cristina Meriggiola, Antonietta Constantino and Silvia Cerpolini