Sexual Function And Pelvic Floor Dysfunction

This book provides to nurses an understanding of female sexual function and dysfunction specifically in relation to common gynecological conditions. It offers evidence based overview of assessment of sexual function, including available questionnaires and provides a multidisciplinary approach to managing sexual dysfunction, from incontinence to pelvic organ prolapse and recurrent urinary tract infections. It also covers a holistic approach including over the counter and home treatments, psychological therapies, physical therapies, pharmacological options and if necessary more invasive interventions. Sexual function and pelvic floor dysfunction is often a neglected area due to the taboo nature of discussions. This book aims to educate nurses, to help them understand the types of treatment options available, and encourage them to engage in conversations about sexual function with women, so that they can be referred to appropriate health professionals and access the right care.

This textbook provides a comprehensive, state-of-the art review of the Overactive Pelvic Floor (OPF) that provides clinical tools for medical and mental health practitioners alike. Written by experts in the field, this text offers tools for recognition, assessment, treatment and interdisciplinary referral for patients with OPF and OPF related conditions. The text reviews the definition, etiology and pathophysiology of non-relaxing pelvic floor muscle tone as well as discusses sexual function and past sexual experience in relation to the pelvic floor. Specific pelvic floor dysfunctions associated with pelvic floor overactivity in both men and women are reviewed in detail. Individual chapters are devoted to female genital pain and vulvodynia, female bladder pain and interstitial cystitis, male chronic pelvic and genital pain, sexual dysfunction related to pelvic pain in both men and women, musculoskeletal aspects of pelvic floor overactivity, LUTS and voiding dysfunction, and anorectal disorders. Assessment of the pelvic floor is addressed in distinct chapters describing subjective and objective assessment tools. State of the art testing measures including electromyographic and video-urodynamic analysis, ultrasound and magnetic resonance imaging are introduced. The final chapters are devoted to medical, psychosocial, and physical therapy treatment interventions with an emphasis on interdisciplinary management The Overactive Pelvic Floor serves physicians in the fields of urology, urogynecology and gastroenterology as well as psychotherapists, sex therapists and physical therapists.

All the characteristics and driving force of The Cleveland Clinic are to be found in this book on pelvic ?oor function. The Cleveland Clinic is a group practice founded in 1921 on the principles of cooperation,collaboration,and collegiality.Its founders believed that many physicians working together will discover better solutions to medical problems than physicians working in isolation. They believed that the combination of disciplines, with their inherent differences in philosophy and skills, will produce a better outcome than might have evolved singularly. The power of the collaborative approach is on full display in this book. The pelvic ?oor unites three separate organ systems. Before this time, each has been approached individually. Urologists, gynecologists, and colorectal surgeons are each trained in their own disciplines, and the pelvic ?oor is subsumed in these larger ?elds of study. When they combine their focus on the pelvic ?oor, they bring their unique perspectives and different approaches to a common goal: the relief of pelvic ?oor syndromes such as incontinence and pelvic organ prolapse.

This book discusses all aspects of sexuality in women and in particular explores sexual function and dysfunction in a variety of settings, including the different stages of life and a wide range of major diseases and local conditions. The aim is to refocus attention on the needs and sexual realities of women, providing a fresh point of view that will assist gynecologists, sexual medicine physicians, and urologists in delivery of high-quality care and help women themselves to understand and address sexual problems relating to desire, arousal, orgasm, and sexual pain. Psychological aspects of female sexuality and the impacts of the aging process, pregnancy, and childbirth are carefully examined. Extensive consideration is then given to the effects on sexual function of such conditions as cardiovascular disease, cancer, diabetes, neurological disease, endometriosis, pelvic organ prolapse, urinary incontinence, reproductive disorders, sexual abuse, and drug abuse. Issues of sexual identity and female dysmorphophobias are also considered. The authors are all experts in the field and have a deep understanding of the complexities of female sexuality.

First book devoted to the diagnosis and treatment of sexual pain in women Female Sexual Pain Disorders is a remarkable fusion of clinical and scientific knowledge that will empower women’s healthcare professionals to help their patients in overcoming this common debilitating disorder. Based on the highest level research, it provides state-of-the-art practical guidance that will help you to: Evaluate and distinguish the causes of sexual pain in women Differentiate the many forms of sexual pain Implement multidisciplinary treatments Distilling the experience of world leaders across many clinical, therapeutic and scientific disciplines, with an array of algorithms and diagnostic tools, Female Sexual Pain Disorders is your ideal companion for treating the many millions of women who suffer from this disorder worldwide. All proceeds from this book are being donated to the International Society for the Study of Women’s Sexual Health (ISSWSH).

Internationally known experts offer multidisciplinary guidance on the diagnosis and management of the full spectrum of pelvic floor disorders. It covers the diagnosis and clinical assessment of continence mechanisms and sexual dysfunction, as well as conservative management of the lower urinary tract, disorders of anorectal functions and sexual functions, exploring techniques such as electrical stimulation, anti-incontinence devices, and biofeedback. This valuable text also provides information on the management and treatment of a full range of disorders, from childbirth damage and post-prostatectomy incontinence, to neuropathic voiding dysfunction. Reviews normal anatomy and physiology as well as pathophysiology, providing an in-depth understanding of how and why various pelvic floor disorders occur. Covers the complete spectrum of pelvic floor disorders, including childbirth damage · lower urinary tract dysfunction in the female and male · urinary incontinence in the elderly · pelvic organ prolapse · post-prostatectomy incontinence · neurogenic voiding dysfunction · fecal incontinence · defecatory disorders · pediatric urology · male and female sexual dysfunction. Discusses all types of diagnostic approaches, including urodynamics · imaging · MRI · endoscopy · and electrodiagnosis. Conservative treatment is based on different techniques: pelvic floor muscles training · behavioral therapy · biofeedback · electrical stimulation and anti-continence devices. Represents a practical approach to surgery and conservative treatment for the physician and health care professionals and provides practical suggestions on these techniques. Features contributions from urologists, gynecologists, coloproctologists, continence specialists, specialist physical therapists, and nurses, for exceptionally multidisciplinary, well-rounded coverage of every aspect of the field.

A practical manual on the treatment of pelvic pain, focusing on the many gynecological and non-gynecological causes of the condition.

Dieses umfassende Fachbuch zur weiblichen Sexualfunktion und Sexualdysfunktion (FSD) verfolgt einen interdisziplinären, biopsychosozialen Diagnose- und Behandlungsansatz. Das Textbook of Female Sexual Function and Dysfunction mit seinem interdisziplinären, biopsychosozialen Ansatz gibt Hilfestellung für die sichere und wirkungsvolle Diagnose und Behandlung verschiedenster Störungen der Sexualfunktion. Dieses Referenzwerk umfasst Beiträge internationaler Fachexperten und bildet die wissenschaftliche Grundlage für klinische Empfehlungen bei sexueller Störung, Lustlosigkeit, Erregungsstörungen, Orgamusstörungen und Schmerzen beim Geschlechtsverkehr. Das Fachbuch erörtert vier Erkrankungsszenarien bei weiblicher sexueller Dysfunktion und wird von der International Society for the Study of Women's Sexual Health (ISSWSH) empfohlen. Die Autoren decken ein Fülle von Themenbereichen ab, u. a. hypoaktive Störung des sexuellen Lustempfindens, psychologische Behandlung sexueller Störungen, Anatomie und Physiologie sexueller Dysfunktionen und Schmerzzuständen, und informiert über zukünftige Entwicklungen und Forschungen. Darüber hinaus werden alle von der FDA zugelassenen Medikationen bei sexueller Dysfunktion vorgestellt, ebenso ?Off-Label?-Behandlungsansätze. - Das einzige Fachbuch zu sexuellen Dysfunktionen bei Frauen vor dem Hintergrund neuester, von der FDA zugelassener Medikamente. - Präsentiert den einzigartigen biopsychosozialen Ansatz eines interdisziplinären Teams aus Ärzten, Psychologen, Physiotherapeuten und weiterer Experten aus dem Fachgebiet. - Ein umfassendes Referenzwerk eines der weltweit führenden Fachexperten. Irwin Goldstein ist Gründer der ISSWSH. Mitgearbeitet haben ebenfalls drei frühere Präsidenten sowie ein designierter Präsident der Gesellschaft. Dieses Referenzwerk richtet sich an Experten, die sich mit der Sexualgesundheit von Frauen beschäftigen und stellt eine wertvolle Handreichung für eine sichere und wirkungsvolle Diagnose und Behandlung dar.

The remarkably complex pelvic floor and its disorders comprise one of the most interesting -- and challenging -- areas of physical therapy. And recently, common problems once considered taboo, such as incontinence, have become mainstream issues. More than ever before, a solid understanding of the structure and function of the manifold problems of the pelvic floor is vital to successful treatment. This groundbreaking work brings together an international team of world-renowned experts in the treatment of urinary and fecal incontinence, as well as sexual dysfunction, to provide a comprehensive guide to the structure and function of the muscles of the pelvic floor. Using concise text and clear illustrations and helpful photographs, the authors present all phenomena associated with pelvic floor dysfunction. The authors begin with a detailed overview of the anatomy and physiology of the pelvic floor, and then discuss all state-of-the-art diagnostic and treatment strategies, from biofeedback and manual therapy to the causes of different types of pain and psychosocial problems. Detailed discussions of the specific issues associated with children, women, and men, as well as with rectal and anal dysfunction, follow. With its thorough coverage, this highly practical text is essential reading for all health care professionals who wish to provide their patients suffering from disorders of the pelvic floor with the best care available.

"Navigating the complex world of pelvic floor health can seem daunting, but you are not alone." In "The Pelvic Floor Handbook: A Guide to Understanding and Treating Pelvic Floor Disorders," we delve deep into one of the most crucial yet often overlooked components of our physical health – the pelvic floor. This comprehensive guide aims to enlighten readers about the significance of pelvic floor health, its influence on the overall well-being, and the multitude of disorders related to it. As you navigate through the book, you will get acquainted with the intricate anatomy and function of the pelvic floor. We clarify the causes behind various disorders, such as urinary incontinence, fecal incontinence, pelvic organ prolapse, and pelvic pain disorders, offering a practical roadmap to diagnosis and treatment options. From non-surgical treatments like pelvic floor exercises and biofeedback therapy to surgical interventions, this guide elucidates every step towards the recovery journey. It highlights the critical role of lifestyle modifications, including diet, hydration, exercise, and weight management, in enhancing pelvic floor health. The book further delves into specific sections about pelvic floor health during pregnancy and postpartum, for men, athletes, and aging adults, presenting preventive measures and coping strategies that cater to their unique needs. Readers will also find assistance in managing the emotional impact of pelvic floor disorders, thereby providing a holistic approach towards physical and mental health. Furthermore, the book uncovers the interconnection between pelvic floor health and sexual function, offering techniques to improve both. Alongside, the exploration of alternative and complementary treatments such as acupuncture, acupressure, chiropractic care, and herbal remedies, ensures readers have a wide array of options at their disposal. Lastly, we offer a glimpse into the future of pelvic floor disorder treatment, spotlighting advancements, ongoing research, and innovation in the field. "The Pelvic Floor Handbook: A Guide to Understanding and Treating Pelvic Floor Disorders" is a comprehensive resource for those aiming to reclaim control over their health, encouraging them to seek help, treatment, and ultimately, improve their quality of life.Table of contents: Introduction Overview of the pelvic floor Types of pelvic floor disorders Importance of understanding and treating pelvic floor disorders Anatomy and Function of the Pelvic Floor Muscles and tissues that make up the pelvic floor Functions of the pelvic floor Common causes of pelvic floor dysfunction Urinary incontinence Fecal incontinence Pelvic organ prolapse Pelvic pain disorders Diagnosis of Pelvic Floor Disorders Physical exam and medical history Imaging tests Urodynamic testing Non-Surgical Treatment Options for Pelvic Floor Disorders Pelvic floor exercises Biofeedback therapy Medications for pelvic floor disorders Surgical Treatment Options for Pelvic Floor Disorders Types of surgery for pelvic floor disorders Risks and benefits of surgery Recovery and rehabilitation after surgery Lifestyle Changes to Improve Pelvic Floor Health Diet and hydration Exercise and physical activity Weight management Pelvic Floor Health During Pregnancy and Postpartum Changes to the pelvic floor during pregnancy Preventing and treating pelvic floor disorders after childbirth Pelvic floor exercises during pregnancy and postpartum Pelvic Floor Health for Men Pelvic floor disorders in men Diagnosis and treatment options for men with pelvic floor disorders Pelvic floor exercises for men Pelvic Floor Health for Athletes Common pelvic floor disorders in athletes Preventing and treating pelvic floor disorders in athletes Pelvic floor exercises for athletes Pelvic Floor Health for Aging Adults Changes to the pelvic floor with age Preventing and treating pelvic floor disorders in aging adults Pelvic floor exercises for aging adults Coping with the Emotional Impact of Pelvic Floor Disorders The emotional toll of pelvic floor disorders Coping strategies for dealing with pelvic floor disorders Support resources for people with pelvic floor disorders Pelvic Floor Health and Sexual Function The relationship between pelvic floor health and sexual function Treating pelvic floor disorders to improve sexual function Pelvic floor exercises for improved sexual function Alternative and Complementary Treatments for Pelvic Floor Disorders Acupuncture and acupressure Chiropractic care Herbal remedies Future of Pelvic Floor Disorder Treatment Advancements in pelvic floor disorder treatment Research and innovation in pelvic floor health The future of pelvic floor health Conclusion Recap of key takeaways Encouragement to seek help and treatment for pelvic floor disorders ISBN: 9781776848072