ESSM Newsletter # 37

13 ESSM Today a proper estimation of the risk of postoperative orgasmic function impairment are still lacking. Likewise, little evidence regarding the manage- ment of postoperative ODs is currently available. In general, physicians should be aware of the prevalence of ODs after RP, in order to properly counsel all patients both preoperatively and im- mediately post-RP about the potential occurrence of bothersome and distressful changes in their overall sexual function. FEMALE SEXUAL DYSFUNCTION: Mendonça CR et alt: Sexual dysfunction in infertile women: A systematic review and meta-analysis. Eur J Obstet Gynecol Reprod Biol. 2017 Jun 7;215:153-163. This study aimed to assess the prevalence of sexual dysfunction and Female Sexual Func- tion Index (FSFI) score in women with infertility. A systematic search of the literature was con- ducted using PubMed, EMBASE, IBECS, and LILACS. The search was limited to articles published from January 2000 to September 2016, without language restriction. Data were analyzed using Stata 12.0. Random effects meta-analyses in weighted mean difference (WMD) were performed for six comparative studies (infertility versus fertility). Heterogeneity was estimated using I2. Moreover, to explore the heterogeneity sources among the studies, meta- regression analyses were also performed. Qual- ity of evidence was assessed using the grading of recommendations assessment, development, and evaluation guidelines, and risk of bias, with a graphic funnel. Meta-analysis was performed in 11 of 13 comparative studies. The result indicated a significant association between an increase in sexual dysfunction and infertility in women (WMD =-0.16, 95% confidence inter- val =-0.254 to -0.084, p<0.001), and high heterogeneity between studies was noted (I2 = 98.6%, p<0.000). Meta-regression analysis did not indicate heterogeneity (I2 = 0.00%). We also performed a meta-anal- ysis of individual FSFI domains in 10 studies. Infertile women had problems with lubrication, orgasm, and satisfaction. Meta-regression analysis also showed that heterogeneity had no influence on the final results of all the analyses. Infertility was associated with an increase in female sexual dysfunction. The most affected areas of sexual function were lubrication, or- gasm, and satisfaction. SEXUAL PROBLEMS: Rowland DL et alt: The Burden of Sexual Problems: Perceived Effects on Men’s and Women’s Sexual Partners. J Sex Res. 2017 Jun 20:1-10. Sexual dysfunction sometimes negatively af- fects the individual, his or her partner, and the relationship. We investigated the relationship between the distress experienced by men and women with orgasmic phase difficulties and the perceived distress of their partner(s). We also identified predictors of perceived partner dis- tress, and related self and partner distress to severity of the problem and relationship quality. Data were drawn from 374 men with prema- ture ejaculation (PE) and 377 women with anor- gasmia who responded to a survey regarding their sexual functioning, including their distress about their condition and the perceived distress of their partners. Results yielded an overall dis- tress score consisting of combined self and per- ceived partners distress, with women showing a higher overall score and higher perceived partner distress than men. For men, significant predictors of perceived partner distress included self-distress, relationship quality, interest in sex, and arousal difficulty; for women, only the level of self-distress significantly predicted perceived partner distress. These findings indicate the burden of experiencing sexual difficulty, identify factors related to perceived partner distress, and demonstrate differences in self versus partner distress across men and women. Overall, such findings reiterate the strong need for the inclu- sion of the partner in any attempted remediation of a sexual problem. Have you read ? Best of the Best: Clinical MJCSM The Multidisciplinary Joint Committee of Sexual Medicine More information is available at www.mjcsm.org and www.essm.org Become a Fellow of the European Committee of Sexual Medicine (FECSM) Become a Certified Trained Center