Michael A Perelman

The New York Presbyterian Hospital, Weill Medical College of Cornell University, New York, NY, USA

Introduction: The False Dichotomy 14

Models for Treating Sexual Dysfunction 15

Sex Therapy 15

Medical Treatments for Erectile Dysfunction 17

New Sexual Pharmaceuticals: Success or Failure 18

Success of the New Treatments 18

Barriers to Treatment Success 18

Identifying Psychosocial Barriers to Success 19

Combination Therapy: The Road to Success 21

Combination Therapy: A Brief Relevant History 21 Combination Therapy for Sexual Dysfunction: Integrating

Sex Therapy and Sexual Pharmaceuticals 22

Combination Therapy Guidelines: Who, How, and When? 22

Categorizing Psychosocial Obstacles to Treatment 23

Sexual Dysfunction Treatment Guidelines 23

Sex Counseling Tips for Clinicians 24

The Focused Sex History 25

Patient Preference, Sexual Scripts, and Pharmaceutical Choice 27

Follow-up and Therapeutic Probe 29

Partner Issues

Cooperation vs. Attendance Partner Consultation?

36 3S 39

Weaning and Relapse Prevention

When to Refer?

Integration vs. Collaboration Case Study: Roberto

Working Together: A Multidisciplinary Team Approach

Case Study: Jon and Linda

Summary and Conclusion


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