Sexually Transmitted Diseases and Sexual Function
Hossein Sadeghi-Nejad MD,
Marlene Wasserman BA, MA, DHS,
Wolfgang Weidner MD,
Daniel Richardson BSc, MRCP,
David Goldmeier MD,
Corresponding Author
Hossein Sadeghi-Nejad MD
UMD New Jersey Medical School, Newark and Hackensack University Medical Center, Hackensack, NJ, USA;
Hossein Sadeghi-Nejad, MD, Department of Surgery, UMDNJ New Jersey Medical School, Division of Urology, 185 South Orange Avenue, MSB G 536, Newark, NJ 07103-2714, USA. Tel: 973-972-4488; Fax: 973-395-7197; E-mail: [email protected]Search for more papers by this authorMarlene Wasserman BA, MA, DHS
Sexual Health Center, Cape Town, South Africa;
Search for more papers by this authorWolfgang Weidner MD
University of Giessen, Urology, Pediatric Urology and Andrology, Giessen, Germany;
Search for more papers by this authorDaniel Richardson BSc, MRCP
Royal Sussex County Hospital, and Genitourinary Medicine, Brighton, UK;
Search for more papers by this authorDavid Goldmeier MD
Imperial College NHS Trust at St Mary's Hospital, London, UK
Search for more papers by this authorHossein Sadeghi-Nejad MD,
Marlene Wasserman BA, MA, DHS,
Wolfgang Weidner MD,
Daniel Richardson BSc, MRCP,
David Goldmeier MD,
Corresponding Author
Hossein Sadeghi-Nejad MD
UMD New Jersey Medical School, Newark and Hackensack University Medical Center, Hackensack, NJ, USA;
Hossein Sadeghi-Nejad, MD, Department of Surgery, UMDNJ New Jersey Medical School, Division of Urology, 185 South Orange Avenue, MSB G 536, Newark, NJ 07103-2714, USA. Tel: 973-972-4488; Fax: 973-395-7197; E-mail: [email protected]Search for more papers by this authorMarlene Wasserman BA, MA, DHS
Sexual Health Center, Cape Town, South Africa;
Search for more papers by this authorWolfgang Weidner MD
University of Giessen, Urology, Pediatric Urology and Andrology, Giessen, Germany;
Search for more papers by this authorDaniel Richardson BSc, MRCP
Royal Sussex County Hospital, and Genitourinary Medicine, Brighton, UK;
Search for more papers by this authorDavid Goldmeier MD
Imperial College NHS Trust at St Mary's Hospital, London, UK
Search for more papers by this authorABSTRACT
Introduction. There is a need for state-of-the-art information in the area of sexually transmitted infections (STIs) in relation to sexual function. There are an estimated 60 million people living with and 340 million with treatable STIs. Surveys show sexual problems to be as high as 35% for men and 55% for women; however, there is little research directly assessing relationships between infection and sexual function.
Aim. To show that STIs are associated with (and may cause) sexual dysfunction. Conversely, sexual dysfunction can increase patients' risk of STI acquisition. In men, erectile dysfunction (ED) associated with condom use may lead to unsafe sexual practices and, hence, STI acquisition. The role of various therapies including phosphodiesterase type 5 inhibitors in the treatment of ED in positive men taking social drugs will be explored.
Methods. To provide state-of-the-art knowledge concerning sexual function and STIs, representing the opinions of five experts from four countries developed in a consensus process and encompassing a detailed literature review over a 2-year period.
Main Outcome Measure. Expert opinion was based on the grading of evidence-based medical literature, widespread internal committee discussion, public presentation, and debate.
Results. This article highlights major factors causing the spread of STIs and suggests management interventions to prevent further spread of HIV/STIs, focusing on the juxtaposition between STIs and sexual functioning. Women's unique vulnerabilities to HIV/STIs (biological and physiological issues, gender-based violence, gender inequity) and their impact on women's sexual function are reviewed. Similarly, men's unique vulnerabilities to HIV/STIs including condom use, disclosure, voluntary counseling and testing, multiple concurrent sexual partners, and recreational drug use—particularly in homosexual men—are explored, as is the association of prostatitis and sexual function. Lastly, the article reviews the relationship between circumcision and sexual dysfunction.
Conclusions. A multidimensional approach to achieve optimal treatment outcomes should be embraced. Sadeghi-Nejad H, Wasserman M, Weidner W, Richardson D, and Goldmeier D. Sexually transmitted diseases and sexual function. J Sex Med 2010;7:389–413.
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