Treatments for Persistent Genital Arousal Disorder in Women: A Scoping Review.

Background Persistent genital arousal disorder (PGAD) is characterized by elevated discomfort associated with persistent genital arousal in the absence of sexual desire. Aim To perform a scoping review of the proposed treatments for PGAD and their efficacy. Methods A scoping review was carried out (PRISMA-Scr) that included articles on PGAD as the main disorder, only in women, which explained, in detail, the treatment and its efficacy, was empirical, was written in English and Spanish. No prior filtering by years was performed. Outcomes Three different effective treatments were found (physical therapies, pharmacological therapies, and psychotherapeutics in combination with other therapies). Results Thirty-eight articles were selected. From physical therapies, treatments using neuromodulation, transcutaneous electrical stimulation, Botox, surgery, electroconvulsive therapy, manual therapy, pelvic floor therapy, dietary changes, and transcranial magnetic stimulation showed effectiveness. Using the pharmacological approach, paroxetine, duloxetine, pramipexole, ropinirole, and clonazepam treatments were effective. Psychotherapy treatments showed effectiveness only in combination with other types of treatments, specifically a combination of cognitive–behavioral strategies with pharmacological treatment. Clinical implications Pharmacological treatment, specifically SSRIs, have proven to be the therapy of choice for different subtypes of patients. Strengths and limitations This study analyzed treatment effectiveness with different approaches and took into consideration those articles where psychotherapy was used as a combination treatment with pharmacological and physical therapy. The main limitation is that it was focused exclusively on women, and the results cannot be generalized to include men. Conclusions To date, a combination of pharmacological interventions with physical therapy and, in some occasions, with psychological therapy is main strategy followed to accomplish effective treatment of PGAD.post-print311 K

Gestión de la comunicación aplicada

La gestión de proyectos aplicados se refiere al enfoque práctico y sistemático utilizado para planificar, organizar y controlar el trabajo necesario para completar un proyecto de manera eficiente y efectiva. Esto implica identificar los objetivos, definir las tareas y actividades necesarias para completar la propuesta, asignar recursos y establecer un cronograma para el trabajo. Además, monitorear y controlar el progreso del proyecto para asegurarse de que se está avanzando de acuerdo con el plan y tomar medidas para solucionar posibles problemas o desafíos que puedan surgir

Consequence of pornography use: Brief Report

Introduction: Despite the various investigations carried out to date, the debate on the possible harmful consequences of pornography remains open. There are different opinions on the possible negative or positive consequences of its use. Some authors argue that these consequences are measured by other variables such as attachment, sex education or personality traits, which will determine their magnitude. Method: The objective of this study is to obtain a brief and general approximation to the type of consumption of a Spanish-Speaking population (N=3.700), through a short survey, in order to meet a starting point that allows us to continue the research in this field. Results: The results highlight that 30- 45% of the participants could be suffering some difficulties derived from pornography use in different areas (Family, Social, Academic or Work), being unable to stop looking at pornography and using pornography as emotional regulation strategy. A large percentage of participants (55-70%) do not suffer any consequences. Only 7,06% of the subjects spent more money on online sex material than they had planned. Conclusions: It would be interesting to conduct an in-depth evaluation of the possible effects of pornography use and the variables that mediate this process, such as sexual education, personality traits, morality or attachment

Treatments for Persistent Genital Arousal Disorder in Women: A Systematic Review

Introduction and objectives: in the last few years there has been a growing scientific interest in Persistent Genital Arousal Disorder (PGAD). It is characterized by elevated discomfort associated with persistent genital arousal in the form of genital sensations or tenderness in the genital area, in the absence of sexual desire. It was included in the International Classification of Diseases (ICD-11) of the WHO. There are doubts and scarce data regarding its ethology, course, and treatment, so the aim of this study was to perform a systematic review of the proposed treatments and their efficacy

Treatments for Persistent Genital Arousal Disorder in Women: A Scoping Review

Background: Persistent genital arousal disorder (PGAD) is characterized by elevated discomfort associated with persistent genital arousal in the absence of sexual desire. Aim: To perform a scoping review of the proposed treatments for PGAD and their efficacy. Methods: A scoping review was carried out (PRISMA-Scr) that included articles on PGAD as the main disorder, only in women, which explained, in detail, the treatment and its efficacy, was empirical, was written in English and Spanish. No prior filtering by years was performed. Outcomes: Three different effective treatments were found (Physical therapies, pharmacological therapies, and psychotherapeutics in combination with other therapies). Results: Thirty-eight articles were selected. From physical therapies, treatments using neuromodulation, transcutaneous electrical stimulation, Botox, surgery, electroconvulsive therapy, manual therapy, pelvic floor therapy, dietary changes, and transcranial magnetic stimulation showed effectiveness. Using the pharmacological approach, paroxetine, duloxetine, pramipexole, ropinirole, and clonazepam treatments were effective. Psychotherapy treatments showed effectiveness only in combination with other types of treatments, specifically a combination of cognitive–behavioral strategies with pharmacological treatment. Clinical implications: Pharmacological treatment, specifically SSRIs, have proven to be the therapy of choice for different subtypes of patients. Strengths and limitations: This study analyzed treatment effectiveness with different approaches and took into consideration those articles where psychotherapy was used as a combination treatment with pharmacological and physical therapy. The main limitation is that it was focused exclusively on women, and the results cannot be generalized to include men. Conclusions: To date, a combination of pharmacological interventions with physical therapy and, in some occasions, with psychological therapy is main strategy followed to accomplish effective treatment of PGAD. Martín-Vivar M, Villena-Moya A, Mestre-Bach G, et al. Treatments for Persistent Genital Arousal Disorder in Women: A Scoping Review. J Sex Med 2022;19:961–974

Actualización y reflexiones en sexología

Resumen Se presenta en esta sección una revisión de los artículos científicos de mayor impacto publicados entre mayo y agosto del 2023 en las revistas internacionales sobre Sexología con mayor reconocimiento a nivel nacional e internacional (Journal of Sexual Medicine; International Journal of Sexual Health; Archives of Sexual Behavior; Sex roles; Sexual Health & Compulsivity, Psychology and Sexuality; Culture, Health and Sexuality; DeSexología, Psicología de la orientación sexual y la diversidad, American Journal of Sexual Education, Journal of Sex & Marital Therapy y Violence Against Woman)