Veidlapa Nr. M-3 (8)
Study Course Description
Clinical Sexology
Course Code
RSS_020
Branch of Science
Clinical medicine
ECTS
48.00
Target Audience
Medicine
LQF
Level 8
Study Course Implementer
Course Supervisor
Anatolijs Požarskis
Residency Speciality
Speciality
Sexologist, sex pathologist
Supervisor of Medical Speciality
Anatolijs Požarskis
Contacts
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About Study Course
Objective
To ensure the acquisition and improvement of theoretical knowledge and practical skills, in accordance with the requirements of the specialty of sexologist, sexopathologist, in order to prepare the doctor for certification in the specialty of sexologist, sexopathologist, in accordance with the regulatory documents of the Republic of Lithuania.
Learning Outcomes
Knowledge
1.Characteristics of normal sexuality and its diversity; epidemiology of sexual disorders, clinic, diagnosis, differential diagnosis, treatment.
Skills
1.Assess the sexological patient: collect anamnesis, perform a physical examination, order additional examinations (instrumental, laboratory), order treatment, evaluate the results of treatment.
Competences
1.Examples include applying the acquired knowledge, skills and attitude to therapeutic work in the clinic, research activities, public educational work in the mass media.
Assessment
Individual work
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Title
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% from total grade
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Grade
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1.
Individual work |
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Evaluation of 200 patients with sexual disorders, prescribing and management of treatment under the supervision of a certified sexologist - sexopathologist, evaluation of treatment results with a certified sexologist - sexopathologist.
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Examination
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Title
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% from total grade
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Grade
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|---|---|---|
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1.
Examination |
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10 points
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Practical works 90% (Diagnosis, treatment of sexological patients). Final exam: oral exam: analysis of 3 clinical cases - 10%. |
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Study Course Theme Plan
FULL-TIME
Part 1
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Seminar
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Modality
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Location
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Topics
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Human sexuality, its expression at different stages of life: newborns, children, teenagers, adults. The concept of libido from the perspective of psychoanalytic theory. Phases of Z. Freud's theory of sexual development.
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Seminar
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Modality
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Location
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Topics
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Mental health is a prerequisite for the development of normal sexuality.
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Seminar
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Modality
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Location
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Topics
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Understanding the norm and pathology in sexology, from the perspective of different religions and cultures, and their historical review. Sexual complexes (male, female, common).
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Seminar
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Modality
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Location
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Topics
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Sexual orientation: heterosexual, homosexual, bisexual, asexual. Theories of formation of sexual orientation. Kinsey Sexuality Scale. Sexual disorders related to sexual orientation: disorders of sexual maturity, egodystonic sexual orientation, sexual relationship disorders.
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Seminar
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Modality
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Location
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Topics
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The concept of pansexuality. Theories of formation of asexuality, pansexuality. Sexual orientation, sexual identity, sexual behavior. Intrapsychic conflicts in individuals with sexual orientation, sexual identity, sexual behavior inconsistency. Clinical implications of conflict.
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Seminar
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Modality
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Location
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Topics
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Peculiarities of the sexual life of gay and lesbian couples, sexual disorders in gays and lesbians.
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Seminar
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Modality
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Location
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Topics
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Sexual response in men and women. Sexual motivation. Patterns of sexual response. Masters and Johnson linear model. H. Kaplan DEOR model, Basson model. Multifactorial models: Fisher model, double control model, other modern models of sexual response.
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Seminar
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Modality
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Location
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Topics
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The cycle of the sexual act: sexual desire, the role of the brain, the role of sex hormones. Sexual arousal, emotional and physical component. Orgasm. Inhibition phase.
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Seminar
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Modality
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Location
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Topics
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Erectile dysfunction. Psychogenic, organic. Etiology, pathogenesis, diagnosis, treatment.
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Seminar
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Modality
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Location
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Topics
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Premature ejaculation, primary, secondary. Etiology, pathogenesis, diagnosis, treatment.
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Seminar
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Modality
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Location
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Topics
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Delayed ejaculation, retrograde ejaculation, anejaculation, anorgasmia. Etiology, pathogenesis, diagnosis, treatment.
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Seminar
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Modality
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Location
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Topics
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Decreased libido in men. Etiology, pathogenesis, diagnosis, treatment.
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Seminar
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Modality
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Location
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Topics
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Hormones and male sexuality. Effects of prolactin, thyroid hormones, adrenal hormones, growth hormone, oxytocin, melanocortin, melatonin on male sexuality. Sexual disorders caused by the imbalance of the aforementioned hormones, their diagnosis and treatment.
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Seminar
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Modality
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Location
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Topics
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Other male genital diseases. Priapism. Peyronie's disease. Penile curvature. Phimosis, paraphimosis. Prostate cancer and sexual dysfunction. Sexual rehabilitation after radical prostatectomy.
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Seminar
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Modality
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Location
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Topics
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Female sexual disorders: lack or loss of sexual desire, genital response disorders, orgasmic disorders, vaginismus. Epidemiology, etiology, pathogenesis, treatment.
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Seminar
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Modality
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Location
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Topics
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Dysparenia in men and women. Etiology, pathogenesis, treatment. Post-orgasmic illness syndrome. Etiology, pathogenesis, treatment.
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Seminar
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Modality
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Location
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Topics
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Sexual dysfunctions in menopausal women.
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Seminar
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Modality
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Location
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Topics
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Hypersexuality in men and women. Etiology, pathogenesis, treatment.
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Seminar
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Modality
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Location
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Topics
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Gender identity disorders: transsexualism, bisexual transvestism, gender identity disorders in childhood. Epidemiology, etiology, pathogenesis of transsexualism. Treatment guidelines.
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Seminar
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Modality
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Location
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Topics
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Paraphilia or sexual preference disorder. Types, epidemiology, etiology, pathogenesis. Personality characteristics of patients with paraphilias. Theories of formation of paraphiles. Psychodynamic theories of paraphilia.
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Seminar
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Modality
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Location
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Topics
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Introduction to criminal sexology, forensic sexology, methods. Sexual crimes and legislation (LR Criminal Law, EU). Sects whose activities are of a sexual nature.
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Seminar
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Modality
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Location
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Topics
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Sadomasochism. Epidemiology, etiology, pathogenesis. Concept of BDSM, BDSM culture. Peculiarities of sexual life of BDSM practitioners. Radical, criminal forms of sadism.
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Seminar
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Modality
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Location
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Topics
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Forensic medical expertise. Sexual murders (KL Chapter XII). Rape (KL 159.p.).
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Seminar
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Modality
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Location
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Topics
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Pedophilia. Epidemiology, etiology, pathogenesis. Necrophilia, zoophilia. Epidemiology, etiology, pathogenesis. Guidelines for the treatment of paraphilias.
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Seminar
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Modality
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Location
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Topics
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Criminal sexology. Pedophilia (F65.4). Sexual violence, lewd acts, enticement into lewdness - articles 160-162 of the Criminal Code of the Russian Federation.
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Seminar
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Modality
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Location
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Topics
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Masturbation (maladaptive, substitutive, intrusive, etc.). Autoasphexia, pornography, voyeurism, exhibitionism. These disorders in the context of Criminal Sexology.
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Seminar
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Modality
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Location
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Topics
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Examination of patients with sexual disorders: collection of anamnesis, physical examination, questionnaires and scales. Requirements for communication with the patient: confidentiality, empathy. Laboratory and instrumental investigation methods.
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Seminar
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Modality
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Location
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Topics
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Methods of treatment of sexual disorders: Cognitive-behavioral psychotherapy, sex-therapy according to H. Kaplan, psychodynamic psychotherapy.
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Seminar
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Modality
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Location
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Topics
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Sex aids, their use for patients with sexual problems, disabilities, in couples therapy, for quality and safe improvement of sex life. Sex during pregnancy. Factors influencing sexual safety.
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Seminar
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Modality
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Location
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Topics
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Clinical Pharmacology: Medications for Sexual Disorders. Sexual disorders caused by various drugs and chemicals.
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Total ECTS (Creditpoints):
48.00
Number of Residency Seminars:
30
Length (weeks):
36
Final Examination:
Residency exam (Theory and practice)
Bibliography
Required Reading
1.
Burnett, A. L. et al. 2018. Erectile Dysfunction: AUA Guideline. American Urological Association Education and Research, Inc.
2.
Carruthers, M. 2001. Androgen Deficiency in the Adult Male. London: Taylor & Francis.
3.
Cobbs, E. 1999. Geriatric Review Syllabus: A Core Curriculum in Geriatric Medicine. 4th ed. New York: American Geriatrics Society.
4.
Erenpreiss, J., Fodina, V., Pozarska, R., Zubkova, K., Dudorova, A. and Pozarskis, A. 2019. Prevalence of testosterone deficiency among aging men with and without morbidities. Aging Male. 1,1-5. doi: 10.1080/13685538.2019.1621832.
5.
Feldman, H. A., Goldstein, I., Hatzichristou, D. G. et al. 1994. Impotence and its medical and psychosocial correlates: results of the Massachusetts Male Aging Study. J Urol. 151(1), 54-61.
6.
Feldman, I. R. et al. 2002. Age trends in the level of serum testosterone and other hormones in middle aged men: longitudinal results from the Massachusetts Male aging study. J Clin Endocrinol Metab. 87‒92.
7.
Gabbarrd, G. O. 1994. Psychodynamic Psychiatry in Clinical Practice. 4th ed.
8.
Gabbarrd, G. O. 2005. Psychodynamic Psychiatry in Clinical Practice. 4th ed.
9.
Hatzimouratidis, K., Amar, E., Eardley, I. et al. 2010. Guidelines on male sexual dysfunction: erectile dysfunction and premature ejaculation. Eur Urol. 57(5), 804-814.
10.
Jockenhovel, F. 2004. Male Hypogonadism. Bremen: Germany International Medical Publishers.
11.
Kaplan, H. S. 1974. The New Sex Therapy. New Yourk: Taylor & Francis.
12.
Kirana, P. S., Tripodi, F., Reisman., Y. and Porst., H. 2015. The EFS and ESSM Syllabus of Clinical Sexology. Amsterdam: Medix.
13.
Lunenfeld, B. 2002. Textbook of Men’s Health. Midsomer Norton: The Parthenon Publishing Group.
14.
Lunenfeld, B., Mskhalaya, G., Zitzmann, M. et al. 2015. Recommendations on the diagnosis, treatment and monitoring of hypogonadism in men. The Aging Male. 2, 1-11.
15.
Lue, T. et al. 2003. Clinical Manual Of Sexual Medicine. Sexual Dysfunctions in Men.
16.
Požarskis, A. and Ērenpreiss, J. 2010. Late – onset hypogonadism: review of the problem. Procceedings of the Latvian Academy of Sciences. Section B. 64(3/4), 93-97.
17.
Požarskis, A. and Lejnieks, A. 2019. Detection of Late - onset hypogonadism in Men with chronic internal diseases. Proceedings of the Latvian Academy of Sciences. Section B. 73(1 (718)), 24-33.
18.
Thibaut, F. et al. 2010. The World Federation of Societies of Biological Psychiatry (WESP), Guidelines for the biological treatment of paraphilias. The World Journal of Biological Psychiatry. 11, 604-655
Additional Reading
1.
Kaplan, H.L. and Sadock, B.J. 2003. Comprehensive Textbook of Psychiatry. 9th ed., 2 vol.
2.
Kula, K. and Slowikowska-Hilczer, J. 2000. Sexual differentiation of the human brain. Przegl Lek. 57(1), 41-44.
3.
McBride, J. A., Culley, C. C. and Coward, R. M. 2015. Diagnosis and management of testosterone deficiency. Asian Journal of Andrology. 17, 177-186.
4.
McWilliams, N. 1994. Psychoanalytic Diagnosis. Understanding Personality Structure in the Clinical Process.
5.
Michaud, J. E., Billups K. L. and Partin A.W. 2015. Testosterone and prostate cancer: an evidence-based review of pathogenesis and oncologic risk. The Adv Urol. 7(6), 378-387.
6.
Morales, A. 2005. Endocrine Aspectc of Men Sexual Dysfunkcion.
7.
Plaut, S. M., Graziottin, A.and Heaton, J., PW. 2004. Sexual Dysfunction. Abingdon: Health Press Limited.
8.
Reisman, Y., Porst, H., Lowenstein, L. et al. 2015. The ESSM Manual of Sexual Medicine. Amsterdam: Medix.
9.
Tajar, A., Huhtaniemi, I. T., O'Neill, T. W. et al. 2012. Characteristics of androgen deficiency in late-onset hypogonadism: results from the European Male Aging Study (EMAS). J Clin Endocrinol Metab. 97(5), 1508-1516.
10.
Vigen, R., O'Donnell, C. I., Baron, A. E. et. al. 2013. Association of testosterone therapy with mortality, myocardial infarction and stroke in men with low testosterone levels. JAMA. 310(17), 1829-1836.
Other Information Sources
1.
WPATH. 2012. Standards of Carefor the Health of Transsexual, Transgender, and Gender –Nonconforming People, The World Professional Association for Transgender Health. Available from: https://www.wpath.org/publications/soc
2.
ClinicalKey. Available from:https://www.clinicalkey.com
3.
Medscape. Available from: http://emedicine.medscape.com/
4.
UpToDate. Available from: http://www.uptodate.com/home