By Kevan R. Wylie
ABC of Sexual Health presents a complete evaluate of this significant, yet tough topic and comprises examining assets in addition to info on specialist societies, sufferer teams and on-line resources.
Fully revised and accelerated to hide a number new content material and subject matters together with mental, urological, gynaecological, endocrinological and psychiatric facets of sexual healthiness, the results of drugs, sexual disorder, sexual orientation, gender identification, paraphilias, forensic sexology, dermatoses, and psychosexual treatment and education.
ABC of Sexual Health is a realistic advisor for all common practitioners, kin physicians, trainees and scientific scholars eager to enhance speaking, reading and coping with sufferers with sexual illnesses.
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Extra resources for ABC of Sexual Health
A perimeatal barrier preparation is recommended. Failure to respond to medical treatment usually means the patient will require a circumcision. Close liaison with the urology team may be necessary as patients may require not just simple circumcision but frenuloplasty, meatotomy and meatal dilatation and complex plastic surgical repairs. g. if the lesion is verrucous, eroded or not responding to treatment). Both medical and surgical therapy may be necessary for patients. Active inflammatory disease may be treated under supervision with ultrapotent topical steroids.
Lichen planus Lichen planus is a common inflammatory dermatosis that often affects the genitals in both men and women. The cause is unknown and the disease is usually self-limiting. Typically, the rash is symmetrical and itchy/burning. 12). Lichen planus usually responds to topical steroids, although treatment may need to be prolonged. Erosive genital disease rarely responds to anything other than circumcision. 11 Psoriasis management • Symptoms Mouth and genitals Nails Clinical features Flat-topped purple/ white shiny papules and plaques with lacy surface (Wickham’s striae) May be discrete or conﬂuent, Koebnerise Non-speciﬁc balanitis, discrete lesions, annular lesions on penis.
Any significant curvature should be noted. In the non-erect state, it is between 5 and 10 cm long. However, if the patient is anxious or there is fat around the pubic area it may appear smaller. The penis should be examined in a methodical manner, to include inspection and where appropriate palpation of the glans and meatus, coronal and subcoronal areas, the outer foreskin where present and the dorsal (corpora cavernosa) and ventral shaft (corpus spongiosum). g. warts) or ulceration. The man should be asked to retract his foreskin where present.
ABC of Sexual Health by Kevan R. Wylie