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Doody's Review ServiceReviewer: Valerie A Omicioli, M.D.,M.S(Washington University School of Medicine)
Description: This book provides a comprehensive source of evidence-based information on the etiology, diagnosis, and treatment of women's sexual dysfunction.
Purpose: With approximately one third of women worldwide experiencing sexual dysfunction, this timely book addresses an important health problem.
Audience: The editors integrate a multidisciplinary and multicultural approach, targeting a broad audience of practitioners who care for women with sexual health concerns.
Features: The first of four sections provides a brief, historical perspective of sexual research from Kinsey to the International Society for the Study of Women's Sexual Health. Section 2 ambitiously covers a broad landscape, including international epidemiology, the sociology of love, innervation of the vulva, the cellular and molecular mechanisms of sexual arousal, and many of the topics related to the physiologic and pathophysiologic mechanisms of sexual dysfunction. Section 3 focuses on assessment and treatment. Chapters related to genital blood flow, neurophysiologic testing, hormonal evaluation and the entire universe of treatment modalities are presented, including psychological interventions, hormonal and surgical therapies. Illustrations, anatomic drawings, and color photographs enhance sections on diagnosis and treatment. Chapters describing difficult cases provide added depth to treatment modalities. The final section of this encyclopedic text discusses education and outreach strategies, and creating a culture of open communication about sexual problems. The book suffers from variation in style from chapter to chapter, common to most multiauthored texts. Data are presented in inconsistent formats. Pertinent studies about efficacy of therapeutic interventions are detailed in outcome tables in Chapter 14.1 on non-hormonal treatment, but such helpful tables are noticeably absent regarding hormonal therapies in Chapters 13.1 and 13.2.
Assessment: Clinicians looking for a concise overview of female sexual dysfunction should look elsewhere, but for those in search of a detailed reference that addresses the entire spectrum of female sexual dysfunction, this book sets the standard.