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excessive, might present as the 'small penis syndrome', an obsessive rumination with compulsive checking rituals, body dysmorphic disorder, or as part of a psychosis. However, it is often a worry that can be described as within the normal experience of many men. Various potential causal factors are considered. A thorough assessment, normalizing the worry(More)
BACKGROUND Nowadays, Chlamydia trachomatis is known as a causative agent of infertility. Because of, asymptomatic nature of infection, many may suffer from its lasting complications such as infertility. This study was performed in Tehran during April 2007 to April 2008 to compare the prevalence of Chlamydia trachomatis infection in fertile and infertile(More)
INTRODUCTION UK primary care physicians are required to follow authoritative endorsed guidelines as part of their terms of service. The major influence on the management of erectile dysfunction in primary and secondary care between 1999 and 2007 has been Department of Health "guidance on good practice," a non-evidence-based document, essentially defining(More)
Human sexuality is an important part of the medical student undergraduate curriculum. A description of one of the most comprehensive and established training programmes in the UK is presented. A review of the students on the programme found a perceived improvement in the ability of knowledge in all of the objectives set within the training schedule. The(More)
OBJECTIVE The authors outline international training programs in human sexuality. METHODS The authors reviewed the international literature and Internet resources to identify key training opportunities and curricula, with particular emphasis on training opportunities for psychiatrists. RESULTS The authors outline key resources and training courses(More)
Despite differences in design, many large epidemiological studies using well-powered multivariate analyses consistently provide overwhelming evidence of a link between erectile dysfunction (ED) and lower urinary tract symptoms (LUTS). Preclinical evidence suggests that several common pathophysiological mechanisms are involved in the development of both ED(More)
The aim of this study was to examine management decisions made at the time of assessment of an episode of deliberate self-harm seen in the general hospital and examine the extent of referral to a specialized addiction unit. Factors involved in making a clinical decision regarding the appropriate management of self-harm cases when alcohol factors were(More)
INTRODUCTION In a number of tissue microcirculations, the phenomenon of vasomotion occurs where only a proportion of the total number of capillaries present are open at the same time; they normally open and close in a random or chaotic order, partly determined by the metabolic state of their surrounding cells. AIM A pilot to examine by(More)
AIM To investigate possible causes and treatment of persistent sexual arousal syndrome, which was exacerbated by sleep onset, in a postmenopausal subject. METHODS A clinical examination and interviews with the patient to obtain her case history and follow-up of the effects of drug treatments. Pretreatment laboratory investigations monitored vaginal blood(More)