1/2. Marital sexual dysfunction: female dysfunctions.The diagnosis, treatment, and referral of married women with sexual dysfunctions require information about the current physiologic deficit, previous sexual capacity, level of sexual desire, masturbatory experience, means of orgasmic attainment, preferred sexual partner, quality of marriage, husband's sexual capacities, and method of contraception. For classification purposes, the three basic physiologic deficits--excitement phase dysfunction, orgasmic phase dysfunction, and vaginismus--are subdivided into primary and secondary types. Primary dysfunctions represent longstanding developmental problems and are usually purely psychological in origin. Secondary dysfunctions occur after a period of normal sexual functioning and may be organic or psychological in origin. The actual determinants of dysfunctions are not well understood, but those factors commonly associated are discussed. The lack of knowledge about the nature of sexual desire, prevalence of dysfunctions, and significance of the inability to attain orgasm with coitus is emphasized. The physician's role in giving advice and treatment is defined.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/2. False allegations of pregnancy resulting from incestuous rape and physician misconduct: proof positive.BACKGROUND: The veracity of adult allegations of remote childhood sexual abuse have been the focus of intense debate fueled by the controversy over both repressed and false memory syndromes. Likewise, increased awareness of physician misconduct in recent years has mandated numerous policy statements and task force guidelines to protect patients. CASE: A 23-year-old woman alleged that she had suffered incestuous rape at age 12 years, resulting in pregnancy. She named a physician who she claimed had performed an illegal pregnancy termination. Subsequent evaluations revealed that she had uterovaginal agenesis. CONCLUSION: Neither sexual abuse nor physician misconduct should be tolerated, and all such allegations deserve thorough and expeditious investigations. However, we must remain cognizant that any such allegation may be false and have devastating consequences for the unjustly accused.- - - - - - - - - - ranking = 7keywords = physician (Clic here for more details about this article) |