Psychiatria pre prax 1/2012

Some actualities in a therapy for sexual dysfunctions

Recent advances in pharmacotherapy in erectile dysfunctions have profoundly influenced our clinical praxis. Efficiency of these medicaments seems to be excellent. But it remains very important not to put out of mind substantial importance of psychotherapy and sexotherapy by men and women with sexual dysfunction. In the pharmacotherapy of sexual dysfunction by men is possible to anticipate other molecules with inhibitory effects on PDE5. Some dopaminergic medicaments (bromocriptin, cabergolin) demonstrate stimulative effects on sexual activity of both women and men. In the treatment of ejaculatio praecox some progress is connected with dapoxetine as an effective treatment alternative. Only limited progress is achieved in pharmacotherapy of sexual dysfunction by women.

Keywords: sexual dysfunctions, pharmacotherapy, actualities.