Male patients can present with a genital skin burning sensation that bears similarities to vulvodynia. The classification of vulvodynia by International Society for the Study of Vulvovaginal Disease of vulvodynia provides a blueprint for nomenclature and classification of Dysaesthetic penoscrotodynia (DPSD). Recognizing DPSD as generalized, localized, provoked, unprovoked and mixed will enable precise and objective communication between practitioners. Learning from research on the aetiology and management of vulvodynia can improve the care of patients suffering with DPSD. Scope remains for better acknowledgement of DPSD within the medical profession and improvement in its public profile in order to enhance patient care.
Alcohol, the oldest drug known to the human race, is widely perceived to affect sexual behaviour. The general public, scientific, medical and judicial establishments share and express interest in the potential effects of alcohol on the sexual behaviour of individuals. The understanding of the current state of medical knowledge, regarding the effect of alcohol on sexual behaviour, is of particular interest for the development of sexually transmitted diseases control strategies, and may be called upon for investigating alleged assault and rape. The perceived effects are influenced by historical, mythological, cultural, religious, physiological, pharmacological, expectancy, personal and legislative factors. The potential effects are investigated through surveys, global/situational association studies and placebo-controlled experiments. This article provides a review of literature and a summary of the current state of knowledge regarding the correlation between alcohol and sexual behaviour.
The concordance of C. trachomatis between sexual partners is in the region of 75%. This strengthens the case for epidemiological treatment for all consorts.
Genital hyperesthesia is more recognized in women but may affect men. We report both a female and a male patient in whom caffeine intake was associated with genital hyperesthesia.
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