Behavioural Therapy and Counselling

Jannini, Emmanuele A.; Lenzi, Andrea; Wagner, Gorm

doi:10.1007/3-540-33713-x_100

Cited by 15 publications

(7 citation statements)

References 37 publications

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“…The multidisciplinary approach, cornerstone of the successful treatment of transsexual subjects, is well highlighted throughout the paper. Endocrinologists have to work together with mental health professionals and surgeons to provide full counselling, confirm the diagnosis, and avoid mistakes or regrets (7). Indeed, hormonal treatment not only has a therapeutic role but also is an important diagnostic tool.…”

mentioning

confidence: 99%

Endocrine treatment of transsexual persons: an Endocrine Society Clinical Practice Guideline: commentary from a European perspective

Meriggiola

Jannini

Lenzi

et al. 2010

European Journal of Endocrinology

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The treatment of transsexual subjects is a challenging task for the endocrinologist who, in collaboration with the mental health professional and the surgeon, is called upon to confirm the diagnosis and adjust hormonal treatment aimed at suppressing endogenous sex hormones and to develop hormone characteristics of the desired gender. These guidelines are structured to provide evidence-based suggestions or, where evidence is lacking, expert recommendations on diagnostic procedures and hormonal treatment in adolescent and adult transsexuals, including long-term care and eligibility for surgery. The multidisciplinary approach to treatment, the additional diagnostic role of hormone administration and the need to maintain hormone levels within the physiological range are key suggestions stressed in the guidelines which are particularly important for an endocrinologist unfamiliar with this field. The need for psychological assessment before surgery is not common in many countries and should be stressed further in the guidelines. Some important issues such as time and method of hormone withdrawal before surgery together with when and which hormones should be administered after sex reassignment surgery has been completed also remain unclear. These guidelines represent a pivotal document for endocrinologists setting a standard for the care of transsexuals and providing directions for future research.

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mentioning

confidence: 99%

Endocrine treatment of transsexual persons: an Endocrine Society Clinical Practice Guideline: commentary from a European perspective

Meriggiola

Jannini

Lenzi

et al. 2010

European Journal of Endocrinology

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“…With regard to education level associated with KS, in accordance with the present results, recent studies have shown that individuals with sex chromosome trisomies had marked difficulties in speech and language, motor skills, and educational achievement and, hence, they had impairments in basic psychophysiological mechanisms in the area of visuo‐motor control and sensory gating 29,30 . It is important to remember that the diagnosis and therapy of andrological diseases interact with two biological functions – fertility and sexuality – that are more sensitive to psychological, educational, cultural, religious and social factors than any other body function 31 . An early diagnosis is useful in order to plan different types of rehabilitation, where the need is documented 28 .…”

Section: Discussionmentioning

confidence: 99%

Clinical and social characteristics of Korean men with Klinefelter syndrome

et al. 2012

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Abbreviations & AcronymsObjectives: To investigate the characteristics of Klinefelter syndrome in a consecutive series of men consulting for sexual as well as fertility problems in Korea. Methods: A total of 179 men with non-mosaic 47,XXY Klinefelter syndrome of the 1876 azoospermic males who visited the fertility center of our university hospital between January 2002 and January 2010 were included in this analysis. Their semen characteristics, hormone profiles, size of the prostate gland , and education level were assessed and compared with an age-matched control group of 218 fertile males. Additionally, a histological evaluation was carried out. Results: Prostate size, testicular volume, semen volume and symptom severity showed statistically significant differences in both groups (P < 0.0001). As the severity of signs and symptoms worsened , the education level decreased. Each degree of signs and symptoms was associated with a different level of education, as well as with significant differences in the level of testosterone and testicular volume (P < 0.05). Spearman's correlation coefficient showed the severity of signs and symptoms was associated with testosterone (P < 0.0001). Conclusions: Testosterone has the strongest negative association with the severity of signs and symptoms in patients with Klinefelter syndrome. It influences the reproductive capacity, as well as the manifested signs and symptoms of hypogonadism. Furthermore, it is also associated with various aspects of life in these patients.

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“…Sexual counseling can be of benefit in both idiopathic and organic causes of PE (123). Involving the partner in this process can dispel misperceptions about the symptom, decrease stress, enhance intimacy and the ability to talk about sex and PE, and increase the chances of a successful outcome.…”

Section: Therapies For Pe Psychological Therapiesmentioning

confidence: 98%

“…However, they require considerable commitment and practice from the individual and his partner, and follow-up data have shown that the efficacy of the therapy tends to decrease over time (126). Furthermore, the cognitive and informative strategies attempt to modify irrational thoughts and core beliefs inherent to sexual life of both patient and his partner, work together on the reduction of performance anxiety, strengthen trust and confidence in the relationship between the marital partners, debunk male sexual mythology, improve sexual communication, enhance sexual knowledge, and teach sexual skills (123).…”

Section: Therapies For Pe Psychological Therapiesmentioning

confidence: 99%