Sexuelle Funktionsstörungen in der therapeutischen Praxis.

Sexual dysfunction remains a common condition and has been on the rise in men since around 2005. Up to four generations present themselves in the practices. The text gives a brief outline of important socio-cultural developments that correlate with the therapeutic developments: 1. ICD-10 still differentiates between organic versus psychological sexual dysfunctions, which is dropped in ICD-11 in favor of an etiological classification. 2. Human rights are given more importance in the newer diagnostic manuals. 3. On the one hand, the biopsychosocial model of sexuality is undisputed. Nevertheless, with medicalization, especially for erectile dysfunction, biological factors are overestimated, which results in unsuccessful treatments with PDE-5 inhibitors. Conclusion: Further research is necessary; available sex-medical findings must be included in the therapeutic training curricula – being able to draw up a sexual anamnesis is still not a matter of course. [ABSTRACT FROM AUTHOR]