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Urology299 papers

Sexual pyromania

Last edited: 4/14/2026

Overview

Sexual pyromania is not a recognized clinical condition in the provided abstracts. The closest topics discussed involve sexual dysfunction, sexual health issues, and barriers to discussing sexual problems in clinical settings. This summary focuses on key aspects of sexual dysfunction and barriers to addressing sexual health concerns.

Diagnosis

  • Clinical Evaluation: Comprehensive assessment including patient history and sexual history taking 4829.
  • Psychological Assessment: Consider psychological factors and trauma history, especially in cases of sexual dysfunction 32433.
  • Laboratory Tests: Evaluate hormonal levels (e.g., testosterone, vitamin D) to identify potential biological contributors 619.
  • Specialized Scales: Utilize validated scales for assessing sexual dysfunction, though specific scales for "pyromania" are not mentioned 921.

    • Management

  • Psychological Interventions: Cognitive-behavioral therapy (CBT) and sex therapy to address underlying psychological issues 333.
  • Pharmacotherapy: Use of selective serotonin reuptake inhibitors (SSRIs) or other medications targeting specific dysfunctions (e.g., testosterone replacement for hypogonadism) 1019.
  • Lifestyle Modifications: Encourage healthy lifestyle changes, including physical activity and stress management 619.
  • Education and Counseling: Provide education on sexual health and counseling to improve communication between patients and providers 416.

    • Special Populations

  • Pregnancy: Focus on managing sexual dysfunction symptoms without contraindicated medications; consult obstetric guidelines 4.
  • Elderly: Address age-related physical changes and psychological factors impacting sexual health; consider impact of chronic medications 1439.
  • Comorbidities: Tailor management to address comorbidities like cardiovascular disease, which can influence sexual dysfunction 19.

    • Key Recommendations

  • Routinely incorporate sexual history taking into clinical practice to identify and address sexual health concerns 4829 (Evidence: Moderate).
  • Utilize validated assessment tools and psychological interventions for managing sexual dysfunction 333 (Evidence: Moderate).
  • Educate healthcare providers on the importance of discussing sexual health to improve patient outcomes 416 (Evidence: Expert opinion).
  • Consider hormonal evaluations in patients with sexual dysfunction to guide targeted treatments 619 (Evidence: Moderate).
  • Tailor management strategies to account for specific patient populations, including elderly patients and those with comorbidities 1419 (Evidence: Moderate).

    • References

    1 Aromaa A, Kero K, Manninen SM, Vahlberg T, Polo-Kantola P. Engagement with patients' sexual problems: a comparative study among general practitioners and obstetrician-gynecologists. Menopause (New York, N.Y.) 2025. link 2 Wu L, Rao M, Chen Y, Wang H. Risk assessment of the top 60 drugs for drug-related sexual dysfunction: a disproportion analysis from the Food and Drug Administration adverse event reporting system. The journal of sexual medicine 2025. link 3 Köhler TS, Bonakdar Hashemi M, Helo S, Morey AF, Nelson CJ, Trost L et al.. Lessons learned from the Sexual Medicine Society of North America fellowship bootcamp. The journal of sexual medicine 2024. link 4 Hunter W, Pettigrew J, Carpenter KM, Worly B, Coons HL. Improving Sexual Health Across the Life Span Through Integrated Care in Obstetrics and Gynecology. Clinical obstetrics and gynecology 2024. link 5 Shah MG, Dey T, Kostelecky SM, El Bizri M, Rodo M, Singh NS et al.. Guidance on sexual, reproductive, maternal, newborn, child and adolescent health in humanitarian and fragile settings: a scoping review. BMJ global health 2024. link 6 Rafati M, Bazrafshan E, Shaki F, Ghalini-Moghaddam T, Moghimi M. The relationship between serum vitamin D, testosterone, and oxidative stress levels in women with sexual dysfunction: A case-controlled study. Taiwanese journal of obstetrics & gynecology 2024. link 7 Ekrem EC, Kurt A. Developing the sexual and reproductive health knowledge scale in emergencies. European journal of obstetrics, gynecology, and reproductive biology 2023. link 8 Aromaa A, Kero K, Grönlund J, Manninen SM, Riskumäki M, Vahlberg T et al.. Let's talk about sexuality - A web-based survey of self-reported competence in sexual problems among obstetrician-gynecologists in Finland. Acta obstetricia et gynecologica Scandinavica 2023. link 9 Zakhour S, Sardinha A, Levitan M, Berger W, Nardi AE. Instruments for assessing sexual dysfunction in Arabic: A systematic literature review. Transcultural psychiatry 2022. link 10 Valeiro C, Matos C, Scholl J, van Hunsel F. Drug-Induced Sexual Dysfunction: An Analysis of Reports to a National Pharmacovigilance Database. Drug safety 2022. link 11 El-Arabi AM, Alam SM, Dai J, Thompson J, Baden M, Siculietano J et al.. Impact of Fellowship-Trained Andrology and Sexual Medicine Specialists on Performance on the Annual American Urological Association In-Service Examination. Urology 2021. link 12 Julian Z, Mengesha B, McLemore MR, Steinauer J. Community-Engaged Curriculum Development in Sexual and Reproductive Health Equity: Structures and Self. Obstetrics and gynecology 2021. link 13 Kwankye SO, Richter S, Okeke-Ihejirika P, Gomma H, Obegu P, Salami B. A review of the literature on sexual and reproductive health of African migrant and refugee children. Reproductive health 2021. link 14 Naar JJ, Weaver RH, Sonnier-Netto L, Few-Demo A. Experiential education through project-based learning: Sex and aging. Gerontology & geriatrics education 2021. link 15 Gewirtz-Meydan A, Levkovich I, Mock M, Gur U, Karkabi K, Ayalon L. Sex for seniors: how physicians discuss older adult's sexuality. Israel journal of health policy research 2020. link 16 Rubin ES, Deshpande NA, Vasquez PJ, Kellogg Spadt S. A Clinical Reference Guide on Sexual Devices for Obstetrician-Gynecologists. Obstetrics and gynecology 2019. link 17 Lamont J, Bajzak K, Bouchard C, Burnett M, Byers S, Cohen T et al.. No. 279-Female Sexual Health Consensus Clinical Guidelines. Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC 2018. link 18 Clark M, Lewis A, Bradshaw S, Bradbury-Jones C. How public health nurses' deal with sexting among young people: a qualitative inquiry using the critical incident technique. BMC public health 2018. link 19 Imprialos KP, Stavropoulos K, Doumas M, Tziomalos K, Karagiannis A, Athyros VG. Sexual Dysfunction, Cardiovascular Risk and Effects of Pharmacotherapy. Current vascular pharmacology 2018. link 20 Schloegl I, Köhn FM, Dinkel A, Schulwitz H, Gschwend JE, Bosinski HA et al.. Education in sexual medicine - a nationwide study among German urologists/andrologists and urology residents. Andrologia 2017. link 21 DeLay KJ, Voznesensky I, Hellstrom WJ. The Conception and Evaluation of Sexual Health Literature. Sexual medicine reviews 2017. link 22 Alimena S, Lewis J. Screening for Sexual Dysfunction by Medical Students. The journal of sexual medicine 2016. link 23 Arbanas G, Reisman Y, Andrews S. The sociocultural aspects, professional characteristics, and motivational factors of the first fellows of the European committee of sexual medicine. The journal of sexual medicine 2015. link 24 White A. Responding to prenatal disclosure of past sexual abuse. Obstetrics and gynecology 2014. link 25 Berookhim BM, Kaya Y, Deveci S, Nelson CJ, Mulhall JP. Factors predicting publication of sexual medicine abstracts presented at the annual meeting of the American Urological Association. The journal of sexual medicine 2013. link 26 Sobecki JN, Curlin FA, Rasinski KA, Lindau ST. What we don't talk about when we don't talk about sex: results of a national survey of U.S. obstetrician/gynecologists. The journal of sexual medicine 2012. link 27 Rohden F, Russo J. Gender differences in the field of sexology: new contexts and old definitions. Revista de saude publica 2011. link 28 Lewis RW, Fugl-Meyer KS, Corona G, Hayes RD, Laumann EO, Moreira ED et al.. Definitions/epidemiology/risk factors for sexual dysfunction. The journal of sexual medicine 2010. link 29 Platano G, Margraf J, Alder J, Bitzer J. Frequency and focus of sexual history taking in male patients--a pilot study conducted among Swiss general practitioners and urologists. The journal of sexual medicine 2008. link 30 Goldstein I. Sexual dysfunction in women: what can urologists contribute?. Current urology reports 2008. link 31 Resnick MI. What is sexual medicine?. International journal of impotence research 2005. link 32 Chakrabarti N, Sinha VK. Marriage consummated after 22 years: a case report. Journal of sex & marital therapy 2002. link 33 McCarthy BW. Sexual secrets, trauma, and dysfunction. Journal of sex & marital therapy 2002. link 34 Dalby A. The ancient name of rose. Medicina nei secoli 2001. link 35 Kell P. The provision of sexual dysfunction services by genitourinary medicine physicians in the UK, 1999. International journal of STD & AIDS 2001. link 36 Bayer T, Coverdale J, Chiang E. A national survey of physicians' behaviors regarding sexual contact with patients. Southern medical journal 1996. link 37 Lauerma H. A case of moclobemide-induced hyperorgasmia. International clinical psychopharmacology 1995. link 38 Bass A. Aspects of urethrality in women. The Psychoanalytic quarterly 1994. link 39 Butler RN, Lewis MI, Hoffman E, Whitehead ED. Love and sex after 60: how to evaluate and treat the sexually-active woman. Geriatrics 1994. link 40 Barrett P. Sexual problems in the elderly. The Practitioner 1989. link 41 Bonheur HH. Psychodiagnostic testing of sex offenders: a comparative study. Journal of forensic sciences 1983. link 42 Sarrel PM, Masters WH. Sexual molestation of men by women. Archives of sexual behavior 1982. link 43 Glover BH. Sex counseling of the elderly. Hospital practice 1977. link

    Original source

    1. [1]
      Engagement with patients' sexual problems: a comparative study among general practitioners and obstetrician-gynecologists. — Aromaa A, Kero K, Manninen SM, Vahlberg T, Polo-Kantola P Menopause (New York, N.Y.) (2025)
    2. [2]
      Risk assessment of the top 60 drugs for drug-related sexual dysfunction: a disproportion analysis from the Food and Drug Administration adverse event reporting system. — Wu L, Rao M, Chen Y, Wang H The journal of sexual medicine (2025)
    3. [3]
      Lessons learned from the Sexual Medicine Society of North America fellowship bootcamp. — Köhler TS, Bonakdar Hashemi M, Helo S, Morey AF, Nelson CJ, Trost L et al. The journal of sexual medicine (2024)
    4. [4]
      Improving Sexual Health Across the Life Span Through Integrated Care in Obstetrics and Gynecology. — Hunter W, Pettigrew J, Carpenter KM, Worly B, Coons HL Clinical obstetrics and gynecology (2024)
    5. [5]
      Guidance on sexual, reproductive, maternal, newborn, child and adolescent health in humanitarian and fragile settings: a scoping review. — Shah MG, Dey T, Kostelecky SM, El Bizri M, Rodo M, Singh NS et al. BMJ global health (2024)
    6. [6]
      The relationship between serum vitamin D, testosterone, and oxidative stress levels in women with sexual dysfunction: A case-controlled study. — Rafati M, Bazrafshan E, Shaki F, Ghalini-Moghaddam T, Moghimi M Taiwanese journal of obstetrics & gynecology (2024)
    7. [7]
      Developing the sexual and reproductive health knowledge scale in emergencies. — Ekrem EC, Kurt A European journal of obstetrics, gynecology, and reproductive biology (2023)
    8. [8]
      Let's talk about sexuality - A web-based survey of self-reported competence in sexual problems among obstetrician-gynecologists in Finland. — Aromaa A, Kero K, Grönlund J, Manninen SM, Riskumäki M, Vahlberg T et al. Acta obstetricia et gynecologica Scandinavica (2023)
    9. [9]
      Instruments for assessing sexual dysfunction in Arabic: A systematic literature review. — Zakhour S, Sardinha A, Levitan M, Berger W, Nardi AE Transcultural psychiatry (2022)
    10. [10]
      Drug-Induced Sexual Dysfunction: An Analysis of Reports to a National Pharmacovigilance Database. — Valeiro C, Matos C, Scholl J, van Hunsel F Drug safety (2022)
    11. [11]
      Impact of Fellowship-Trained Andrology and Sexual Medicine Specialists on Performance on the Annual American Urological Association In-Service Examination. — El-Arabi AM, Alam SM, Dai J, Thompson J, Baden M, Siculietano J et al. Urology (2021)
    12. [12]
      Community-Engaged Curriculum Development in Sexual and Reproductive Health Equity: Structures and Self. — Julian Z, Mengesha B, McLemore MR, Steinauer J Obstetrics and gynecology (2021)
    13. [13]
      A review of the literature on sexual and reproductive health of African migrant and refugee children. — Kwankye SO, Richter S, Okeke-Ihejirika P, Gomma H, Obegu P, Salami B Reproductive health (2021)
    14. [14]
      Experiential education through project-based learning: Sex and aging. — Naar JJ, Weaver RH, Sonnier-Netto L, Few-Demo A Gerontology & geriatrics education (2021)
    15. [15]
      Sex for seniors: how physicians discuss older adult's sexuality. — Gewirtz-Meydan A, Levkovich I, Mock M, Gur U, Karkabi K, Ayalon L Israel journal of health policy research (2020)
    16. [16]
      A Clinical Reference Guide on Sexual Devices for Obstetrician-Gynecologists. — Rubin ES, Deshpande NA, Vasquez PJ, Kellogg Spadt S Obstetrics and gynecology (2019)
    17. [17]
      No. 279-Female Sexual Health Consensus Clinical Guidelines. — Lamont J, Bajzak K, Bouchard C, Burnett M, Byers S, Cohen T et al. Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC (2018)
    18. [18]
      How public health nurses' deal with sexting among young people: a qualitative inquiry using the critical incident technique. — Clark M, Lewis A, Bradshaw S, Bradbury-Jones C BMC public health (2018)
    19. [19]
      Sexual Dysfunction, Cardiovascular Risk and Effects of Pharmacotherapy. — Imprialos KP, Stavropoulos K, Doumas M, Tziomalos K, Karagiannis A, Athyros VG Current vascular pharmacology (2018)
    20. [20]
      Education in sexual medicine - a nationwide study among German urologists/andrologists and urology residents. — Schloegl I, Köhn FM, Dinkel A, Schulwitz H, Gschwend JE, Bosinski HA et al. Andrologia (2017)
    21. [21]
      The Conception and Evaluation of Sexual Health Literature. — DeLay KJ, Voznesensky I, Hellstrom WJ Sexual medicine reviews (2017)
    22. [22]
      Screening for Sexual Dysfunction by Medical Students. — Alimena S, Lewis J The journal of sexual medicine (2016)
    23. [23]
      The sociocultural aspects, professional characteristics, and motivational factors of the first fellows of the European committee of sexual medicine. — Arbanas G, Reisman Y, Andrews S The journal of sexual medicine (2015)
    24. [24]
      Responding to prenatal disclosure of past sexual abuse. — White A Obstetrics and gynecology (2014)
    25. [25]
      Factors predicting publication of sexual medicine abstracts presented at the annual meeting of the American Urological Association. — Berookhim BM, Kaya Y, Deveci S, Nelson CJ, Mulhall JP The journal of sexual medicine (2013)
    26. [26]
      What we don't talk about when we don't talk about sex: results of a national survey of U.S. obstetrician/gynecologists. — Sobecki JN, Curlin FA, Rasinski KA, Lindau ST The journal of sexual medicine (2012)
    27. [27]
      Gender differences in the field of sexology: new contexts and old definitions. — Rohden F, Russo J Revista de saude publica (2011)
    28. [28]
      Definitions/epidemiology/risk factors for sexual dysfunction. — Lewis RW, Fugl-Meyer KS, Corona G, Hayes RD, Laumann EO, Moreira ED et al. The journal of sexual medicine (2010)
    29. [29]
      Frequency and focus of sexual history taking in male patients--a pilot study conducted among Swiss general practitioners and urologists. — Platano G, Margraf J, Alder J, Bitzer J The journal of sexual medicine (2008)
    30. [30]
      Sexual dysfunction in women: what can urologists contribute? — Goldstein I Current urology reports (2008)
    31. [31]
      What is sexual medicine? — Resnick MI International journal of impotence research (2005)
    32. [32]
      Marriage consummated after 22 years: a case report. — Chakrabarti N, Sinha VK Journal of sex & marital therapy (2002)
    33. [33]
      Sexual secrets, trauma, and dysfunction. — McCarthy BW Journal of sex & marital therapy (2002)
    34. [34]
      The ancient name of rose. — Dalby A Medicina nei secoli (2001)
    35. [35]
      The provision of sexual dysfunction services by genitourinary medicine physicians in the UK, 1999. — Kell P International journal of STD & AIDS (2001)
    36. [36]
      A national survey of physicians' behaviors regarding sexual contact with patients. — Bayer T, Coverdale J, Chiang E Southern medical journal (1996)
    37. [37]
      A case of moclobemide-induced hyperorgasmia. — Lauerma H International clinical psychopharmacology (1995)
    38. [38]
      Aspects of urethrality in women. — Bass A The Psychoanalytic quarterly (1994)
    39. [39]
      Love and sex after 60: how to evaluate and treat the sexually-active woman. — Butler RN, Lewis MI, Hoffman E, Whitehead ED Geriatrics (1994)
    40. [40]
      Sexual problems in the elderly. — Barrett P The Practitioner (1989)
    41. [41]
      Psychodiagnostic testing of sex offenders: a comparative study. — Bonheur HH Journal of forensic sciences (1983)
    42. [42]
      Sexual molestation of men by women. — Sarrel PM, Masters WH Archives of sexual behavior (1982)
    43. [43]
      Sex counseling of the elderly. — Glover BH Hospital practice (1977)
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