Research Topics
| Irwin GoldsteinSummaryCountry: USA Publications
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Publications
Prevention and treatment of erectile dysfunction using lifestyle changes and dietary supplements: what works and what is worthless, part IMark A Moyad
Department of Urology, University of Michigan Medical Center, 1500 East Medical Center Drive, Ann Arbor, MI 48109 0330, USA
Urol Clin North Am 31:249-57. 2004..The time is more than ripe for patients to understand that heart health is tantamount to erectile health...
Sexual medicine treatment: lifestyle or life quality? The import of languageIrwin Goldstein
J Sex Med 3:191-3. 2006
Efficacy and safety of tadalafil in men with erectile dysfunction with a high prevalence of comorbid conditions: results from MOMENTUS: multiple observations in men with erectile dysfunction in National Tadalafil Study in the USIrwin Goldstein
Milton, MA 02186, USA
J Sex Med 4:166-75. 2007..Limited efficacy and safety data exist from open-label clinical trials of phosphodiesterase 5 inhibitors in men with erectile dysfunction (ED) and multiple comorbid (MCM) conditions, historically a difficult group to treat...
Erectile dysfunction: monitoring response to treatment in clinical practice--recommendations of an international study panelJohn Mulhall
Department of Urology, Weill Medical College of Cornell University, Department of Urology, Memorial Sloan Kettering Cancer Center New York, NY, USA
J Sex Med 4:448-64. 2007..Clinical practice guidelines for management of erectile dysfunction (ED) provide limited direction in defining appropriate treatment goals with phosphodiesterase type 5 (PDE5) inhibitor therapy...
A clinical paradigm for the combined management of androgen insufficiency and erectile dysfunctionIrwin Goldstein
Sexual Medicine, Alvarado Hospital, 5555 Reservoir Drive, Suite 203, San Diego, CA 92120, USA
Endocrinol Metab Clin North Am 36:435-52. 2007..This article focuses on a rational, evidence based clinical management paradigm that combines diagnosis and treatment of men who have androgen insufficiency and erectile dysfunction...
Streptozotocin-induced diabetes in the rat is associated with changes in vaginal hemodynamics, morphology and biochemical markersNoel N Kim
Institute for Sexual Medicine, Department of Urology, Boston University School of Medicine, Boston, USA
BMC Physiol 6:4. 2006..We further related these changes with estrogen receptor alpha (ERalpha) and androgen receptor (AR) expression...
Commentary - will medical solutions to sexual problems make sexological care and science obsolete?Irwin Goldstein
University of California, San Diego, California, USA
J Sex Marital Ther 33:439-41. 2007
Current management strategies of the postmenopausal patient with sexual health problemsIrwin Goldstein
The Journal of Sexual Medicine, Milton, MA, USA
J Sex Med 4:235-53. 2007..Sexual health concerns of menopausal women include decreases in sexual interest, arousal, lubrication, and orgasm, and increases in sexual pain, all of which may be associated with distress...
Practical aspects in the management of vaginal atrophy and sexual dysfunction in perimenopausal and postmenopausal womenIrwin Goldstein
J Sex Med 2:154-65. 2005..Vaginal atrophy is an important contributor to postmenopausal sexual dysfunction...
Women's sexual function improves when partners are administered vardenafil for erectile dysfunction: a prospective, randomized, double-blind, placebo-controlled trialIrwin Goldstein
J Sex Med 2:819-32. 2005..There are limited data concerning the sexual function of women whose male partners receive pharmacological treatment for erectile dysfunction (ED)...
The erection hardness score and its relationship to successful sexual intercourseIrwin Goldstein
Sexual Medicine, Alvarado Hospital, University of California, San Diego, CA 92120, USA
J Sex Med 5:2374-80. 2008..Although it is intuitive that erection hardness and successful sexual intercourse (SSI) are related, the link has not been directly established...
Avanafil for the treatment of erectile dysfunction: a multicenter, randomized, double-blind study in men with diabetes mellitusIrwin Goldstein
San Diego Sexual Medicine, Alvarado Hospital, CA 92120, USA
Mayo Clin Proc 87:843-52. 2012..To prospectively assess the safety and effectiveness of the investigational phosphodiesterase 5 inhibitor avanafil to treat erectile dysfunction in men with diabetes mellitus...
Recognizing and treating urogenital atrophy in postmenopausal womenIrwin Goldstein
San Diego Sexual Medicine Alvarado Hospital and Department of Surgery, University of California at San Diego, California, USA
J Womens Health (Larchmt) 19:425-32. 2010..All forms of vaginal estrogen therapy are effective and well tolerated, although vaginal tablets and rings may have fewer adverse effects and have higher rates of adherence than creams...
A randomized, double-blind, placebo-controlled evaluation of the safety and efficacy of avanafil in subjects with erectile dysfunctionIrwin Goldstein
Sexual Medicine, Alvarado Hospital, San Diego, CA 92120, USA
J Sex Med 9:1122-33. 2012..Phosphodiesterase type 5 (PDE5) inhibitors have become standard treatment for erectile dysfunction (ED)...
Persistent genital arousal disorder (PGAD): case report of long-term symptomatic management with electroconvulsive therapyJoanna B Korda
San Diego State University, San Diego, CA, USA
J Sex Med 6:2901-9. 2009..With the worsening of PGAD symptoms, she developed severe depression and suicidal thoughts, resulting in her undergoing electroconvulsive therapy (ECT) as management...
Characterization of hypoactive sexual desire disorder (HSDD) in menLeonard Derogatis
Center for Sexual Medicine at Sheppard Pratt, Johns Hopkins Department of Psychiatry and Behavioural Sciences, Baltimore, MD 21285 6815, USA
J Sex Med 9:812-20. 2012..Little is known about Hypoactive Sexual Desire Disorder (HSDD) in men...
Zotarolimus-eluting peripheral stents for the treatment of erectile dysfunction in subjects with suboptimal response to phosphodiesterase-5 inhibitorsJason H Rogers
Division of Cardiovascular Medicine, University of California, Davis Medical Center, Sacramento, California, USA
J Am Coll Cardiol 60:2618-27. 2012....
Impact of oral contraceptives on sex hormone-binding globulin and androgen levels: a retrospective study in women with sexual dysfunctionClaudia Panzer
Department of Endocrinology, Boston University Medical Center, Boston, MA, USA
J Sex Med 3:104-13. 2006..OC use is associated with a decrease of androgen ovarian synthesis and an increase in the production of sex hormone-binding globulin (SHBG). There have been limited studies assessing SHBG values after discontinuation of OC use...
Testosterone increases blood flow and expression of androgen and estrogen receptors in the rat vaginaAbdulmaged M Traish
Departments of Biochemistry, and Urology, Boston University School of Medicine, Boston, MA, USA
J Sex Med 4:609-19. 2007..The mechanisms by which testosterone modulates female genital sexual arousal responses are poorly understood...
A three-dimensional theoretical model of the relationship between cavernosal expandability and percent cavernosal smooth muscleHaibiao Luo
Department of Aerospace and Mechanical Engineering, College of Engineering, Boston University, Boston, MA, USA
J Sex Med 4:644-5; discussion 651-55. 2007....
National differences in patient-clinician communication regarding hypoactive sexual desire disorderIrwin Goldstein
Sexual Medicine, Alvarado Hospital, 6719 Alvarado Rd, Suite108, San Diego, CA 92120, USA
J Sex Med 6:1349-57. 2009..Despite greater awareness and openness about sexual problems among women, many patients remain reserved about discussing such problems with their doctor. Clinicians are often reluctant to ask about sexual dysfunction...
Persistent genital arousal disorder: a case report in a woman with lifelong PGAD where serendipitous administration of varenicline tartrate resulted in symptomatic improvementJoanna B Korda
Department of Psychology, San Diego State University, San Diego, CA, USA
J Sex Med 6:1479-86. 2009..Persistent genital arousal disorder (PGAD) in women is associated with feelings of persistent, spontaneous, intrusive, unrelenting, and unwanted physical arousal in the absence of conscious thoughts of sexual desire or sexual interest...
Sexual experience of female partners of men with erectile dysfunction: the female experience of men's attitudes to life events and sexuality (FEMALES) studyWilliam A Fisher
Department of Psychology, Social Science Centre 6430, University of Western Ontario, London, Ontario, Canada N6A 5C2
J Sex Med 2:675-84. 2005..Much research has explored the experience of erectile dysfunction (ED) among men with ED, but far less attention has been paid to the perceptions and sexual experiences of the female partners of men with ED...
Improving the sexual quality of life of couples affected by erectile dysfunction: a double-blind, randomized, placebo-controlled trial of vardenafilWilliam A Fisher
Department of Psychology, Social Science Centre 6430, University of Western Ontario, London, Ontario, Canada N6A 5C2
J Sex Med 2:699-708. 2005....
Summary of the recommendations on sexual dysfunctions in womenRosemary Basson
Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada
J Sex Med 1:24-34. 2004..There are limited recommendation/guideline documents pertaining to the diagnosis and treatment of women's sexual dysfunctions...
Growing up and seeking guidanceIrwin Goldstein
J Sex Med 5:1515-7. 2008
Comparing vardenafil and sildenafil in the treatment of men with erectile dysfunction and risk factors for cardiovascular disease: a randomized, double-blind, pooled crossover studyEusebio Rubio-Aurioles
Asociacion Mexicana para la Salud Sexual AC, Tlalpan, Mexico
J Sex Med 3:1037-49. 2006....
Effects of ovariectomy and estrogen replacement on basal and pelvic nerve stimulated vaginal lubrication in an animal modelKweonsik Min
Department of Urology, Inje University School of Medicine, Pusan, South Korea
J Sex Marital Ther 29:77-84. 2003..Estrogen replacement normalized lubrication values and tissue wet weight to control levels. In conclusion, vaginal tissue integrity and lubrication are diminished by ovariectomy and are normalized by estrogen replacement...
Testosterone and erectile function: from basic research to a new clinical paradigm for managing men with androgen insufficiency and erectile dysfunctionAbdulmaged M Traish
Department of Biochemistry, Boston University School of Medicine, Boston, MA 02118, USA
Eur Urol 52:54-70. 2007....
The journal of sexual medicine supports research and choice in women's sexual health managementSheryl Kingsberg
J Sex Med 4:209-10. 2007
Validation of the erection hardness scoreJohn P Mulhall
Weill Medical College of Cornell University and Memorial Sloan Kettering Cancer Center, New York, NY 10021, USA
J Sex Med 4:1626-34. 2007..Erection hardness is a fundamental component of erectile function, and is a very specific and easily monitored outcome. The Erection Hardness Score (EHS) is a single-item, patient-reported outcome (PRO) for scoring erection hardness...
In the end, "sex is complicated"Irwin Goldstein
J Sex Med 4:523-5. 2007
The Treatment Satisfaction Scale (TSS) is a sensitive measure of treatment effectiveness for both patients and partners: results of a randomized controlled trial with vardenafilRaymond Rosen
New England Research Institutes, 9 Galen Street, Watertown, MA 02472, USA
J Sex Med 4:1009-21. 2007..The ED Treatment Satisfaction Scale (TSS) is a brief, comprehensive self-report measure of patient and partner satisfaction...
Patient education series. Erectile dysfunctionJean H Lewis
Erectile Dysfunction Clinic, Veterans Affairs Medical Center, Minneapolis, MN, USA
Nursing 35:64. 2005
Pilot study of the endothelin-A receptor selective antagonist BMS-193884 for the treatment of erectile dysfunctionNoel N Kim
Department of Urology, Boston University School of Medicine, Massachusetts 02118, USA
J Androl 23:76-83. 2002..The disparity between the laboratory and clinical studies suggests that there may be differences between species with regard to the role of endothelin in erectile function...
Biochemical and physiological mechanisms of female genital sexual arousalAbdulmaged M Traish
Arch Sex Behav 31:393-400. 2002..A comprehensive and integral understanding of female sexual function requires detailed investigation of the vascular, neurological (central and peripheral), and structural components of this complex physiological process...
Efficacy of vardenafil and sildenafil in facilitating penile erection in an animal modelSeong Choi
Department of Urology, Boston University School of Medicine, Massachusetts 02118, USA
J Androl 23:332-7. 2002..On the basis of the biochemical data and physiological responses from this study, further clinical evaluation of vardenafil as treatment for erectile dysfunction is warranted...
Erectile dysfunctionJean H Lewis
ED Clinic, Veterans' Affairs Medical Center, Minneapolis, MN, USA
Am J Nurs 103:48-57; quiz 57-8. 2003
A review of the physiology and pharmacology of peripheral (vaginal and clitoral) female genital arousal in the animal modelRicardo Munarriz
Institute for Sexual Medicine, Department of Urology, Boston University School of Medicine, 720 Harrison Ave, Suite 600, Boston, Massachusetts 02118, USA
J Urol 170:S40-4; discussion S44-5. 2003..CONCLUSIONS: To achieve improved understanding of the biological aspects of female sexual function, further research is needed in the physiology and pharmacology of peripheral (clitoral and vaginal) genital arousal in the animal model...
Effects of medical or surgical castration on erectile function in an animal modelAbdulmaged M Traish
Department of Urology, Boston University School of Medicine, Massachusetts 02118, USA
J Androl 24:381-7. 2003..We conclude that androgen deprivation produces structural alterations in the corpus cavernosum leading to corporal veno-occlusive dysfunction...
Erectile dysfunction in primary careJean H Lewis
Erectile Dysfunction Clinic, Veterans Affairs Medical Center Minneapolis, MN, USA
Nurse Pract 29:42-6, 48-50, 55; quiz 55-7. 2004
Oral sildenafil in the treatment of erectile dysfunction. 1998Irwin Goldstein
J Urol 167:1197-203; discussion 1204. 2002
Sexual dysfunction and cardiac risk (the Second Princeton Consensus Conference)John B Kostis
University of Medicine and Dentistry of New Jersey Robert Wood Johnson Medical School, New Brunswick, NJ, USA
Am J Cardiol 96:313-21. 2005..Finally, further research on the role of PDE-5 inhibition in treating patients with other medical or cardiovascular disorders is recommended...
Vardenafil, a new phosphodiesterase type 5 inhibitor, in the treatment of erectile dysfunction in men with diabetes: a multicenter double-blind placebo-controlled fixed-dose studyIrwin Goldstein
Boston University Medical Center, Boston, Massachusetts 02118, USA
Diabetes Care 26:777-83. 2003..This study evaluated the efficacy and safety of vardenafil treatment for erectile dysfunction (ED) in men with diabetes...
Androgen replacement therapy with dehydroepiandrosterone for androgen insufficiency and female sexual dysfunction: androgen and questionnaire resultsRicardo Munarriz
Boston University School of Medicine, Boston, Massachusetts, USA
J Sex Marital Ther 28:165-73. 2002..However, further research is needed, including prospective, multi-institution, placebo-controlled double-blind studies...
Health care clinicians in sexual health medicine: focus on erectile dysfunctionJeffrey Albaugh
Center for Urology, Northwestern Memorial Hospital, Chicago, IL, USA
Urol Nurs 22:217-31; quiz 232. 2002..If successful, this new model will allow quality sexual health care to be provided to increasing numbers of patients and their partners...
Sexual dysfunction: looking beyond the obviousIrwin Goldstein
J Sex Med 5:1-3. 2008
Biochemical and functional characterization of alpha-adrenergic receptors in the rabbit vaginaNoel N Kim
Department of Urology, School of Medicine, Boston University, 700 Albany St W607, Boston, MA 02118, USA
Life Sci 71:2909-20. 2002..Thus, vaginal tissue expresses functional alpha-1 and alpha-2 AR, which modulate vaginal smooth muscle contractility and genital engorgement...
The Journal of Sexual Medicine through ritual and spontaneityIrwin Goldstein
J Sex Med 4:1523-5. 2007
Role of androgens in female genital sexual arousal: receptor expression, structure, and functionAbdulmaged M Traish
Department of Biochemistry, Boston University School of Medicine, Massachusetts, Boston 02118, USA
Fertil Steril 77:S11-8. 2002..In this article, we review the mechanisms of androgen action and discuss new data on the effects of androgens in vaginal and clitoral tissues...
Female androgen insufficiency: the Princeton consensus statement on definition, classification, and assessmentGloria Bachmann
Robert Wood Johnson Medical School, Women's Health Institute, New Jersey, New Brunswick, USA
Fertil Steril 77:660-5. 2002..A simplified management algorithm for women with low androgen in the presence of clinical symptoms and normal estrogen status has also been proposed...
Postmenopausal female sexual dysfunction: at a crossroadsLorraine Dennerstein
J Sex Med 2:116-7. 2005
Epidemiological characteristics of 250 women with sexual dysfunction who presented for initial evaluationLily Talakoub
Center for Sexual Medicine, Department of Urology, Boston University School of Medicine, Boston, Massachusetts, USA
J Sex Marital Ther 28:217-24. 2002..More research in the management of women with sexual health problems is needed...
The prevalence of phimosis of the clitoris in women presenting to the sexual dysfunction clinic: lack of correlation to disorders of desire, arousal and orgasmRicardo Munarriz
Center for Sexual Medicine, Department of Urology, Boston University School of Medicine, Boston, Massachusetts, USA
J Sex Marital Ther 28:181-5. 2002..Other than its link to sexual pain, the clinical significance of this finding, in particular the relation to diminished sensitivity and impaired orgasmic capability, is unclear at this time...
Characteristics of female patients with sexual dysfunction who also had a history of blunt perineal traumaRicardo Munarriz
Center for Sexual Medicine, Department of Urology, Boston University School of Medicine, Boston, Massachusetts, USA
J Sex Marital Ther 28:175-9. 2002..A neurogenic form of sexual dysfunction has been implicated, with primary complaints of orgasm disorder and abnormalities noted on genital sensory testing. Further research in this area is needed...
Regarding Waldinger and Schweitzer's "premature ejaculation and pharmaceutical company-based medicine: the dapoxetine case"Irwin Goldstein
J Sex Med 5:965. 2008
Effects of ovariectomy and estrogen and androgen treatment on sildenafil-mediated changes in female genital blood flow and vaginal lubrication in the animal modelKweonsik Min
Department of Biochemistry, Boston University School of Medicine, Mass, USA
Am J Obstet Gynecol 187:1370-6. 2002..CONCLUSION: This study suggests that estradiol but not testosterone modulates genital hemodynamics and that sildenafil enhances genital blood flow irrespective of hormonal status...
Flying without a plane: accomplishments of the Journal of Sexual Medicine on its third birthdayIrwin Goldstein
J Sex Med 4:827-9. 2007
Biology of female sexual functionRicardo Munarriz
Department of Urology, Boston University School of Medicine, 720 Harrison Avenue, Suite 606, Boston, MA 02118, USA
Urol Clin North Am 29:685-93. 2002....
Bicycle riding and erectile dysfunction: an increase in interest (and concern)Vincent Huang
Institute for Sexual Medicine, Department of Urology, Boston University School of Medicine, 720 Harrison Avenue, Boston, MA 02118, USA
J Sex Med 2:596-604. 2005..Straddling bicycle saddles with a nose extension is associated with suprasystolic perineal compression pressures, temporarily occluding penile perfusion and potentially inducing endothelial injury and vasculogenic ED...
Only the nose knows: penile hemodynamic study of the perineum-saddle interface in men with erectile dysfunction utilizing bicycle saddles and seats with and without nose extensionsRicardo Munarriz
Institute for Sexual Medicine, Department of Urology, Boston University School of Medicine, 720 Harrison Avenue, Suite 600, Boston, MA 02118, USA
J Sex Med 2:612-9. 2005..To investigate the differential impact of straddles (A(ns) and B(ns)) and noseless two-cheek seats (A(ntcs) and B(ntcs)) on penile hemodynamics and perineal compressive forces in subjects who cycle in a stationary bicycle...
Physiology of female sexual function: animal modelsAnnamaria Giraldi
Rigshospitalet, Copenhagen, Denmark
J Sex Med 1:237-53. 2004..Serotonin and dopamine may modulate UG reflex activity. CONCLUSIONS: More research is needed in animal models in the physiology of female sexual function...
Modulation of rat vaginal blood flow and estrogen receptor by estradiolSoo Woong Kim
Department of Urology, Seoul National University College of Medicine, Seoul, Korea
J Urol 172:1538-43. 2004..These changes were paralleled by ERalpha protein levels. CONCLUSIONS: Estradiol is crucial for maintaining optimal vaginal blood flow in the rat. Lower levels of plasma estradiol trigger compensatory ERalpha up-regulation...
The power of the written wordIrwin Goldstein
J Sex Med 3:379-81. 2006
The role of sex steroid hormones in female sexual function and dysfunctionIrwin Goldstein
Institute for Sexual Medicine, Boston University School of Medicine, Boston, Massachusetts 02118, USA
Clin Obstet Gynecol 47:471-84. 2004
Differential regulation of the expression of estrogen, progesterone, and androgen receptors by sex steroid hormones in the vagina: immunohistochemical studiesMonica A Pessina
Anatomy and Neurobiology, Boston University School of Medicine, Boston, MA 02118, USA
J Sex Med 3:804-14. 2006..CONCLUSION: Estradiol down-regulated ERalpha and up-regulated PR expression in the vagina, suggesting this may be a mechanism to prevent continued proliferation of the epithelium by surges of estradiol during the estrous cycle...
Prevention and treatment of erectile dysfunction using lifestyle changes and dietary supplements: what works and what is worthless, part IIMark A Moyad
Department of Urology, University of Michigan Medical Center, 1500 East Medical Center Drive, Ann Arbor, MI 48109 0330, USA
Urol Clin North Am 31:259-73. 2004..The coming years of research should bring enormous excitement and objectivity to this area of medicine...
Successful use of electroconvulsive therapy in 2 cases of persistent sexual arousal syndrome and bipolar disorderSergio A Yero
Department of Psychiatry, University of Medicine and Dentistry of New Jersey-New Jersey Medical School, Newark, NJ 07103, USA
J ECT 22:274-5. 2006..They have remained on maintenance ECT with good results. Although the etiology of PSAS is unknown and its relationship to bipolar disorder is unclear, the successful resolution of PSAS with ECT is of clinical and theoretical interest...
The Journal of Sexual Medicine in 2007: the electronic ageIrwin Goldstein
J Sex Med 4:1-3. 2007
Binding characteristics of [3H]delta(5)-androstene-3beta,17beta-diol to a nuclear protein in the rabbit vaginaAbdulmaged M Traish
Department of Biochemistry, Boston University School of Medicine, 700 Albany Street, Room W607, Boston, MA 02118, USA
Steroids 69:71-8. 2004..These data suggest that rabbit vaginal tissue expresses a novel binding protein which specifically binds delta(5)-androstene-3beta,17beta-diol and is distinct from the androgen and estrogen receptors...
Female sexuality and sexual dysfunctionIrwin Goldstein
Arch Sex Behav 31:391. 2002
Penile revascularization for treatment of erectile dysfunction secondary to blunt perineal traumaRicardo M Munarriz
Department of Urology, Boston University School of Medicine, Boston, Massachusetts 02118, USA
Urology 61:222-3. 2003
Sexual dysfunction and cardiac risk (the Second Princeton Consensus Conference)John B Kostis
University of Medicine and Dentistry of New Jersey Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA
Am J Cardiol 96:85M-93M. 2005..Finally, further research on the role of PDE-5 inhibition in treating patients with other medical or cardiovascular disorders is recommended...
