Kevan Wylie

The University of Sheffield | Sheffield · Department of Neuroscience

The research question behind this article is to analyse how missions and goals for sexological organisations on various levels are described and how they can complement each other. The missions and goals of global (WAS), regional (EFS), and national organisations in Europe are described and analysed by their statutes and bylaws. The results show th...

The study by Veale et al. whether artificially reducing the depth of penetration of a penis during intercourse can impact female sexual satisfaction. The researchers used different sizes of silicone rings as a proxy for reducing penis length and report that reducing the depth of penetration led to a statistically significant 18% reduction of overal...

The scientific study of human sexuality is now accepted as mainstream practice but early researchers in the field often attracted considerable criticism. Masters and Johnson were pioneers in observing and describing normal sexual function and consequently they provided unique insights into helping to understand sexual dysfunction. Their contributio...

Aim The objective of this study was to assess the efficacy of bibliotherapy for sexual dysfunctions, when compared with no treatment and compared with other interventions. Methods MEDLINE, EMBASE, and PsycINFO were searched from 1970 to January 2020. Selection criteria were randomized controlled trials evaluating assisted or unassisted bibliothera...

Sexual rights are considered as human rights that should be inclusive for every human being regardless of race, ethnicity, economic status and physical or mental health state. The Declaration of Sexual Rights was originally released by the World Association for Sexual Health and delineates 16 rights encompassing all the major aspects of sexuality....

SYNOPSIS Objective Families with trans parents are an increasingly visible family form, yet little is known about parenting and child outcomes in these families. This exploratory study offers the first quantitative assessment of parent–child relationship quality and child socio-emotional and behavioral adjustment in families with a self-identified...

Introduction: Hormonal contraceptives are among the most popular contraceptives used by women worldwide. Long-term adherence may vary significantly among users because of fear of side effects, unhealthy habits, and lack of knowledge, despite their proven effectiveness. Aim: To analyze the psychological, relational, sexual, and cultural factors a...

In this chapter of the WPA Section on Psychiatry and Human Sexuality are presented two interesting articles on sexual dysfunctions, a crucial clinical concern in Sexology - one deals with female sexuality and its dimensions and the other on the adequate and efficient treatments offered in these days. One other concerns the important matter of sexua...

Sexual function is dependent on relatively intact physiological and psychological mechanisms that are extensive and varied in both influence and impact for any individual woman and her partner. Problems of sexual arousal in women are now recognized to mirror erectile dysfunction in men in many ways and assessment of cardiovascular disease should fo...

Female sexual dysfunction is highly prevalent and often a common response to the reproductive changes that occur throughout a woman's life. Sexual problems and associated distress are often seen in gynaecology clinics. Therefore an understanding of the normal female sexual response cycle, the classification of sexual dysfunction, the management of...

Background: This is an update of the 2008 British Society for Sexual Medicine (BSSM) guidelines. Aim: To provide up-to-date guidance for U.K. (and international) health care professionals managing male sexual dysfunction. Methods: Source information was obtained from peer-reviewed articles, meetings, and presentations. A search of Embase, MEDL...

Background Testosterone deficiency (TD) is an increasingly common problem with significant health implications, but its diagnosis and management can be challenging. Aim To review the available literature on TD and provide evidence-based statements for UK clinical practice. Methods Evidence was derived from Medline, EMBASE, and Cochrane searches o...

This special issue of Sexual Health presents a collection of articles that addresses issues facing transgender individuals that are particularly challenging. Issues covered range from sexual health education in schools, the need for accurate epidemiological measurements, the perils of inaccurate diagnostic labels of transgender children, legal issu...

Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) flowchart. RCT = randomized controlled trial.

Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist.

Sexual masochism is an unconventional sexual interest whereby individuals experience arousal relating tofantasies, urges or behaviours of the act of being humiliated, bound or otherwise made to suffer (1).Sexual masochism is classified as a disorder in cases where this behaviour causes clinically significant distress or impairment to an individual’...

As the number of transgender people accessing healthcare/presenting within healthcare settings increases, their needs have to be considered when designing and delivering healthcare services. This article outlines current key issues surrounding trans healthcare and clinical guidelines, and signposts readers to essential resources as a step towards e...

Introduction: Premature ejaculation (PE) is defined as ejaculation within 1 minute (lifelong PE) or 3 minutes (acquired PE), inability to delay ejaculation, and negative personal consequences. Management includes behavioral and pharmacologic approaches. Aim: To systematically review effectiveness, safety, and robustness of evidence for complementar...

The World Professional Association for Transgender Health (WPATH) standards of care for transsexual, transgender, and gender non-conforming people (version 7) represent international normative standards for clinical care for these populations. Standards for optimal individual clinical care are consistent around the world, although the implementatio...

In this paper we examine the social and legal conditions in which many transgender people (often called trans people) live, and the medical perspectives that frame the provision of health care for transgender people across much of the world. Modern research shows much higher numbers of transgender people than were apparent in earlier clinic-based s...

We explored self-discrepancy in men with body dysmorphic disorder (BDD) concerned about penis size, men without BDD but anxious about penis size, and controls. Men with BDD (n = 26) were compared to those with small penis anxiety (SPA; n = 31) and controls (n = 33), objectively (by measuring) and investigating self-discrepancy: actual size, ideal s...

Introduction: It has been suggested that an indicator of a doctor's ability to assess patients' sexual function relates to the level of earlier training. The amount and quality of training the doctor receives at the undergraduate level and beyond could contribute to the doctor's confidence and competence. Aims: To evaluate whether doctors found tha...

Introduction: Psychological, interpersonal, and sociocultural factors play a significant role in making one vulnerable to developing a sexual concern, in triggering the onset of a sexual difficulty, and in maintaining sexual dysfunction in the long term. Aim: To focus on psychological and interpersonal aspects of sexual functioning in women and...

Aims: This study aimed to highlight the salient sociocultural factors contributing to sexual health and dysfunction and to offer recommendations for culturally sensitive clinical management and research as well for an ethically sound sexual health care, counseling and medical decision-making. Background: There are limited data on the impact of s...

Context: Phosphodiesterase-5 inhibitors (PDE5is) are prescribed off-label for the treatment of premature ejaculation (PE). Objective: To systematically review the evidence from randomised controlled trials (RCTs) for PDE5is in the management of PE. Evidence acquisition: MEDLINE and other databases were searched to September 2015. Quality of RC...

Despite variability in sexual activity among people with severe mental illness, high-risk sexual behavior (e.g. unprotected intercourse, multiple partners, sex trade and illicit drug use) is common. Sexual health risk reduction interventions (such as educational and behavioral interventions, motivational exercises, counselling and service delivery)...

Eutectic Mixture of Local Anaesthetics (EMLA) is recommended for use off-label as a treatment for premature ejaculation (PE). Other topical anaesthetics are available, some of which have been evaluated against oral treatments. The purpose of this systematic review was to evaluate the evidence from randomised controlled trials (RCTs) for topical ana...

Sex education is defined as a broad program that aims to build a strong foundation for lifelong sexual health by acquiring information and attitudes, beliefs and values about one’s identity, relationships, and intimacy. Sexual health is considered to be a state of physical, emotional, mental, and social well‑being in relation to sexuality and not m...

Purpose of review: Loss of sexual desire is increasingly recognized as a consequence of many disease processes, and one that can have a significant negative impact on quality of life. This review explores the biological and psychological aspects of desire, as well as the aetiology and therapeutic options for loss of desire. Recent findings: Disc...

Premature ejaculation (PE) is defined by short ejaculatory latency and inability to delay ejaculation causing distress. Management may involve behavioral and/or pharmacological approaches. Aim To systematically review the randomized controlled trial (RCT) evidence for behavioral therapies in the management of PE. Methods Nine databases including ME...

Introduction: Little is known about the sexual functioning and behavior of men anxious about the size of their penis and the means that they might use to try to alter the size of their penis. Aim: To compare sexual functioning and behavior in men with body dysmorphic disorder (BDD) concerning penis size and in men with small penis anxiety (SPA with...

IntroductionPremature ejaculation (PE) is defined by short ejaculatory latency and inability to delay ejaculation causing distress. Management may involve behavioral and/or pharmacological approaches.AimTo systematically review the randomized controlled trial (RCT) evidence for behavioral therapies in the management of PE.Methods Nine databases inc...

Aims: To explore the combination of environmental and physical factors associated with the development of body dysmorphic disorder (BDD) related to penis size and the differences between men who are anxious about their penis size (but do not meet criteria for BDD), and men who do not report concerns about penis size. Method: Men with BDD (n=26) wer...

Appendix S1 Medline search strategy (August 2014).

IntroductionLittle is known about the sexual functioning and behavior of men anxious about the size of their penis and the means that they might use to try to alter the size of their penis.AimTo compare sexual functioning and behavior in men with body dysmorphic disorder (BDD) concerning penis size and in men with small penis anxiety (SPA without B...

Men with body dysmorphic disorder (BDD) may be preoccupied with the size or shape of the penis, which may be causing significant shame or impairment. Little is known about the characteristics and phenomenology of such men and whether they can be differentiated from men with small penis anxiety (SPA) (who do not have BDD), and men with no penile con...

Penile dysmorphic disorder (PDD) is shorthand for men diagnosed with body dysmorphic disorder, in whom the size or shape of the penis is their main, if not their exclusive, preoccupation causing significant shame or handicap. There are no specific measures for identifying men with PDD compared to men who are anxious about the size of their penis bu...

Play therapy is an intervention traditionally used with children that is beginning to be used with adults. One area of use is within the psychosexual context; however, there is an absence of empirical research in this area. This qualitative study explored therapists’ perspectives on using play therapy techniques in psychosexual therapy. The 16 part...

Background: Premature ejaculation (PE) is commonly defined as ejaculation with minimal sexual stimulation before, on or shortly after penetration and before the person wishes it. PE can be either lifelong and present since first sexual experiences (primary), or acquired (secondary), beginning later (Godpodinoff ML. Premature ejaculation: clinical s...

Despite variability in sexual activity among people with severe mental illness, high-risk sexual behavior (e.g. unprotected intercourse, multiple partners, sex trade and illicit drug use) is common. Sexual health risk reduction interventions (such as educational and behavioral interventions, motivational exercises, counselling and service delivery)...

Tramadol is a centrally acting analgesic prescribed off-label for the treatment of premature ejaculation (PE). However, tramadol may cause addiction and difficulty in breathing and the beneficial effect of tramadol in PE is yet not supported by a high level of evidence. The purpose of this study was to systematically review the evidence from random...

Introduction There is a scarcity of research into the use of non-physician-sourced cross-sex hormones in the transgender population. However, when medication is not prescribed by health professionals, users' knowledge of such medication may be adversely affected. Aims This study aims to define the prevalence of Internet-sourced sex hormone use in...

IntroductionSubpubic cartilaginous cysts (SCCs) are rare.AimThis is the first reported case of a male patient presenting with neurological and sexual symptoms due to an SCC.Method We describe the clinical history of a patient who reported neuralgic pain, numbness in the groin and base of his penis, and loss of sexual function.ResultsA magnetic reso...

Introduction. New therapies evolve for the treatment of Peyronie's disease (PD) including the application of dexamethasone and verapamil using Electro Motive Drug Administration (EMDA). Patients and Methods. Patients with PD were routinely offered Potaba, Vitamin E, tamoxifen or colchicine for 6 to 18 months and for those with no improvement, 18 ap...

The Good Practice Guidelines for the Assessment and Treatment of Adults with Gender Dysphoria is a publication of the Intercollegiate Committee of the Royal College of Psychiatrists. The overall goal of the Good Practice Guidelines is to provide clinical guidance for health professionals to assist transsexual, transgender, and gender nonconforming...

Paedophilia is a controversial topic which evokes strong reaction among the general public as well as the clinician. Part of the reason for this is because it is closely associated with harm to children through child sexual abuse. It is categorised as a mental disorder in the two major international classificatory systems of diseases under the head...

Objectives: Sexual problems associated with masturbation (especially intense negative feelings) are commonly reported among Indian subcontinental men. Yet there is a paucity of scientific information about masturbatory behavior and feelings. Much of the available information is either from clinic-based studies or from studies involving young Indian...

No measures are available for understanding beliefs in men who experience shame about the perceived size of their penis. Such a measure might be helpful for treatment planning, and measuring outcome after any psychological or physical intervention. Our aim was to validate a newly developed measure called the Beliefs about Penis Size Scale (BAPS). O...

of original article: http://dx.doi.org/10.1016/j.maturitas.2012.11.011.Corresponding author. Tel.: +44 114 271 8674; fax: +44 114 271 8693.E-mail addresses: RETTNER@aol.com (R. Ettner), k.r.wylie@shefeld.ac.uk (K. Wylie).0378-5122/$ – see front matter. Crown Copyright © 2013 Published by Elsevier Ireland Ltd. All rights reserved.http://dx.doi.org/1...

The help-seeking attitudes for sexual health of Indian men living in Australia was explored. Of all survey respondents (n = 225), many preferred to seek help from medical doctors. Young (18-25 years) Indian men were three times more likely to prefer a specialist medical doctor than older men. Ethnicity and gender of the medical doctor was 'not impo...

Despite differences in design, many large epidemiological studies using well-powered multivariate analyses consistently provide overwhelming evidence of a link between erectile dysfunction (ED) and lower urinary tract symptoms (LUTS). Preclinical evidence suggests that several common pathophysiological mechanisms are involved in the development of...

Nowadays, Chlamydia trachomatis is known as a causative agent of infertility. Because of, asymptomatic nature of infection, many may suffer from its lasting complications such as infertility. This study was performed in Tehran during April 2007 to April 2008 to compare the prevalence of Chlamydia trachomatis infection in fertile and infertile women...

BACKGROUND: Nowadays, Chlamydia trachomatis is known as a causative agent of infertility. Because of, asymptomatic nature of infection, many may suffer from its lasting complications such as infertility. This study was performed in Tehran during April 2007 to April 2008 to compare the prevalence of Chlamydia trachomatis infection in fertile and inf...

Sexuality in older people is a multifaceted field of study. Ageing may offer opportunities for and restrictions on sexuality. Ageing individuals may have increased time for and may wish to explore their sexuality, for example, by considering a same-sex relationship, after a long-term partner dies. However, they may also lack a partner or autonomy....

The subject experienced a severe idiopathic reduction in the intensity of pleasure from her coital and masturbatory orgasms lasting for a five year period, with no effective treatment. She then found that relaxing her tensed pelvic musculature during sexual arousal restored her orgasmic sexual pleasure to near pre-inhibition levels. The initial dys...

Several forces conspire to make the later decades a climacteric for transgendered persons. This paper will examine the social, emotional, and hormonal influences that entwine and challenge the stability of the elderly transgendered person. Case studies and therapeutic interventions will be addressed. Within our article, the cases are fictitious and...

This study describes how a sample of six psychosexual therapists regard the use of sexual fantasy in their work with couples presenting with sexual dysfunctions. The study used a qualitative approach, adopting a thematic analysis to explore the common threads in the therapists’ experiences. Five themes emerged from analysis: The importance of fanta...

Numerous studies have now demonstrated that many older women retain an interest in their sexual lives. Yet, how many old age psychiatrists commonly check with older women about whether the depression they are treating, or the SSRIs (Selective Serotonin Re-uptake Inhibitors) they have prescribed, have adversely affected their patient's sexual lives?...

Use of evidence based guidelines inevitably increases prescription of testosterone.1 2 National Institute for Health and Clinical Excellence (NICE) guidance on type 2 diabetes and the Quality Outcome Framework 2013 recommend asking all men annually about erectile dysfunction,3 a significant marker of cardiovascular risk.2 4 About 75% of men with ty...

The Standards of Care (SOC) for the Health of Transsexual, Transgender, and Gender Nonconforming People is a publication of the World Professional Association for Transgender Health (WPATH). The overall goal of the SOC is to provide clinical guidance for health professionals to assist transsexual, transgender, and gender nonconforming people with s...

Kevan Wylie shares memories of his colleague Dr John Tomlinson, who died suddenly on 11 June 2012. Copyright © 2012 John Wiley & Sons

The aim of this paper is to explore the potential value of questionnaires in routine clinical practice to assess female sexual dysfunction (FSD), and to identify if this could increase the competence of a physician in the initial management of women with these problems. The rationale to encourage Health Care Professionals (HCPs) to engage women in...

Premature ejaculation (PE) is considered to be the most common sexual problem affecting men, despite the likelihood that it is under-diagnosed. It is a complex condition with many physical and psychological components, making management complicated. It is important to develop treatments for PE as it adversely affects quality of life for individuals...

Previous qualitative research on women's sexual problems has documented the ways in which they can impact psychological well-being as well as women's close interpersonal relationships. However, little attention has been paid to the ways that women with sexual problems negotiate sexual contact in the context of a relationship where sexual activity h...

The role of the mental health professional, and of the psychiatrist in particular, is evolving and changing. As the recognition of transsexualism and gender identity disorder expands across the transgender spectrum, it has been recommended that gender dysphoria should replace existing diagnostic terminology. Patient-focused care is evolving and thi...

Once a formal diagnosis of gender dysphoria is established and comorbid disorders addressed, it is the role of the gender specialist to facilitate treatment according to agreed goals. This article reviews the treatment of gender dysphoria, including psychotherapy, and how eligibility and readiness for surgery are assessed. It considers issues facin...

This study describes the experience of inhibited ejaculation in five men using qualitative methods. All the men shared some common features that emerged as four major themes. These were Sexual Development, Relationships, Fantasy versus Reality and Perception of the Problem/Situation. The participants described low self-esteem and lack of confidence...

Sexual problems are relatively common in the community. The under-reporting of such problems calls for alternative ways of getting a true perspective of the prevalence of sexual dysfunction. To assess and investigate the concerns, ages and nationality of male users of a electronic helpline using it over 2 years (2009-2010). Detailed records were ke...

Background / Purpose: The purpose of this study is to corroborate the association of low testosterone (LT), erectile dysfunction (ED) and age with frequency of erections.Patient records of 1,706 men at the Porterbrook Clinic and the Royal Hallamshire Hospital with erectile dysfunction were analysed for correlation between LT levels and erection f...

Background / Purpose: The purpose of this study was to corroborate the association of low testosterone (LT), erectile dysfunction (ED) and age with other co-morbidities.Patient records of 1,638 men at the Porterbrook Clinic and the Royal Hallamshire Hospital with erectile dysfunction were analysed for correlation between LT levels and prevalence...