Abstract
This study examined the clinical workload, outcome and direct costs of managing women with sexual dysfunction in an NHS clinic in the UK. A retrospective analysis of a 3-month period showed that of 47 referrals to the clinic, 38 undertook treatment. The therapists' assessments suggested that over 80% of patients improved on treatment. The average cost per patient was £472 (compared to £335 per annum for erectile dysfunction, which included physician's and drug costs). The average cost by type of practitioner was £278 (psychologist), £322 (physician), £532 (physician and psychologist) and £597 (sex therapist). Patients required between 1 and 51 treatment sessions, which were mainly restricted to psychological therapy. Female sexual dysfunction (FSD) represents a significant economic burden to the NHS. Further research on the potential role and cost effectiveness of pharmacological agents for FSD is warranted.
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References
Berman J, Berman L, Goldstein I . Female sexual dysfunction: incidence, pathophysiology, evaluation and treatment options. Urology 1999; 54: 385–391.
Spector I, Carey M . Incidence and prevalence of sexual dysfunctions: a critical review of the empirical literature. Arch Sexual Behav 1990; 19: 389–408.
Rosen RC et al. Prevalence of sexual dysfunction in women: results of a survey study of women in an outpatient gynaecological clinic. J Sex Marital Ther 1993; 19: 171–188.
Dunn KM, Jordan K, Croft PR, Assendelft WJJ . Systematic review of sexual problems: epidemiology and methodology. J Sex Marital Ther 2002; 28: 399–422.
Basson R et al. Report on the international consensus development conference on female sexual dysfunction: definitions and classifications. J Urol 2000; 163: 888–893.
Laumann EO, Paik A, Rosen RC . Sexual dysfunction in the United States. JAMA 1999; 281: 537–544.
Goldmeier D, Judd A, Schroeder K . Prevalence of sexual dysfunction in new heterosexual attendees at a central London genitourinary medicine clinic. Sex Transm Infect 2000; 76: 208–209.
Stolk EA et al. Cost utility analysis of sildenafil compared with papaverine-phentolamine injections. BMJ 2000; 320: 1165–1168.
Smith KJ, Roberts MS . The cost effectiveness of sildenafil. Ann Int Med 2000; 132: 933–937.
Hawton K . Sex Therapy. A practical guide. Oxford Medical: Oxford, 1984.
Berman JR et al. Efficacy and Tolerability of Sildenafil Citrate in Women with Sexual Arousal Disorder. International Society for the Study of Women's Sexual Health: Vancouver, 2002, (Abstract book p. 49).
Nurnberg HG et al. Sildenafil Citrate Treatment for Serotonergic Reuptake Inhibitor Associated Female Sexual Dysfunction. International Society for the Study of Women's Sexual Health: Vancouver, 2002, (Abstract book p. 48).
Costabile R et al. In Clinic Evaluation of the Safety and Efficacy of Topical Alprostadil (PGE1) for the Treatment of Female Sexual Arousal Disorder (FSAD). International Society for the Study of Women's Sexual Health: Vancouver, 2002, (Abstract book p. 47).
Basson R . Androgens and Low Sexual Desire and Arousability: A Clinical Perspective. International Society for the Study of Women's Sexual health: Vancouver, 2002, (Abstract book pp. 58–61).
Warnock JK, Bundren JC, Morris DW . Female hypoactive sexual disorder: case studies of physiological androgen replacement. J Sex Marital Ther 1999; 25: 175–182.
Bachmann G et al. Female androgen insufficiency: the Princeton consensus statement on definition, classification and assessment. Fertil Steril 2002; 77: 660–665.
Cunningham CE, Bremner R, Boyle M . Large group community based parenting programs for families of preschoolers at risk for disruptive behaviour disorders: utilization, cost effectiveness and outcome. J Child Psychol Psychiatry 1995; 36: 1141–1159.
Trudel G et al. The effect of a cognitive behavioural group treatment program on hypoactive sexual desire in women. Sex Relationship Ther 2001; 16: 145–164.
Leiblum SR . Definition and classification of female sexual disorders. Int J Impot Res 1998; 10: S102–S106.
Tiefer L . Historical, scientific, clinical and feminist criticisms of ‘human sexual response cycle’. Ann Rev Sexual Res 1999; 2: 1–23.
Hawton K, Catalan J, Fagg J . Low sexual desire: sex therapy results and prognostic factors. Behav Res Ther 1991; 29: 217–224.
Denbow ML, Byrne MA . Prevalence, causes and outcome of vulval pain in a genitourinary medicine clinic population. Int J STD AIDS 1998; 9: 88–91.
Bergeron S et al. A randomised comparison of group cognitive behavioral therapy, surface electromyographic feedback, and vestibulectomy in the treatment of dyspareunia resulting from vulvar vestibulitis. Pain 2001; 91: 297–306.
Carter GT, Sullivan MD . Antidepressants in pain management. Curr Opin Investig Drugs 2002; 3: 454–458.
Sasaki K et al. Oral gabapentin (neurontin) treatment of refractory genitourinary tract pain. Tech Urol 2001; 7: 47–49.
Binik YM . Integrative Approach. How to Select a Treatment for VVS When you Don't Like The Data. International Society for the Study of Women's Sexual Health: Vancouver, 2002, (Abstract book pp. 67–69).
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Goldmeier, D., Malik, F., Phillips, R. et al. Cost implications of sexual dysfunction: the female picture. Int J Impot Res 16, 130–134 (2004). https://doi.org/10.1038/sj.ijir.3901179
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DOI: https://doi.org/10.1038/sj.ijir.3901179
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