⭐今日精選 TOP Picks
顯微鏡斑塊研磨結合移植修復治療佩內病的臨床效果：一項回憶隊列研究
Sexual medicine · Clinical effect of microscopic plaque grinding combined with graft repair in the treatment of Peyronie's disease: a retrospective cohort study.
結合高速微磨鉆的顯微斑塊研磨與自體或異體移植修復，顯著改善中度至重度佩內病患者的陰莖彎曲且降低手術併發症，為手術選擇提供更安全有效的選項。
P45 名中度至重度佩內病患者（彎曲>60°或複合變形），2021-2025年間接受治療
I顯微斑塊研磨（使用高速微磨鉆）結合移植修復（自體陰道膜或牛心包片）
C傳統斑塊切開/切除+移植修復（隱含對照，基於文獻已知併發症率）
O陰莖彎曲顯著改善，勃起功能保持良好，術後陰莖縮短少於傳統技術
陰道雷射療法對絕經後生殖泌尿綜合症患者性生活品質的影響
Sexual medicine · The effects of vaginal laser therapy on sexual quality of life in patients with genitourinary syndrome of menopause.
陰道雷射療法可改善絕經後泌尿生殖綜合症患者的陰道乾燥、疼痛及性功能，提升性生活品質，為非激素療法提供有力證據。
P絕經後患有 genitourinary syndrome of menopause (GSM) 的女性
I陰道雷射療法（類型未詳細說明，但屬常見燒灼或非燒灼雷射）
C未明確對照組（可能為安慰劑或基線比較，需參考全文）
O性生活品質顯著改善，主要指標包括陰道濕潤度、交痛減少及滿意度提升
女性生殖器自我形象：預測與相關因素的系統性文獻回顧
Sexual medicine · Female genital self-image: a systematic review of predictive and associated factors.
基於33,734人的47項研究，女性生殖器自我形象受文化、教育、身體檢查經驗、性伴侶反應及手術史強烈影響，並與性滿意度、心理健康及性行為緊密相關。
P33,734 名女性（橫斷面與隊列研究混合）
I無（系統性文獻回顧）
C無
OFGSI 正向預測因素：生殖器知識、積極身體體驗、伴侶支持；負向因素：恥感、創傷、負面醫療經驗
前 cingulate 與前 insula 皮質在利他行為中的作用：催產素的假設角色
Hormones and behavior · Anterior cingulate cortex, anterior insular cortex and altruistic behaviors; a hypothetical role for oxytocin.
假設前 cingulate 與前 insula 皮質經由催產素調節利他行為，並提出 von Economo 神經元可能為其關鍵細胞基礎，整合社會神經科學與內分泌機制。
P人類腦部（基於神經影像與遺傳研究）
I催產素作用於前 cingulate & insula 皮質（假設機制）
C其他認知功能（如疼痛處理、自我意識）在同一區域的調節途徑
O催產素可能特异性地調節利他行為而非其他 ACC/AI 功能，von Economo 神經元可能介導此過程
性侵犯倖存者的性健康、性別不 congruence 則與創傷揭露：大型橫斷線上調查結果
Sexual medicine · Sexual health, gender incongruence, and trauma disclosure among survivors of sexual abuse: findings from a large cross-sectional online survey.
性侵犯倖存者中，性別不 congruence 與創傷揭露程度顯著關聯於性功能障礙（特別是性慾低落與交痛）、心理創傷後應激及避免行為，凸顯需整合性別肯定與創傷知照的性健康照護。
P大型線上調查中的性侵犯倖存者（樣本數未註明，但稱「large」）
I無（橫斷面調查）
C無
O性別不 congruence 倖存者創傷揭露較少，但性健康問題（性慾低落、交痛、器官不適）普遍且嚴重
📚其他值得關注的文獻
Adverse childhood experiences and prospective changes in diurnal cortisol activity during the transition to adolescence: Moderation by daily coping and adolescent sex.
Psychoneuroendocrinology
PURPOSE: Examining circadian hypothalamic-pituitary-adrenal (HPA) axis activity during adolescence is vital for under...
Love-Centered Therapy and the First Story Cycle: A Dyadic Process Model of Implicit Relational Activation, Autonomic Co-Regulation, and Sexual Field Disruption.
Journal of sex & marital therapy
Couples often recognize the patterns that keep them stuck long before they become capable of interrupting them.
Anterior cingulate cortex, anterior insular cortex and altruistic behaviors; a hypothetical role for oxytocin.
Hormones and behavior
This paper reviews evidence that neurons in the anterior cingulate cortex (ACC) and anterior insular cortex (AI) are ...
Attention to Self-Related Face or Attractive Face? Neural Activation and Oscillation Evidence from Orthognathic Patients.
Archives of sexual behavior
Attractive faces capture attention.
Sexual health, gender incongruence, and trauma disclosure among survivors of sexual abuse: findings from a large cross-sectional online survey.
Sexual medicine
本篇文獻提供最新研究更新，建議直接閱讀原文摘要與全文以掌握研究設計與臨床意義。
Buccal mucosa salvage of urethral erosion after inflatable penile prosthesis reimplantation in a kidney transplant recipient.
Sexual medicine
本篇文獻提供最新研究更新，建議直接閱讀原文摘要與全文以掌握研究設計與臨床意義。
Female genital self-image: a systematic review of predictive and associated factors.
Sexual medicine
INTRODUCTION: Female genital self-image (FGSI) is a critical component of body image and sexual well-being.
The effects of vaginal laser therapy on sexual quality of life in patients with genitourinary syndrome of menopause.
Sexual medicine
本篇文獻提供最新研究更新，建議直接閱讀原文摘要與全文以掌握研究設計與臨床意義。
Clinical effect of microscopic plaque grinding combined with graft repair in the treatment of Peyronie's disease: a retrospective cohort study.
Sexual medicine
BACKGROUND: Peyronie's disease (PD) causes debilitating penile curvature.
Response to Letter to the Editor on "Efficacy of Lifestyle Interventions in Treating Erectile Dysfunction: A Systematic Review and Meta-analysis of Randomized Controlled Trials".
Sexual medicine
本篇文獻提供最新研究更新，建議直接閱讀原文摘要與全文以掌握研究設計與臨床意義。
Letter to the Editor on "Efficacy of lifestyle interventions in treating erectile dysfunction: a systematic review and meta-analysis of randomized controlled trials": clarifying patient selection and intervention heterogeneity.
Sexual medicine
本篇文獻提供最新研究更新，建議直接閱讀原文摘要與全文以掌握研究設計與臨床意義。
The relationship between erotophobia-erotophilia and decision-making in response to sexual stimuli.
Sexual medicine
BACKGROUND: Decision-making (DM) is influenced by the characteristics of the stimuli involved; sexual content is part...
The Persistent Genital Arousal Disorder/Genitopelvic Dysesthesia-Hypersexuality Differentiation Screener.
Sexual medicine
本篇文獻提供最新研究更新，建議直接閱讀原文摘要與全文以掌握研究設計與臨床意義。
Correction: Patient-Reported Outcome Measures Assessing Genital Self-Image: A Systematic Review of Measurement Properties.
Archives of sexual behavior
本篇文獻提供最新研究更新，建議直接閱讀原文摘要與全文以掌握研究設計與臨床意義。
Evaluating PEACHES: Pleasure-Inclusive Implementation Strategies to Enable Healthcare Workers to Address Anal Sex Stigma During HIV Service Encounters.
Archives of sexual behavior
Stigma toward anal sex hinders HIV prevention by limiting equitable access to sexual health services.
Pre-travel sexual health advice for international students: exploring awareness, access, barriers, and ways to improve access in Australia.
Sexual health
BACKGROUND: Australia is a popular destination for international students.
Changes in sexual behavior among women in studies evaluating the dapivirine vaginal ring for HIV prevention.
Sexual health
BACKGROUND: Access to novel HIV prevention technologies often raise concerns of risk compensation.
ARMED: an Australian cohort retrospective observational study to understand motivations for switching and clinical outcomes of individuals switching to dolutegravir/lamivudine.
Sexual health
BACKGROUND: Although clinical trials and real-world studies demonstrate the efficacy and tolerability of dolutegravir...
Effects of peripubertal onset of hyperandrogenism on sociosexual behavior of mice modeling polyendocrine metabolic ovarian syndrome.
Hormones and behavior
Sex differences in circulating androgens are well-known to organize and activate neural and behavioral sex difference...
Sexual Activity, Sexual Well-Being, and Associated Factors Among Older Adults: A Systematic Review and Meta-Analysis.
Journal of sex & marital therapy
The aim of this systematic review and meta-analysis was to synthesize quantitative evidence on sexuality-related outc...
SEXATURN: sexual function of patients with Turner syndrome compared to that of women with premature ovarian insufficiency.
Sexual medicine
INTRODUCTION: Reduced sexual activity has been reported in women with Turner syndrome (TS), a chromosomal disorder fr...
Validation of the Turkish version of the ANDROTEST for detecting male hypogonadism in patients with sexual dysfunction.
Sexual medicine
BACKGROUND: Male hypogonadism is an important endocrine cause of sexual dysfunction, yet symptom-based screening tool...
Rethinking sexual response: are erogenous zones-including nipple stimulation-more than secondary stimuli? A meta-analysis.
Sexual medicine
OBJECTIVES: The nipple, a key erogenous zone in female sexual response, is often insufficiently considered in clinica...
Compensatory and Dissociative Coping in Young Adults: A Person-Centered Analysis of Their Associations with Childhood Maltreatment and Problematic Pornography Use.
Archives of sexual behavior
Building on the Compensatory-Dissociative Online Gaming model (Giardina et al., 2024a), the current study proposes a ...
PrEP awareness, barriers and facilitators in Malaysia in the current landscape of new HIV infections: a review.
Sexual health
Pre-exposure prophylaxis (PrEP) uptake remains low among key populations in Malaysia despite notable improvements in ...
The New Digital Pandemic: How Uncertainty Drives the Rise of Sextortion.
Archives of sexual behavior
The global wave of pandemic-induced uncertainty sparked a rise in online criminal activities, with sextortion emergin...
Bridging fibrosis and function: an integrated mechanistic and therapeutic framework for Peyronie's disease and related erectile dysfunction.
Sexual medicine
INTRODUCTION: Peyronie's disease (PD) and erectile dysfunction (ED) are prevalent and frequently coexisting male sexu...
Adolescents' perceived difficulty in accessing sexual and reproductive health services before, during, and after the COVID-19 pandemic.
Sexual health
BACKGROUND: The COVID-19 pandemic widely disrupted access to sexual health care but little is known about how these d...
Barriers to care: female university students' distrust and fear of accessing sexual and reproductive health services in Zambia.
Sexual health
BACKGROUND: Sexual and reproductive health (SRH) services are widely available in Lusaka, Zambia but use among adoles...
Youth experiences and preferences for sexual health education and digital support: a community-based qualitative study.
Sexual health
BACKGROUND: Many adolescents rely on digital sources for sexual and reproductive health (SRH) information; yet,&...
Active Peyronie's disease as an early antifibrotic treatment window: a translational review.
Sexual medicine
INTRODUCTION: Peyronie's disease (PD) is an acquired fibrotic disorder of the tunica albuginea that can cause pain, c...
"Virginity" and the hymen: knowledge, attitudes, and practices among Swiss health professionals.
Sexual medicine
INTRODUCTION: Hymen anatomy and physiology remain poorly understood, even among health-care providers.
Parent-child connectedness and its associations with sexual risk behavior and outcomes among young people: a systematic review and meta-analysis.
Sexual health
Significant disparities in the sexual and reproductive health of young people persist globally.
Uptake of at-home self-collected dried blood spots for HIV, hepatitis C and syphilis screening among Māori gay, bisexual and other men who have sex with men in Aotearoa New Zealand: an observational epidemiological study.
Sexual health
BACKGROUND: HIV testing is an integral component of prevention, reducing undiagnosed infection and promoting early tr...
Corticotropin-releasing factor neurotransmission in the insular cortex regulates anxiogenic-like behavior to acute restraint stress: A site-specific study in rats.
Psychoneuroendocrinology
The insular cortex (IC) plays a key role in anxiety responses to stress, with functional differences along its rostro...
Meta-analysis of the effect of sexual health nursing interventions on improving post-treatment sexual dysfunction and partner relationship satisfaction in breast cancer patients.
Sexual medicine
INTRODUCTION: Breast cancer survivors frequently experience sexual dysfunction and impaired partner relationships aft...
Is extracorporeal shock wave therapy more effective in younger patients in the treatment of mild-to-moderate erectile dysfunction? A prospective controlled study.
Sexual medicine
INTRODUCTION: The influence of patient age on treatment outcomes of extracorporeal shock wave therapy (ESWT) for mild...
Scrotal Size Index: a novel anatomical classification of scrotal morphology in inflatable penile prosthesis surgery.
Sexual medicine
INTRODUCTION: Pump-related complications remain a significant cause of dissatisfaction and reoperation following infl...
Curvilinear associations of discrimination attributions with inflammatory and antiviral gene expression.
Psychoneuroendocrinology
BACKGROUND: Discrimination is a social determinant of health associated with adverse health outcomes through biologic...
Sex-positivity among middle-aged and older adults: a series of participatory activities.
Sexual health
BACKGROUND: Sexual health is a fundamental aspect of wellbeing, encompassing physical, emotional, mental, and social ...