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Integrative Sexual Health

Edited by Barbara Bartlik, Geovanni Espinosa, Janet Mindes, and Series edited by Andrew Weil

Weil Integrative Medicine Library

The first professional book of its kind on healing sexual dysfunctions, drawing on a wide spectrum of integrative medicine modalities and professional sub-specialities
Offers clinical insights, strategies, and prescriptions not available in the mainstream medical literature
Intensely evidence-based, each chapter cites a wealth of clinical and research sources

Integrative Sexual Health

Edited by Barbara Bartlik, Geovanni Espinosa, Janet Mindes, and Series edited by Andrew Weil

Weil Integrative Medicine Library

Description

Integrative Sexual Health explores beyond the standard topics in men's and women's health, drawing on a diverse research literature to provide an overview of sexual biology and sexual dysfunction, diverse lifespan, lifestyle and environmental impacts on sexual function, integrative medicine solutions to sexual problems, and traditional eastern and western treatment approaches to healing sexual difficulties. This comprehensive guide written by experts in the field provides clinical vignettes, detailed treatment strategies for mitigating the side effects of both medications and sexual dysfunction associated with medical illness and poor lifestyle habits, and extensive further reading resources. Integrative treatment modalities not typically consulted in mainstream medicine, such as traditional Chinese medicine, Ayurvedic medicine, aromatherapy, and botanical medicine, are presented with the best evidence, in a clinically relevant manner. Part of the Weil Integrative Medicine Library, this volume is a must read for the specialist and non-specialist alike who wish to address sexual problems using an integrative medicine approach, and acquire tools to maintain lifetime optimal health and vitality that supports healthy sexuality.

Integrative medicine is defined as healing-oriented medicine that takes account of the whole person (body, mind, and spirit) as well as all aspects of lifestyle; it emphasizes the therapeutic relationship and makes use of appropriate therapies, both conventional and alternative. Series editor Andrew Weil, MD, is Professor and Director of the Arizona Center for Integrative Medicine at the University of Arizona. Dr. Weil's program was the first such academic program in the U.S., and its stated goal is "to combine the best ideas and practices of conventional and alternative medicine into cost effective treatments without embracing alternative practices uncritically."

Integrative Sexual Health

Edited by Barbara Bartlik, Geovanni Espinosa, Janet Mindes, and Series edited by Andrew Weil

Weil Integrative Medicine Library

Foreword by Andrew Weil
Preface: An Overview of Integrative Sexual Health

Section I: An Integrative Medicine Framework for Understanding Sexual Dysfunction
Chapter 1: Female Sexual Biochemistry
Madeleine M. Castellanos
Chapter 2: Mid-Life & Beyond: Female Hormonal Status / Menopause and Effects on Sexual Health
Janine A. Blackman
Chapter 3: Integrative Approach to Treatment of Female Sexual Dysfunction
Jacquelyn M. Paykel
Chapter 4: Male Sexual Function and Dysfunction
Jeffrey A. Albaugh
Chapter 5: Mid-life and Beyond Male Hormonal Status / Andropause and its Effects on Sexual Health
Geovanni Espinosa and Ralph Esposito
Chapter 6: Integrative Treatment of Male Sexual Dysfunction
Jeffrey A. Albaugh

Section II: Lifestyle and Environmental Impacts on Sexual Function
Chapter 7: Optimum Macro-Nutrition for Sexual Health
Ronald L. Hoffman and Leyla Muedin
Chapter 8: Sexual Dysfunction Secondary to Micronutrient Deficiency: A Common but Unrecognized Adverse Effect of Many Pharmaceuticals
Barbara Bartlik, Janet Mindes, and Sheila Sperber Haas
Chapter 9: Birth Control Pills and Hormonal Contraception: Effects on Female Sexual Desire and Pleasure
Barbara Bartlik, Amandeep Kaur, Chelsea Schoen, and Julie Kolzet
Chapter 10: Toxins: A Pervasive 21st Century Problem for Health and Sexuality
Adrienne Sprouse
Chapter 11: Sexual Dysfunction and Exercise
Keoni (John) Teta, Ralph Esposito, and Jade Teta
Chapter 12: The Obesity Epidemic and Sexual Health
Steven Lamm and Jonathan Bekisz

Section III: An Integrative Medicine Perspective on Psychiatric, Psychological, Physiological and Behavioral Disturbances Relevant to Sexual Function
Chapter 13: Integrative Treatment of Depression and Anxiety: An Effective Non-Pharmacological Approach that Preserves Sexual Functioning
Katherine Falk
Chapter 14: Inflammation and the Gut - Brain - Mood Connection: A New Perspective in Psychiatry and Sexual Dysfunction
Katherine Falk, Barbara Bartlik, and Janet Mindes
Chapter 15: Understanding Sexual Addiction and Hypersexuality: An Integrative Approach to Treatment
Monica Meyer
Chapter 16: Complementary and Alternative Treatments for Female Sexual Pain
Susan Kellogg Spadt and Jennifer Yonaitis Fariello

Section IV: Traditional Eastern and Western Treatment Approaches to Healing Sexual Problems
Chapter 17: Healing Sexual Problems in the Ayurvedic Tradition of India
Keesha Ewers
Chapter 18: Healing Male Sexual Function Concerns in Traditional Asian Medicine
Jillian Capodice
Chapter 19: Homeopathy in the Prevention and Treatment of Sexual Problems
Dana Ullman and Karen Allen
Chapter 20: Chiropractic: How Musculoskeltal Involvement Impacts Sexuality
Susan Eisen
Chapter 21: Aromatherapy in the Treatment of Sexual Dysfunction and Relationship Problems
Mindy Green
Chapter 22: The Benefits of Water Therapy for Sexual and Pelvic Problems
Alexa Fleckenstein
Chapter 23: Botanicals (Adaptogens and Others) that Support or Stimulate Desire: Traditions and Science
Eric Yarnell

Integrative Sexual Health

Edited by Barbara Bartlik, Geovanni Espinosa, Janet Mindes, and Series edited by Andrew Weil

Weil Integrative Medicine Library

Author Information

Barbara Bartlik, MD is a board certified psychiatrist in private practice in Manhattan who also is a boarded specialist in integrative medicine, certified by the American Board of Integrative Medicine (ABOIM). She treats men, women and couples with sexual problems, women with hormonally-related concerns, and all patients with problems of a more general psychiatric or medical nature. Dr. Bartlik takes a holistic approach to treatment, emphasizing lifestyle and nutritional strategies, seeking to responsibly minimize the use of pharmaceuticals while optimizing overall health and well-being. Dr. Bartlik is on the voluntary faculty of New York-Presbyterian/Weill Cornell Medical Center and Lenox Hill Hospital/Northwell Health, New York, NY and on staff at the Yonkers Service Center of Rockland Psychiatric Center in Orangeburg, NY.

Geovanni Espinosa, ND, LAc, IFMCP, CNS is a naturopathic doctor recognized as an authority in integrative and functional urology. Dr. Geo is Clinical Assistant Professor at New York University Langone Medical Center (NYULMC) Department of Urology where he is the director of the Integrative and Functional Urology Center. He is the author of the popular prostate cancer book Thrive, Don't Only Survive and has co-authored numerous books on natural medicine in urology and men's health. Dr. Geo is the Chief Medical Officer and formulator of XY Wellness, LLC and lectures internationally on the application of science-based nutritional medicine in urology.

Janet Mindes, PhD is Faculty and Director of Research Instruction and Development at the Tri-State College of Acupuncture in New York City. A research psychologist/neuroscientist, she received her BA from Harvard University and her PhD from New York University in experimental psychology. Dr. Mindes has over twenty-five years of experience in psychological and neuroscience research and education, with a focus on integrative medicine (IM) since 1998, particularly as relevant to the brain, emotion and neuropsychiatric conditions. From 1998 to 2007, she was a member of the former Rosenthal Center for Complementary and Alternative Medicine at Columbia University College of Physicians and Surgeons (P&S) in New York City and was active in other research and educational efforts at Columbia P&S until 2015.

Contributors:

Jeffrey A. Albaugh, PhD, APRN, CUCNS
Director of Sexual Health
John & Carol Walter Center for Urological Health
North Shore University Health System
Glenview, IL

Karen Allen, CCH
Faculty, American Medical College of Homeopathy
Phoenix Institute of Herbal Medicine and Acupuncture
Phoenix, AZ
Private Practice
San Francisco, CA

Barbara Bartlik, MD, ABOIM
Private Practice, Integrative Medicine and Psychiatry
Diplomate, American College of Psychiatrists
Diplomate, American Board of Psychiatry and Neurology (in psychiatry)
Diplomate, American Board of Sexology
Voluntary Faculty, New York-Presbyterian/Weill Cornell Medical Center
Lenox Hill Hospital (Northwell Health)
Chair, Complementary and Integrative Medicine Committee
New York County Psychiatric Society
New York, NY
Psychiatrist, Yonkers Service Center of Rockland Psychiatric Center
Orangeburg, NY

Jonathan Bekisz
MD/ MSci Candidate, Class of 2018
NYU School of Medicine
New York, NY

Janine A. Blackman, MD, PhD
Epidemiology & Preventive Medicine
Private Practice: Functional Medicine and Bio- Identical Hormone Therapy for Women and Men
Potomac, MD

Jillian Capodice, MS, LAc
Assistant Professor
Director Integrative Urology and Wellness
Icahn School of Medicine
Mount Sinai Health System
New York, NY

Madeleine M. Castellanos, MD IFMCP
Functional Medicine Psychiatrist, Sex Therapist
Private Practice in New York, NY and Boca Raton, FL
Medical Director - Restoration Women's Health
Hauppauge, NY

Susan R. Eisen, DC
Holistic Chiropractic
New York, NY

Geovanni Espinosa, ND, LAc, IFMCP, CNS
Integrative and Functional Urology
Clinical Assistant Professor
New York University Langone Health
New York, NY

Ralph Esposito, ND, LAc
Naturopathic Physician, Licensed Acupuncturist
Adjunct Professor, New York University
Department of Nutrition and Food Studies
New York, NY
Adjunct Clinical Professor
Center of Excellence in Generative Medicine
University of Bridgeport College of Naturopathic Medicine
Bridgeport, CT

Keesha Ewers, PhD, ARNP, AAP
Doctor of Sexology
Advanced Ayurvedic Medicine Practitioner
Certified Psychotherapist
Medical Director and Founder, Fern Life Integrative Medical Center
Issaquah, WA

Katherine Falk, MD
Private Practice, Integrative Psychiatry
Diplomate, American Board of Psychiatry and Neurology
Distinguished Life Fellow, the American Psychiatric Association (2007)
Adjunct Assistant Clinical Professor of Psychiatry
Mount Sinai Medical Center
New York, NY

Jennifer Yonaitis Fariello, MSN, MEd, WHNP-BC
Smith Institute for Urology
Pelvic Pain Treatment Center
Garden City, NY

Alexa Fleckenstein, MD
Author, European Natural Medicine
Brookline, MA

Mindy Green, MS, RA, RH (AHG)
Private Practice, Green Scentsations
Boulder, CO

Sheila Sperber Haas, PhD
Science Writer
New York, NY

Ronald L. Hoffman, MD, CNS
Medical Nutritionist
New York, NY

Amandeep Kaur, MD
Manhattan Psychiatric Center
New York, NY

Julie Kolzet, PhD
Licensed Psychologist
Ferkauf Graduate School of Psychology
New York, NY

Steven Lamm, MD
Professor of Clinical Medicine
Medical Director, The Preston Robert Tisch Center for Men's Health
New York University Langone Health
New York, NY

Monica Meyer, PhD, CSAT-S
Clinical Director
Gentle Path at The Meadows
Wickenburg, AZ

Janet Mindes, PhD
Faculty, Research Instruction and Development
Tri- State College of Acupuncture
Consulting Research Psychologist, Independent Writer and Editor
New York, NY

Leyla Muedin, MS, RD, CDN
Nutritionist
New York, NY

Jacquelyn M. Paykel, MD, FACOG
Director of THRIVE
Chief of Whole Health Services
James A. Hailey Veteransâ Hospital and Clinics
Tampa, FL

Chelsea Schoen, MA
Post- Doctoral Fellow
New York University Langone Health - Rusk Rehabilitation
New York, NY

Susan Kellogg Spadt, PhD, CRNP, IF, FCST, CSC
Director, Female Sexual Medicine
Center for Pelvic Medicine
Bryn Mawr, PA
Professor, Human Sexuality
Widener University
Chester, PA
Associate Faculty
University of Pennsylvania Colleges of Medicine and Nursing
Thomas Jefferson University
Philadelphia, PA
Rutgers University College of Medicine
Newark, NJ

Adrienne Sprouse, MD, MEd
Medical Director
Manhattan Health Consultants
New York, NY

Jade Teta, ND
Naturopathic Health Clinic of North Carolina
Metabolic Effect
Winston-Salem, NC

Keoni (John) Teta, ND, LAc
The Naturopathic Health Clinic of North Carolina
Metabolic Effect
Winston-Salem, NC

Dana Ullman, MPH, CCH
Homeopathic Educational Services
The Foundation for Homeopathic Education and Research
Berkeley, CA

Eric Yarnell, ND, RH (AHG)
Associate Professor
Department of Botanical Medicine
Bastyr University
Kenmore, WA