Sexual medicine

Sexual medicine is a medical specialty that deals with sexual health. At times heavily influenced by current local views on morality, with heavy cultural overlay, in broad terms this specialty is concerned with diagnosing, assessing and treating all aspects which relate to sexuality.

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Issues can be divided into two main areas of concern:

• disorders of the sexual organs
• disorders of the psyche affecting sexuality

Disorders of the sexual organs

Congenital or acquired, these conditions refer to any pathology which interferes with the perception of satisfactory sexual health. Varied conditions include absent sexual organs, hermaphrodite and other genetic malformations, or trauma such as amputation or lacerations. Sexually transmitted disease accounts for by far the largest proportion of patients in this category. Of these, HIV and consequently AIDS represents a significant threat to populations throughout the world, but more especially Africa, and within Africa in the sub-Saharan area.

Disorders of the psyche affecting sexuality

A wide range of disorders can be mentioned in this section. While those unaffected can - and often do - mock the afflicted, such issues can be earth shattering in their consequences for the individual, resulting in depression, murder and suicide. Whole cultures have been adversely affected by adhering to specific attitudes regarding sexuality. Issues such as genital mutilation, institutionalised rape, and honour killings can be attributed to such problems which, although accepted as "the norm" for a specific culture, would in other circumstances be regarded as deviant behaviour.

Examples of conditions which may be treated by specialists in this field include:

• Erectile dysfunction
• Loss of libido
• Dyspareunia - pain on intercourse
• Failure to complete intercourse
• Infection
• Gay issues^{[citation needed]}
• Gender confusion^{[citation needed]}