Abstract
Sexuality and sexual dysfunctions are too often considered taboos in the clinical management of eating disorders. 1 Castellini G Lelli L Ricca V et al. Sexuality in eating disorders patients: etiological factors, sexual dysfunction and identity issues. A systematic review. Horm Mol Biol Clin Investig. 2016; 25: 71-90 PubMed Google Scholar Many physicians still avoid speaking about sex with their patients because of shame or for the general belief that sexuality and sexual dysfunctions should be considered as secondary with respect to the other severe complications of eating disorders, including medical (eg, hydroelectrolytic impairment or cardiocirculatory accidents) and psychological ones (eg, risk of comorbid depression or suicide). 1 Castellini G Lelli L Ricca V et al. Sexuality in eating disorders patients: etiological factors, sexual dysfunction and identity issues. A systematic review. Horm Mol Biol Clin Investig. 2016; 25: 71-90 PubMed Google Scholar However, empirical evidence suggests that assessing the sexual health of patients with eating disorders can be useful from different perspectives, assuming a clinical meaning beyond the concept of comorbidity. 2 Castellini G Rossi E Ricca V The relationship between eating disorder psychopathology and sexuality: etiological factors and implications for treatment. Curr Opin Psychiatry. 2020; 33: 554-561 Crossref PubMed Scopus (4) Google Scholar Indeed, the evaluation of sexual functioning might provide information regarding psychopathological features, the recovery process and the etiopathogenetic and developmental trajectory of these disorders.
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