Sexual Interest Research Articles

Narrative Review of Paraphilias: An Indian Perspective.

Paraphilias, encompassing a diverse range of atypical sexual interests and behaviors, have been a subject of profound interest and scrutiny throughout history. These sexual interests are a matter of debate with the changing society and also with the changing world view. The rise in awareness about abnormal sexual interests also poses difficulty in adding to the existing list. This article aims to provide a comprehensive exploration of the historical underpinnings, current diagnostic criteria, legal considerations in India, and treatment approaches available for paraphilias. Electronic searches were done on PubMed, Science Direct, Web of Science, and Google Scholar. Search term included were "paraphilias," "history," "nosology," "legislation," "law," "treatment guidelines," and "treatment recommendations" in various combinations. An independent online search was also conducted for historical and legal aspects of India. The classification and understanding of paraphilias have evolved over time, with some being removed from criminalized groups and laws and legislation changing based on societal norms. ICD and DSM have become more structured, but need constant updating. India's laws need to be more specific and streamlined, and guidelines have not been assessed for effectiveness. Paraphilias has been treated as a foster child in psychiatry, raising concerns about treatment options.

Sexual Orientation, Sexual Attraction, and Income

Sexual Orientation, Sexual Attraction, and Income

Sexual Orientation and Career Interests: The Moderating Role of LGB Acceptance & Cultural Tightness

Sexual Orientation and Career Interests: The Moderating Role of LGB Acceptance & Cultural Tightness

Development of Biological Control Tools against Bactrocera zonata (Saunders) (Diptera: Tephritidae) in Citrus Orchards in Egypt

The peach fruit fly Bactrocera zonata, is a harmful insect that infests various fruit crops and vegetables worldwide, including Egypt. Its presence leads to significant damages and losses. To minimize the negative impact of pesticide residues on human health and the environment, a study was conducted to examine the seasonal behavior of Bactrocera zonata on navel orange trees. This investigation involved the utilization of sex attractants and the monitoring of fruit samples. The research was conducted over two consecutive seasons, namely 2020 and 2021. By utilizing sex attractants, pheromone (mass trapping) it was discovered that the number of male Bactrocera zonata captured and infested increased during the Autumn period, specifically in October, in both seasons. Additionally, it was observed that Bactrocera zonata males exhibited a single peak of activity each season. Fruit samples were monitored to assess fruit infestation, and it was found that infestation was positively correlated with the maturity of the fruits. The weekly count of males captured in the fly traps, along with the infestation rate of this pest, indicated that these traps could serve as a useful tool for predicting the infestation rates of Bactrocera zonata in their host fruits. Conclusion The implementation of mass trapping techniques utilizing pheromone-based tools will result in a reduction of infestation by the end of the second season of 2021.

Validation of the Revised Screening Scale for Pedophilic Interests (SSPI-2) in Portugal.

The accurate assessment of pedophilic sexual interests is crucial for the treatment and management of individuals who have sexually offended children. This study aimed to validate the Revised Screening Scale for Pedophilic Interests (SSPI-2) in a Portuguese sample of 170 men convicted of sexual offenses against children, 104 serving sentences in the community, and 66 in prison. The findings indicated that SSPI-2 demonstrated good convergent validity, as evidenced by its significant and positive associations with the "sexual deviance" item of SVR-20, the number of previous convictions for sexual crimes against children, and having 3 or more child victims, which is associated with high sensitivity and specificity in distinguishing men who show greater sexual arousal to children than to adults. Furthermore, the SSPI-2 exhibited good divergent validity, with no significant correlations observed with a self-report measure of psychopathy or with a nonsexual criminal history.

A Study on the Aesthetic Parameters and Proportions of the External Contour for Minimally Invasive Facial Injection.

The aim of this study was to further guide the diagnosis and treatment programs for clinical facial contouring with injectable fillers by studying the facial contour parameters and proportion preferences consistent with Asian aesthetics. A total of 89 subjects (42 males and 47 females aged 20-60 years) who met the inclusion criteria were enrolled in this study. The subjects were grouped by age, sex, and external contour attractiveness score, and the external contour aesthetic parameters and proportions of the subjects in different groups were measured and analysed. The upper facial breadth and lower facial breadth decreased with age, with significant differences between the 50-60-year age group and other age groups (P<0.01). The nasomental angle showed a decreasing trend with age, with significant differences between the 40-49-year age group and the 20-29-year and 30-39-year age groups (P<0.05). Males and females were significantly different in calva height, total head height, lower facial height, and calva height to total head height ratio (P<0.05). With increasing age, the external contour attractiveness scores of males and females both showed decreasing trends, with significant differences between the 50-60-year age group and other age groups (P<0.05). The calva height and the cranioauricular angle have a significant impact on external contour attractiveness. In general, temporal depression, cheek sagging, lateral cheek depression, and an ill-defined mandibular border will occur due to ageing, collagen loss, ligament laxity and sagging, and soft tissue atrophy and sagging, reducing the attractiveness of the external contour. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

The Treatment Needs and Experiences of Pedohebephiles: A Systematic Review

People with a sexual interest in children face significant barriers to seeking and receiving mental health treatment. This review aims to bridge the gap between the treatment needs and experiences of pedohebephiles, and the services aiming to support them. Reviewers screened 1705 database hits and extracted findings from 22 qualitative, 15 quantitative, and 3 mixed-method studies on the treatment needs and experiences of pedohebephiles. Research suggests that this population experiences significant levels of distress, depression, and anxiety related to their sexual interest. Many individuals belonging to this population would seek (median = 42.3%), or have sought (median = 46.5%), treatment to cope with their sexual interest or with potential related mental health repercussions. Their experiences in treatment have been mixed, with some reporting positive experiences with empathic therapists and others reporting rejection. Most frequently, pedohebephiles report fear of exposure and rejection as barriers to seeking treatment, in addition to fear of the legal repercussions. The current study is the first to summarize and discuss previous findings on the treatment needs and experiences of pedohebephiles. The findings indicate that the treatment needs of pedohebephiles often remain unaddressed. Suggestions to increase the fit between treatment services and the needs of pedohebephiles are put forward.

Analysis of the Crime of Sexual Violence in the Study of National Criminal Law Indonesia

Criminal acts of sexual violence that occur in adolescent relationships can be said to be a form of unhealthy relationship. Not a few teenagers make unhealthy relationships as an outlet for emotions that are not channeled properly, and can also be a psychological trauma that encourages a teenager to take retaliatory actions against others. Sexual violence against women and children is an essence in the form of violence by showing the vulnerability of the position of women or children to sexual interests that occur in men. The identification of acts committed by a perpetrator of sexual violence is sexual desire and power that cannot be restrained and most women are always used as object. The issues raised in this writing are What are the forms of sexual violence in unhealthy relationships and Analysis of Toxic Relationship crimes. This research method uses normative juridical methods with a statutory approach and a case approach. Based on this study, the spread of sexual violence that occurs in unhealthy relationships usually attacks victims, especially women who are trapped in a relationship with the perpetrator. The government and law enforcement officials have a role to punish and sanction perpetrators of toxic relationship crimes.

A national longitudinal study of sexual orientation discordance, sexual identity fluidity, and alcohol and other drug use disorder symptoms

ABSTRACT Background: Many national studies fail to account for discordance between sexual orientation dimensions (e.g. a mismatch between sexual identity and sexual attraction) or sexual identity fluidity (e.g. changes in sexual identity over time). Objective: To examine the longitudinal relationships among sexual identity fluidity/stability, sexual orientation discordance/concordance, and alcohol and other drug use disorder symptoms. Methods: The study used nationally representative longitudinal data from Waves 1–5 (2013–2019) of the Population Assessment of Tobacco and Health (PATH) study of US adolescents and adults (N = 24,591). Results: Substance use disorder symptoms were most prevalent (45.8%) among bisexual-stable females relative to all other sexual identity subgroups. The adjusted odds ratios (AORs) of substance use disorder symptoms were significantly higher among bisexual-stable females vs. heterosexual-stable females in all models (AOR range: 1.94–2.32), while no such associations were found for males. Sexual identity-attraction discordant females had significantly greater AORs (17/20 instances) of substance use disorder symptoms compared to concordant females; this finding was not as consistent for males (6/20 instances). Conclusion: Sexual orientation discordance was significantly associated with substance use disorder symptoms, especially among females discordant in their sexual identity and attraction. Bisexual-stable and discordant females are at highest risk of developing symptomatic substance use; it is vital that they receive screening, no matter where they are in their coming out process. This study highlights pitfalls of relying solely on cross-sectional data using a single sexual orientation dimension to understand the relationship between sexual orientation and substance use disorder.

P-443 An association between olfaction and unexplained recurrent pregnancy loss

Abstract Study question Is there a male body-odor associated with unexplained recurrent pregnancy loss (uRPL)? Summary answer The body-odor of men from uRPL couples may have different chemical composition than control men. What is known already Recurrent pregnancy loss is defined as 2-3 consecutive pregnancy losses, affecting about 1% of all couples, and in about half of them, the reason for the pregnancy losses in unexplained (uRPL). In our previously published study, we found that women who experienced uRPL have altered perceptual and brain responses to men’s body-odors in comparison to control women. This suggests a possible link between uRPL and the olfactory system, resonating with the Bruce effect in mice. In the Bruce effect, the particularities of male body-odor are also a factor in the effect. Study design, size, duration We set out to ask whether the body-odor (BO) of men in uRPL is different from the BO of control men. To test this, we used two main approaches: have women smell BOs from uRPL-men and control-men and rate the perceived odor; and sample the BOs using a machine (electronic nose) and test if the composition of the BOs is objectively different. Participants/materials, setting, methods We collected BOs from spouses of uRPL and control women. We recruited women with uRPL, control women (with no history of pregnancy losses) and nulliparous women to sniff the BOs and rate them for perceived intensity, pleasantness, sexual attraction, and fertility. We then used an electronic nose (eNose, Airsense) to sample the BOs and used a Linear SVM classifier on this data, to try and classify the BOs to the two groups. Main results and the role of chance Twenty-one women with uRPL and 24 control women sniffed and rated 34 BO jars (17 uRPL-men). We found that uRPL-men BO was rated as more pleasant, sexually attractive and fertile than control men (rmANOVAs for each parameter but intensity revealed a significant effect of male group (all F(1,43)&amp;gt;14.24, all p &amp;lt; 0.001), no women-group effect and no interactions). We then recruited 51 nulliparous women, not related to the original study, to do the same task, and the results replicated: nulliparous women rated uRPL-men’s BO significantly more pleasant, sexually attractive and fertile than control men’s BO (all t(50)&amp;gt;2.88, all p &amp;lt; =0.006), while the intensity was not different (t(50)=0.87, p = 0.38). We then used a PEN3 eNose to sample 37 male BOs (18 uRPL). The PEN3 eNose contains 10 different metal oxide sensors, and each sensor is coated in a unique material that makes it sensitive to different sets of chemical compounds. Based on the data from the eNose, a Linear SVM classifier successfully classified the odors to uRPL-men or control-men at 69.9% accuracy in a five-fold cross-validation test (p &amp;lt; 0.001 estimated by repeating the process 1000 times and shuffling the labels). Limitations, reasons for caution This study shows an association between the body-odor of men and uRPL, however it shows a correlative connection (not causative). Therefore, the interpretation for these current results are limited. Wider implications of the findings These initial results suggest that uRPL-men’s and control-men’s BO have different chemical composition. This implies a possible contribution of men to the effect we observed in our previously published study, and combined, further strengthens a link between uRPL and the olfactory system that we continue to investigate. Trial registration number not applicable

The arsenic eaters of Styria, the toxicophagi

Introduction From at least the fifteenth to late nineteenth centuries, peasants in the Austrian province of Styria ate up to several hundred milligrams of arsenic trioxide or sulfide daily or weekly for periods up to a number of years. Taking these doses of arsenic was believed to increase muscular power and enhance the beauty and sexual attractiveness of peasant girls. There do not appear to be contemporaneous records of the known consequences of chronic arsenic exposure. The historical records of arsenic eating there are reviewed and appear to be valid. The benefits are subjective judgements by arsenic eaters. The lack of objective reports of the anticipated external and internal clinical and pathological effects of arsenic poisoning depends on a smaller number of clinical accounts and autopsy reports and the general medical literature of those times, so it is weaker, but it is consistent. Can the claimed benefits of arsenic eating and the apparent absence of harmful toxic effects be true? Why the arsenic eaters did not show the well-known consequences of prolonged exposure to high doses of arsenic is not known. Possible explanations include increases in detoxifying metabolism in the consumers due to induced genomic changes and selection in people and in the gut microbiome, as shown in other populations. Whether these effects would suffice to protect people against their high doses of arsenic has not been explored. Conclusion Although the nature and mechanisms of arsenic toxicity have been extensively described, much still remains to be discovered.

Analysis Of Factors Causing Sexual Deviance (Lesbian) In Adolescents In The Coastal Region Of Southeast Sulawesi

Background: Adolescence is a transitional phase that causes a lot of turmoil both positive and negative. One of the developmental tasks of adolescence is being able to accept and understand their sexual role. Teenagers begin to understand and have sexual attraction to the opposite sex. However, the fact is that there are many deviations in adolescence, one of which is the tendency to like the same sex and not be sexually attracted to the opposite sex. Of course, there are many factors behind this condition. This study aims to analyze the various factors that cause the emergence of sexual deviation (lesbi) in female adolescents. Methods: This study uses a qualitative method with a phenomenological approach. The participants involved in this study were 3 female adolescents with sexual deviation (Lesbian). The data collection techniques used were observation and in-depth interviews. Data analysis used descriptive qualitative and then continued with data triangulation. Results: This research resulted in 4 main factors for the emergence of sexual deviant behavior (Lesbi) including: 1) Environmental factors 2) Psychological factors (trauma); 3) Family factors; 4). Curiosity; Conclusions: sexual deviant behavior (lesbi) appears with a variety of factors and backgrounds. So it is very necessary for special handling and prevention so that this behavior does not spread widely and become a destroyer of future generations.

Knowledge gaps in existing research exploring sexual fluidity and mental health among young adults

While there is a large body of evidence indicating that sexual minority youth experience inequitably high rates of mental health problems (eg, depression, suicidality), we know little about how temporal...

Breast cancer symptom profile longitudinal changes: data mining study

ObjectivesIdentifying stable co-occurring symptoms in breast cancer (BC) patients during chemotherapy can improve symptom management and the treatment process. This study examines symptom cluster stability in Iranian BC patients receiving...

#Blessed

This article explores the creative use of allusion as a literary device in the description of transactional sex relationships in the following selected literary texts; The Blessed Girl by Angela Makholwa (2018), Bare: #The Blesser Game by Jackie Phamotse (2017) and The Y in yOUR Man is Silent: Book 1 by Yvonne Maphosa (2019). The discovery of the dearth of literature on the portrayal of transactional sex relationships in fiction catalysed this article. Thus this article sought to explore the diverse creative ways in which allusion is employed to describe the relatively new phenomenon of transactional sex relationships. In this article, a qualitative desktop literary analysis was the methodology of choice. The article employed the critical lens of Lipstick Feminism which advances the use of make-up and sexual appeal as an empowerment tool for women without regarding how it sustains the commodification of transactional sex relationships. The significant finding of the study was that the creative use of allusion was crucial as they exemplify the blessee's lifestyle. The brand names are significant in shaping the blessee's archetype and image. In conclusion, allusion was effectively used in the selected works of fiction to describe the new phenomenon of transactional sex relationships.

Explicit measures for emotional congruence with children are related to sexual interests in a male community sample, but not implicit measures.

This study sought to disentangle several phenotypic correlates of pedophilic sexual interests, such as emotional congruence with children and lack of empathy. We utilized Implicit Association Tests and self-report questionnaires for emotional congruence with children and analyzed the psychometric properties of these measures. Further, we analyzed the associations between these measures and self-reported pedophilic sexual interests and empathy. The sample consisted of 110 adult community males (prevalence of sexual interest in children at least to some extent: 5.5%) with or without child-related jobs (43.6% vs. 56.4%) recruited online in the general population. Overall, we found equivocal parameters for reliability of the implicit and explicit measures of emotional congruence with children (α = 0.29 to 0.76). The self-reported emotional congruence with children was only weakly linked to the implicit positive evaluations of children (r = 0.170, p = 0.039), not linked to empathy except for distress in social interactions (r = 0.199, p = 0.019), and moderately linked to deviant sexual interests in children (r = 0.321 to 0.404, p < 0.001), especially in men working with children (R2 = 0.04, p = 0.027). Further studies are warranted to expand the sample to the offender population and explore the more complex network of constructs related to pedophilia.

Sex and Sexual Orientation Differences in Dark Triad Traits, Sexual Excitation/Inhibition, and Sociosexuality.

The present study sought to investigate sex and sexual orientation differences in several traits related to sexuality and sexual behavior. Examining sexual orientation differences alongside basic sex differences to help identify correlates of sexual orientation diversity, and whether individuals with varying degrees of same-sex attraction show concurrent sex-atypical shifts in other domains. Males tend to score higher than females in the Dark Triad (DT) traits of sub-clinical narcissism, psychopathy, and Machiavellianism. Similarly, females tend to be more cautious than males in their attitudes and desires toward casual sex activity (i.e., sociosexuality). These sex differences may be related to the propensity for individuals to become easily sexually excited, which is higher in males, or to instead inhibit sexual arousal, which is higher in females. In a large undergraduate sample (N = 2047), we replicated expected sex differences in DT traits, sociosexuality, and sexual excitation/inhibition. We found that non-heterosexual females were "male-shifted" in some of these traits, but these shifts tended to be strongest among mostly heterosexual and bisexual individuals. Furthermore, we found that within-sex variation in sociosexuality, sexual excitation, and sexual inhibition was not related to sexual orientation in a linear fashion. Instead, sociosexuality and sexual excitation were related to sexual orientation in a curvilinear (inverted-U) fashion, especially among females. The fact that traits correlated with bisexuality and homosexuality were somewhat distinct is consistent with the idea that different developmental pathways may lead to these discrete sexual attraction patterns.

(111) PLATELET-RICH PLASMA FOR IMPROVEMENT OF SEXUAL DYSFUNCTION: A PILOT STUDY

Abstract Introduction Platelet-rich plasma has been widely used in various field of medicine. Some studies have shown that PRP helps improving sexual function, but most studies were conducted on men. There are also studies showing that it helps women’s sexual function, but it is very limited. Objective This study conducted to determine whether PRP was effective for women complaining of sexual dysfunction. Methods This retrospective study included 34 women who underwent PRP for improving sexual function from December 2022 to September 2023. Patients underwent a total of three procedures on schedules 0, 1, and 4 months. Before performing each procedure, a survey was conducted on questionnaire related to sexual dysfunction. The results of a total of 22 questions were analyzed by dividing them into sexual desire or sexual interest, sexual excitement, lubrication, orgasm, satisfaction with sexual life, pain during intercourse, and urinary incontinence. Results In the categories of sexual desire or sexual interest, sexual excitement, and satisfaction with sexual life scores showed a significant increase after PRP treatment (p &amp;lt; 0.001, p &amp;lt; 0.001, and p &amp;lt; 0.003, respectively). There was a significant increase in orgasm between the first and third treatments (p &amp;lt; 0.021), but it was not statistically significant overall. Symptoms related with lubrication, pain, and urinary incontinence all improved, but did not show statistical significance. Conclusions This study demonstrated that PRP improved some categories of sexual dysfunction. Disclosure No.

(017) FLIBANSERIN IMPROVES LIBIDO AND SEXUAL SATISFACTION IN WOMEN WITH BREAST CANCER ON ENDOCRINE THERAPY

Abstract Introduction Decreased libido is a distressful symptom during and after cancer treatment. This is the first prospective longitudinal study that investigates the use of flibanserin to treat decreased libido in breast cancer patients on endocrine therapy. Objective This study evaluates the efficacy of flibanserin as measured by change in desire, sexual function, and distress from sexual dysfunction. These outcomes are measured using the following validated instruments: Female Sexual Function Index (FSFI) both desire and total scores, Patient-reported Outcomes Measurement Information System Sexual Function Instrument (PROMIS-SF) and patient distress via FSDS-R. Methods Forty-three women with stage 0-III ER+ breast cancer on endocrine therapy for at least 3 months who reported HSDD as defined by the DSM-IV and ISSWH consensus paper were enrolled on an IRB-approved prospective, longitudinal trial from both an academic center and an alliance community site. All patients took flibanserin 100mg nightly for 24 to 36 weeks. Patients were monitored closely for 52 weeks for adverse events, with medical exams and questionnaires at baseline, week 4, 8, 16, 24, 52 with optional week 36 appointments. Given the small sample size, descriptive, graphical, and nonparametric paired tests for pairwise comparisons of a measure were performed. Results Participants reported improved libido and sexual satisfaction as demonstrated by both the PROMIS-SF and FSFI data (see Table 1). 35/43 (83.3%) patients completed the FSFI and 25/43 (58.1%) completed the PROMIS-SF. The mean overall total FSFI score increased from 11 at baseline, to 17 at week 8 and 24 at week 36. The PROMIS data for interest in sexual activity improved from a baseline mean score of 43 to 51 at 8 weeks, to 54 at 24 weeks and 55 at 36 weeks. Similarly, the FSFI data in the domains of desire and arousal improved respectively from 1.90 and 1.56 at baseline to 3.03 and 3.05 at 8 weeks, 3.30 and 3.17 at week 16 and 3.53 and 4.01 at week 36. Satisfaction with sex life also improved from PROMIS baseline of 46 to 49 at week 8 and 55 at week 36. FSFI data for the domain of satisfaction indicate parallel trends with a baseline score of 2.36, increasing to 3.15 at week 8 and 4.45 at week 36. Furthermore, vaginal discomfort scores improved on both the PROMIS and FSFI. FSFI data on lubrication also showed improvement with a baseline mean score of 1.85 increasing to 2.84 by week 8, 3.24 at week 24 and 4.01 at week 36. However, the PROMIS suggests a decrease in lubrication from baseline to week 8. Patient distress also decreased throughout the study as measured on the FSDS-R and distress thermometer. There were no severe adverse events. The most common adverse events were nausea, somnolence and dizziness. Conclusions Flibanserin improves libido and overall sexual function as measured by the PROMIS-SF and FSFI in breast cancer patients on endocrine therapy. The exciting data from this pilot study is currently informing a larger randomized placebo-controlled study evaluating the efficacy of flibanserin in women with breast cancer. Disclosure Yes, this is sponsored by industry/sponsor: Sprout Pharmaceuticals Clarification: Industry funding only - investigator initiated and executed study Any of the authors act as a consultant, employee or shareholder of an industry for: Ms. Medicine, NanOlogy LLC, Paxman Cooling Ltd, Procter and Gamble, Rejoy, Revision Skincare, Sermonix, Shook, Hardy and Bacon, Spectrum Pharmaceuticals, Sprout Pharmaceuticals, TerSera.

(062) IMPLEMENTING A VALIDATED SEXUAL DYSFUNCTION SCREENING TOOL AT AN INNER-CITY WOMEN’S HEALTH CLINIC

Abstract Introduction The American College of Obstetricians and Gynecologists (ACOG) reports 43% of American women experience sexual health problems, including Female Sexual Interest and Arousal Disorder, Female Orgasmic Disorder, Genito–Pelvic Pain and Penetration Disorder, and Substance or Medication-Induced Sexual Dysfunction. Objective At Women’s Ambulatory Health Services (WAHS), an inner-city clinic associated with Hartford HealthCare, at which UConn Health ObGyn residents work, there is no routine screening in place for sexual dysfunction. This project aimed to implement the Female Sexual Function Index (FSFI) for screening for sexual dysfunction at this clinic to identify patients who may benefit from treatment. Methods We implemented the FSFI-short version, a six-question screening tool for sexual dysfunction that has been validated in English and Spanish and utilized in many countries on July 1st, 2022. Patients presenting for a new gynecologic visit or an annual gynecologic exam were asked to complete the screening tool. Patients who scored equal to or less than 18 on the FSFI-short version were identified as at risk for female sexual dysfunction and were offered referral to a health psychologist specializing in sexual dysfunction. We utilized the RE-AIM framework for implementation science to guide the implementation evaluation. We collected data on patients from July 1 through December 1, 2022. We collected patient demographics and implementation outcomes, including rate of survey completion, candidacy for referral and referral completion. Results 196 surveys were reviewed between July 1st and December 1st of 2022. 44 surveys were excluded for various reasons, including not meeting study inclusion criteria or invalid responses. 152 screening forms were included and 45 patients screened positive. Subjective patient barriers were gathered from comments written directly onto the paper survey as well as quotes documented by their providers in the visit note. These subjective barriers included hesitancy to discuss sexual health and lacking knowledge that the gynecologist provider offers assessment and management for these disorders. Conclusions The introduction of the FSFI-sv at WAHS has both expanded the resources offered to patients, enhanced the environment surrounding topics of women’s health both between staff members as well as within the patient-provider relationship, and has unearthed multiple opportunities for improving the screening process, referral selection and work flow for sexual dysfunction amongst the patient population. Disclosure No.