(525) Challenges in Management of Sexual Disorders in Rwanda
Abstract Introduction In Rwanda, it is not common to talk about sexual issues but these days there are remarkable increase in sexual disorders consultations especially in men where most are complaining of erectile dysfunction followed by ejaculatory disorders which make about 10% in public and 20% i...
Saved in:
| Published in: | Journal of sexual medicine Vol. 20; no. Supplement_1 |
|---|---|
| Main Author: | |
| Format: | Journal Article |
| Language: | English |
| Published: |
22-05-2023
|
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | Abstract
Introduction
In Rwanda, it is not common to talk about sexual issues but these days there are remarkable increase in sexual disorders consultations especially in men where most are complaining of erectile dysfunction followed by ejaculatory disorders which make about 10% in public and 20% in private urological consultations. Top causes are psychogenic while organic causes include Diabetes mellitus and post chemotherapy and radiotherapy in females. Most patients present late distressed and desperate hence poor quality of life.
Objective
Highlight the challenges in management of sexual disorders in Rwanda
Methods
Narrative opinion. I will discuss in details those challenges from a perspective of a urologist interested in sexual medicine.
Results
There are neither andrologists nor specialized sexual therapist in Rwanda, hence difficulty in treating these patients. Most of patients are exposed to highly mediatized wrong information from practitioners who use herbal medicines to treat them without success in most of them. Others consult general practitioners or gynecologists who refer them to urologists. With the scarcity of urologists in the country (only 10) and lack of psychosexual therapists, limited treatment options (only some PDEIs and antidepressants available) and cultural barriers, there is a big gap in proper management of sexual disorders.
Conclusions
There is high need for capacity building of health professionals, special training of urologists, research, access to evidence-based information and management options to bridge the big gap.
Disclosure
No |
|---|---|
| ISSN: | 1743-6095 1743-6109 |
| DOI: | 10.1093/jsxmed/qdad060.493 |