Evidencebased Summary

• Estrogen creams, pessaries, tablets, and estradiol vaginal ring appear equally effective for the symptoms of vaginal atrophy. Women seem to favor the estradiol-releasing vaginal ring for ease of use, comfort of product, and overall satisfaction (SOR: A).

• In men with antidepressant-induced erectile dysfunction, addition of sildenafil is an effective strategy (SOR: A).

• PDE-5 inhibitors are a valuable treatment option for ED in men with diabetes (SOR: A).

• Group psychotherapy may improve erectile function, both compared to no treatment or sildenafil alone (SOR: A).

World Professional Association for Transgender Health; multidisciplinary group whose mission is to promote evidence-based care, education, research, advocacy, public policy, and respect in transgender health. www.vaginismus.com

Site to order plastic dilators for vaginismus treatment. www.soulsourceenterprises.com Site to order silicone dilators. http://healthvermont.gov/research/stats/2005/i04fp.htm Data from the 2005 Vermont Civil Unions.

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