The aim of this book is twofold: to promote an awareness of cultural differences in connection with sexual medicine among health care providers, and to demonstrate how such differences are relevant to the care and treatment of patients with sexual issues.

Individual sexuality represents the cumulative effects of biological, psychological, and cultural influences. Yet much of the study of sexuality-including issues ranging from sexual identity to sexual response-has been conducted through a Western lens.  Although a substantial body of work in anthropology has taken up the study of human sexuality from a cross-cultural perspective, two points are notable. First, this work seldom crosses the desks of medical and psychological health practitioners, and second, the relevance of specific cultural differences is rarely apparent to the typical sexual health practitioner. To address this situation, this book adopts a global perspective, focusing on how cultural practices and values can impact health care, treatment, and outcomes. In this regard, it covers three broad domains: Sexual Identity and Orientation; Sexual Response and Dysfunction; and Sexual Diversity. Each chapter consists of two parts: a general description of the relevant issues, and a discussion of how these issues can be relevant to clinical practice.

The book offers a valuable, practical tool for specialists in sexual medicine and sexual psychology, for sexual healthcare givers, and for sexological researchers who want to better serve their patients by developing an awareness of and sensitivity to cultural differences, and by providing a framework for dealing with issues of sexuality and sexual health that takes cultural values into consideration, while adhering to best practices in patient care.

Part I: Introduction

Culture and Practice: Identifying the Issues
Role of Medical Anthropology in Understanding Cultural Differences in Sexuality
Part 2: Sexual Issues, Identity, and Challenges
Socio-cultural perspectives, challenges, and approaches to sexual health in the Indian subcontinent.- Lesbian, Gay, and Bisexuality from a Cross-Cultural Perspective.- Transcultural Homo- and Trans-Phobia.- Impact of Chinese Traditional Culture on Sexuality.- Sexual Fluidity Behind Culture.- Part 3: Dealing with Sexual Issues.- Middle East Cultural Challenges and the Treatment of Sexual Problems in Men.- Central Asian Challenges in Sexual Issues.- Western, Asian, and Middle Eastern societies' cultural attitudes and barriers impacting the management of sexual health care.- Latin American and Latina/Latino Issues in Sexual Health.- Cultural Issues Impacting the Acceptance of Psychosexual Therapy.- Normal or normative? Italian medical experts' discourses on sexual ageing in the Viagra era.- Part 4: Sexual Differences and Cultural Variation.- Pleasure, Orgasm, and Sexual Mutilations in Different Cultural Settings.- Disposition and Treatment of Paraphilia in Non-Western Cultures.- Disability and Sexuality.- Sexual Surgery through the Ages, in Varying Cultures.- Pornography Use: What Do Cross-Cultural Patterns Tell Us?.- Cross Cultural Research: Opportunities and Strategies for Discovery.