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Sexual dysfunction (<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>), an important and often ignored aspect, is common in <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>. Motor and nonmotor symptoms are involved in limiting pleasure and disturbing function. Sexual dissatisfaction is more common in men that in women. Frequently, both patients and partners have <jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content> associated with <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>, and both need suitable treatment. These issues need to be evaluated by neurologists or <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content> nurses and by specialized sex therapists. The objectives of this study were to describe the complexity and multidimensional nature of sexual problems in <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>, enable practitioners to assess and treat sexual difficulties of their patients, and increase awareness of the role of sex therapy in the therapeutic process of <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Based on clinical experience of over 30 years in movement disorder clinics and a review of the literature, the authors suggest practical approaches, including an \u201cOpen Sexual Communication\u201d module, prescribing medications, and\/or referring to specialists.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results and Discussion<\/jats:title><jats:p>The longitudinal nature of treating neurologic patients puts physicians in an important position to introduce sexual issues and to assess and plan the interventions and follow\u2010up needed to ensure that sexual difficulties are resolved. The management of hypersexuality requires a thoughtful distinction between lack of opportunities for sexual expression, limited ability to perform, and true hypersexuality. Sex therapists have a major role in the assessment and treatment of the multiple factors that may underlie sexual dissatisfaction in <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>, differentiating between hypersexual behaviors and other sexual preoccupation behaviors, and training the professional team.<\/jats:p><\/jats:sec>","DOI":"10.1002\/mdc3.12561","type":"journal-article","created":{"date-parts":[[2017,10,14]],"date-time":"2017-10-14T10:02:36Z","timestamp":1507975356000},"page":"6-13","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":31,"title":["The Role of Sex Therapy in the Management of Patients with Parkinson's Disease"],"prefix":"10.1002","volume":"5","author":[{"given":"Gila","family":"Bronner","sequence":"first","affiliation":[{"name":"Department of Urology Sexual Medicine Center Sheba Medical Center Tel\u2010Hashomer Israel"},{"name":"Department of Neurology Movement Disorders Institute Sheba 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