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Psychiatric background and Management flowchart for patients seeking penile enhancement. When addressing female sexual dysfunctions, CBT has typically included other non-pharmacological strategies, such as directed masturbation, sex therapy, sensate focus, communication training, systematic desensitization, anxiety-reduction strategies, bibliotherapy, counseling, and psychoeducation, among others . In this manner, we sought to provide a current understanding of behavioral therapies with empirical support for the treatment of female sexual dysfunction disorders. In this article, we present a state-of-the-art review of behavioral therapies that have empirical support in the treatment of female sexual dysfunction disorders. Here, we present a state-of-the-art review of behavioral therapies for female sexual dysfunction disorders, focusing on empirically validated approaches. 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In addition to lacking cytoplasmic enzyme systemsnecessary for repairing damage induced by oxidative stress (Agarwal et al., 2003; Aitken et al., 2010; Darbandi et al.,2018).ROS (Reactive Oxygen Species) inflict initial damage to the sperm membrane,consequently impairing its motility and ability to fuse with the oocyte (Darbandi et al., 2018).The precise mechanisms underlying reduced sperm motility due to oxidative stressremain uncertain. It has been established that excessivefree radicals can diminish sperm count, viability, and motility (Chen et al., 2013).It is known that defective spermatozoa are more vulnerable to damage caused byoxidative stress, because the composition of their plasmatic membranes containshigh percentages of polyunsaturated fatty acids (PUFAs). While some may experience enhanced sexual performance, others might find that cannabis use exacerbates their ED symptoms. 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