(545) Sexual Emergencies

Introduction Sexual emergencies, encompassing both coital and autoerotic activities, are often under-recognized but pose significant medical challenges. This review aims to explore the spectrum of sexual emergencies, including regional variations, to improve management and patient outcomes Objective To emphasize the magnitude and clinical relevance of sexual emergencies across diverse medical domains, based on an extensive literature review and clinical case analysis. The purpose is to describe the impact and significance of these emergencies, highlighting how presentation may vary based on place, culture, and economics, and to consolidate methods of treatment and approach to improve patient survival and quality of life. Methods A comprehensive literature review utilizing a National Library of Medicine data collection was conducted. This review was supplemented by an analysis of relevant, de-identified clinical cases from a single emergency department facility. Evidence was analyzed and structured to emphasize the epidemiology, diagnosis, approach, and multidisciplinary treatment of these emergencies across different countries, cases, and populations, highlighting that the importance is not only gynecological. Results The review encompasses common coital emergencies across six specialties: Neurology (e.g., coital headache, subarachnoid hemorrhage), Urology (foreign bodies, obstructive uropathies), Cardiology (sudden cardiac arrest, myocardial infarction), Gynecology (laceration, evisceration), Obstetrics (postpartum dyspareunia, preterm labor), and Immunology (anaphylaxis). Autoerotic emergencies in Gastroenterology (foreign objects in the rectum/oropharyngeal lesions, "body packers"), sexual assault-related injuries, sexual dysfunction (hyperactive arousal, hypersexuality related to SSRIs), and sociosexual issues were also reviewed Conclusions Sexual emergencies are more common than recognized, encompassing a wide range of pathologies commonly encountered in the emergency department. Understanding and addressing these complex, diverse, and often culturally specific conditions is vital, emphasizing the critical importance of this area of healthcare. Every physician must be adequately prepared to manage these sensitive situations effectively. Disclosure No