Reply to Letter to the Editor "Sexual Dysfunction and Fluvoxamine Therapy"

Letter to the Editor

Sir: We appreciate the insightful comments of Drs. Waldinger and Olivier. While we agree that objective measurements of sexual function are potentially more accurate and useful than self-report questionnaires, it is difficult (and for most clinicians, impossible) to implement objective measurements in clinical practice. We agree that it is unfortunate that accurate instrumental tools (including standardized questionnaires) are seldom used in psychiatric sexual pharmacologic studies. In fact, they are seldom used in any pharmacologic studies.