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The healthcare providers who interact with the woman during her life span may reduce predisposing factors to FSD through their early diagnosis (see 20) They may also consult about FSD while addressing acute and chronic diseases diabetes, multiple sclerosis, coronary heart disease (CHD), chronic immunologic diseases such as lupus erythematosus or cancer that may secondarily affect sexuality Awareness of the importance of a satisfactory sexual life should encourage clinicians to address this issue with every patient, without assuming that chronic diseases per se excludes the need, the desire, or the possibility of a rewarding sexual life [5,8,9,11,12,17 20,35]

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to be re ected on the balance sheet as accumulated other comprehensive income, net of related tax bene ts The change in accumulated other comprehensive income from the prior year is re ected on the income statement as a charge to other comprehensive income The additional liability, intangible asset, and other comprehensive income are reestablished at each measurement date, and the amounts previously presented on the balance sheet are reversed No amortization of the additional liability or intangible asset is required or permitted The additional liability is determined separately for each plan an employer may not reduce the additional liability for one plan by the excess of plan assets in another (g) INTERIM MEASUREMENTS Generally, the determination of interim pension cost should be based on assumptions used as of the previous year-end measurements Similarly, any additional minimum liability recognized in the year-end nancial statements should be carried forward, after adjustment for subsequent accruals and contributions If, however, more recent measurements of plan assets and pension obligations are available, or if a signi cant event occurs that ordinarily would call for such measurements (ie, a plan amendment), that updated information should be used (h) FINANCIAL STATEMENT DISCLOSURES SFAS No 132, issued in 1998, replaced the disclosure requirements under SFAS No 87, 88, and 106 in an attempt to make disclosures more comparable, understandable, and concise In 2003, SFAS No 132-R was released, amending the disclosure requirements originally promulgated under SFAS No 132 Additional disclosures in a number of areas were required and interim reporting was substantially enhanced For a de ned bene t plan, the following must be disclosed on an annual basis:

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Clinicians may actively precipitate or worsen preexisting unrecognized FSD in their daily practice This negative effect may be due to the known but not completely avoidable side effects of necessary medical and surgical treatment, or to mistakes, negligence, and overall malpractice

The measurement date The ABO A reconciliation of the PBO from the beginning of the year to the end of the year A reconciliation of the fair value of plan assets from the beginning of the year to the end of

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The net amount recognized, shown as a total of: The funded status of the plans (calculated as assets minus liabilities), unrecognized actuarial

Drug-induced sexual disorders have special characteristics: the effect dissipates with drug discontinuation or dose reduction; it is not explained by the ongoing disease or environmental stress; the onset tends to coincide with drug initiation or dose increase (although a delayed onset is possible); it is generalized, ie tends to be present in all sexual situations and reappears with the reintroduction of the drug [1] Drugs more frequently associated with FSD are listed in Table 261 As a note, it should be remembered that some drugs such as sexual

gain or loss, unrecognized prior service cost, and unrecognized obligation or asset existing at the initial application of SFAS No 87 The prepaid bene t cost, accrued bene t liability, intangible asset, and accumulated other comprehensive income The net periodic bene t cost recognized (separated into its component parts) Discount rate used to value liabilities, rate of compensation increase assumed (for payrelated plans), and the expected long-term rate of return on plan assets used to determine the current year s disclosure information, the current year s expense information, the prior year s disclosure information, and the prior year s expense information A projection of the bene t payments for each of the subsequent ve plan years and in aggregate for plan years six through ten A statement of the cash contribution expected to be made A schedule showing the current and prior year s asset allocation divided into broad asset classes such as equities, xed income, real estate, and so on A narrative description of the investment policies and strategies, including target allocation percentages A narrative description of the basis used to determine the assumption(s) as to overall expected long-term rate of return on assets

In addition, there are several items that must be disclosed if applicable: securities of the employer in plan assets, alternative amortization methods, substantive commitments (to make future bene t

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