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Adults > sexual health > Flashcards

sexual health Flashcards

1
Q

Why should older people drink water everyday?

A

thirst signals decrease in the older adult (drink with meals)

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2
Q

Why is it important to understand your body’s response to medications when you’re older?

A

metabolism changes

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3
Q

Is urinary incontinence normal in older people?

A

no, don’t expect it

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4
Q

what changes in the female body with age?

A
  • vaginal shortening and narrowing
  • vaginal walls thinner and stiffer
  • less vaginal lubrication (your pussy don’t get wet)
  • dyspareunia (painful sex)
  • menopause
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5
Q

what causes the female body to change

A

decreased estrogen, connected to menopause

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6
Q

what is dyspareunia

A

painful intercourse

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7
Q

what three things help with dyspareunia

A
  • ospemifene (osphena)
  • prasterone (intrarosa)
  • desensitization therapy
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8
Q

what drug helps with vaginal lubrication, works like estrogen (hormone replacement), and has the side effects of stroke, blood clots, and uterine cancer?

A

ospemifene (osphena)

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9
Q

what drug is a vaginal suppository

A

prasterone (intrarosa)

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10
Q

what can you do for vaginal relaxation?

A

desensitization therapy

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11
Q

what does menopause lead to

A

less estrogen = less sensitive = less aroused

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12
Q

hormone therapy for menopause may ___ libido and come with great cv risks

A

increase

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13
Q

What is impotence?

A

erectile dysfunction

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14
Q

what are the characteristics of impotence/erectile dysfunction?

A
  • loss of ability to have and keep erection
  • increased time to arousal, ejaculation, refactory period (times between)
  • decreased firmness of erection
  • decreased force of ejaculation
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14
Q

what are the characteristics of impotence/erectile dysfunction?

A
  • loss of ability to have and keep erection
  • increased time to arousal, ejaculation, refactory period (times between)
  • decreased firmness of erection
  • decreased force of ejaculation
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15
Q

what are three medications for impotence/erectile dysfunction

A
  • sildenafil (viagra)
  • vardenafil (levitra, staxyn)
  • tadalafil (cialis)
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16
Q

What are the instructions for Sildenafil (Viagra)

A

take on an empty stomach one hour before sex
works for 4-5 hours or more

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17
Q

what are the instructions for vardenafil (levitra, staxyn)

A

take one hour before sex with or without food
low fat medication (fat stops absorption)
works for 4-5 hours
newer pill goes under tongue

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18
Q

what are the instructions for tadalafil (cialis)

A

take with or without food 1-2 hours before sex
works up to 36 hours

19
Q

what is the way to remember ED meds

A

“fil” : in the “feels” for ED

20
Q

What are the medication considerations for ED meds

A

Do not take with: nitrates, hypotension, uncontrolled HTN, severe liver disease, renal failure with dialysis

21
Q

why can’t you take nitrates with ED meds

A

causes too much vasodilation which can cause severe life threatening hypotension

22
Q

what are the side effects of ED meds

A

flushing, HA, indigestions, vision changes, back pain

23
Q

what are the serious side effects of ED meds

A

an erection that doesn’t go away (priapism): is rare, however requires medical treatment to avoid permanent damage to penis (erection lasting longer than 4 hours)

24
Q

what is the average age in the US for menopause

A

51

25
Q

what are the symptoms of menopause

A
  • irregular periods
  • hot flashes / night sweats / chills
  • sleep problems
  • mood changes
  • weight gain and slowed metabolism
  • thinning hair and dry skin
  • loss of breast fullness
26
Q

what are the complications that come with menopause

A
  • CVD
  • osteoporosis (bone matrix decreases, increased fractures)
  • urinary incontinence
  • sexual function (dyspareunia)
  • weight gain (make sure to move!)
27
Q

what are treatments for menopause

A
  • hormone therapy (lower dose)
  • vaginal estrogen
  • low-dose antidepressants
  • gabapentin/clonidine
  • prevent/treat osteoporosis
28
Q

why can low-dose antidepressants be used for treatment of menopause

A

SSRIs minimize hot flashes

29
Q

what is andropause

A

gradual decline in hormones (as opposed to plummet in F)

30
Q

what are the signs and symptoms of andropause

A
  • most of the time go unnoticed
  • reduced sexual desire/activity
  • decreased erections / ED
  • breast discomfort / swelling
  • infertility
  • loss of height
  • hot flashes/sweats
  • decreased energy, motivation, confidence, poor concentration, depression
  • increased fatigue, sleep disturbances, reduced muscle bulk & strength, increased body fat
31
Q

what is the treatment for andropause

A
  • healthy diet, adequate sleep, exercise, stress reduction
  • hormone replacement dangers
32
Q

what is a good way to remember how to talk about sex to older people

A

PLISSIT

33
Q

what is PLISSIT

A

permission, limited information, specific suggestions, intensive therapy (expert)

34
Q

what are the roadblocks to a healthy sex life

A
  • arthritis (hurts)
  • chronic pain
  • dementia
  • diabetes
  • heart disease
  • incontinence
  • stroke (paralysis/communication)
  • depression
  • surgery (hysterectomy / mastectomy / prostatectomy)
  • medications
35
Q

what kinds of medications can create roadblocks to a healthy sex life

A
  • bp, antihistamines, parkinson’s disease, cancer meds, appetite suppressants, mental health medications, and ulcer drugs
36
Q

what are the obstacles of sexual expressions in long-term care facilities

A
  • lack of privacy
  • negative attitudes
  • lack of staff education
  • physical/mental limitations
37
Q

Facts about sexual expressions in long-term care facilities

A
  • usually non-sexual (hold hands/kiss)
  • Consensual? (family can say no, sexual poa?)
  • HIV
  • monitor your own personal beliefs
38
Q

biological sex (male/female) in accordance with internal/external reproductive organs

A

sex

39
Q

person’s identity/social classification based on masculine/feminine qualities and personality traits

A

gender

40
Q

sexual attraction to others (men, women, both, neither, or other)

A

sexual orientation

41
Q

live transgender full time and undergo hormone supplementation or gender reassignment (or both)

A

transsexual

42
Q

a person whose gender identity or gender expression differs from the sex assigned to them at birth (aka gender variant, gender non-conforming, gender different)

A

transgender

43
Q

those who redefine, refute, or break traditional gender norms. may identify with neither gender or both genders

A

genderqueer

44
Q

(aka cross dressers) wear the clothes and otherwise take on the social roles of the opposite sex- regularly or occasionally- and are comfortable with their anatomical sex

A

transvestite

45
Q

What are problems related to lgbtq health

A
  • lack of research
  • bias
  • transgender people denied routine and transgender related care

Adults (35 decks)

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