S3L1: Sexuality Flashcards by MindMed Official | Brainscape

Q

Identify: Vehicle to demonstrate attraction, intimacy, and commitment

A

Sexuality

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Q

T or F: Survey shows that among SCI patients, sexuality appears to be the major priority (vs. return to sensation, ability to walk, N bowel and bladder function)

A

True

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Q

Sexual rehabilitation: _ remaining function AND remaking and readjusting

A

salvaging and restoring

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Q

Enumerate: Master and Johnsons’ (1966) FOUR-PHASE Model

A

Excitement
Plateau (high arousal before orgasm)
Orgasm
Resolution (reversal/dissipation of Phase 1)

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Q

True or False: Males manifest with tumescence /erection of erectile tissues during excitement phase

A

True

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Q

True or False: Females manifest with vaginal lubrication & accommodation (lengthening & uterine lifting) during resolution phase

A

False (excitement phase)

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Q

True or False: CV and respiration parameters decrease in excitement phase

A

False (increase)

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Q

True or False: Sweating can occur in excitement phase

A

True

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Q

♂: Maximal / peak erection & rigidity, approaches ejaculatory inevitability

a. EXCITEMENT
b. PLATEAU
c. ORGASMIC PHASE
d. RESOLUTION

A

B

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Q

Maximal HR, BP, & RR (in healthy individuals)

a. EXCITEMENT
b. PLATEAU
c. ORGASMIC PHASE
d. RESOLUTION

A

C

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Q

♀: outer third of vagina forms a thickening (orgasmic platform)

a. EXCITEMENT
b. PLATEAU
c. ORGASMIC PHASE
d. RESOLUTION

A

B

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Q

Pleasant experience recognized in the genital area, brain, and body.

a. EXCITEMENT
b. PLATEAU
c. ORGASMIC PHASE
d. RESOLUTION

A

C

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Q

Accompanied by rhythmic contractions that occur involuntarily and are seen on the pelvic floor muscle of both genders

a. EXCITEMENT
b. PLATEAU
c. ORGASMIC PHASE
d. RESOLUTION

A

C

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Q

(+) EJACULATION

a. EXCITEMENT
b. PLATEAU
c. ORGASMIC PHASE
d. RESOLUTION

A

C

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Q

Gradual reversal of tumescence (erection), pelvic vasocongestion, neuromuscular tension, CV parameters

a. EXCITEMENT
b. PLATEAU
c. ORGASMIC PHASE
d. RESOLUTION

A

D

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Q

Men have an additional physiological refractory period

a. EXCITEMENT
b. PLATEAU
c. ORGASMIC PHASE
d. RESOLUTION

A

D

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Q

Women have extended, repeated (multiple) orgasms

a. EXCITEMENT
b. PLATEAU
c. ORGASMIC PHASE
d. RESOLUTION

A

D

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Q

Identify: Disruption in any or a combination of the phases mentioned

A

Sexual Dysfunction

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Q

T or F: Sexual Dysfunction is multifactorial involving physiological, psychological, social, & emotional components

A

True

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Q

True or False: Sexual desire/libido is experience of specific sensations that motivate the individual to initiate or become responsive to sexual stimulation

A

True

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Q

True or False: Hypoactive sexual desire disorder
is an increase or change in sexual drive common among PWDs

A

False (decrease)

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Q

Give 2 causes of Hyperactive sexual desire disorder

A

(1) Kluver-Bucy syndrome
(2) Effect of medications (replacement of Dopamine in PD)

Q

Disorders of male penile erection (aka erectile dysfunction, ED)

a. Arousal disorders
b. Ejaculatory dysfunction
c. Orgasmic disorders

A

A

Q

Problems with antegrade seminal fluid expulsion

a. Arousal disorders
b. Ejaculatory dysfunction
c. Orgasmic disorders

A

B

Q

Inability to reach orgasm

a. Arousal disorders
b. Ejaculatory dysfunction
c. Orgasmic disorders

A

C

Q

Problems within these three phases include _ & _

A

fertility issues & dyspareunia

Q

T or F: SEXUAL NEUROPHYSIOLOGY Precedes the activation of the ascending pathway

A

False (descending)

Q

T or F: Both pathways act synergistically/simultaneously, but sometimes in isolation from each other to determine genital response

A

True

Q

T or F: SEXUAL NEUROPHYSIOLOGY involves the Cerebrum, brainstem and spinal tracts, ANS, thoracolumbar, sacral, somatic nerves

A

True

Q

T or F: SEXUAL NEUROPHYSIOLOGY is not modulated by mood, emotions, physical factorsis

A

False

Q

In women, lubrication depends on both _ & _

A

intact innervation & normal estrogen levels

Q

True or False: Testosterone levels should be high to produce an erection

A

True

Q

In men, internal accessory organ functioning (including semen production) & erection are dependent on _

A

adequate testosterone levels

Q

Triggered by direct stimulation of genitals

a. Reflexogenic
b. Psychogenic

A

A

Q

Afferent: pudendal nerve → S2-S4 spinal segments → influence from the descending pathway → sacral parasympathetic center → pelvic nerve → genitalia

a. Reflexogenic
b. Psychogenic

A

A

Q

Dominant in SCI pt (above psychogenic pathway); utilizes reflexogenic through touch

a. Reflexogenic
b. Psychogenic

A

A

Q

Supraspinal origin (auditory, imaginative, visual, etc.)

a. Reflexogenic
b. Psychogenic

A

B

Q

Medial preoptic nucleus → paraventricular (PV) nucleus of the hypothalamus → reticular activating system (RAS) → thoracolumbar sympathetic & sacral parasympathetic center

a. Reflexogenic
b. Psychogenic

A

B

Q

Presence of morning (REM) erections is a sign that daytime erection problems are ____ in nature

a. Reflexogenic
b. Psychogenic

A

B

Q

In SCI above LS , there is loss

a. Reflexogenic
b. Psychogenic

A

B

Q

True or False: arousal is sympathetic

A

False (parasympthetic)

Q

True or False: Ejaculation is predominantly parasympathetic in function

A

False (sympathetic)

Q

S1 & S2 nerves → hypogastric nerves → activation of vas deferens, seminal vesicles, & prostate → smooth muscle contractions

a. EJACULATION
b. ORGASM
c. AROUSAL

A

A

Q

Sympathetic Hypogastric nerve (L1, L2) closes the neck of the bladder to prevent retrograde ejaculation.

a. Seminal Emission (sympathetic T10-L2)
b. Expulsion (parasympathetic S2-S4 & sympathetic)

A

A

Q

Transport of semen into prostatic urethra via the ejaculatory duct in the prostate

a. Seminal Emission (sympathetic T10-L2)
b. Expulsion (parasympathetic S2-S4 & sympathetic)

A

A

Q

When the hypogastric nerve is injured, lacerated, or is not functioning well, the neck of the bladder will not be closed & can cause retrograde ejaculation.

a. Seminal Emission (sympathetic T10-L2)
b. Expulsion (parasympathetic S2-S4 & sympathetic)

A

A

Q

aka Propulsatile ejaculation (Parasympathetic S2–4 & somatic)

a. EJACULATION
b. ORGASM
c. AROUSAL

A

A

Q

Propulsion of semen distally or out of the urethral meatus or the opening of the urethra

a. EJACULATION
b. ORGASM
c. AROUSAL

A

A

Q

May include orgasmic attainment without genital stimulation

a. EJACULATION
b. ORGASM
c. AROUSAL

A

B

Q

Two phases

a. EJACULATION
b. ORGASM
c. AROUSAL

A

A

Q

T or F: Half of men & women with complete SCI can still experience orgasm

A

True

Q

Low androgen levels make orgasm more difficult in men & women.

a. EJACULATION
b. ORGASM
c. AROUSAL

A

B

Q

_ levels rise during arousal & orgasm

A

Oxytocin

Q

Prolactin remains elevated even after orgasm

a. EJACULATION
b. ORGASM
c. AROUSAL

A

B