17- Stress and Sexual Dysfunction Flashcards Preview

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Flashcards in 17- Stress and Sexual Dysfunction Deck (40):
1

what is the general prevalence of sexual dysfunction, in %, for women and men ?

women approx 40%
men approx 30%

2

what is sexual dysfunction characterized by ?

disturbances in sexual desire and in the psychophysiological changes associated with the sexual response cycle in men and women

3

what is the classical sexual response cycle ?

desire, arousal, orgasm, resolution

4

is the classical sexual response cycle by Masters and Johnson valid ?

no, was created in ignorant times

5

in the alternate sexual response cycle, what is special about the desire stage ?

it can be spontaneous or with a sexual stimuli , and only works to progress to the next stage with a willingness to become receptive

6

what does the alternate sexual response cycle tell us about rewards from having sex?

that there are all kinds of reasons to have sex that have nothing to do with the arousal per se and

7

what are the two types of sexual dysfunctions, time wise ?

lifelong or acquired

8

what are the two types of sexual dysfunctions, situation wise ?

generalized or situational

9

what are the 4 main stress factors in the context of sexual dysfunction ?

1) predisposing factors: biology and prior life experience
2) precipitating factors: element causing or contributing to occurence of disorder
3) maintaining factors: internal stress from relationship
4) contextual factors: external stress from relationship, either acute or chronic

10

what is the relationship between stress and sexual dysfunction

a negative feedback loop

11

what is performance anxiety ?

men and women have anxiety when it comes time to engage in sex

12

what is hypoactive sexual desire disorder ?

in women, deficiency of sexual fantasies, desire for sex

13

what is sexual aversion disorder?

in women, phobic aversion to sex

14

what is dyspareunia?

in women, general pain associated with sexual intercourse

15

what is vaginismus ?

in women, involuntary spasm of the musculature of the outer third of the vagina that interferes with vaginal penetration

16

what is sexual arousal disorder ?

inability to attain or maintain sufficient sexual arousal, causing personal distress

expressed as lack of subjective excitement, or lack of genital or other response: no lubrication-swelling response

17

what is orgasmic disorder ?

difficulty or absence in attaining orgasm following sufficient sexual stimulation and arousal, which causes personal distress

18

what is the biggest sexual dysfunction problem for women ?

hypoactive sexual desire disorder (33%)

19

what is the only dysfunction more prevalent in men than women ?

early climax

20

what is the main cause for sexual dysfunction ?

stress

21

what are 3 main medical conditions behind sexual dysfunction ?

- neurologic diseases
- genital surgery/problems
- endocrinopathies

22

how is job stress related to sexual dysfunction ?

sexual desire decreases during periods of work related stress, especially in women who require more foreplay. erectile problems become more frequent

23

what response is lacking in sexual arousal disorder ?

lubrication-swelling response

24

how does stress relate to sexual arousal disorder ?

women with acute stress condition respond with lower levels of genital and subjective sexual arousal

25

what are the two markers of sexual arousal ?

genital and subjective

26

what are the two most prevalent male sexual dysfunctions

premature ejaculation
erectile dysfunction

27

what is the prevalence of premature ejaculation

30%

28

what is the prevalence of erectile dysfunction ?

40%

29

how does the prevalence of premature ejaculation change with age ?

premature ejaculation prevalence is constant with age

30

how does the prevalence of erectile dysfunction change with age ?

erectile dysfunction prevalence increases as men age (sharp increase between 40-49 and 50-59)

31

what 4 metabolic risk factors are behind erectile dysfunction ?

diabetes
heart diseases
hypertension
GI disorders

32

what 2 life style risk factors are behind erectile dysfunction ?

obesity
smoking

33

erectile dysfunction is recognized as the single greatest risk factor for what condition ?

premature ejaculation

34

what 3 disorders have erectile dysfunction as their precursor

diabetes
hypertension
obesity

35

what are the 3 DSM-IV criteria for premature ejaculation

reduced intravaginal ejaculatory latency time (time taken for man to ejaculate with vaginal penetration)

diminished control over ejaculation

decreased satisfaction with sexual intercourse

36

is someone has premature ejaculation after using a substance, is it PE ?

no

37

is someone has premature ejaculation rarely, is it PE ?

no

38

is someone has premature ejaculation but it doesnt cause marked distress or interpersonal difficulty is it PE ?

no

39

what is the main limitation of premature ejaculation research

no way of determining what is a normal ejaculatory latency, and this may vary across cultures

40

what are two marked physiological variables in premature ejaculation

- increased HR during arousal
- shorter latency to maximum penile tumescence (swelling)