Flashcards in 17- Stress and Sexual Dysfunction Deck (40):
what is the general prevalence of sexual dysfunction, in %, for women and men ?
women approx 40%
men approx 30%
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
what is the classical sexual response cycle ?
desire, arousal, orgasm, resolution
is the classical sexual response cycle by Masters and Johnson valid ?
no, was created in ignorant times
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
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
what are the two types of sexual dysfunctions, time wise ?
lifelong or acquired
what are the two types of sexual dysfunctions, situation wise ?
generalized or situational
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
what is the relationship between stress and sexual dysfunction
a negative feedback loop
what is performance anxiety ?
men and women have anxiety when it comes time to engage in sex
what is hypoactive sexual desire disorder ?
in women, deficiency of sexual fantasies, desire for sex
what is sexual aversion disorder?
in women, phobic aversion to sex
what is dyspareunia?
in women, general pain associated with sexual intercourse
what is vaginismus ?
in women, involuntary spasm of the musculature of the outer third of the vagina that interferes with vaginal penetration
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
what is orgasmic disorder ?
difficulty or absence in attaining orgasm following sufficient sexual stimulation and arousal, which causes personal distress
what is the biggest sexual dysfunction problem for women ?
hypoactive sexual desire disorder (33%)
what is the only dysfunction more prevalent in men than women ?
what is the main cause for sexual dysfunction ?
what are 3 main medical conditions behind sexual dysfunction ?
- neurologic diseases
- genital surgery/problems
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
what response is lacking in sexual arousal disorder ?
how does stress relate to sexual arousal disorder ?
women with acute stress condition respond with lower levels of genital and subjective sexual arousal
what are the two markers of sexual arousal ?
genital and subjective
what are the two most prevalent male sexual dysfunctions
what is the prevalence of premature ejaculation
what is the prevalence of erectile dysfunction ?
how does the prevalence of premature ejaculation change with age ?
premature ejaculation prevalence is constant with age
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)
what 4 metabolic risk factors are behind erectile dysfunction ?
what 2 life style risk factors are behind erectile dysfunction ?
erectile dysfunction is recognized as the single greatest risk factor for what condition ?
what 3 disorders have erectile dysfunction as their precursor
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
is someone has premature ejaculation after using a substance, is it PE ?
is someone has premature ejaculation rarely, is it PE ?
is someone has premature ejaculation but it doesnt cause marked distress or interpersonal difficulty is it PE ?
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