2. Sexual Dysfunctions Flashcards
(56 cards)
What sexual disorder (new to DSM-5) was formerly known as Gender Identity Disorder?
Gender Dysphoria
What is Gender non-comformity?
A person’s gender identity, role, or expression differs from the cultural norms prescribed for people of a particular sex
What is Gender dysphoria?
Discomfort/distress that’s caused by a discrepancy b/w a person’s gender identity and the person’s sex assigned at birth
What disorders must you rule out to diagnose a sexual dysfunction?
Rule out schizophrenia + transvestic disorder
Are boys or girls referred to more for evaluation for GD?
Boys > girls referred for evaluation
When is cross-gender behavior observed in children w/ Gender Dysphoria?
Cross-gender often by age 3
What behaviors are observed in children w/ Gender Dysphoria?
- Boys playing w/ dolls, assuming a female role in play, cross-dressing, associating w/ a peer group of girls
- Girls taking a male role in family games, reject female activities like playing w/ dolls
What is most likely for boys + girls with Gender Dysphoria?
- Girls are more likely to remain dysphoric
- Boys are more likely to grow up gay men than have GD
What criteria must be met to be diagnosed w/ Gender Dysphoria?
A marked incongruence b/w one’s experienced/expressed gender + assigned gender, of at least 6mo duration, as manifested by at least 2 of the following:
1A. Incongruence b/w one’s experienced gender + primary/secondary sex characteristics*
- Desire to be rid of one’s primary/secondary sex characteristics
- Desire for primary/second. sex characteristics of other gender
- Desire to be of other gender (diff from assigned gender)
- Desire to be treated as other gender
- Conviction that one has typical feelings + reactions of other gender
What is Gender Dysphoria associated with?
Clinically significant stress/ impairment in social, school/ other important areas of functioning
What causes gender dysphoria?
- Cause is unknown
- No specific biological link (early learning may play a role)
What are transitioning and sex “gender” interventions?
- Gender affirming or conforming surgeries
- Hormonal + surgical interventions ($25-30,000+)
- Double $ for female to male
What are some Desire & Arousal Dysfunctions for men and women?
- Male hypoactive sexual desire disorder
- Female sexual interest/ arousal disorder
Are sexual dysfunctions specific to gender?
(Yes!) Gender specific - Except substance-induced dysfunctions
What are Orgasm dysfunctions?
- Erectile disorder, Premature (early) ejaculation, Delayed ejaculation
- Female orgasmic disorder
What are Pain-Related Dysfunctions?
- Genito-pelvic pain/ penetration disorder
- Substance/ medication induced sexual dysfunctions
When is the onset of sexual dysfunctions?
Early adulthood - some may begin later in life
How common are sexual dysfunctions for men and women?
Most are common
10-52% of men and 25-63% of women
What are the causes of sexual dysfunctions?
- Causes include psychological + biological factors
How long can you have sexual dysfunctions? Are they situational?
- Can be lifelong or acquired
- Generalized/ situational (except genito-pain/penetration Dx)
Wha are the requirements for being diagnosed with sexual dysfunctions?
Requires clinically significant stress almost all or all the time (75% of time or more)
What partner factors play a role in SD?
Sexual problems/ health status
What relationship factors play a role in SD?
Poor communication, discord, differences in desire/ interest in sex
What vulnerability factors play a role in SD?
Hx of sexual abuse/ poor body image
