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RDS Test 4 > B8.074 Female Sexual Response and Pleasure (Pre-work and Formative Answers) > Flashcards

B8.074 Female Sexual Response and Pleasure (Pre-work and Formative Answers) Flashcards

1
Q

Masters and Johnson

A

first model of sexual response
based primarily on males
-did not include desire
-did not include multiple types of orgasms

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2
Q

Helen Kaplan Singer

A

criticized Masters and Johnson because it did not address the importance of desire
placed desire at the beginning of the sexual response

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3
Q

Basson

A

looked at first large scale study of viagra in women
critical of mountain peak imagery
-could be rolling hills
-could be multiple mountain peaks

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4
Q

Kellogg-Spadt

A

researched when women in long term relationships feel intense desire
found that women often only feel desire in the moment right before an orgasm

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5
Q

Gina Ogden

A

research on sexual fantasy

  • mental rehearsal for mastery of other skills
  • greatly impacts sexual confidence and positively impacts sexual self-esteem
  • helps individuals create an idea of what they need concerning healthy sexual relationships
  • helps relieve shame (visualize non-shaming sexual encounter)
  • heightens spiritual connection with a lover
  • improves love making
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6
Q

Emily Nagoski

A 
lemon lab rat experiment
dual control system for arousal > sexual brakes and accelerators which are very individualized
*sexual context is very important*
important clinical contexts:
-wifes/mothers = not sexy
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7
Q

Sheri Winston

A

importance of having a complete female erection prior to penetration

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8
Q

Freud

A

women deeply long to have a penis and see their bodies as insufficient
theorized that clitoral organisms = neurosis and vaginal orgasms = mental and emotional maturity
in order to accept womanliness, move sexual excitement from clitoris to vagina

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9
Q

what goes on during a female erection?

A 
increased blood flow to genitals
twitching PC muscles
lubrication/transudation
upper 2/3 of the vagina balloons
uterus and cervix shift as the round ligaments contract
clitoris enlarges
lower 1/3 of vagina gets narrow
labia minora engorge
bulbocavernosus stretch and widen the vestibular bulbs beneath
clitoral gland retract
muscles throughout body tense
HR and respirations quicken
nipples, earlobes, and nostrils erect
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10
Q

what causes the lower 1/3 of the vagina to narrow

A

vestibular bulbs, urethral sponge, and perineal sponge become erect

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11
Q

erectile network of women

A

clitoris
vestibular bulbs
perineal sponge
urethral sponge

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12
Q

what can happen if a woman is entered prior to a green light (doesn’t have an erection)

A 
pain disorders (dyspareunia, vaginismus)
touch can feel irritating
urge to urinate
deep penetration hits the uterus
(sheri winston)
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13
Q

dyspareunia

A

lack of education

physical origin

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14
Q

vaginismus

A

involuntary muscle spasm

  • penetration may be difficult or impossible
  • typically “ripping” or “burning”
  • body is protecting woman from something
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15
Q

treatment for vaginismus

A

MD, PT, therapist
rule out medical causes
work on biofeedback to help relax muscles
work on mental narrative surrounding sexual encounters

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16
Q

biochemical components of sexual happiness

A

oxytocin
phenylethylamine (PEA)
endorphins
dimethyltryptamine (DMT)

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17
Q

oxytocin

A

stimulates orgasm and inspires attachment
stimulates contractions of labor and breast feeding
allows mom to fall in love with new baby

18
Q

components of an orgasm

A

stimulation of the clitoris, cervix, vaginal walls, g-spot, or “u-spot”, perineal sponge and/or nerves around the anus lead to a climax
rhythmic contractions of the uterus occur
part of the vagina and the anal sphincter expel blood flow back into circulation

19
Q

role of the uterus in the orgasm

A

work as a “suction cup” and contract to facilitate sperm movement during orgasm

20
Q

hysterectomy impact on sexual function

A

women with hysterectomies report qualitative shifts in their orgasm
discuss this prior to the procedure

21
Q

why can women have multiple orgasms

A 
erectile network (capillaries) works independently, allowing the maintenance of engorgement of erectile tissue after orgasm
in a male > capillaries that trap blood for engorgement work in concert to expel ejaculate, so you can't orgasm again
22
Q

where do orgasms originate from in women?

A

any part of the erectile network

don’t stimulate this area until a woman is already aroused

23
Q

why don’t all orgasms feel the same

A 
sensations depend on nerve endings being stimulated
clitoral - pudendal
vaginal - pelvic
cervical - vagus, pelvic
or BLENDED
24
Q

how does pelvic floor strength impact orgasm?

A

women w vaginal and clitoral orgasms have the strongest PC muscles
only clitoral = intermediate
no orgasms = weakest

25
Q

what % of women never have a vaginal orgasm?

A

10%

26
Q

what % of women typically dont have orgasms during vaginal orgasms?

A

> 50%

27
Q

what % of middle aged women report never or infrequently feeling desire

A

40%

28
Q

sexual outcomes that are associated with poor body image

A 
low arousal
low desire
less orgasms
increased # of partners
less sexual assertiveness
increased use of alcohol and drugs during intercourse
more unprotected sex
29
Q

why do women masturbate?

A 
feels good (85%)
physical urge (85%)
to have orgasms (70%)
no partner (48%)
to relax (39%)
sleep (32%)
etc.
30
Q

role of fantasy in pleasure

A

improve love making
deepen emotional and spiritual connection with partner
relieve shame, fear, fatigue
heal past wounds by visualizing healthy, loving relationships
alter sexual self image without fear or consequences

31
Q

most commonly picked word to describe a positive sexual experience

A

loved

32
Q

sources of sexual satisfaction in ongoing relationships

A

emotional closeness
feeling loved
feeling safe
orgasms
knowing partner is accepting of desires, preferences, and responses
knowing the partner is having a good experience
(carol rinkleib ellison)

33
Q

framework of sex therapy

A

we can develop sustainable, hot, and steamy intimate connections with others when we can be authentic with ourselves and others

34
Q

genital response of women to sexual stimuli

A

“automatic reflex”
more expansive than men
non dependent on sexual orientation, some respond to even non-human encounters
(chivers, laan, and val lunsen)

35
Q

masters and johnson (quick)

A

first model

male focused

36
Q

basson (quick)

A

rolling hills, not mountain peak

37
Q

singer (quick)

A

desire @ beginning of encounter

38
Q

nagoski (quick)

A

acceleration and breaks
sexual context
lemons
moms aren’t sexy?

39
Q

ogden (quick)

A

fantasy

40
Q

kellogg-spadt (quick)

A

desire only right before orgasm

laundry

41
Q

winston (quick)

A

green light

it hurts if you go in too soon

42
Q

health professionals who are aware of their own feelings and attitudes about sex are less likely to

A

be judgemental and imposing about patients’ sexual encounters

RDS Test 4 (17 decks)

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