L21 - Psychosexual Dysfunction

Question 1

what proportion effected by this

men - what can go wrong

erectile dysfunction—
what are the causes
how does it present

Answer 1

causes

psychogenic, cvs, med, diabetes

Question 2

erectile dysfunction and CAD coronary artery disease

what is the association

what about metabolic syndrome

Question 3

diabetic factors for ED

Answer 3

angiopathy, polyneuropathy, neurotransmitter impairment, endothelial smooth muscle cell dysf, cavernous tisssue arcitecture imparment

lack of use - apoptosis

Question 4

therapeutics for ED

Answer 4

PDE5 inhibitors
phosphodiesterase type 5 inhibitors

sildenafil - viagra
tadalafil - cialis
vardenafil - levitatra

– prosthesis

– intracavernous autoinjection of alpostadil – prostaglandin e1

Question 5

female presentations of sexual dysfunction

causes

Answer 5

disorders of
sexual desire, aroudsl, orgasm, pain (vaginismus / dyspareunia)

psyiolog
psycho
sociocultural
interpersonal relationships

diabetes
--autonomic polyneuropathy
--reduced bloodflow - reduced lubri - reduced vulval engorgement - pain
-- sexual drive lo? T gel
relationship issue> therapy

Question 6

medications that may affect femal sex

what is atrophic vaginitis and how does it present

Answer 6

reduce desire:
antidepress antipsychot
antihypertensive
prescip- GI AND ANTIHISTAMINE
anticancer
oral contraceptives