ALS:Physiology of sex and the sexual response Flashcards

Question

what is needed for gratification and fulfilment

Answer 1

Penetration not necessary all 5 phases not necessary orgasm varies in intensity; from spasm and loss of control to relaxation Some women don’t orgasm

Answer 2

Be aware of cultural/subcultural norms. Very open to value judgements. Penetration…of where? (if where) By whom or what? Education of what is safer sex unhealthy sex? What are the implications for STIs eg resistant gnorrhoea? contraception? other health issues? The Law? Violence?(excitement) Payment?

Answer 3

``` Different sex same sex group sex paid sex public sex married unmarried older age differentials strangers cross cultures ```

Answer 4

If you can’t handle it impartially, find someone who can. (GMC)

Answer 5

``` Diversity among orientations erotic and emotional attractions complex interrelations Multiple influences sociocultural factors Interpersonal experiential Open mind and open questions Research guided by popular conceptions and attitudes ```

Answer 6

Lifelong Acquired Situational could Generalised

Answer 7

``` Hypoactive sexual desire disorder Sexual aversion disorder Female sexual arousal disorder Male erectile disorder Female orgasmic disorder Male orgasmic disorder Premature ejaculation Dyspareunia Vaginismus ```

Answer 8

``` Additional DSM sexual disorders that are not sexual dysfunctions Paraphilias PTSD genital mutilation childhood sexual abuse ```

Answer 9

‘cant have sex’ – ‘it’s too painful’ | Low libido – no interest

Answer 10

a lack or absence of sexual fantasies and desire for sexual activity More common in women. Causes clinically significant distress/impairment The client’s big hope is androgens/pills … our big reliance is ‘sex therapist’: assess, formulate, counselling (with education and homework)

Answer 11

Lifelong/generalized: Little or no desire for sexual stimulation (with a partner or alone) and never had. Acquired/situational: Previously sexually interested in his present partner but now lacks sexual interest in them but has desire for sexual stimulation (i.e. alone or with someone other than his present partner.) Acquired/generalized: Previously had sexual interest in his present partner, but lacks interest in sexual activity, partnered or solitary

Answer 12

Lifelong or acquired Generalized or situational Partner factors (partner’s sexual problems, partner’s health status) Relationship factors (e.g., poor communication, relationship discord, discrepancies in desire for sexual activity) Individual vulnerability factors (e.g., depression or anxiety, poor body image, history of abuse experience) Cultural/religious factors (e.g., inhibitions related to prohibitions against sexual activity) Medical factors (e.g., illness/medications)

Answer 13

``` Predisposing Factors Restrictive upbringing Disturbed family relations Traumatic early sexual experiences Poor sex Education Precipitants Relationship discord Random failure Infidelity Partner dysfunction Depression Anxiety Traumatic sexual experience Ageing Maintaining Factors Performance anxiety Fear of failure Partner demands Poor communication Guilt Loss of attraction Depression ```

Answer 14

``` Infection Allergy injury (epis., irrad) ‘vulvodynia’ unknown ```

Answer 15

``` Infection Inflammation Tumour Post surgical Bladder and bowel Post sexual abuse Treat the cause if found ‘red herrings’ team approach ```

Answer 16

cannot achieve penetration due to muscle spasm. Abuse/anxiety/ pain leading to phobia. Negative control. Rx= Cognitive BT commonly. May benefit from ‘trainers’.

Answer 17

Persistent or recurrent delay in or absence of orgasm (by any stimulation.) Anger Fear of loss of control Poor technique Hangups due to upbringing e.g. religion Unmet physical and emotional needs Management; Education, myths, relationships For some women, just the way it always is!

Answer 18

Ejaculation before wished, recurrently Usually younger men ‘performance anxiety’ Specialist care, often in a multidisciplinary team; psychological and drug treatment.

Answer 19

``` delay or absence of orgasm/ejaculation, persistently (not retrograde ejaculation) Causes Sexual trauma Hostility overcontrol (religion again) lack of trust Psychological management ```

Answer 20

national sexual lifestype. | there arr more people

Answer 21

Inability to attain or retain an erection until completion of sexual activity. Causes; physical, psychological, mixed reasons. Multifactorial; drugs, alcohol, HIV, CVD, spinal cord lesions. Management Sensitive full social and sexual history as well as general history Physical exam and workup Injections, pellets, prostheses, pumps, psychological therapy. (Note CVD link)

Answer 22

``` Diabetes coronary artery disease renal failure CVA arthritis prostatic disease poor hygiene Mental health problems hormone deficiencies/ imbalance ```

Answer 23

“All procedures which involve removal of or any other injury to the female external genitalia, for non-therapeutic reasons” Is a crime – violence against women and girls Classification - Types 1, 2 ,3 and 4 Has short and long term adverse health effects Management – clinical, safeguarding Mandatory reporting

Answer 24

the brain integrates sensory sexual stimuli with the internal state

ALS:Physiology of sex and the sexual response Flashcards

(48 cards)