Clinical: Female Sexual Dysfunction Flashcards Preview

Block I: Reproduction & Sexuality > Clinical: Female Sexual Dysfunction > Flashcards

Flashcards in Clinical: Female Sexual Dysfunction Deck (25):
1

4 characteristics of hypoactive sexual desire disorder

- Must be personally distressed by lack of desire
- Absence of sexual fantasies
- Does not necessarily mean that unable to lubricate or reach orgasm (with adequate stimulation)
- May enjoy sexual activity, but unlikely to initiate

2

8 causes of hypoactive sexual desire disorder

Hormonal deficiencies
Thyroid problems
Epilepsy
Medications
Depression
Stress
Relationship dissatisfaction
History of sexual trauma

3

3 types of meds that may cause hypoactive sexual desire disorder

Anxiety meds
Hypertension meds
Depression meds

4

7 treatments for hypoactive sexual desire disorder

- Masturbation exercises
- Fantasy building
- Sensate focus exercises
- Develop communication skills (discuss needs)
- Explore context
- Take pressure off intercourse and develop more intimacy
- Other (psychotherapy, marital, meds?)

5

4 characteristics of sexual aversion disorder

- Find sex disgusting or aversive
- Avoid genital contact
- Less common than desire disorders
- Sexual phobia

6

Most common cause of sexual aversion disorder

History of sexual trauma (incest, rape)

7

3 treatments for sexual aversion disorder

- Meds to reduce anxiety
- Psychological therapy to deal with underlying phobia
- Systematic desensitization

8

Define sexual arousal disorder

Persistently or recurrently fail to become adequately sexually aroused (failure to become sufficiently lubricated in response to sexual stimulation)

9

Define primary sexual arousal disorder

Lifelong

10

Define secondary sexual arousal disorder

Acquired

11

4 physical causes of sexual arousal disorder

Diabetes mellitus
Menopause
Medications
Drugs

12

Describe how DM may cause sexual arousal disorder

Possible vascular damage; degeneration of the nerves servicing the clitoris

13

Describe how menopause may cause sexual arousal disorder

Reduced estrogen production can results in vaginal dryness, feelings of a "deadened" clitoris

14

3 medications that may cause sexual arousal disorder

Hypertensives
Anxiolitics
Antidepressants

15

3 drugs that may cause sexual arousal disorder

Alcohol
Illicit drugs
Morphine

16

4 psychological causes of sexual arousal disorder

- Anger and resentment towards partners
- History of sexual trauma
- Anxiety and/or guilt about sex
- Ineffective stimulation by the partner

17

7 treatments for sexual arousal disorder

- Gynecologist exam
- Hormone replacement therapy
- Psychological counseling (if sexual abuse)
- Couple therapy (if marital problems)
- Relaxation techniques
- Reducing performance anxiety by prescribing non-demanding sexual contact
- Get to know own body

18

Define orgasmic disorders

Persistently or recurrently have difficulty reaching orgasm despite attaining a level of sexual stimulation of sufficient intensity to normally result in orgasm; personal distress

19

Define primary orgasmic disorder

Anorgasmic

20

Define secondary orgasmic disorder

Orgasmic disorder possibly due to other existing sexual dysfunction

21

10 drugs with possible negative sexual side effects

- Diuretics
- Antihypertensives
- Heart meds
- Antidepressants
- Psychotropics
- H2 receptors
- Endocrinological agents
- Alcohol
- Opiates
- Tobacco

22

3 physical causes of orgasmic disorders

MS
Spinal cord injuries
Endocrinological problems

23

5 medications that may cause orgasmic disorders

Hypertensives
Anxiolitics
Antidepressants
Antipsychotics
Tranquilizers

24

4 psycholosocial causes of orgasmic disorders

Relationship problems
Trauma
Psychological conflicts (i.e. anxiety about letting go)
Ineffective technique

25

8 treatments for orgasmic disorders

- Education
- Self-exploration/stimulation
- Use of vibrator
- Communicate/ guide partner
- Sensate focus exercises
- Female superior position
- Use penis as "toy"
- Cognitive behavioral approach