Female Sexual Disorders (Made by Billie) Flashcards
(45 cards)
what are the four stages of sexual response
- Desire (libido) - intent to be sexually intimate
- Arousal - lubrication and swelling (vascular congestion) of genital tissue
- orgasm - release of tension, rhythmic contractions of reproductive organs & pelvic floow
- resolution - detumescence of genitalia & subjective sense of satisfaction
what has have excitatory hormonal effects
- estrogen
- testosterone
- dopamine
- NE
- oxytocin
- melanocortins
what has inhibitory hormonal effects
- serotonin (high levels)
- prolactin
- opioids
- endocannabinoids
During puberty, what things do variations of libido and sexual activity depend on?
- mental health
- relationship status
- societal/cultural/family norms
- phase of menstrual cycle
what is the primary goal in education for sex with puberty aged females
set healthy expectations for sexual activity
what is the biggest influence on sexual desire and satisfaction in perimenopausal or postmenopausal women? what other things may influence these
fluctuating hormones!!!
also insecurities about aging!
True or false: postmenopausal women alway shave decreased sexual desire/satisfaction
false!! some note increased sexual desire and satisfaction
what percentage of women experience some type of sexual dysfunction
43%
highest = SE asia
Lowest = europe
what is the MC stage of sexual response that causes dysfunction
Desire!
39% of US females
from MC to least common, list the areas of sexual dysfunction
- low sexual desire
- Low arousal response
- sex-related personal distress
- Orgasm Difficulties
what possible psychosocial issues can lead to sexual dysfunction
- relationship factors
- fatigue/stress
- substance use
- psychiatric disorders (including meds)
- hx of abuse or negative experiences
what Gynecological conditions can lead to sexual dysfunction
- pregnancy/childbirth
- endometriosis
- pelvic organ prolapse
- GU syndrome of menopause
what chronic medical conditions can lead to sexual dysfunction
- CVD
- endocrine disease
- neurologic disease
what is female sexual interest/arousal disorder
problems w low sexual desire or abdormal arousal response
emotional/mental or lubrication swelling
what is the criteria for diagnosis of female sexual interest/arousal
- must occur >75% of the time
- must occur for 6+ months
- must cause distress!!!
- Must include at least 3/6 from the following:
what is genitopelvic pain/penetration disorder
problems with either vaginismus, vulvar pain/vestibulodynia or dyspareunia
what is vaginismus
involuntary vaginal spasm
what is dyspareunia
pain w penetration or sexual activity
what is the criteria for genitopelvic pain/penetration disorder
- > 75% of the time
- 6+ months
- causes distress
- one or more of the following:
what is commonly found in the hx of a patient with genitopelvic pain/penetration disorder
hx of sexual/physical trauma or abuse:(
what is female orgasmic disorder
problems with frequency, intensity or achievement of orgasm response
what is the criteria for female orgasmic disorder
- > 75% of the time
- 6+ months
- causes distress
- one of the following:
what is substance/medication-induced sexual disorder
medication/substance related affect of desire, arousal, orgasm or any other parameter of normal sexual function
what is the criteria for substance/medication-induced sexual disorder
- significant disturbance in sexual function
- disturbance occurred during or soon after exposure to medication/substance
- absence of other s/s that would better explain the dysfunction
