First Aid: Sexual Disorders Flashcards Preview

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Flashcards in First Aid: Sexual Disorders Deck (47)
1

What is tenting?

when the uterus elevates in the pelvis during excitement phase of sexual response cycle

2

True or false: the desire for sexual activity usually changes as people age

false

3

What hormone inhibits libido in both women and men by blocking androgen receptors?

progesterone

4

What neurotransmitter enhances libido?

Dopamine

5

What neurotransmitter inhibits libido?

serotonin

6

Which psychotropic drugs may cause sexual dysfunction?

-SSRIs and other antidepressants
-Antipsychotics (block dopamine)

7

What is the DSM-IV criteria shared by all sexual disorders?

-Marked distress or interpersonal difficulty
-Not caused by substance use or general medical condition

8

What are the most common sexual disorders in women?

-Sexual desire disorder
-Orgasmic disorder

9

What are the most common sexual disorders in men?

-Secondary erectile disorder
-Premature ejaculation

10

What is the absence of deficiency of sexual desire or fantasies?

hypoactive sexual desire disorder

11

What is the prevalence of hypoactive sexual desire disorder?

20% (more common in women)

12

What is the avoidance of genital contact with a sexual partner?

sexual aversion disorder

13

What should you be thinking of when an impotent man still gets morning erections and erections during masturbation?

psychological rather than physical problem

14

What is male erectile disorder?

inability to attain an erection

15

What is the prevalence of male erectile disorder?

10-20% of men

16

What is female sexual arousal disorder?

inability to maintain lubrication until completion of sex act

17

What is the prevalence of female sexual arousal disorder?

up to 33% of women

18

What is the prevalence of female orgasmic disorder in women?

30%

19

What is the prognosis for a male with premature ejaculation?

in young, sexually inexperienced men (shorter refractory periods) it will resolve gradually over time without treatment

20

What is the prevalence of premature ejaculation?

up to 35% of all male sexual disorders

21

What typically causes premature ejaculation?

fears
guilt
performance anxiety

22

What is genital pain before, during or after sexual intercourse?

dyspareunia

23

What is involuntary muscle contraction in the outer 1/3 of the vagina during insertion of penic or object (speculum or tampon)?

vaginismus

24

Who gets vaginismus?

-Higher SES groups
-Women of strict religious upbringing

25

What is the treatment for sexual desire disorder?

testosterone (if levels are low)

26

What is the treatment for erectile disorder?

Yohimbine
Sildenafil (Viagra)
Alprostadil (self-injection of vasodilators)
Vacuum pumps
Constrictive rings
Prosthetic surgery (last resort)

27

What is the treatment for female sexual arousal disorder?

release of clitoral adhesions (if necessary)

28

What is the treatment for premature ejaculation?

-the squeeze technique (increases threshold of excitability)
-the stop-start technique
-SSRIs or TCAs (may prolong sexual response)

29

What is important for the diagnosis of a paraphilia?

-Sexual disorders characterized by engagement in unusual sexual activities (and/or preoccupation with unusual sexual urges or fantasies) for at least 6 months that cause impairment in daily funcitoning

30

Sexual gratification from fantasies or behaviors involving sexual acts with children.

pedophilia

31

Watching unsuspecting nude individuals in order to obtain sexual pleasure

voyeurism

32

Exposure of one's genitals to strangers

exhibitionism

33

Sexual preference for inanimate objects

fetishism

34

Sexual gratification in men (usually heterosexual) from wearing women's clothing (usually underwear)

transvestic fetishhism

35

Sexual pleasure in men from rubbing genitals against unsuspecting women; usually occurs in a crowded area

frotteurism

36

Sexual excitement from being humiliated or beaten

masochism

37

Sexual excitement from hurting or humiliating another

sadism

38

Sexual pleasure from engaging in sexual activity with dead people

necrophilia

39

Sexual excitement from calling unsuspecting women and engaging in sexual conversations with them

telephone scatologia

40

What are the treatment options for paraphilias?

-Insight oriented psychotherapy
-Behavior therapy
-Pharmacologic therapy (anti-androgens in men)

41

What is another name for gender identity disorder?

transsexuality

42

What is a transsexual?

someone who feels as though they were born the wrong sex

43

When does gender identity usually develop?

by age 3

44

What biological sex more commonly has gender identity disorder?

men

45

What are comorbidities associated with gender identity disorder?

MDD
Anxiety disorders
Suicide

46

What percentage of men are homosexual?

3-10%

47

What percentage of women are homosexual?

1-5%