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PSYC3018 > Lecture 23: Sexual dysfunction > Flashcards

Lecture 23: Sexual dysfunction Flashcards

(48 cards)

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1
Q

what is sexuality

A
  • important and legitimate aspect of well being
  • no normal or average
  • we’re all sexual beings with or without partner
  • intimacy
  • loving relationship
  • sexual activity
  • physical appearance, body image
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2
Q

what is sexual health

A

physical, emotional, well-being relating to sexuality

- not merely absence of disease, dysfunction

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3
Q

what is sexual dysfunction

A

when you can’t participate in sexual relationship he or she would wish

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4
Q

prevalence of sexual dysfunction: at least 1 sexual dysfunction–>women

A

40-50%

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5
Q

prevalence of sexual dysfunction: at least 1 sexual dysfunction–>men

A

20-30%

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6
Q

prevalence rates (limitations)

A
  • diff samples– age groups, clinical vs. non-clinical
  • diff measurements– self-report vs. clinical interview
  • instead of asking: are you sexually active? yes or no
    ask: how satisfied are you with your sexual life?
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7
Q

kaplan’s triphasic (3-stage) models of sexual response

A
  • desire
  • excitement
  • orgasm
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8
Q

basson’s non-linear model of F sexual response

A

circular, rather than linear model
emotional intimacy–> sexual stimuli–> sexual arousal–> arousal and sexual desire–> emotional + physical satisfaction–> goes back to emotional intimacy
= considers how emotional intimacy, sexual stimuli, relationship satisfaction–> affect F sexual response

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9
Q

how to detect sexual dysfunction (DMS-5)

A
  • clinically sig disturbance in person’s ability to respond sexually or to experience pleasure
  • min duration of 6 months
  • symptoms must cause sig distress
  • experienced almost all or all occasions of sexual activity
  • important to consider cultural values + age
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10
Q

what are sexual dysfunction: subtypes

A
  1. nature of onset
  2. context
  3. severity
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11
Q
  1. nature of onset
A

lifelong or acquired

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12
Q
  1. context
A

generalised or situational

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13
Q
  1. severity
A

mild, moderate, severe– based on level of distress

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14
Q

DSM-5 classification of sexual dysfunction

A
  • moving away from kaplan’s model

- replaced with gender specific dysfunctions

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15
Q

stage of sex response: desire (male)

A

male hypoactive sexual desire disorder

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16
Q

stage of sex response: arousal (male)

A

erectile disorder

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17
Q

stage of sex response: orgasm (male)

A
  • delayed ejaculation

- premature ejaculation

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18
Q

stage of sex response: desire (female)

A

female sexual interest / arousal disorder

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19
Q

stage of sex response: arousal (female)

A

female sexual interest / arousal disorder

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20
Q

stage of sex response: orgasm (female)

Study These Flashcards
A

F orgasmic disorder

21
Q

stage of sex response: pain (female)

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A

genito- pelvic / pain penetration disorder

22
Q

what are sexual desire disorders

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A
  • don’t think about it, not excited about doing it= frustrated about this= why am I not feeling this?
  • gender differences: M= 8% F= 55%
  • age differences
23
Q

what is the most common F sexual dysfunction

Study These Flashcards
A

sexual desire disorders

24
Q

male hypoactive sexual desire disorder

Study These Flashcards
A
  • not interested in sex, little sexual activity + fantasising
  • physical response–> normal
25
F sexual interest / arousal disorder
- not interested in sex | - arousal: hard to attain or maintain wet till end of sex-- painful
26
M sexual arousal disorders
- erectile disorder (ED) - hard to get or maintain erection, or decrease in erectile rigidity - v age related
27
causes of sexual dysfunction
- biological / physical factors - psychosocial stuff - personal stuff - env. stuff
28
- biological / physical factors
- aging - illness - substance abuse - medications (ex. antidepressants)
29
- psychosocial stuff
- cultural, religious beliefs - body image - self acceptance - depression, anxiety - life stressors - past experience (trauma, abuse)
30
- personal stuff
- attraction to partner - excessive goal orientation - relationship problems - can you compensate for each other?- libido differences
31
- env. stuff
- lack of privacy - don't have time - physical discomfort
32
medical trt for erectile dysfunction
- pharmacotherapy / oral medication - penile injections - vacuum device - penile prosthesis
33
- pharmacotherapy / oral medication
- time to take effect + duration of effect= diff - rly effective - dose modification might be necessary = increased satisfaction
34
- penile injections
- injection of smooth muscle relaxing drugs into erection chambers - erection= 30-45 mins
35
- vacuum device
erection= 30 mins - effective, but high drop out - numbness, pain
36
- penile prosthesis
last resort trt
37
important to...?
promote sexual intimacy - doesn't have to be just sex - oral sex, sex toys, holding hands, kissing, cuddling - emotional connection
38
psychogenic erectile dysfunction
- often sudden onset - situational - continued morning erections - erection with masturbation - spouse relationship: might be partner specific - younger patient (<40) - abnormal sex development
39
organic erectile dysfunction
- gradual onset / deterioration - decrease in morning erections - no erection w/ masturbations - chronic medical illness - pelvis trauma / surgery - recreational drugs - reduced size of penis
40
M orgasmic disorders
- delayed ejaculation | - premature (early) ejaculation
41
- delayed ejaculation
- maintains erection, but delayed to ejaculate w/o person wanting delay - experience it almost all the time - prevalence: about 4&-- not so common
42
- premature (early) ejaculation
- ejaculate with only little stimulation (less than 1 min of penetration)-- before guy wishes it - prevalence; about 8%
43
F orgasmic disorder
- marked delay, infrequency, no orgasm, OR not much intensity of orgasmic sensations - but if orgasm achieved with clitorial stimulation but not penetration--> doesn't meet criteria - needs to be distressed about this - can be situational - orgasm learnt response (not automatic)-- improves with experience - prevalence; 5%
44
DSM-5 genito pelvic pain / penetration disorder
persistent or recurrent difficulties in any 1 of following: - vaginal penetration during sex - pelvic pain - fear or anxiety about pain (actual + thinking about it) or after penetration - tensing, tightening of pelvic floor muscles - important to take detailed history
45
medical trt for D sexual dysfunction
pharmacological - hormonal therapy: vaginal or systemic oestrogen + androgen - oral medication for low sexual desire in premenopausal women-- but serious side effects: low blood pressure, dizziness-- not good to mix with alcohol
46
non-pharmocological interventions for F sexual dysfunction
- vag lubricants - vag moisturisers - vag dilators
47
what are barriers to trt uptake
- embarrassment - patients unaware of available resources - lack of engagement - always ask if its desired-- what if theres abuse in relationship
48
trt most effective if...
- multi-modal, involving partner - be more comfortable talking about sex - intimacy= always possible

PSYC3018 (27 decks)

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