Sexual Difficulties Flashcards Preview

Jason's MD3 Women's > Sexual Difficulties > Flashcards

Flashcards in Sexual Difficulties Deck (27):
1

Most common symptoms women with sexual difficulties presents?

Pain*
Libido*
Inability to have intercourse*
Arousal/orgasm
Relationships

2

Treatment approach?

Biopsychosociocultural appraoch.

3

How in prevention?

Trust, respect
Ask
Reassure: you're not the only one

4

Gynecological exam what to ask?

Ask about past history of abuse

5

Hx of presenting problem?

Nature
Development
Primary, secondary
Reactions
Attempts to resolve
Consequences
Why coming for help NOW?

6

Examination assessment? What to look out for?

Thighs, tense?
Stop if distressed
Look at the face

7

Dyspareunia, most common cause of superficial?

Lack of arousal
Vaginal dryness (From lack of estrogen, menopause and breast feeding)
Candida, meds, neoplasia, structural

8

Causes of deep dyspareunia?

Endometriosis
Bowel and bladder

9

What is vulvodynia?

Pain at the intro it's, often burning, absence of visible signs, neuropathic type pain

10

How to diagnose vulvodynia?

Cotton bud test
Touch intro it's

11

Vaginismus

Involuntary pelvic contraction/reflex, makes any penetration painful. Like blinking

12

Psychosexual causes of vaginismus?

Fear, anxiety, pain

13

What's secondary vaginismus?

Other causes such as infections
Most Continue to have sex despite pain

14

How to manage dyspareunia

Not the only one
Education
Stop trying intercourse until assessment is complete
Refer: Ax, physical Mx, psychosexual, Physio

15

Meds for vulvodynia?

Skin care
Meds: TCAs,

16

Lack of desire?

Desire discrepancy
Or in relationship to perceptions

17

Biggest difference between males and females re: libido

Testosterone
Men: 12-20nmil/L (less than 8 deficiency)
Women: 0.2 - 2 nmol/L

18

Inhibitors of sexual desire

Prev trauma
Medical illness
psych: Depression, self esteem and body image
Physical, pain
Breast feeding
Family issues

19

Vaginismus

Involuntary pelvic contraction/reflex, makes any penetration painful. Like blinking

20

Psychosexual causes of vaginismus?

Fear, anxiety, pain

21

What's secondary vaginismus?

Other causes such as infections
Most Continue to have sex despite pain

22

How to manage dyspareunia

Not the only one
Education
Stop trying intercourse until assessment is complete
Refer: Ax, physical Mx, psychosexual, Physio

23

Meds for vulvodynia?

Skin care
Meds: TCAs,

24

Lack of desire?

Desire discrepancy
Or in relationship to perceptions

25

Biggest difference between males and females re: libido

Testosterone
Men: 12-20nmil/L (less than 8 deficiency)
Women: 0.2 - 2 nmol/L

26

Inhibitors of sexual desire

Prev trauma
Medical illness
psych: Depression, self esteem and body image
Physical, pain
Breast feeding
Family issues

27

Management of sexual prob approach

Permission
give Limited info
Specific suggestions
Intensive therapy