Sexual Disorders and Gender Identity Flashcards Preview

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Flashcards in Sexual Disorders and Gender Identity Deck (19):
1

What are the stages of the NORMAL sexual response cycle?

1. Desire
2. Excitement
3. Orgasmic
4. Resolution

Sexual dysfunctions can involve any of these phases. Some sexual dysfunction is normal.

2

So what do you think Delayed Ejaculation involves? How can you specify this disorder.

1. you got it, a marked delay or absence of ejaculation in all/almost all partnered sexual activity

2. Sx exist for a min of 6 months and cause significant distress

3. Specify:
lifelong/acquired
Generalized/situational
Mild/moderate/severe

4. No caused by relationship stress, nonsexual mental disorder or substances/meds

2-4 are the same for every disorder in this deck

3

How do you treat Delayed Ejaculation?

1. Sensate focus: education on normal sexual function and foreplay
2. Increased stimulation before intercourse

Pharmacotherapy: 1-2 hrs before anticipated sex
1. Cyproheptadine
2. Yohimbine

4

What is going on with Erectile Disorder?

At least 1 of the following:
1. Marked difficult in obtaining an erection
2. Marked difficulty maintaining an erection until completion
3. Marked decreased in erectile rigidity

Sx for a min of 6 months and cause significant distress

Specify:
Lifelong/Acquired
Generalized/situational
Mild/Moderate/Severe

5

What are some risk factors for ED?

1. Age (7% at 20-30yo vs. 50% at 40-70yo)
2. Diabetes
3. Vascular disease
4. Smoking
5. Hypercholesterolemia

6

How do you treat ED?

1. Testosterone (for hypogonoadism)
2. Bromocriptine (for hyperprolactinemia)
3. Psychotherapies (when cause is mainly medical)
4. Penile prosthetic
5. Intracavernosal injectins
6. Your basic sildenafil, tadalafil and vardenafil (Viagra, Levitra, Cialis)

7

What's going on with the Female Orgasmic Disorder

1. Marked delay in, infrequency of, or absence of orgasm
2. Reduced intensity of orgasm

Sx for a min of 6 months and cause significant distress

Specify:
Lifelong/Acquired
Generalized/situational
Mild/Moderate/Severe

8

What happens in Female Sexual Interest/Arousal Disorder?

At least 3 of the following:
1. Reduced or no interest in sexual activity
2. Reduced or no sexual/erotic thoughts
3. Reduced or no initiation of sexual activities/unreceptive to partner's attempts
4. Reduced or no pleasure in most sexual encounters/contexts
5. Reduced or no arousal in response to internal or external sexual cues
6. Reduced or no genital/non genital sensations in most sexual encounters

9

In Male Hypoactive Sexual Desire Disorder

Basically, just not into it. It causes distress.

10

Premature Ejaculation

Ejaculation within one minute following vaginal penetration and before the individual wishes it.

11

Treatment for Premature Ejaculation

1. Behavioral (stop-start/squeeze)
2. Pharmacological: SSRIs/clomipramine

12

What is Genito-Pelvic Pain/Penetration Disorder

Pain during intercourse that creates marked fear or anxiety about this pain

13

What drugs can cause sexual dysfunction

MOST DRUGS

Anticholinergics
Antihypertensives
Antipsychotics
SSRIs
Spironolactone, steroids, estrogens
Alcohol, opioids and psychostimulants

14

What are Paraphilias

Recurrent, intense sexual arousal, fantasies and urges involving anomalous sexual activity

15

What is a Paraphilic Disorder

Acting on the paraphilic urges, which results in distress or impairment in social, occupational or other important areas of functioning.

16

Why do people develop paraphilias and paraphilic disorders?

Learning theory: having an intense, abnormal sexual experiences predisposes you to becoming used to that as the norm
Biologic bases: twin studies say theres some connection here
3. Other psychiatric conditions

17

How do you treat paraphilic disorders?

1. Confront them esp. if its criminal like pedophilia
2. Behavioral therapy/relapse prevention
3. Antiandrogen agents to reduce testosterone
4. SSRIs/Naltrexone

18

What is the difference between sexual identity, gender identity and gender role.

Sexual identity: BIOLOGICAL sex, and sexual preference

Gender Identity: your SUBJECTIVE SENSE of maleness v.s femaleness

Gender Role: BEHAVIORS that identify you as being male or female

19

What is gender dysphoria

Strong and persistent cross-gender identification and distress associated with that conflict. '

Treat with hormone therapy/sexual reassignment surgery