Sexual Disorders and Paraphilias Flashcards
(47 cards)
What is “abnormal sexuality”?
- not about a human sex partner
- excludes stimulation of primary sex organs
- compulsive
- injurious to self or others
What are high-risk factors for developing abnormal sexuality?
- substance use
- limited access to care and poor health literacy
- unassertive personality and poor communication skills
- young age
What are high-risk behaviors of abnormal sexuality?
- -unprotected sex, anal sex, mouth-to-genital contact
- -multiple sex partners
- -high-risk partner
- -sex trade work
- -self or partner use of IV drugs
What are some undesired outcomes of abnormal sexuality?
- STI
- unwanted pregnancy
- relationship complications
- poverty
What are the four phases of the sexual response cycle?
1) desire
2) excitement
3) orgasm
4) resolution
What are the components of the Desire Phase (first phase) of the sexual response cycle?
- sexual drive (biological, genital sensations, thoughts)
- motivation (psychological, willingness to offer body)
- wish fulfillment (social, hoping, expectations)
What are the physical components of the Excitement Phase (second phase) of the sexual response cycle?
Arousal:
- lasts several minutes to several hours
- erection or vaginal lubrication and hardened nipples
- tachypnea, tachycardia, rise in BP
What two physiological processes occur during Excitement (second phase of the sexual response cycle)?
Vasodilation/Constriction:
-engorgement of genital blood vessels d/t dilation
Myotonia:
-muscle ctx not only in genitals, but throughout body
What are the characteristics of Orgasm (third phase of the sexual response cycle)?
- peak of sexual pleasure
- release of sexual tension
- rhythmic ctx of perinatal muscles and repro organs
- orgasm typically lasts 3 to 25 secs
What are the characteristics of Resolution (fourth and final phase of the sexual response cycle)?
- disgorgement of blood from the genitalia
- body returns to its resting state
What is the difference in Resolution between if an orgasm occurred versus if an orgasm did not occur?
–if an orgasm occurred, resolution is rapid and accompanied by a general sense of well-being
–if an orgasm did NOT occur, resolution may take up to 6hrs
What is the difference in Resolution between males and females?
- males can average several minutes, 24hrs, or even several days for a refractory period
- females have no refractory period, but usually need time for resolution
Why is patient education about the sexual response cycle important?
- timing and coordination
- so they know what’s normal in themselves and partner
What is the male sexual dysfunction called when it’s a problem during the Desire phase of the sexual response cycle?
-Male Hypoactive Sexual Desire Disorder
What is the female sexual dysfunction called when it’s a problem during the Desire phase of the sexual response cycle?
-Female Sexual Interest/Arousal Disorder
–also called this if problem occurs during Excitement
What is the male sexual dysfunction called when it’s a problem during the Excitement phase of the sexual response cycle?
-Erectile Disorder
What is the female sexual dysfunction called when it’s a problem during the Orgasm phase of the sexual response cycle?
-Female Orgasmic Disorder
What is the male sexual dysfunction called when it’s a problem during the Orgasm phase of the sexual response cycle?
- Delayed Ejaculation
- Premature Ejaculation
What is the sexual dysfunction called in a female when there is pain during sex?
–Genito-Pelvic Pain/Penetration Disorder
What are the characteristics of Male Hypoactive Sexual Desire Disorder?
- persistently deficient sexual fantasies and desire
- must be present for 6mos
-judgement of “deficiency” is made by clinician, taking into account age and context of pt’s life
What are the criteria for diagnosis of Female Sexual Interest/Arousal Disorder?
-6mos w/ at least three of the following:
- -absent/reduced interest in sexual activity
- -absent/reduced sexual thoughts/fantasies
- -absent initiation of sexual unreceptive to partner
- -absent/reduced sexual pleasure
- -absent interest/arousal to erotic cues
- -absent/reduced genital or non-genital sensations
What are the criteria for diagnosis of Erectile Disorder?
-at least one of the following symptoms for 6mos
- -difficulty obtaining erection
- -difficulty maintaining an erection until completion
- -marked decrease in erectile rigidity
What are risk factors for Erectile Disorder?
- DM, HTN or Tx for HTN
- smoking and alcoholism
- antidepressants
- poor sex knowledge, poor technique, personal probs
- CAD and peripheral vascular disorders
What is the criteria for Female Orgasmic Disorder?
-persistent delay in, or absence of orgasm for 6mos
