Sexual medicine Flashcards
(29 cards)
What is dyspareuria?
Pain during intercourse
What are the 3 types of dyspareuria?
pain on manipulation
introitus (pain on entry)
mid-deep vaginal pain
Name 3 causes of dyspareuria
manipulation - infection, injury
introitus - circumcision, herpes, cyst
mid-deep vaginal pain - IBS, constipation
Name 3 treatments of dyspareuria
couples therapy
sensate focus
personal sexual growth program
Name some of the blood tests you would do when investigating a sexual problem
glucose and lipid testosterone, SHBG, albumin prolactin TSH oestrogen FBC
What are the 5 stages of sexual interaction?
Drive Desire/libido excitation orgasm resolution
What is paraphilias?
abnormal sexual behaviours or impulses characterized by intense sexual fantasies
- usually arousal to non-sexual or unusual subjects or situations
What is the difference between primary and secondary and situational and generalised sexual aversion disorder?
SAD - inhibited sexual desire
Primary - never had sexual desire
Secondary - began relationship with normal sexual desire and later developed problem
General - no desire for anyone
Situational - desire for others but not partner
What are the steps for treatment of a transmale?
- assessment and diagnosis
- social and transitional therapy
- fertility option
- androgens +/- GNrH analogue
- voice and communication
- male chest reconstruction
- hysterectomy and b/loophorectomy
- phalloplasty/metacloplasty
What are the steps for treatment of a transfemale?
- assessment and diagnosis
- social and transitional therapy
- fertility option
- estrogen +/- antiandrogens
- voice and communication
- facial hair removal
- vaginoplasty
- augmentation mammoplasty
- facial feminisation surgery
What is voyeurism?
deriving sexual pleasure from watching others while they are naked or engage in sexual activity
What is frotteurism?
getting sexual pleasure from touching genitals against strangers without consent
What is the drug name for PrEP?
truvada (not currently available)
Which STI is becoming increasingly antibiotic resistant?
Gonnorhea
How do you treat gonnorhoea?
cefriazone IM asap
What are some symptoms of gonnorhoea?
discharge, dysuria, conjunctivitis,PID
Which STIs affect pregnancy and neonates?
gonnorhoea, chlamydia, sphyillis, herpes
HPV (neonate only)
How long is the gonnorhoea incubation period?
2-7 days
What is chlamydia’s incubation period?
2 weeks
What are some symptoms of chlamydia?
discharge, dysuria, PID, conjunctivitis
How do you treat chlamydia?
doxycyline for 1 week
or 3 weeks for chlamydia trachomatis serovar L1-3
What are some symptoms of syphilis?
genital ulcer
rash, lymphadenopathy, flu symptoms, bone pain, deafness, meningitis
How do you treat syphilis?
penicillin
What are the symptoms of trichomona vaginalis?
vaginal discharge
vulval itch
