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Flashcards in Sexual Medicine Peer Teaching Deck (56)
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1

What is female sexual interest/ arousal disorder

Reduced or absent sexual interest, physical responses to sexual stimuli, erotic thoughts, sexual pleasure

2

What is female orgasmic disorder

Absent, infrequent, reduced or delayed orgasm

3

What is genitopelvic pain/ penetration disorder

Fear/anxiety, tightening, vulvovaginal pain with attempted vaginal penetration during or after seex

4

What is the normal female physical response to sexual stimuli

Pelvic vasocongestion, swelling of external genitalia, vaginal lubrication and expansion

5

Biological causes of female sexual dysfunction

Age
Menopause
Thyroid, DM, pituitary adenoma
Atherosclerosis
Neuro
Meds

6

Why can menopause cause sexual dysfunction

Low oestrogen causes urogenital atrophy, thin, dry skin, pain

7

Which class of drugs in particular cause female sexual dysfunction?

SSRI

8

Psychological causes of female sexual dysfunction

Previous abuse
Body image
Depression/ anxiety

9

Social causes of female sexual dysfunction

Relationship troubles
Life stresses
Pressure to perform

10

Causes of superficial dyspareunia

Vaginismus, insufficient lube, thrush, herpes, vestibulo/vulvodynia

11

Causes of deep dyspareunia

Insufficient lube, pelvic inflammatory disease, endometriosis, cervical pathology

12

Investigation of female sexual dysfunction

History
Exam
Blood pressure
Bloods

13

Which bloods would you do for female sexual dysfunction

TFT, Prolactin, testosterone, oestrogen, SHBG (sex hormone binding globulin), glucose, lipids, FBC

14

Treatment for female sexual dysfunction

Pyschotherapy
Treat underlying physical cause
Kegel exercises
Topical oestrogen

15

Causes of erectile dysunction

Atherosclerosis
Neuro
DM
High prolactin
Pscyhological
Agnrodgen deficiency
Venoclusive disease

16

Causes of androgen deficiency

Lack of testosterone
Age, obesity
Chemo, radio, mumps affect testicular function
Pituitary adenoma or prolactinoma
Hypothalamus
Absent gonads

17

Bloods for ED

TFT, Prolactin, testosterone, SHBG (sex hormone binding globulin), glucose, lipids, FBC

18

Why are atherosclerosis and ED an important connection

Will present clinically earlier as smaller artery so smaller plaque has bigger effect on flow

19

ED treatments

Sildenafil
Intracorporeal injection of alprostadil
Vacuum device
Kegels
Penile ring

20

What type of drug is sildenafil

PDE5 inhibitor (phosphodiesterase)

21

What type of drug is alprostadil

Prostaglandin E1 (PGE1)

22

Definition of premature ejaculation

Inability to control ejaculation, usually under 60s. Requires minimal stimulation, inadequate for both partners to enjoy sex

23

Causes of premature ejaculation

Penile hypersensitivity
Hyperthyroid
Psycho- anxiety, lack of experience, relationship troubles

24

Premature ejaculation treatment

Desensitising gel
Couples therapy
Kegels
Stop start continue

25

Name 4 psychosexual couples therapy approaches

CBT
Psychodynamic
Stystemic
Inegrative

26

Describe CBT approach to couples therapy

Cognitive= reduces unhelpful thinking
Behavioural= touch exercises with partner, personal sexual growth programme

27

Describe psychodynamic approach to couples therapy

Explore unresolved issues, previous dysfunctional relationships

28

Describe systemic approach to couples therapy

Interactions/ roles in a relationship

29

Describe the integrative approach to couples therapy

Mixed approach

30

What must a sexual disorder be to be classed as a disorder

Persistent
Cause marked distress