17- Stress and Sexual Dysfunction

Question 1

what is the general prevalence of sexual dysfunction, in %, for women and men ?

Answer 1

women approx 40%

men approx 30%

Question 2

what is sexual dysfunction characterized by ?

Answer 2

disturbances in sexual desire and in the psychophysiological changes associated with the sexual response cycle in men and women

Question 3

what is the classical sexual response cycle ?

Answer 3

desire, arousal, orgasm, resolution

Question 4

is the classical sexual response cycle by Masters and Johnson valid ?

Answer 4

no, was created in ignorant times

Question 5

in the alternate sexual response cycle, what is special about the desire stage ?

Answer 5

it can be spontaneous or with a sexual stimuli , and only works to progress to the next stage with a willingness to become receptive

Question 6

what does the alternate sexual response cycle tell us about rewards from having sex?

Answer 6

that there are all kinds of reasons to have sex that have nothing to do with the arousal per se and

Question 7

what are the two types of sexual dysfunctions, time wise ?

Answer 7

lifelong or acquired

Question 8

what are the two types of sexual dysfunctions, situation wise ?

Answer 8

generalized or situational

Question 9

what are the 4 main stress factors in the context of sexual dysfunction ?

Answer 9

1) predisposing factors: biology and prior life experience
2) precipitating factors: element causing or contributing to occurence of disorder
3) maintaining factors: internal stress from relationship
4) contextual factors: external stress from relationship, either acute or chronic

Question 10

what is the relationship between stress and sexual dysfunction

Answer 10

a negative feedback loop

Question 11

what is performance anxiety ?

Answer 11

men and women have anxiety when it comes time to engage in sex

Question 12

what is hypoactive sexual desire disorder ?

Answer 12

in women, deficiency of sexual fantasies, desire for sex

Question 13

what is sexual aversion disorder?

Answer 13

in women, phobic aversion to sex

Question 14

what is dyspareunia?

Answer 14

in women, general pain associated with sexual intercourse

Question 15

what is vaginismus ?

Answer 15

in women, involuntary spasm of the musculature of the outer third of the vagina that interferes with vaginal penetration

Question 16

what is sexual arousal disorder ?

Answer 16

inability to attain or maintain sufficient sexual arousal, causing personal distress

expressed as lack of subjective excitement, or lack of genital or other response: no lubrication-swelling response

Question 17

what is orgasmic disorder ?

Answer 17

difficulty or absence in attaining orgasm following sufficient sexual stimulation and arousal, which causes personal distress

Question 18

what is the biggest sexual dysfunction problem for women ?

Answer 18

hypoactive sexual desire disorder (33%)

Question 19

what is the only dysfunction more prevalent in men than women ?

Answer 19

early climax

Question 20

what is the main cause for sexual dysfunction ?

Answer 20

stress

Question 21

what are 3 main medical conditions behind sexual dysfunction ?

Answer 21

• neurologic diseases
• genital surgery/problems
• endocrinopathies

Question 22

how is job stress related to sexual dysfunction ?

Answer 22

sexual desire decreases during periods of work related stress, especially in women who require more foreplay. erectile problems become more frequent

Question 23

what response is lacking in sexual arousal disorder ?

Answer 23

lubrication-swelling response

Question 24

how does stress relate to sexual arousal disorder ?

Answer 24

women with acute stress condition respond with lower levels of genital and subjective sexual arousal

Question 25

what are the two markers of sexual arousal ?

Answer 25

genital and subjective

Question 26

what are the two most prevalent male sexual dysfunctions

Answer 26

premature ejaculation

erectile dysfunction

Question 27

what is the prevalence of premature ejaculation

Answer 27

30%

Question 28

what is the prevalence of erectile dysfunction ?

Answer 28

40%

Question 29

how does the prevalence of premature ejaculation change with age ?

Answer 29

premature ejaculation prevalence is constant with age

Question 30

how does the prevalence of erectile dysfunction change with age ?

Answer 30

erectile dysfunction prevalence increases as men age (sharp increase between 40-49 and 50-59)

Question 31

what 4 metabolic risk factors are behind erectile dysfunction ?

Answer 31

diabetes
heart diseases
hypertension
GI disorders

Question 32

what 2 life style risk factors are behind erectile dysfunction ?

Answer 32

obesity

smoking

Question 33

erectile dysfunction is recognized as the single greatest risk factor for what condition ?

Answer 33

premature ejaculation

Question 34

what 3 disorders have erectile dysfunction as their precursor

Answer 34

diabetes
hypertension
obesity

Question 35

what are the 3 DSM-IV criteria for premature ejaculation

Answer 35

reduced intravaginal ejaculatory latency time (time taken for man to ejaculate with vaginal penetration)

diminished control over ejaculation

decreased satisfaction with sexual intercourse

Question 36

is someone has premature ejaculation after using a substance, is it PE ?

Answer 36

no

Question 37

is someone has premature ejaculation rarely, is it PE ?

Answer 37

no

Question 38

is someone has premature ejaculation but it doesnt cause marked distress or interpersonal difficulty is it PE ?

Answer 38

no

Question 39

what is the main limitation of premature ejaculation research

Answer 39

no way of determining what is a normal ejaculatory latency, and this may vary across cultures

Question 40

what are two marked physiological variables in premature ejaculation

Answer 40

• increased HR during arousal

- shorter latency to maximum penile tumescence (swelling)