3. Human Sexuality Flashcards

1
Q

What is sexuality?

A

The thoughts, feelings, and behaviors connected with sexual gratification and reproduction.

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2
Q

What is biologic gender?

A

Same as sex, based on external genitalia or chromosomes

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3
Q

What is intersex?

A

Individuals with genetic, hormonal, or physical features of both male and female at once.

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4
Q

How to all humans start/what is the default?

A

Anatomically female

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5
Q

What causes differentiation of the sexes?

A

Fetal androgens

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6
Q

What is gender identity?

A

The innate sense of feeling male, female, some combination of both or neither or a 3rd gender.

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7
Q

What is sexual identity?

A

How one thinks of oneself in terms of whom one is romantically or sexually attracted to.
Straight, lesbian, queer, bi

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8
Q

What is sexual orientation?

A

Describes the object of a person’s sexual impulses and attractions.
Heterosexual, homosexual, bisexual, pansexual, asexual, demisexual, skoliosexual

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9
Q

What is sexual behavior?

A

Specific actions and behaviors involving sexual activities

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10
Q

What is gender expression?

A

How one presents one’s gender to others

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11
Q

What is gender discordance?

A

Discrepancy between assigned gender and gender identity

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12
Q

What are transsexuals?

A

Gender discordant people who make changes to their perceived gender or anatomic sex
Old term for transgender

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13
Q

What is cisgender?

A

A person whose gender identity, gender expression, and biological sex all align

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14
Q

What is transgender?

A

Someone who is not cisgender

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15
Q

What is nonbinary/genderqueer?

A

A person whose gender identity is neither masculine nor feminine, both or is fluid.

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16
Q

What is sexual response?

A

Attitudes towards sexuality and towards one’s sexual partner are directly involved with, and affect, the physiology of human sexual response

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17
Q

What is the sexual response cycle?

A
  1. Desire
  2. Excitement and arousal
  3. Orgasm
  4. Resolution
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18
Q

What excitatory hormones are involved in the sexual response?

A

Dopamine
Testosterone (men and women)
Estrogen (women)

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19
Q

What inhibitory hormones are involved in the sexual response?

A

Serotonin
Progesterone

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20
Q

What is hypoactive sexual desire disorder?

A

Deficiency or absence of sexual fantasies or desire for sexual activity.
20% of females

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21
Q

What is sexual aversion disorder?

A

Characterized by an aversion to, and avoidance of genital sexual contact.

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22
Q

How do you treat sexual desire disorders?

A

Therapy
Serotonergic drugs: Addyi
Melanocortin agonsits: Vyleesi
Testosterone and estrogen

23
Q

What is female sexual arousal disorder?

A

Dysfunction with lubrication-swelling response of sexual excitement until the completion of sexual act

24
Q

How do you treat female sexual arousal disorders?

A

Therapy
Testosterone
Bupropion/Wellbutrin
Viagra

25
What is male erectile dysfunction?
Erectile dysfunction, impotence 10-20% of men
26
If a man has erections as sometimes and not at others, the problems is likely _____?
Psychological
27
What is female orgasmic disorder?
recurrent delay in, or absence of, orgasm after a normal sexual excitement phase
28
How do you treat female orgasmic disorders?
Vacuum-pump device for clitoris Viagra OTC lubricant Counsel about mechanical factors
29
What is male orgasmic disorder?
Man achieves ejaculation and orgasm during coitus only after great difficulty if at all
30
What is the treatment for male orgasmic disorder?
therapy Dopamine agonists
31
What is premature ejaculation?
persistent or recurrent orgasm and ejaculation before the man wishes to or before his partner is satisfied.
32
What is the squeeze technique?
Squeeze the coronal ridge of the glans to diminish and erection and inhibit ejaculation
33
What is dyspareunia?
recurrent or persistent genital pain occurring either before, during, or after intercourse.
34
What is vaginismus?
Involuntary muscle constriction of the outer 1/3 of vagina
35
How do you treat vaginismus?
Dilating the vagina with fingers or dilators PT therapy
36
How do you evaluate for male erectile disorder?
Lab studies (glucose/A1C, hormone assays, liver, thyroid, lipids) Nocturnal penile tumescence Assessing blood flow to the pudendal artery
37
How do antipsychotics affect sex function?
decrease dopamine
38
How do antidepressants affect sex function?
Increase serotonin
39
How do anti-anxiety agents affect sex function?
Improve sexual inhibition caused by anxiety but also increases serotonin
40
How do anticholinergics and antihistamines affect sex function?
DMM and impotence
41
How do contraceptives affect sex function?
Abnormal levels or estrogen, progesterone, and LH
42
How does anti-androgen therapy (spironolactone) affect sex function?
Lowers androgens such as testosterone
43
What is persistent genital arousal disorder?
Sexual arousal not associated with psychological desire that can persist from hours to weeks at a time
44
What is the treatment for persistent genital arousal disorder?
SSRIs, psychotherapy, topical or injected anesthetic agents
45
What is paraphilias?
Deviations from conventionally normal human sexual interests and behaviors
46
What is exhibitionism?
Sexual arousal by exposing genitalia to strangers
47
What is transvestism?
Recurrent cross-dressing in a heterosexual man
48
What is voyerism?
Attaining arousal watching an unsuspecting person or people
49
What is pedophilia?
Use of a child to achieve sexual arousal and gratification
50
What is incest?
Sexual relationship with a person in your immediate family
51
What is sexual sadism?
Inflicting pain upon the sexual object as a means of arousal
52
What is sexual masochism?
Erotic pleasure being achieved by being humiliated, enslaved, or physically bound or restrained
53
What is fetishism?
Erotic fantasies and sexual urges or behavior involving non-living objects
54
What is frotteurism?
Sexual arousal from touching or rubbing against a non consenting person