3. Human Sexuality Flashcards
What is sexuality?
The thoughts, feelings, and behaviors connected with sexual gratification and reproduction.
What is biologic gender?
Same as sex, based on external genitalia or chromosomes
What is intersex?
Individuals with genetic, hormonal, or physical features of both male and female at once.
How to all humans start/what is the default?
Anatomically female
What causes differentiation of the sexes?
Fetal androgens
What is gender identity?
The innate sense of feeling male, female, some combination of both or neither or a 3rd gender.
What is sexual identity?
How one thinks of oneself in terms of whom one is romantically or sexually attracted to.
Straight, lesbian, queer, bi
What is sexual orientation?
Describes the object of a person’s sexual impulses and attractions.
Heterosexual, homosexual, bisexual, pansexual, asexual, demisexual, skoliosexual
What is sexual behavior?
Specific actions and behaviors involving sexual activities
What is gender expression?
How one presents one’s gender to others
What is gender discordance?
Discrepancy between assigned gender and gender identity
What are transsexuals?
Gender discordant people who make changes to their perceived gender or anatomic sex
Old term for transgender
What is cisgender?
A person whose gender identity, gender expression, and biological sex all align
What is transgender?
Someone who is not cisgender
What is nonbinary/genderqueer?
A person whose gender identity is neither masculine nor feminine, both or is fluid.
What is sexual response?
Attitudes towards sexuality and towards one’s sexual partner are directly involved with, and affect, the physiology of human sexual response
What is the sexual response cycle?
- Desire
- Excitement and arousal
- Orgasm
- Resolution
What excitatory hormones are involved in the sexual response?
Dopamine
Testosterone (men and women)
Estrogen (women)
What inhibitory hormones are involved in the sexual response?
Serotonin
Progesterone
What is hypoactive sexual desire disorder?
Deficiency or absence of sexual fantasies or desire for sexual activity.
20% of females
What is sexual aversion disorder?
Characterized by an aversion to, and avoidance of genital sexual contact.
How do you treat sexual desire disorders?
Therapy
Serotonergic drugs: Addyi
Melanocortin agonsits: Vyleesi
Testosterone and estrogen
What is female sexual arousal disorder?
Dysfunction with lubrication-swelling response of sexual excitement until the completion of sexual act
How do you treat female sexual arousal disorders?
Therapy
Testosterone
Bupropion/Wellbutrin
Viagra
What is male erectile dysfunction?
Erectile dysfunction, impotence
10-20% of men
If a man has erections as sometimes and not at others, the problems is likely _____?
Psychological
What is female orgasmic disorder?
recurrent delay in, or absence of, orgasm after a normal sexual excitement phase
How do you treat female orgasmic disorders?
Vacuum-pump device for clitoris
Viagra
OTC lubricant
Counsel about mechanical factors
What is male orgasmic disorder?
Man achieves ejaculation and orgasm during coitus only after great difficulty if at all
What is the treatment for male orgasmic disorder?
therapy
Dopamine agonists
What is premature ejaculation?
persistent or recurrent orgasm and ejaculation before the man wishes to or before his partner is satisfied.
What is the squeeze technique?
Squeeze the coronal ridge of the glans to diminish and erection and inhibit ejaculation
What is dyspareunia?
recurrent or persistent genital pain occurring either before, during, or after intercourse.
What is vaginismus?
Involuntary muscle constriction of the outer 1/3 of vagina
How do you treat vaginismus?
Dilating the vagina with fingers or dilators
PT therapy
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
How do antipsychotics affect sex function?
decrease dopamine
How do antidepressants affect sex function?
Increase serotonin
How do anti-anxiety agents affect sex function?
Improve sexual inhibition caused by anxiety but also increases serotonin
How do anticholinergics and antihistamines affect sex function?
DMM and impotence
How do contraceptives affect sex function?
Abnormal levels or estrogen, progesterone, and LH
How does anti-androgen therapy (spironolactone) affect sex function?
Lowers androgens such as testosterone
What is persistent genital arousal disorder?
Sexual arousal not associated with psychological desire that can persist from hours to weeks at a time
What is the treatment for persistent genital arousal disorder?
SSRIs, psychotherapy, topical or injected anesthetic agents
What is paraphilias?
Deviations from conventionally normal human sexual interests and behaviors
What is exhibitionism?
Sexual arousal by exposing genitalia to strangers
What is transvestism?
Recurrent cross-dressing in a heterosexual man
What is voyerism?
Attaining arousal watching an unsuspecting person or people
What is pedophilia?
Use of a child to achieve sexual arousal and gratification
What is incest?
Sexual relationship with a person in your immediate family
What is sexual sadism?
Inflicting pain upon the sexual object as a means of arousal
What is sexual masochism?
Erotic pleasure being achieved by being humiliated, enslaved, or physically bound or restrained
What is fetishism?
Erotic fantasies and sexual urges or behavior involving non-living objects
What is frotteurism?
Sexual arousal from touching or rubbing against a non consenting person
