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
Q

What is male erectile dysfunction?

A

Erectile dysfunction, impotence
10-20% of men

26
Q

If a man has erections as sometimes and not at others, the problems is likely _____?

A

Psychological

27
Q

What is female orgasmic disorder?

A

recurrent delay in, or absence of, orgasm after a normal sexual excitement phase

28
Q

How do you treat female orgasmic disorders?

A

Vacuum-pump device for clitoris
Viagra
OTC lubricant
Counsel about mechanical factors

29
Q

What is male orgasmic disorder?

A

Man achieves ejaculation and orgasm during coitus only after great difficulty if at all

30
Q

What is the treatment for male orgasmic disorder?

A

therapy
Dopamine agonists

31
Q

What is premature ejaculation?

A

persistent or recurrent orgasm and ejaculation before the man wishes to or before his partner is satisfied.

32
Q

What is the squeeze technique?

A

Squeeze the coronal ridge of the glans to diminish and erection and inhibit ejaculation

33
Q

What is dyspareunia?

A

recurrent or persistent genital pain occurring either before, during, or after intercourse.

34
Q

What is vaginismus?

A

Involuntary muscle constriction of the outer 1/3 of vagina

35
Q

How do you treat vaginismus?

A

Dilating the vagina with fingers or dilators
PT therapy

36
Q

How do you evaluate for male erectile disorder?

A

Lab studies (glucose/A1C, hormone assays, liver, thyroid, lipids)
Nocturnal penile tumescence
Assessing blood flow to the pudendal artery

37
Q

How do antipsychotics affect sex function?

A

decrease dopamine

38
Q

How do antidepressants affect sex function?

A

Increase serotonin

39
Q

How do anti-anxiety agents affect sex function?

A

Improve sexual inhibition caused by anxiety but also increases serotonin

40
Q

How do anticholinergics and antihistamines affect sex function?

A

DMM and impotence

41
Q

How do contraceptives affect sex function?

A

Abnormal levels or estrogen, progesterone, and LH

42
Q

How does anti-androgen therapy (spironolactone) affect sex function?

A

Lowers androgens such as testosterone

43
Q

What is persistent genital arousal disorder?

A

Sexual arousal not associated with psychological desire that can persist from hours to weeks at a time

44
Q

What is the treatment for persistent genital arousal disorder?

A

SSRIs, psychotherapy, topical or injected anesthetic agents

45
Q

What is paraphilias?

A

Deviations from conventionally normal human sexual interests and behaviors

46
Q

What is exhibitionism?

A

Sexual arousal by exposing genitalia to strangers

47
Q

What is transvestism?

A

Recurrent cross-dressing in a heterosexual man

48
Q

What is voyerism?

A

Attaining arousal watching an unsuspecting person or people

49
Q

What is pedophilia?

A

Use of a child to achieve sexual arousal and gratification

50
Q

What is incest?

A

Sexual relationship with a person in your immediate family

51
Q

What is sexual sadism?

A

Inflicting pain upon the sexual object as a means of arousal

52
Q

What is sexual masochism?

A

Erotic pleasure being achieved by being humiliated, enslaved, or physically bound or restrained

53
Q

What is fetishism?

A

Erotic fantasies and sexual urges or behavior involving non-living objects

54
Q

What is frotteurism?

A

Sexual arousal from touching or rubbing against a non consenting person