33: Sexual Disorders and Paraphilias

Question 1

risk factors for ED

Answer 1

HTN, HTN meds, DM, smoking, CAD, peripheral vascular dz, HLD, Peyronie’s disease, Priapism treatment, pelvic trauma/surgery, dialysis, hypogonadism, alcohol use disorder, antidepressants, lack of sexual knowledge, poor sex technique, interpersonal problems

Question 2

genito-pelvic pain penetration disorder: persistent/recurrent difficulties with ___ for 6 months

Answer 2

1. vaginal penetration pain
2. vulvovaginal or pelvic pain
3. marked fear about pain before/during/after vaginal penetration
4. marked tensing/tightening of pelvic floor muscles during attempted penetration

Question 3

sensate focus technique for sexual dysfx

Answer 3

no intercourse for a period of time -> systematically re-introduce sexual stimulation

Question 4

paraphilia

Answer 4

intense/persistent sexual interest other than that of genital stimulation/foreplay with phenotypically normal/mature/consenting human partners for 6+ months

Question 5

non-victimizing vs victimizing paraphilias: how they usually present

Answer 5

1. non-victimizing: no other co-morbid psych issues, considered an “alternative sexual lifestyle”/”kinky”
2. victimizing: unlikely to seek treatment, highly comorbid with Antisocial Personality Disorder

Question 6

sexual masochism disorder

Answer 6

derive sexual pleasure from self-suffering (humiliation, beating, bound)

Question 7

hypoxyphilia

Answer 7

sexual arousal by oxygen deprivation - can cause sudden death or major damage, most common in young males

Question 8

sexual sadism disorder

Answer 8

sexual arousal from the suffering of another person

Question 9

exhibitionism

Answer 9

exposing genitals to ususpecting strangers

Question 10

fetishistic disorder

Answer 10

sexual arousal from non-living objects or non-genital body parts - difficult to get aroused without it

Question 11

frotteuristic disorder

Answer 11

touching/rubbing against a non-consenting person

Question 12

population most prone to frotteuristic disorder

Answer 12

males, 15-25

Question 13

transvestic disorder

Answer 13

sexually aroused by cross-dressing

Question 14

voyeuristic disorder

Answer 14

sexual arousal by watching an unsuspecting person who is naked, disrobing, or engaging in sexual activity

Question 15

age limit for voyeuristic disorder

Answer 15

must be 18+, otherwise just considered “curiosity”

Question 16

pedophilic disorder

Answer 16

sexual fantasies or activity with pre-pubescent child, usually <13 years old (must be 16+ and 5+ yrs older than the child)

Question 17

what condition has almost 100% recidivism (repeat offenses)

Answer 17

pedophilic disorder