5.1 FSD

Question 1

Which CNS component controls the first 4 phases of the sexual response

Answer 1

desire- hypothalmus; excitement- PNS; arousal/plateau- limbic system; orgasm- SNS

Question 2

What are the 5 phases of the sexual response?

Answer 2

Desire, excitement, arousal/plateau, orgasm, resolution

Question 3

Define FSD

Answer 3

sexual complaint or problem from disorders of desire, arousal, orgasm or sexual pain that causes personal distress or interpersonal distress

Question 4

What are the major substances involved in the arousal phase?

Answer 4

Androgens, dopamine, oxytocin

Question 5

What are the major substances in the orgasm phase?

Answer 5

opioids, serotonin, prolactin, oxytocin (decreased dopamine)

Question 6

What are the main psychological causes of FSD?

Answer 6

abuse, depression, relationship, stress, self esteem

Question 7

What is the MC FSD? how is it dx?

Answer 7

Female sexual interest/arousal dysfunction. Dx by absent/reduced: interest, erotic thoughts, initiation, excitement, arousal, sensation. All w/n 6mo and without other mental explaination

Question 8

Define sexual arousal disorder

Answer 8

inability to attain or maintain until completion an adequate lubrication-swelling response

Question 9

What are the 3 major types of FSDs?

Answer 9

Female sexual interest/arousal dysfunction, Female orgasmic dysfunction, Genito-pelvic pain/penetration disorder

Question 10

What are some associations of secondary FOD? How is it Tx?

Answer 10

hypoactive sexual desire, pelvic surgery, SSRIs, psychosocial factors. Tx: psychotherapy, couples counseling, masturbation

Question 11

Define dyspareunia

Answer 11

pain assoc with sex but not caused by lack of lubrication or by vaginismus

Question 12

Define vaginismus

Answer 12

involuntary spasm of the musc of out third of vagina which interferes with sex