84B sex Flashcards

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1
Q

Paraphillias

A

disorder of sexual behavior

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2
Q

sexual dysfunction

A

disorder of sexual response

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3
Q

Turner’s Syndrome

A

Chromosomal
XO female with gonadal dysgensis
female identity

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4
Q

Kleinefelter’s Syndrome

A
Chromosomal
XXY Male that becomes feminized
Gynecomastia
weak sex drive
prone to gender identity disorder
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5
Q

Congenital adrenal hyperplasia

A

Fetal hormonal environment
Genetic female with male gonads
identity based on assignment
1/3 of females are lesbians (gynephilic)

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6
Q

Androgen insensitivity syndrome

A

Fetal hormonal environment
Genetic male with female gonads
Identity as female; often assigned female

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7
Q

5 A-reductase deficiency

A

Fetal hormonal environment
Genetic male with female phenotype
female –> male at puberty

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8
Q

assignment of gender

A

current practice is to delay intervention

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9
Q

Gender Identity

A

internal sense of male or female
before age 3
innate and socially constructed

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10
Q

Gender role behavior

A

outward manifestation of identity

socially constructed

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11
Q

Gender Identity Disorders - children

A

Very rarely do kids continue to wish for a sex change, but they are much more likely to be gay

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12
Q

Gender Identity Disorders - adult types

A

1) Female to male: tomboy who hated wearing dresses; attracted to women (gynephilic); wants to be with woman as a man
2) Male to female
A) Androphilic: girly boy who is attracted to males; cross dresses but not for sexual excitement
B) Autogynephilic: sexual arousal to fantasy of being a woman; attracted to females but also wants to be a female

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13
Q

Gender Identity Disorders - treatment

A

No medication works
Gender reassignment surgery after long process, including real life test of 1-2 years; 90% success with 1-2 % regret rate

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14
Q

Predictors of success for sex change ops

A
stable psychological history
family support
psychological treatment
pre-operative period real-life test
good surgical outcome
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15
Q

Sexual Preference - aspects

A

more than just gender of partner - fantasy, behavior, and identity;
Develops before puberty

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16
Q

Paraphilias

A
  • Recurrent sex fantasies, urges, behavior > 6 months
  • m>f
  • before 18
  • chronic
  • Must cause significant distress or impairment
  • often sex offenders
17
Q

Hypersexuality

A
  • proposed diagnosis
  • obsessed with sex
  • tries to stop, but can’t
  • impairment in life
  • not due to drug
18
Q

paraphillias and hypersexuality treatment

A

treat underlying mental disroder; use SSRIs

19
Q

Courtship behavior

A
  • conscious and unconscious
  • innate and socially constructed
  • ovulating women are more attractive, smell better, want to go out more
20
Q

Masters and Johnson - sex response cycle

A
  • excitement
  • platau
  • orgasm
  • resolution
21
Q

Kaplan - sex response cycle

A

sexual dysfunction

  • desire
  • arousal
  • orgasm
  • pain
22
Q

How To Ask Patients About Sexual Issues

A

Do you have any sexual concerns?

23
Q

Hypoactive Sexual Desire Disorder

A

more common in woman (33%)

Rx - therapy or testosterone

24
Q

Sexual Aversion Disorder

A

more common in women

Rx - psychological

25
Q

ED

A

10% of men, increases with age
old men = medical conditions; rx - meds
young men = psychological
Rx- sex therapy, PDE5-inhibitos, injections, etc

26
Q

Female Sexual Arousal Disorder

A

Rx- sex therapy, testorone ??