Ch. 17: Sexual Disorders & Sex Therapy

Question 1

sexual disorder

Answer 1

problem with sexual response that causes a person mental distress

Question 2

hypoactive sexual desire

Answer 2

inhibited sexual desire/low sexual desire

Question 3

female sexual arousal disorder

Answer 3

lack of response to sex stimulation

Question 4

erectile disorder

Answer 4

inability to have or maintain an erection

Question 5

premature ejaculation

Answer 5

ejaculating (orgasming) too soon

Question 6

what % of men experience premature ejaculation

Answer 6

15% of men

Question 7

delayed ejaculation

Answer 7

can’t have an orgasm, even though he is highly aroused and has had sufficient stimulation

Question 8

what % of men experience delayed ejaculation?

Answer 8

~10% of men

Question 9

female orgasmic disorder (anorgasmia)

Answer 9

• inability to orgasm

- lifelong, acquired, situational

Question 10

dyspareunia

Answer 10

painful intercourse

Question 11

vaginismus

Answer 11

involuntary contraction of the muscles surrounding the vaginal entrance

Question 12

organic causes of sexual disorders

Answer 12

• dyspareunia caused by vaginal infection

- erection problems caused by diabetes

Question 13

drugs that cause sexual disorders

Answer 13

anti-depressants (SSRIs)

Question 14

psychological causes of sexual disorders

Answer 14

• anxiety
• cognitive interference (spectatoring)
• failure to communicate
• ineffective stimulation
• child sexual abuse
• sex-negative family
• disgust
• depression
• relationship conflict
• fear of intimacy

Question 15

sexual excitation/inhibition model on sex disorders

Answer 15

people with sex disorders tend to be low on excitation or high on inhibition

Question 16

cognitive behavioral therapy (CBT)

Answer 16

behavior therapy + cognitive restructuring

Question 17

mindfulness

Answer 17

technique of focusing attention to experience in a calm & nonjudgmental way

Question 18

mindfulness therapy

Answer 18

training people in mindfulness process

Question 19

how did mindfulness therapy help women with sexual arousal/desire disorders?

Answer 19

reduced their non-concordance during sex because their attention was focused on arousal

Question 20

couples therapy

Answer 20

• treat relationship problems

- assess the couple’s sexual script- it may be very restricted

Question 21

what is a specific treatment for premature ejaculation?

Answer 21

stop-start method

Question 22

what is a specific treatment for orgasmic disorder in women?

Answer 22

masturbation

Question 23

Kegel exercises strengthen the ___

Answer 23

pubococcygeus (PC) muscle

Question 24

“Come as you are” is an example of ___

Answer 24

biblotherapy

Question 25

what are some erection drugs?

Answer 25

• viagra (PDE5 inhibitor)
• cialis (lasts 24 hours)
• leuitra
• all work on blood flow to penis

Question 26

what are some drugs for women’s desire?

Answer 26

-flibanserin (addyi)— not recommended to use it!

Question 27

effects of bremelanotide

Answer 27

• seems to change levels of neurotransmitters (increased dopamine)
• inject under skin of abdomen or thigh

Question 28

effects of lybrido

Answer 28

• for hypoactive sexual desire disorder (HSDD)
• testosterone + sildenafil
• not yet FDA approved

Question 29

effects of lybridos

Answer 29

• for HSDD in women taking antidepressants (SSRIs)

- testosterone + buspirone (short-term serotonin suppression)

Question 30

what are some hormone treatments for men with sexual disorders?

Answer 30

testosterone

Question 31

what’s an intracavernosal injection for erectile dysfunction?

Answer 31

alprostadil (vasodilator used before viagra)

Question 32

what is a device that can be used for erectile disorder?

Answer 32

suction device

Question 33

what’s a surgical prosthesis for sexual disorders in men?

Answer 33

implant cylinders in penis with a pump that pumps liquid into penis for artificle erection