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Block I: Reproduction & Sexuality > Clinical: Female Sexual Dysfunction > Flashcards

Clinical: Female Sexual Dysfunction Flashcards

1
Q

4 characteristics of hypoactive sexual desire disorder

A
  • Must be personally distressed by lack of desire
  • Absence of sexual fantasies
  • Does not necessarily mean that unable to lubricate or reach orgasm (with adequate stimulation)
  • May enjoy sexual activity, but unlikely to initiate
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2
Q

8 causes of hypoactive sexual desire disorder

A 
Hormonal deficiencies
Thyroid problems
Epilepsy
Medications
Depression
Stress
Relationship dissatisfaction
History of sexual trauma
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3
Q

3 types of meds that may cause hypoactive sexual desire disorder

A

Anxiety meds
Hypertension meds
Depression meds

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4
Q

7 treatments for hypoactive sexual desire disorder

A
  • Masturbation exercises
  • Fantasy building
  • Sensate focus exercises
  • Develop communication skills (discuss needs)
  • Explore context
  • Take pressure off intercourse and develop more intimacy
  • Other (psychotherapy, marital, meds?)
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5
Q

4 characteristics of sexual aversion disorder

A
  • Find sex disgusting or aversive
  • Avoid genital contact
  • Less common than desire disorders
  • Sexual phobia
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6
Q

Most common cause of sexual aversion disorder

A

History of sexual trauma (incest, rape)

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7
Q

3 treatments for sexual aversion disorder

A
  • Meds to reduce anxiety
  • Psychological therapy to deal with underlying phobia
  • Systematic desensitization
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8
Q

Define sexual arousal disorder

A

Persistently or recurrently fail to become adequately sexually aroused (failure to become sufficiently lubricated in response to sexual stimulation)

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9
Q

Define primary sexual arousal disorder

A

Lifelong

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10
Q

Define secondary sexual arousal disorder

A

Acquired

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11
Q

4 physical causes of sexual arousal disorder

A

Diabetes mellitus
Menopause
Medications
Drugs

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12
Q

Describe how DM may cause sexual arousal disorder

A

Possible vascular damage; degeneration of the nerves servicing the clitoris

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13
Q

Describe how menopause may cause sexual arousal disorder

A

Reduced estrogen production can results in vaginal dryness, feelings of a “deadened” clitoris

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14
Q

3 medications that may cause sexual arousal disorder

A

Hypertensives
Anxiolitics
Antidepressants

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15
Q

3 drugs that may cause sexual arousal disorder

A

Alcohol
Illicit drugs
Morphine

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16
Q

4 psychological causes of sexual arousal disorder

A
  • Anger and resentment towards partners
  • History of sexual trauma
  • Anxiety and/or guilt about sex
  • Ineffective stimulation by the partner
17
Q

7 treatments for sexual arousal disorder

A
  • Gynecologist exam
  • Hormone replacement therapy
  • Psychological counseling (if sexual abuse)
  • Couple therapy (if marital problems)
  • Relaxation techniques
  • Reducing performance anxiety by prescribing non-demanding sexual contact
  • Get to know own body
18
Q

Define orgasmic disorders

A

Persistently or recurrently have difficulty reaching orgasm despite attaining a level of sexual stimulation of sufficient intensity to normally result in orgasm; personal distress

19
Q

Define primary orgasmic disorder

A

Anorgasmic

20
Q

Define secondary orgasmic disorder

A

Orgasmic disorder possibly due to other existing sexual dysfunction

21
Q

10 drugs with possible negative sexual side effects

A
  • Diuretics
  • Antihypertensives
  • Heart meds
  • Antidepressants
  • Psychotropics
  • H2 receptors
  • Endocrinological agents
  • Alcohol
  • Opiates
  • Tobacco
22
Q

3 physical causes of orgasmic disorders

A

MS
Spinal cord injuries
Endocrinological problems

23
Q

5 medications that may cause orgasmic disorders

A 
Hypertensives
Anxiolitics
Antidepressants
Antipsychotics
Tranquilizers
24
Q

4 psycholosocial causes of orgasmic disorders

A

Relationship problems
Trauma
Psychological conflicts (i.e. anxiety about letting go)
Ineffective technique

25
Q

8 treatments for orgasmic disorders

A
  • Education
  • Self-exploration/stimulation
  • Use of vibrator
  • Communicate/ guide partner
  • Sensate focus exercises
  • Female superior position
  • Use penis as “toy”
  • Cognitive behavioral approach

Block I: Reproduction & Sexuality (23 decks)

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