Clinical: Female Sexual Dysfunction Flashcards
4 characteristics of hypoactive sexual desire disorder
- 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
8 causes of hypoactive sexual desire disorder
Hormonal deficiencies Thyroid problems Epilepsy Medications Depression Stress Relationship dissatisfaction History of sexual trauma
3 types of meds that may cause hypoactive sexual desire disorder
Anxiety meds
Hypertension meds
Depression meds
7 treatments for hypoactive sexual desire disorder
- 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?)
4 characteristics of sexual aversion disorder
- Find sex disgusting or aversive
- Avoid genital contact
- Less common than desire disorders
- Sexual phobia
Most common cause of sexual aversion disorder
History of sexual trauma (incest, rape)
3 treatments for sexual aversion disorder
- Meds to reduce anxiety
- Psychological therapy to deal with underlying phobia
- Systematic desensitization
Define sexual arousal disorder
Persistently or recurrently fail to become adequately sexually aroused (failure to become sufficiently lubricated in response to sexual stimulation)
Define primary sexual arousal disorder
Lifelong
Define secondary sexual arousal disorder
Acquired
4 physical causes of sexual arousal disorder
Diabetes mellitus
Menopause
Medications
Drugs
Describe how DM may cause sexual arousal disorder
Possible vascular damage; degeneration of the nerves servicing the clitoris
Describe how menopause may cause sexual arousal disorder
Reduced estrogen production can results in vaginal dryness, feelings of a “deadened” clitoris
3 medications that may cause sexual arousal disorder
Hypertensives
Anxiolitics
Antidepressants
3 drugs that may cause sexual arousal disorder
Alcohol
Illicit drugs
Morphine
4 psychological causes of sexual arousal disorder
- Anger and resentment towards partners
- History of sexual trauma
- Anxiety and/or guilt about sex
- Ineffective stimulation by the partner
7 treatments for sexual arousal disorder
- 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
Define orgasmic disorders
Persistently or recurrently have difficulty reaching orgasm despite attaining a level of sexual stimulation of sufficient intensity to normally result in orgasm; personal distress
Define primary orgasmic disorder
Anorgasmic
Define secondary orgasmic disorder
Orgasmic disorder possibly due to other existing sexual dysfunction
10 drugs with possible negative sexual side effects
- Diuretics
- Antihypertensives
- Heart meds
- Antidepressants
- Psychotropics
- H2 receptors
- Endocrinological agents
- Alcohol
- Opiates
- Tobacco
3 physical causes of orgasmic disorders
MS
Spinal cord injuries
Endocrinological problems
5 medications that may cause orgasmic disorders
Hypertensives Anxiolitics Antidepressants Antipsychotics Tranquilizers
4 psycholosocial causes of orgasmic disorders
Relationship problems
Trauma
Psychological conflicts (i.e. anxiety about letting go)
Ineffective technique
8 treatments for orgasmic disorders
- Education
- Self-exploration/stimulation
- Use of vibrator
- Communicate/ guide partner
- Sensate focus exercises
- Female superior position
- Use penis as “toy”
- Cognitive behavioral approach
