erectile disorder et al. Flashcards
What does the DSM-5-TR describe sexual dysfunctions as?
A clinically significant disturbance in a person’s ability to respond sexually or to experience sexual pleasure
This definition is found on page 477 of the DSM-5-TR.
What must be ruled out before diagnosing a sexual dysfunction?
Nonsexual mental disorder, serious relationship disturbance, other stressor, or effects of a drug or medical condition
What specifiers are provided for most sexual dysfunction diagnoses?
Onset, extent, and severity
The exception is genito-pelvic pain/penetration disorder, which has specifiers only for onset and severity.
What are the symptoms required for a diagnosis of Erectile Disorder?
At least one of three symptoms on 75 to 100% of occasions:
* Marked difficulty obtaining an erection
* Marked difficulty maintaining an erection
* Marked decrease in erectile rigidity
How long must symptoms of Erectile Disorder be present for a diagnosis?
At least six months
What indicates that an organic etiology can be ruled out in Erectile Disorder?
Spontaneous erections when not planning to engage in sexual activity, morning erections, or erections when masturbating or with a different partner
What behavioral techniques are used to treat Erectile Disorder?
Reducing performance anxiety and increasing sexual stimulation
What is sensate focus?
A method for reducing performance anxiety through a series of activities promoting intimacy
Developed by Masters and Johnson in 1970.
What drugs are commonly used to treat Erectile Disorder?
Sildenafil citrate (Viagra), tadalafil (Cialis), vardenafil (Levitra)
What characterizes Premature (Early) Ejaculation?
Ejaculation within approximately one minute of vaginal penetration before the person desires it
What are the symptoms of Premature Ejaculation required for diagnosis?
Symptoms must be present for six months or more, occur during 75 to 100% of occasions, and cause significant distress
What techniques are used to treat Premature Ejaculation?
Sensate focus, start-stop technique, pause-squeeze technique
How does serotonin relate to Premature Ejaculation?
A low level of serotonin contributes to this disorder; SSRIs can delay ejaculation
What are the symptoms of Genito-Pelvic Pain/Penetration Disorder?
Problems with:
* Vaginal penetration during intercourse
* Vulvovaginal or pelvic pain during intercourse
* Anxiety about vulvovaginal or pelvic pain
* Tensing of pelvic floor muscles
What is the required duration of symptoms for Genito-Pelvic Pain/Penetration Disorder?
Six months or longer
What interventions are used for Genito-Pelvic Pain/Penetration Disorder?
Relaxation training, sensate focus, topical anesthetic, vaginal dilators, Kegel exercises
What is required for a diagnosis of Female Orgasmic Disorder (FOD)?
Marked delay, infrequency, or absence of orgasm or markedly reduced intensity of orgasmic sensations on almost all occasions for at least 6 months