EXAM 2 - Sexual Flashcards
Male Hypoactive Sexual Desire Disorder
Little or no interest in any type of sexual activity
Masturbation, sexual fantasies, and intercourse are rare
Accounts for half of all complaints at sexuality clinics
Affects 5% of men
Erectile Disorder
Difficulty achieving or maintaining an erection
Sexual desire is usually intact
Most common problem for which men seek treatment
Prevalence increases with age
60% of men over 60 experience erectile dysfunction
Female Orgasmic Disorder
Marked delay, absence or decreased intensity of orgasm in almost all sexual encounters
Not explained by relationship distress or other significant stressors
1 in 4 women has significant difficulty achieving orgasm
Premature Ejaculation
Ejaculation occurring within ~1 minute of penetration and before it is desired
Most prevalent sexual dysfunction in adult males
Affects 21% of all adult males
Most common in younger, inexperienced males
Problem tends to decline with age
Genito-Pelvic Pain/Penetration Disorder
In females, difficulty with vaginal penetration during intercourse, associated with one or more of the following:
Pain during intercourse or penetration attempts
Fear/anxiety about pain during sexual activity
Tensing of pelvic floor muscles in anticipation of sexual activity
Assessing Sexual Behavior
Interviews Clinician must demonstrate comfort with topic Assess multiple dimensions Sexual attitudes Behaviors Sexual response cycle Relationship issues Physical health Psychological disorders
Sensate Focus
To treat a variety of sexual problems by reducing performance fears and pressure to perform
Progress from nonsexual touching to more sexual intimacy over the course of weeks
Goal is to help people become more comfortable with physical sharing and intimacy and to relax and enjoy it (without performance pressure)
Masturbatory training
Treatment for female orgasm disorder
Use of dilators
Treatment for vaginismus=Genito-Pelvic Pain/Penetration Disorder
Squeeze techniques
treatment for premature ejaculation - squeeze (exert repetitive pressure) at the tip of penis, so ejaculation wont occur
Treatments for Sexual Dysfunction
Medications
Medications (for men)
For treatment of erectile disorder
Viagra (1998), Cialis, and Levitra
All are phosphodiesterase-5 inhibitors (PDE-5)
Increase blood flow to certain areas of the penis
Effective for 2/3 of men with erectile disorder
Side effects can include: headache, facial flushing, drop in blood pressure if taken with nitrates.
Use in combination with psychological treatments
History of Medications tried for female hypoactive sexual desire
Intrinsa was a patch that increased testosterone through the skin
Flibanserin was a pill to increase desire in premenapausal women; acted on serotonin but deemed in effective in 2010 by the FDA. However, after continued lobbying was finally approved in August 2015
Another drug under study was LibiGel; a cream that increases testosterone; however, due to side effects it was not FDA approved.
The Squeeze Technique
Used to treat premature ejaculation
Typically when ejaculation is occurring within one minute of intercourse, although “premature” can really be subjective.
Paraphilic Disorders:
Nature of paraphilic disorders – nonhuman or misplaced sexual attraction and arousal
Focused on inappropriate people or objects
Often multiple paraphilic patterns of arousal
High comorbidity with anxiety, mood, and substance use disorders
Paraphilic Disorders
Manifest in fantasies, urges, arousal or behaviors
Paraphilia is not always disordered
Only considered disordered when the individual
Experiences clinically significant distress or impairment OR
Acts on urges with a nonconsenting person or a child
