Female sex dysfxn

Question 1

Presence of ___ important in dx

4 phases
D
A
O
R

phases may ___ or ___ or ___ or be ___

Answer 1

distress

desire
arousal
orgasm
resolution

vary in seq, overlap, repeat, be absent

Question 2

Possible rf
D
C
F
S
P/S
M
Co
E
M

Answer 2

depression/anx
conflict w partner
fatigue
stress
physical/sexual abuse
meds (BB, psych)
comorbids
endometriosis
menopause

Question 3

for Dx, problem must be

must cause __ or ___

present for at least

no better __

Answer 3

recurrent/persistent

personal distress/relational difficulty

6 m

dx

Question 4

Female sex interest/arousal do

AKA

must have 3 of following
A/R interest in __
A/R sexual/erotic __
No/R initiation of __ and are __ to partner
A/R ___/__ during sex act in majority of encounters
A/R ___/___ in response to internal/external erotic clues
A/R ___/___ sensations during sex act in majority of encounters

Answer 4

hypoactive desire do, female arousal do

sex acts
thoughts/fantasies
sex acts, unresponsive
sex excitement/pleasure
sex interest/arousal
genital/nongenital

Question 5

Sex interest/arousal do

Tx __ and ___

___ changes

P__, C___, S___ may be helpful

___ may be helpful in postmen women

Answer 5

underlying med cx, review meds
lifestyle

psychotherapist, couples

therapy, sex therapy

androgens

Question 6

Female orgasmic do

Present of 1/both on majoiryt of sex acts

Marked delay in, infreq, absence of
Marked reduced __ of orgasm

Tx w psychosocial interventions such as
Patient ed on
C

Answer 6

orgasm

intensity

directed masturbation
CBT

Question 7

Sex pain do
Vaginismus- reccurent/persistant ___ of ___ of vagina
interferes w
Can tx w __ and __

includes women w __ from atrophy due to ___ (menopause)
tx w

other cause is __
typically seen w
tx

Answer 7

involuntary spasm, outer 1/3
penetration
pelvic PT, biofeedback

dyspareunia, hypoestrogen
vaginal estrogen

endometriosis
deep dyspareunia
underlying cx