Female sexual dysfunction Flashcards
Sexual dysfunction- Eti
Common- 35-98% report concerns
- Disorders of:
- Desire
- Orgasm
- Arousal
- Pain
Disorder of desire
- Complex- emotional well being key
- Illness & dysfunction contributes
Arousal disorders
- Physiologic issue with vasocongestion & lubrication
- distraction
- SSRIs
Orgasmic disorders
Complex and multifactorial
- due to diminished sensation, delay pf anorgasmia
Pain disorders
Dyspareunia & vaginismus
- Due to infection, muscle spasm, pain & irritation
Disorder of desire- Tx
CBT, sex therapy
- Tx emotions
Arousal disorders- Tx
- Psych therapy
- Viagra
Orgasmic disorders- Tx
- Sex counseling
- Vacuum
Sex pain disorders- Tx
- Tx underlying disease
Female sexual response cycle
4 stages:
Excitement- increased HR, BR, BP. Vasocongestion of skin
Plateau- Lubrication, sensitive clit, vaginal swelling
Orgasm- Pleasure, tightening of walls, lubrication
Resolution- Muscle relaxation, BP decrease, refractory period