Female Sexual Health

Question 1

What are the 6 DSM IV categories of female sexual dysfunction

Answer 1

1) Hypoactive sexual desire disorder
2) Sexual aversion disorder
3) Sexual arousal disorder
4) Orgasmic disorder
5) Vaginismus
6) Dyspareunia

Question 2

What are the 3 categories of female sexual dysfunction

Answer 2

1) Female interest/arousal disorder
2) Orgasmic disorder
3) Genito-pelvic pain disorder

Question 3

The physiology of female arousal (3)

Answer 3

1) nitric oxide increases arteriolar smooth muscle relaxation in clitoral artery → increase in pressure, clitoral engorgement, extrusion of clitoral glan and enhanced sensitivity
2) Nitric oxide and vasoactive intestinal peptide→increase sodium reabsorption overwhelmed leading to 3-5 mL of vaginal transudate
3) Vaginal smooth muscle relaxation leads to lengthening of vagina and diameter

Question 4

Factors that predict sexual function in gynecology oncology patients

Answer 4

1) sexual interest before surgery/treatment
2) partner relationship
3) surgery alone
4)

Question 5

Biopsychosocial model of desire consists of 3 components

Answer 5

1) Sex drive
2) Sexual beliefs
3) Sex motivation

Question 6

Master’s and Johnsons theory of female sexual respons

Answer 6

1) Excitement
2) Plateau
3) Climax
4) Resolution

Question 7

Estrogen replacement in the post-menopausal period improves (3)

Answer 7

1) improved orgasm
2) improved libido
3) improved physiologic arousal response