Female Sexual Responseand Sexual Dysfunction

Question 1

Many women do not move progressively and sequentially through the linear phases

Answer 1

yep

Question 2

Many women may not even experience all phases
may move from sexual arousal to orgasm without experiencing sexual desire
can experience desire, arousal and satisfaction but not orgasm

Answer 2

yep

Question 3

• Women often engage in sexual activity for reasons other than sexual drive
• Female sexual functioning dramatically affected by psychosocial issues: relationship, self-image, prior experiences with sex

Answer 3

Basson model

Question 4

_______believed triggered in hypothalamus by activation from dopamine system

Answer 4

Desire

Question 5

______ has been associated with increased brain serotonergic activity and decreased dopamine release.

Answer 5

Resolution

Question 6

______ is transient peak sensation of intense pleasure which involves rhythmic contractions of perineal, bulbocavernosis, and pubococcygeus muscles with a sudden release of endogenous opioids, serotonin, prolactin and oxytocin.

Answer 6

Orgasm

Question 7

female sexual dysfunction need to be persistent for ___ months and not explained by a________

Answer 7

6 months and non-sexual mental disorder

Question 8

40% women report some type of sexual dysfunction

Answer 8

yes, so continue to ask because over 10% with diagnosable sexual disorder

Question 9

No or significantly reduced sexual interest or arousal

Answer 9

hypoactive sexual desire disorder- most common

causes: stress, medical problems, age, depression

Question 10

• Persistent aversive response to genital contact
• Causes:
  History of trauma, assault, abuse
  Other psychosocial disorders (anxiety, OCD, phobias)

Answer 10

sexual aversion disorder

Question 11

• Presence of either of the following during sexual activity:
  a. Marked delay, infrequency or absence of orgasmb. Markedly reduced intensity of orgasm

- Causes
Trauma/abuse
Pelvic surgery
Meds (SSRIs)
Idiopathic

Answer 11

female orgasmic disorder

Question 12

Persistent or recurrent difficulties with one or more of the following:

• Marked vulvovaginal or pelvic pain during intercourse
• Marked fear or anxiety about pain before, during or after vaginal penetration
• Marked tensing or tightening of pelvic floor muscles during attempted vaginal penetration
• More common in postmenopausal women
  Treat vaginal atrophy

Answer 12

sexual pain disorder