First Aid: Sexual Disorders Flashcards
What is tenting?
when the uterus elevates in the pelvis during excitement phase of sexual response cycle
True or false: the desire for sexual activity usually changes as people age
false
What hormone inhibits libido in both women and men by blocking androgen receptors?
progesterone
What neurotransmitter enhances libido?
Dopamine
What neurotransmitter inhibits libido?
serotonin
Which psychotropic drugs may cause sexual dysfunction?
- SSRIs and other antidepressants
- Antipsychotics (block dopamine)
What is the DSM-IV criteria shared by all sexual disorders?
- Marked distress or interpersonal difficulty
- Not caused by substance use or general medical condition
What are the most common sexual disorders in women?
- Sexual desire disorder
- Orgasmic disorder
What are the most common sexual disorders in men?
- Secondary erectile disorder
- Premature ejaculation
What is the absence of deficiency of sexual desire or fantasies?
hypoactive sexual desire disorder
What is the prevalence of hypoactive sexual desire disorder?
20% (more common in women)
What is the avoidance of genital contact with a sexual partner?
sexual aversion disorder
What should you be thinking of when an impotent man still gets morning erections and erections during masturbation?
psychological rather than physical problem
What is male erectile disorder?
inability to attain an erection
What is the prevalence of male erectile disorder?
10-20% of men
What is female sexual arousal disorder?
inability to maintain lubrication until completion of sex act
What is the prevalence of female sexual arousal disorder?
up to 33% of women
What is the prevalence of female orgasmic disorder in women?
30%
What is the prognosis for a male with premature ejaculation?
in young, sexually inexperienced men (shorter refractory periods) it will resolve gradually over time without treatment
What is the prevalence of premature ejaculation?
up to 35% of all male sexual disorders
What typically causes premature ejaculation?
fears
guilt
performance anxiety
What is genital pain before, during or after sexual intercourse?
dyspareunia
What is involuntary muscle contraction in the outer 1/3 of the vagina during insertion of penic or object (speculum or tampon)?
vaginismus
Who gets vaginismus?
- Higher SES groups
- Women of strict religious upbringing
What is the treatment for sexual desire disorder?
testosterone (if levels are low)
What is the treatment for erectile disorder?
Yohimbine Sildenafil (Viagra) Alprostadil (self-injection of vasodilators) Vacuum pumps Constrictive rings Prosthetic surgery (last resort)
What is the treatment for female sexual arousal disorder?
release of clitoral adhesions (if necessary)
What is the treatment for premature ejaculation?
- the squeeze technique (increases threshold of excitability)
- the stop-start technique
- SSRIs or TCAs (may prolong sexual response)
What is important for the diagnosis of a paraphilia?
-Sexual disorders characterized by engagement in unusual sexual activities (and/or preoccupation with unusual sexual urges or fantasies) for at least 6 months that cause impairment in daily funcitoning
Sexual gratification from fantasies or behaviors involving sexual acts with children.
pedophilia
Watching unsuspecting nude individuals in order to obtain sexual pleasure
voyeurism
Exposure of one’s genitals to strangers
exhibitionism
Sexual preference for inanimate objects
fetishism
Sexual gratification in men (usually heterosexual) from wearing women’s clothing (usually underwear)
transvestic fetishhism
Sexual pleasure in men from rubbing genitals against unsuspecting women; usually occurs in a crowded area
frotteurism
Sexual excitement from being humiliated or beaten
masochism
Sexual excitement from hurting or humiliating another
sadism
Sexual pleasure from engaging in sexual activity with dead people
necrophilia
Sexual excitement from calling unsuspecting women and engaging in sexual conversations with them
telephone scatologia
What are the treatment options for paraphilias?
- Insight oriented psychotherapy
- Behavior therapy
- Pharmacologic therapy (anti-androgens in men)
What is another name for gender identity disorder?
transsexuality
What is a transsexual?
someone who feels as though they were born the wrong sex
When does gender identity usually develop?
by age 3
What biological sex more commonly has gender identity disorder?
men
What are comorbidities associated with gender identity disorder?
MDD
Anxiety disorders
Suicide
What percentage of men are homosexual?
3-10%
What percentage of women are homosexual?
1-5%
