First Aid: Sexual Disorders

Question 1

What is tenting?

Answer 1

when the uterus elevates in the pelvis during excitement phase of sexual response cycle

Question 2

True or false: the desire for sexual activity usually changes as people age

Answer 2

false

Question 3

What hormone inhibits libido in both women and men by blocking androgen receptors?

Answer 3

progesterone

Question 4

What neurotransmitter enhances libido?

Answer 4

Dopamine

Question 5

What neurotransmitter inhibits libido?

Answer 5

serotonin

Question 6

Which psychotropic drugs may cause sexual dysfunction?

Answer 6

• SSRIs and other antidepressants

- Antipsychotics (block dopamine)

Question 7

What is the DSM-IV criteria shared by all sexual disorders?

Answer 7

• Marked distress or interpersonal difficulty

- Not caused by substance use or general medical condition

Question 8

What are the most common sexual disorders in women?

Answer 8

• Sexual desire disorder

- Orgasmic disorder

Question 9

What are the most common sexual disorders in men?

Answer 9

• Secondary erectile disorder

- Premature ejaculation

Question 10

What is the absence of deficiency of sexual desire or fantasies?

Answer 10

hypoactive sexual desire disorder

Question 11

What is the prevalence of hypoactive sexual desire disorder?

Answer 11

20% (more common in women)

Question 12

What is the avoidance of genital contact with a sexual partner?

Answer 12

sexual aversion disorder

Question 13

What should you be thinking of when an impotent man still gets morning erections and erections during masturbation?

Answer 13

psychological rather than physical problem

Question 14

What is male erectile disorder?

Answer 14

inability to attain an erection

Question 15

What is the prevalence of male erectile disorder?

Answer 15

10-20% of men

Question 16

What is female sexual arousal disorder?

Answer 16

inability to maintain lubrication until completion of sex act

Question 17

What is the prevalence of female sexual arousal disorder?

Answer 17

up to 33% of women

Question 18

What is the prevalence of female orgasmic disorder in women?

Answer 18

30%

Question 19

What is the prognosis for a male with premature ejaculation?

Answer 19

in young, sexually inexperienced men (shorter refractory periods) it will resolve gradually over time without treatment

Question 20

What is the prevalence of premature ejaculation?

Answer 20

up to 35% of all male sexual disorders

Question 21

What typically causes premature ejaculation?

Answer 21

fears
guilt
performance anxiety

Question 22

What is genital pain before, during or after sexual intercourse?

Answer 22

dyspareunia

Question 23

What is involuntary muscle contraction in the outer 1/3 of the vagina during insertion of penic or object (speculum or tampon)?

Answer 23

vaginismus

Question 24

Who gets vaginismus?

Answer 24

• Higher SES groups

- Women of strict religious upbringing

Question 25

What is the treatment for sexual desire disorder?

Answer 25

testosterone (if levels are low)

Question 26

What is the treatment for erectile disorder?

Answer 26

Yohimbine
Sildenafil (Viagra)
Alprostadil (self-injection of vasodilators)
Vacuum pumps
Constrictive rings
Prosthetic surgery (last resort)

Question 27

What is the treatment for female sexual arousal disorder?

Answer 27

release of clitoral adhesions (if necessary)

Question 28

What is the treatment for premature ejaculation?

Answer 28

• the squeeze technique (increases threshold of excitability)
• the stop-start technique
• SSRIs or TCAs (may prolong sexual response)

Question 29

What is important for the diagnosis of a paraphilia?

Answer 29

-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

Question 30

Sexual gratification from fantasies or behaviors involving sexual acts with children.

Answer 30

pedophilia

Question 31

Watching unsuspecting nude individuals in order to obtain sexual pleasure

Answer 31

voyeurism

Question 32

Exposure of one’s genitals to strangers

Answer 32

exhibitionism

Question 33

Sexual preference for inanimate objects

Answer 33

fetishism

Question 34

Sexual gratification in men (usually heterosexual) from wearing women’s clothing (usually underwear)

Answer 34

transvestic fetishhism

Question 35

Sexual pleasure in men from rubbing genitals against unsuspecting women; usually occurs in a crowded area

Answer 35

frotteurism

Question 36

Sexual excitement from being humiliated or beaten

Answer 36

masochism

Question 37

Sexual excitement from hurting or humiliating another

Answer 37

sadism

Question 38

Sexual pleasure from engaging in sexual activity with dead people

Answer 38

necrophilia

Question 39

Sexual excitement from calling unsuspecting women and engaging in sexual conversations with them

Answer 39

telephone scatologia

Question 40

What are the treatment options for paraphilias?

Answer 40

• Insight oriented psychotherapy
• Behavior therapy
• Pharmacologic therapy (anti-androgens in men)

Question 41

What is another name for gender identity disorder?

Answer 41

transsexuality

Question 42

What is a transsexual?

Answer 42

someone who feels as though they were born the wrong sex

Question 43

When does gender identity usually develop?

Answer 43

by age 3

Question 44

What biological sex more commonly has gender identity disorder?

Answer 44

men

Question 45

What are comorbidities associated with gender identity disorder?

Answer 45

MDD
Anxiety disorders
Suicide

Question 46

What percentage of men are homosexual?

Answer 46

3-10%

Question 47

What percentage of women are homosexual?

Answer 47

1-5%