First Aid: Sexual Dysfunction Flashcards
Sexual response cycle
- Desire: interested
- Excitement: physical body gets excited
- orgasm
- resolution
sexual changes in men with aging
more time to achieve orgasm
increase length of refractory period
sexual changes in women with aging
vaginal dryness and thinning
alcohol and Marijuana and libido
both enhance sexual desire by suppressing inhibitoins
cocaine and amphetamines and libido
enhance libido by stimulating dopamine receptors
narcotics and libido
inhibit libido
Dopamine and serotonin and libido
Dopamine enhances libido
Serotonin inhibits sexual function
Most common sexual dysfunction in men
erectile disorder
premature ejaculation
most common female sexual dysfunction
interest/arousal disorder
female orgasmic disorder
Male hypoactive sexual desire disorder
absence or deficiency of sexual thoughts, desires or fantasies for greater than 6 months
female sexual interest/arousal disorder
absence or reduced sexual interest
- greater than 6 months
Erectile disorder
marked difficulty obtaining or maintaining an erection
- greater than 6 months
Premature ejaculation
ejaculation during sex within 1 minutes
female orgasmic disorder
marked delay in orgasm
- 6months
delayed ejacualtion
delay in ejaculation
- 6 months
genito-pelvic pain disorder
pain during increase
which sex therapy is used for long term
physchotherapy
which sex therapy is used for short term
sex therapy
CBT
treatment for erectile disroder
- phosphodiesterase-5 inhibitors (Sildenafil)
- rings
treatment for premature ejaculation
SSRI
TCA
squeeze method
start stop technique
male and female decrease in sex treatment
testosterone for men
estrogen for women
female orgasmic disorder treatemtn
self masturbation
squeeze method
near ejaculation, squeeze glans of penis, prevent ejaculation
start stop technique
stop all penis stimulation when about to ejaculate
decrease estrogen and libido
decreases libido
testosterone and libido
promotes libido
progesterone and libido
inhibits libido
How is gender dysphoria treated
therapy and family
- surge after 1 year in desired gender role and 1 year of hormone therapy
Pedophile disorder
- sexual fantasies involving sexual acts with prepubescent children
Frotteuristic disorder
sexual arousal from touching or rubbing against a non consenting person
Voyeuristic disorder
sexual arousal from observing an unsuspecting nude, or disrobing individual (may use binoculars)
Exhibitionistic disorder
sexual arousal from exposure of one’s genitals to an unsuspecting person
Sexual masochism
sexual arousal from exposure of the act of being humiliated, beaten, bound, or made to suffer
Sexual sadism
sexual arousal from physical or psychological suffering of another person
fetishistic
sexual arousal from either the use of nonliving objects
transvestic
sexual arousal from cross dressing
does transvestite disorder person mean they are homosexual
no
man being primarily sexually aroused by women’s shoes causing significant distress and marital problems
fetishistic
3 most common paraphilia
pedophilia
voyeurism
exhibitionism
