Gender and Sexual Disorders

Question 1

Diagnostic Issues

Answer 1

Frequency not most important

Distress and dissatisfaction

Question 2

Sexual Response cycle

Answer 2

Excitement
Plateau
Orgasm
Resolution

Question 3

Excitement

Answer 3

Increased bloodflow to genitals
Muscular tension
Physical Arousal
Increased heart rate and breathing

Question 4

Plateau

Answer 4

Additional swelling of genitals

Question 5

Orgasm

Answer 5

Rhythmic muscle contractions

Question 6

Resolution

Answer 6

Return to prearoused state

Question 7

Alternative Model of Sexual Stages (DEO)

Answer 7

Desire
Excitement
Orgasm

Question 8

Desire

Answer 8

Pyschological arousal

Question 9

2 stages of male orgasm

Answer 9

Stage 1: Seminal fluid gathers at urethral bulb

Stage 2: Ejaculation, contraction leads to expulsion

Question 10

What is the DSM-5 diagnosis of Sexual dsyfunction based off of?

Answer 10

The sexual stage (DEO) affected by the disorder

Question 11

4 subtypes of Sexual Dysfunction

Answer 11

Lifelong
Aquired
Generalized
Specific

Question 12

Linglong subtype

Answer 12

Person has always experienced problem

Question 13

Aquired subtype

Answer 13

Recent onset

Question 14

Generalized subtype

Answer 14

Apparent with all partners and solidary activity

Question 15

Specific subtype

Answer 15

Apparent in only one situation

Question 16

Male hypoactive sexuyal desire disorder

Answer 16

Low sexual interest

Question 17

Female sexual interest/arousal disorder

Answer 17

Low sexual interest/ arousal

Question 18

Erectile Disorder

Answer 18

Difficulties obtaining or mantaining an erection

Question 19

Female Orgasmic Disorder

Answer 19

Delayed, infrequent, absent or less intense orgasms

Question 20

Delayed Ejaculation

Answer 20

Delayed,infrequent or absent ejaculation

Question 21

Premature ejaculation

Answer 21

Recurrent ejaculation within 1 minute following vaginal penetration

Question 22

Genito-Pelvic pain/penertration disorder

Answer 22

Reccurrent
Vaginal pain during sex

Vulvovaginal or pelvic pain during sex/penetration

Fear or anxiety about penetration

Tensing or tightening of pelvic floor muscles during penetration

Question 23

Hypersexuality

Answer 23

Loss of control over

Sexual urges
Fantasies
Behaviours

Question 24

Is hypersexuality a diagnosible condition in the DSM-5

Answer 24

No it is not currently diagnosible

Question 25

How is hypersexuality assessed

Answer 25

Total sexual outlet (TSO) 7+ orgasms/week for > 6 months

Question 26

What physical factors impact arousal disorders

Answer 26

Age Medical conditions Meds Loss of androgens

Question 27

What psychological factors impact arousal disorders

Answer 27

``` Performance Anxiety Psyc conditions Relationship problems Trauma Substance Abuse Attitudes about sex ```

Question 28

What physical factors impact orgasmic disorders

Answer 28

Meds Physical Trauma Narcotics Withdrawal Low Threshold for physical stimulation

Question 29

What psychological factors impact orgasmic disorders

Answer 29

Performance Anxiety Sexual knowledge Inability to let go Relationship Problems Conditioning

Question 30

Cause for Sexual Pain Disorder

Answer 30

Sexual attitudes Lack of sexual education Unpleasant/ traumatic sexual experiences Cognitive styles Conditioning: Distress. avoidance of pain

Question 31

Sex Therapy

Answer 31

Couples therapy Effective communication and body exploration Sensate focus: Desensitization of sexual fears Behavioural techniques: Start-stop techniques

Question 32

What disorders does Sex Therapy help the most

Answer 32

Premature ejaculation Sexual pain disorders

Question 33

Physical Treatment

Answer 33

Meds Physiotherapy Erection Devices Surgery: penile implant

Question 34

Sexual Arousal Disorders

Answer 34

Female Sexual Interest/ Arousal Disorder Male Hypoactive Sexual Desire Disorder Male Erectile Disorder

Question 35

Orgasmic Disorders

Answer 35

Delayed Ejaculation Female Orgasmic Disorder Premature (early) orgasm disorder

Question 36

3 aspects of gender

Answer 36

Sexual Orientation Gender Identity Gender Role

Question 37

Sexual orientation

Answer 37

Romantic or Sexual Attraction

Question 38

Gender Identity

Answer 38

Sense of self as male or female Gender Pronouns

Question 39

Gender Role

Answer 39

Characteristics considered masculine and feminine

Question 40

How is sex determined

Answer 40

Biologically | Socially

Question 41

Biological sex

Answer 41

``` Gonads: testes vs ovaries Chromosomes: XX (Female )/XY (Male) Prenatal hormones Inner organs: Fallopian tubes External genitalia ```

Question 42

Transsexual

Answer 42

People who feel they have been assigned the wrong gender

Question 43

Hemaphrodisim

Answer 43

Partially male and partially female organs

Question 44

Gender Dysphoria

Answer 44

Mismatch between assigned sex and experienced sex At least 6+ months + distress DSM-5 seperates Adults/Adolecents from children

Question 45

Criteria for gender dysphoria in Adults

Answer 45

2+ symptoms for 6+ months + distress Mismatch experience Desire to get rid of sexual chracteristics Strong desire for other gender's chracteristcs Desire to be a different gender Desire to be treated as different gender Belief your reactions and behaviours are typical of the other gender

Question 46

Criteria for gender Dysphoria in Children

Answer 46

6+ symptoms Strong desire to be other gender or insistence that one is the other gender (necessary for diagnosis) Strong preference for other gender’s clothing Strong preference for other gender’s roles in fantasy play Strong preference for other gender’s toys Strong preference for playmates of the other gender Strong rejection of assigned gender’s activities Strong dislike of own sexual anatomy Strong desire for sexual characteristics of other gender

Question 47

How many criterions needed for an Adult diagnosis of Gender Dysphoria

Answer 47

2+

Question 48

How many crietrion needed for a child diagnosis of GD

Answer 48

6+

Question 49

Causes for GD

Answer 49

Biological | Psychosocial

Question 50

Biological causes of GD

Answer 50

Prenatal hormones | High heritability

Question 51

Psychosocial causes for GD

Answer 51

Encouragement of gender-inappropriate behaviour Failure to separate from parent Lack of same sex role model