HBM 07b: Sexuality Flashcards
Klinefelter’s syndrome has (X) genetic nomenclature and (male/female/neither) phenotype.
X = XXY
Male phenotype
Turner’s syndrome has (X) genetic nomenclature and (male/female/neither) phenotype.
X = XO
Female phenotype
Androgen insensitivity syndrome has (X) genetic nomenclature and (male/female/neither) phenotype.
X = XY
Female phenotype
Congenital adrenal hyperplasia has (X) genetic nomenclature and (male/female/neither) phenotype.
X = XX
Male phenotype as infants; female phenotype as adolescents
T/F: Gender identity is nearly identical to sexual identity.
False
Average age at sexual debut.
17 y.o.
(X)% of HS grads haven’t had sex.
X = 50
(X)% of college grads haven’t had sex.
X = 25
Kinsey scale/spectrum of (X). 0 means (Y). 6 means (Z).
X = sexual orientation Y = exclusively heterosexual Z = exclusively homosexual
T/F: Older adults have sexual intercourse until about 70 years old.
False - even over 70 y.o.
List the different categories of contraception.
- Barrier
- Hormonal
- Implanted
- Surgical
List phases of sexual response cycle
- Desire
- Excitement
- Plateau
- Orgasm
- Resolution
What happens in “desire” phase of sex response cycle?
Thoughts, fantasies
What happens in “excitement” phase of sex response cycle?
Physical changes (lubrication, erection)
What happens in “plateau” phase of sex response cycle?
More physical changes, like excitement phase, plus male secretion of fluid
What happens in “orgasm” phase of sex response cycle?
Rapid muscle contractions and ejaculation
What happens in “resolution” phase of sex response cycle?
HR and BP return to normal; men are refractory
What are some potential issues in “desire” phase of sex response cycle?
- Hypoactive desire
2. Sexual aversion disorder
What are some potential issues in “excitement” phase of sex response cycle?
- Erectile dysfunction
2. Female sex arousal disorder
What are some potential issues in “plateau” phase of sex response cycle?
Premature ejaculation
What are some potential issues in “orgasm” phase of sex response cycle?
- Female and male orgasmic disorder
2. Retrograde ejaculation
What’s retrograde ejaculation?
Entry of semen into the bladder instead of going out through the urethra
What are some potential issues in “resolution” phase of sex response cycle?
There are none..
List the common sex issues in primary care. In parenthesis, put M/F, depending on gender that presents with these issues.
- Low sex desire (M/F)
- Vaginismus (F)
- Dyspareunia (F)
- Erectile dysfunction (M)
- Premature ejaculation (M)
What’s Dyspareunia?
Painful or difficult sexual intercourse
What’s vaginismus?
Painful spasmodic contraction of the vagina (in response to physical contact or pressure)
Midlife/relationship issues are risk factors for which sex issue?
Low sexual desire
SSRIs, along with which other medication, are risk factors for (X) sex issue?
SSRIs and beta blockers;
X = low sex desire and erectile dysfunction
List some risk factors for vaginismus.
- Anxiety
- Few partners
- History of abuse
Depression is a risk factor for which specific sex issue?
Low sex desire
List some risk factors for dyspareunia.
Medical conditions
Diabetes is a risk factor for which sex issue?
Erectile dysfunction
T/F: Anxiety is a risk factor for premature ejaculation.
True
Couples therapy is a beneficial treatment for which sex issue?
Low sexual desire
Viagra is used to treat:
Erectile dysfunction
SSRIs are used to treat which sex issue?
Premature ejaculation
Which class of drugs decrease libido?
SSRIs, beta blockers, other BP meds
Which class of drugs increase libido?
Dopamine (i.e. L-Dopa)
Which class of drugs responsible for erectile dysfunction?
SSRIs, beta blockers, BP meds, antipsychotics
Which class of drugs cause vaginal dryness?
Antihistamines, anticholinergics
Which class of drugs cause anorgasmia?
SSRIs
Most common STDs:
HPV, herpes, gonnorrhea, chlamydia
STDs passed via body fluids:
HIV, Hep B and C
