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MBBS IV - Supplementary Courses > Human Sexuality 1-4 > Flashcards

Human Sexuality 1-4 Flashcards

1
Q

Transmission of HIV (4)

A

IV drug
Blood transfusion
Vertical transmission from mother
Sexual contact*

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2
Q

HIV prevalence is highest in which sexuality group?

Age group?

A

Homosexual (Male to Male)

2nd = Heterosexual

Highest in 30-39 age group

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3
Q

6 most common STIs transmitted in HK

A
  1. Non-gonococcal urethritis (male)
  2. Non-specific genital infection (female)
  3. Gonococcus
  4. Warts
  5. Herpes
  6. Syphilis
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4
Q

5 most common STIs transmitted in HK - Female

A 
Chlamydia 
Gonococcus 
Warts 
Herpes 
Primary Syphilis
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5
Q

5 most common STIs transmitted in HK - male

A 
NGU
Gonococcus 
Warts 
Herpes 
Primary Syphilis
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6
Q

Causes of infertility

A

Female:

  • Anovulation
  • Tubal trauma/ infection
  • Abdominal or pelvic surgery
  • Endometriosis
  • Submucosal Fibroids

Male:
- Low sperm

Coital failure

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7
Q

Fertility decline sharply at what age for women

A

35

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8
Q

Most commonly neglected risk factor of identifying HPV infection

A

Failure of regular cervical screen

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9
Q

Legal age of consent in HK

A

16

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10
Q

Major contraceptive method in HK - top3

A

Male condom
OC pills
Coitus interruptus

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11
Q

Major factors for sexual dysfunction

A

Sexual distress:

  • Anorgasmia
  • Sexual pain
  • Low arousal and desire
  • Inadequate lubrication

Life stressors

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12
Q

Major cause of sexual dysfunction in menopausal women

A

No lubricant

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13
Q

5 causes of low coitus rate in menopausal women

A

Change in libido
Vagina: Loss of lubrication, elasticity, pain
Hormone replacement therapy
Declining health and reproduction
Life transitions: loss of partner, empty nest

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14
Q

Male equivalent of female menopause

A

PADAM

Easy fatigue 
Irritability 
Difficulty with short-term memory 
Loss of muscle mass, strength, energy 
Central obesity 
Loss of body hair
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15
Q

4 factors to attain happiness

A

Security
Self-esteem
Connection: interpersonal, Intimate
Autonomy

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16
Q

Health benefits of active sex life

A
  • Decrease breast, prostate cancer
  • Decrease heart attack
  • Decrease depression rate
  • Improve immunity
17
Q

4 types of sexual dysfunctions

A

1) Lifelong
2) Generalized: all situations and all partners
3) Acquired: develop after a period of normal sexual activity
4) Situational

18
Q

DMS-5 classification

- 4 male sexual dysfunctions

A

Male hypoactive sexual desire disorder

Erectile disorder

Premature ejaculation

Delayed ejaculation

19
Q

DMS-5 classification

- 3 female sexual dysfunctions

A

Female sexual interest/ arousal disorder

Female orgasmic disorder

Genito-Pelvic Pain/ Penetration Disorder

20
Q

Male hypoactive sexual desire disorder

- 3 criteria

A

In the past 6 months, more than 75% of the time:

  • Absent sexual fantasy, desire, thought
  • Causing marked distress or interpersonal difficulty
  • Excluded medical illness or psychological disorders
21
Q

Give one genetic cause of sexual dysfunction in male

A

Klinefelter syndrome - Ch. XXY

Small and soft testicles, Azoospermia
No masturbation, sexual urges, fantasies
Gynecomastia

22
Q

Treatment of sexual dysfunction caused by Klinefelter

A

IVF reproduction
Microdissection of epididymis for sperm precursor
Testosterone replacement therapy

23
Q

Female sexual interest/ arousal disorder

- 4 criteria

A

In the past 6 months

  • No interest in sexual activity
  • No fantasy, sexual or erotic thoughts
  • No sense of pleasure during sexual act or decline to initiate sexual encounters
  • Excluded other causes
24
Q

Erectile disorder

- Criteria

A

In the past 6 months, with 1 of 3 following symptoms

  • Struggle to achieve erection during sexual activity
  • Struggle to maintain erection until completion of sexual activity
  • Noticeable decrease in erectile rigidity
  • Causing marked distress or interpersonal difficulty
25
Q

How to distinguish between organic vs psychogenic cause of erectile dysfunction

A

Ask about Presence of morning erection

Organic: check blood glucose, lipid profile, hormones, ECG

26
Q

Female sexual interest/ arousal disorder

- Treatment

A
  • Find source of stress
  • Treat underlying medical conditions
  • Couple counselling
  • Hormone therapy
  • Zestra, Flibanserin, Eros clitoral therapy device
27
Q

Erectile disorder

- Treatment

A
  • Psychoeducation
  • Treat organic causes
  • Treat psychological causes (e.g. performance anxiety)
  • Viagra, Prostaglandin E1
  • Vacuum pump device
  • Penile prosthesis
28
Q

Premature ejaculation

- 4 criteria

A

In the past 6 months:

  • Always ejaculate within 1 minute or less of vaginal penetration
  • Significant sexual frustration and distress
  • Excluded other non-sexual mental, medical or drug cause
29
Q

Premature ejaculation

- Treatment

A
  • Sex therapy, start/stop technique
  • Local anesthetic in condom or lubricants
  • SSRI (Dapoxetine) on demand
30
Q

Delayed ejaculation

- 4 criteria

A

In the past 6 months:

  • Unable to climax during sex with a partner, with delay or absent ejaculation
  • Causes marked distress
  • Excluded other mental, medical or drug causes
  • Excluded stressors within or external to relationship
31
Q

Female orgasmic disorder

- 4 criteria

A

In the past 6 months:

  • Significant change in orgasm: reduced intensity, delay, infrequency, absence of orgasm
  • Excluded other mental, medical, relationship causes
  • Causing significant distress
32
Q

Female orgasmic disorder

- Treatment

A

Hormonal replacement

Treat medical disorder and offending drugs (e.g. antipsychotics)

Sex therapy - maximize clitoral stimulus

Couples therapy

Counselling

33
Q

Penetration disorder

- 4 criteria

A

In the past 6 months, experience difficulty towards vaginal penetration:

  • Intense fear or anxiety before, during or after penetration
  • Actual pain experienced in pelvis or vulvovaginal area after penetration
  • Marked tightening of pelvic/ inner-abdominal muscles during attempted penetration
34
Q

Penetration disorder

- Treatment

A
  • Treat phobia
  • Teach Kegel exercises
  • Teach vaginal insertion with fingers or dilators
  • Couples counselling
  • Teach vaginal intercourse
35
Q

List one gynecological disorder that commonly causes infertility

A

Endometriosis

MBBS IV - Supplementary Courses (54 decks)

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