LC Exam 1 Week 3

Question 1

Contraceptive effects of progestin

Answer 1

Suppresses HPG axis to prevent ovulation
Decreases ovarian hormone production
Reduces activity of cilia
Thin endometrium
Thickens cervical mucus

Question 2

Downside to progestin only OCPs

Answer 2

If miss by more than 3 hours, chance of pregnancy

Question 3

Benefits of adding estrogen to contraception

Answer 3

Better bleeding profile

FSH suppression

Question 4

Phases of sexual response

Answer 4

Desire
Excitement
Plateau
Orgasm
Resolution

Question 5

Desire phase disorders

Answer 5

Hypoactive sexual desire disorder
Sexual aversion disorder
Spectrum between the two
Assoc with chronic dz, depression, etc

Question 6

Excitement phase disorders

Answer 6

Erectile disorder
Delayed ejaculation
Vaginismus (outer 1/3 muscle spasm)
Dysparenia
premature ejaculation

Question 7

Vaginismus s/sx and tx

Answer 7

hyper feminine
bizarre image of genitals
primary vs. secondary
dilators (not for dilation but to learn penetration)

Question 8

Dysparenia cycle

Answer 8

Pain
Aversion/decreased desire
failed excitation
decreased lubrication
Pain

Question 9

Plateau phase disorders

Answer 9

Female orgasmic disorder
Male orgasmic disorder (less common)
Tx: accept, assure, address anxiety /anger

Question 10

Sex therapy options

Answer 10

Sensate focus therapy: behav mod, intensive
Reading (female>male, esp orgasmic d/o)
Martial therapy
Pharm

Question 11

Pharm sex options

Answer 11

PDE5 inhibitors
Flibanserin (5HT1A ag and 5HT2A antag)
Antidepressants
Testosterone (not for the ladies)