Lecture 13: Female Sexual Disorders Flashcards
What are the 4 stages of sexual response?
- Desire/libido
- Arousal (lubrication + swelling)
- Orgasm (release + rhythmic contractions)
- Resolution (Detumescence of genitals)
When does the uterus return to its original position in the sexual response cycle?
Resolution stage
What hormones excite female sexual response?
- Estrogen
- Testosterone
- Dopamine
- NE
- Oxytocin
- Melanocortins (Vyleesi)
What hormones inhibit female sexual response?
- Serotonin (high levels)
- Prolactin (milk)
- Opioids (sleepy)
- Endocannabinoids (imagine weed mellowing you out, idk)
Ifeel like just memorize these and assume everything else excites
The average age of puberty for a females ranges between…
8-13
The least common sexual disorder for females is…
Orgasm difficulties
Geographically, the area with the highest rate of sexual dysfunction among females is…
SE asia
Lowest is N europe
rip asians
The MC sexual disorder for females is
Low sexual desire
Female sexual interest/arousal disorder is a problem with 1 of 2 things:
- Low sexual desire
- Abnormal arousal response
Either emotional/physical or with lubrication/swelling
In order to be diagnosed with female sexual interest/arousal disorder, you must meet 3 general criteria:
Not the 6 symptom criteria
- Occurs 75% of the time
- Occurring for over 6 months
- Causes distress
i think this applies to all sex disorders
You hear the following statements from your female patient:
- I couldn’t care less if we never have sex again
- I’m just not interested in sex. I don’t even think about it unless my partner brings it up.
- I try to be with my partner, but I feel nothing during sex.
This patient could have….
Female sexual interest/arousal disorder
6 Symptom criteria make up Female sexual interest/arousal disorder, which are:
You must mee 3/6
- Interest in sex
- Fantasizing
- Initiation of sexual activity
- Interest/arousal to stimuli
- Excitement/pleasure
- Genital/nongenital sensations
All of which are reduced or absent interest
Female genitopelvic pain/penetration disorder encompasses problems within 3 areas, which are:
- Vaginismus (involuntary spasms)
- Vulvar pain/vestibulodynia
- Dyspareunia (pain with penetration/sex)
The 3 general criteria for genitopelvic pain/penetration disorder are:
Same as female sexual interest/arousal disorder
- Occurs 75% of the time
- Occurs 6+ months
- Causes distress
You hear the following statements from your female patient:
- I have burning pain with any penetration, even a tampon
- Anytime my partner tries to enter me, I close up down there and it hurts
- I want to be with my partner, but it’s uncomfortable. I dread him being in me
You suspect she has…
Genitopelvic pain/penetration disorder
In order to be diagnosed with female genitopelvic pain/penetration disorder, you must meet at least 1 of these 3 symptom criteria, which are:
- Vulvovaginal or pelvic pain during penetration
- Fear/anxiety about vulvovaginal pain or pelvic pain in anticipation of, during, or because of penetration
- Tensing/tightening of pelvic floor muscles during penetration attempt
Must be vaginal penetration
What history is common in females with genitopelvic pain/penetration disorder?
Sexual or physical trauma/abuse