Lecture 20 - Sexual Dysfunction Flashcards
What factors and charcteristics are involved in sexual dysfunctions?
Distress from a person’s ability to respond sexually or to experience sexual pleasure in 75-100% of sexual experiences.
Lifelong vs acquired.
Generalized vs. situational.
Severity: mild, moderate, severe.
What are Sexual Desire Disorders characterised by?
Persistent disinterest in sexual activity, and this is distressing. More common in females and increases with age.
What is Erectile Disorder characterised by?
Difficulty in maintaining or obtaining erection, or marked decrease in erectile rigidity. Many instances will remit on their own, as they are caused by stress.
What are the differences between psychogenic and organic ED?
Psychogenic: sudden onset, preserved morning erections and nocturnal erections and erections while masturbating.
Organic: gradual deterioration of morning/nocturnal erections, no erections while masturbating but no loss of libido.
What is Female Sexual Arousal Disorder characterised by?
Difficulty attaining or maintaining adequate lubrication until completion of the sexual act. 30-50% estimates, but issues of women ‘living with it’ instead of seeking treatment.
What are the two Male Orgasmic Disorders, and what are they characterised by?
Delayed ejaculation: marked delay or inability to ejaculate (which is undesirable). Thrusting becomes a chore.
Premature ejaculation: ejaculation with only minimal stimulation and before the man wishes to.
What is characterised by Genito-Pelvic Pain/Penetration Disorder?
Difficulty having intercourse, pelvic pain during penetration attempts, anxiety about the pain and marked tensing of the pelvic floor.
What are the subtypes of Genito-Pelvic Pain/Penetration Disorder?
Dyspareunia: pain during attempted or completed vaginal entry and/or penile vaginal intercourse.
Vagininismus: involuntary spasms of the muscles surrounding the entrance of the vagina, making penetration difficult/impossible/painful.
