module 11 sexual dysfunctions Flashcards
Sexual dysfunction timeline
All require 6 months duration for diagnosis
Female sexual interest / arousal disorder
Lack interest in / rarely initiate sex
Feel little excitement, unaroused by erotic cues
Few physical sensations during sex
Many distressed by their level of arousal.
Male hypoactive sexual desire disorder
Persistently lack / have reduced interest in sex
Engage in little sexual activity
Normal physical response/enjoyment when engaged in sex
Biological (hypoactive sexual disorders)
Hormone levels
Variability in serotonin/dopamine
Pain meds, other drugs, alcohol
Psychological(hypoactive sexual disorders)
Anxiety, depression, anger, OCD cognitions
Sex is immoral / dangerous”
Fear of losing control over sexual urges
Sociocultural(hypoactive sexual disorders)
Situational stressors
Relationship problems; differing degrees of closeness
Impact of aging on body image (self and partner’s
Trauma history
Erectile disorder
Persistently fail to attain or maintain an erection
Prevalence increases with age
Biological (disorders of excitement)
Primarily vascular
Psychological (disorders of excitement)
Performance anxiety
Assumes spectator role (monitoring/judging) – fear of failure
Female orgasmic disorder
Persistently fail to reach orgasm
Have very low-intensity or very delayed orgasms
Premature (early) ejaculation disorder
Persistently reaches orgasm within 1 minute of sexual activity with partner and before he wants to.
More common among young, sexually inexperienced men but can occur at any age.
Delayed ejaculation
Persistently unable to have or has very delayed ejaculations
Genito-Pelvic Pain / Penetration Disorder
Involuntary vaginal muscular contractions (vaginismus)
Learned fear response?
Expectation that intercourse will be painful/damaging.
Trauma history
Or infections (vaginal/urinary tract), herpes; menopause
Sensate focus
pleasuring without intercourse or genital touching
Addyi
may increase desire in women; vaginal creams may reduce pain
Viagra
increase penile flow
PARAPHILIC DISORDERS (diagnosis criteria/timeline)
The paraphilic disorder must cause distress to the person* or interfere with important areas of
his/her/their life or places the person or others at risk of harm
6 months
VOYEURISTIC DISORDER
Recurrent, intense sexual arousal from observing an unsuspecting person who is naked, disrobing, or
engaging in sexual activity
EXHIBITIONISTIC DISORDER
Sexual arousal by exposing one’s genitals to an unsuspecting stranger.
EXHIBITIONISTIC DISORDER (prevalence)
Usually found in men
Onset usually under 18
1/3 to 1/2 of women impacted
FROTTEURISTIC DISORDER
Sexual arousal from touching or rubbing against a nonconsenting person
FROTTEURISTIC DISORDER (prevalence)
Almost always found in men
Onset usually in teens or earlier
Usually diminishes after 25
SEXUAL MASOCHISM DISORDER
Recurrent, intense sexual arousal from the act of being humiliated, beaten, bound, or otherwise made to
suffer
CNS arousal and motivation heightened by both sexual and pain stimuli
Overlap between pathways / mechanisms of pain and sex
SEXUAL MASOCHISM DISORDER: Specifier: with asphyxiophilia (hypoxyphilia)
Sexual arousal related to restriction of breathing.
May lead to autoerotic asphyxia – accidental, fatal lack of oxygen
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