Module 19: Sexual Dysfunctions

Question 1

What are the different sexual dysfunctions?

Answer 1

1. Delayed ejaculation
2. Erectile disorder
3. Female orgasmic disorder
4. Female sexual interest/arousal disorder
5. Genito-Pelvic Pain/Penetration Disorder
6. Male Hypoactive Sexual Disorder
7. Premature (Early) Ejaculation

Question 2

Delayed ejaculation

Answer 2

delay or absence of ejaculation

Question 3

What is delayed ejaculation associated with?

Answer 3

associated with highly frequent masturbation, use of masturbation techniques not easily duplicated by a partner, and marked disparities between sexual fantasies during masturbation and the reality of sex with a partner

Question 4

What are the health issues/effects that individuals with delayed ejaculation may experience?

Answer 4

less coital activity, higher levels of relationship distress, sexual dissatisfaction, lower subjective arousal, anxiety about their sexual performance, and general health issues than sexually functional men

Question 5

How long should the duration of the symptoms for delayed ejaculation be for it to be diagnosed in an individual?

Answer 5

at least 6 months

Question 6

How long does delayed ejaculation last?

Answer 6

either lifelong or acquired, generalized or situational

Question 7

What is comorbid with delayed ejaculation?

Answer 7

common in severe forms of MDD

Question 8

Erectile Disorder

Answer 8

difficulty having, maintaining erection and decrease in erectile rigidity

Question 9

What is erectile disorder associated with?

Answer 9

+ low self-esteem, low self-confidence, and a decreased sense of masculinity, and may experience depressed mood
+ strongly associated with feelings of guilt, self-blame, sense of failure, anger, and concern about disappointing one’s partner
+ decreased sexual satisfaction and reduced sexual desire

Question 10

What is erectile disorder comorbid with?

Answer 10

co-morbid with other sexual disorders, anxiety and depressive disorders

Question 11

How long should the symptoms of erectile disorder be for it to be diagnosed in an individual?

Answer 11

at least 6 months

Question 12

Female Orgasmic Disorder

Answer 12

+ delay or absence of orgasm and reduced intensity of orgasmic sensations
+ greater difficulty communicating about sexual issues
+ high levels of sexual satisfaction despite rarely or never experiencing orgasm

Question 13

What may female orgasmic disorder cooccur with?

Answer 13

may have co-occurring sexual interest/arousal difficulties

Question 14

How long should the duration of female orgasmic disorder be to be diagnosed in an individual?

Answer 14

at least 6 months

Question 15

How long does female orgasmic disorder last?

Answer 15

either lifelong or acquired, generalized or situational

Question 16

Female Sexual Interest/Arousal Disorder

Answer 16

+ absent/reduced interest in sexual activity
+ no sexual thoughts or fantasies, no initiation, no sexual excitement or pleasure during sex

Question 17

What is Female Sexual Interest/Arousal Disorder associated with?

Answer 17

associated with problems in experiencing orgasm, pain experienced during sexual activity, infrequent sexual activity, and couple-level discrepancies in desire

Question 18

What is distressing low desire in individuals with Female Sexual Interest/Arousal Disorder associated with?

Answer 18

distressing low desire is associated with depression, thyroid problems, anxiety, urinary incontinence, and other medical factors

Question 19

How long do symptoms in Female Sexual Interest/Arousal Disorder have to last in order for an individual to be diagnosed?

Answer 19

at least 6 months

Question 20

Genito-Pelvic Pain/Penetration Disorder

Answer 20

+ difficulties in vaginal penetration during intercourse
+ vaginal pain during intercourse or penetration attempts
+ anxiety about anticipating vulvovaginal or pelvic pain

Question 21

What is Genito-Pelvic Pain/Penetration Disorder associated with?

Answer 21

frequently associated with other sexual dysfunctions, particularly reduced sexual desire and interest

Question 22

What disorder is similar with the pattern of avoidance found in Genito-Pelvic Pain/Penetration Disorder?

Answer 22

pattern of avoidance is similar to that seen in phobic disorders

Question 23

How long should the duration of symptoms in Genito-Pelvic Pain/Penetration Disorder be in order for it to be diagnosed in an individual?

Answer 23

at least 6 months

Question 24

Male Hypoactive Sexual Disorder

Answer 24

+ persistently deficient or absent sexual/erotic thoughts or fantasies and desire for sexual activity
+ rarely the sole sexual diagnosis in men

Question 25

What is Male Hypoactive Sexual Disorder sometimes associated with?

Answer 25

sometimes associated with erectile and/or ejaculatory concerns

Question 26

Premature (Early) Ejaculation

Answer 26

+ ejaculation approx. 1 min following vaginal penetration or even before the individual wishes it
+ complain a sense of lack of control over ejaculation and report apprehension about their anticipated inability to delay ejaculation on future sexual encounters

Question 27

What is Premature (Early) Ejaculation associated with?

Answer 27

associated with erectile problems

Question 28

How long should the duration of Premature (Early) Ejaculation be in order for it to be diagnosed in an individual?

Answer 28

at least 6 months and must be experienced on almost all or all occasions