Module 19: Sexual Dysfunctions Flashcards
What are the different sexual dysfunctions?
- Delayed ejaculation
- Erectile disorder
- Female orgasmic disorder
- Female sexual interest/arousal disorder
- Genito-Pelvic Pain/Penetration Disorder
- Male Hypoactive Sexual Disorder
- Premature (Early) Ejaculation
Delayed ejaculation
delay or absence of ejaculation
What is delayed ejaculation associated with?
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
What are the health issues/effects that individuals with delayed ejaculation may experience?
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
How long should the duration of the symptoms for delayed ejaculation be for it to be diagnosed in an individual?
at least 6 months
How long does delayed ejaculation last?
either lifelong or acquired, generalized or situational
What is comorbid with delayed ejaculation?
common in severe forms of MDD
Erectile Disorder
difficulty having, maintaining erection and decrease in erectile rigidity
What is erectile disorder associated with?
+ 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
What is erectile disorder comorbid with?
co-morbid with other sexual disorders, anxiety and depressive disorders
How long should the symptoms of erectile disorder be for it to be diagnosed in an individual?
at least 6 months
Female Orgasmic Disorder
+ 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
What may female orgasmic disorder cooccur with?
may have co-occurring sexual interest/arousal difficulties
How long should the duration of female orgasmic disorder be to be diagnosed in an individual?
at least 6 months
How long does female orgasmic disorder last?
either lifelong or acquired, generalized or situational
Female Sexual Interest/Arousal Disorder
+ absent/reduced interest in sexual activity
+ no sexual thoughts or fantasies, no initiation, no sexual excitement or pleasure during sex
What is Female Sexual Interest/Arousal Disorder associated with?
associated with problems in experiencing orgasm, pain experienced during sexual activity, infrequent sexual activity, and couple-level discrepancies in desire
What is distressing low desire in individuals with Female Sexual Interest/Arousal Disorder associated with?
distressing low desire is associated with depression, thyroid problems, anxiety, urinary incontinence, and other medical factors
How long do symptoms in Female Sexual Interest/Arousal Disorder have to last in order for an individual to be diagnosed?
at least 6 months
Genito-Pelvic Pain/Penetration Disorder
+ difficulties in vaginal penetration during intercourse
+ vaginal pain during intercourse or penetration attempts
+ anxiety about anticipating vulvovaginal or pelvic pain
What is Genito-Pelvic Pain/Penetration Disorder associated with?
frequently associated with other sexual dysfunctions, particularly reduced sexual desire and interest
What disorder is similar with the pattern of avoidance found in Genito-Pelvic Pain/Penetration Disorder?
pattern of avoidance is similar to that seen in phobic disorders
How long should the duration of symptoms in Genito-Pelvic Pain/Penetration Disorder be in order for it to be diagnosed in an individual?
at least 6 months
Male Hypoactive Sexual Disorder
+ persistently deficient or absent sexual/erotic thoughts or fantasies and desire for sexual activity
+ rarely the sole sexual diagnosis in men
What is Male Hypoactive Sexual Disorder sometimes associated with?
sometimes associated with erectile and/or ejaculatory concerns
Premature (Early) Ejaculation
+ 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
What is Premature (Early) Ejaculation associated with?
associated with erectile problems
How long should the duration of Premature (Early) Ejaculation be in order for it to be diagnosed in an individual?
at least 6 months and must be experienced on almost all or all occasions
