Module 7 sexual dysfunction in women

Question 1

3 major categories

Answer 1

sexual interest/arousal disorder
female orgasmic disorder
genito-pelvic pain/penetration disorder

Question 2

Sexual interest/arousal disorder

Answer 2

diminished or absent sexual interest or arousal with at least 3-6 indicators for a minimum duration of approx. 6 months

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

Question 3

6 factors considered during assessment

Answer 3

partner factors
- partner sexual problems and health status
Relationship factors
- poor communication, discrepancies in desire
Individual vulnerability factors
- body image, hx of sexual or emotional abuse
Psychiatric comorbidity or stressors
- depression, anxiety
- job loss, bereavement
Cultural or religious factors
Medical factors relevant to prognosis, course, treatment

Question 4

orgasmic disorder

Answer 4

inability to achieve orgasm
diminished intensity of orgasmic sensations
delay of orgasm

Question 5

genito-pelvic pain/penetration

Answer 5

difficulty with intercourse
genito-pelvic pain
fear of pain or vaginal prenetration
tension of pelvic floor muscles

Question 6

Nervous system

Answer 6

any disease of the nervous system can lead to FSD

Question 7

Hormonally based FSD

Answer 7

dysfunction of the hypothalamic-pituitary axis
surgical or medical castration
premature ovarian failure
exogenous hormones

Question 8

pelvic floor muscles

Answer 8

responsible for the involuntary rhythmic contractions with orgasm.
increased tone
- dysparenunia and vaginismus
hypotonia
- decreased vaginal sensation
- coital anorgasmia
- urinary incontinence during intercourse or orgasm