Online Learning- Sexual Dysfunction

Question 1

How are sexual dysfunctions defined?

Answer 1

By a disturbance in sexual desire or the psychophysiological changes that characterise the sexual response cycle. They cause marked distress and interpersonal difficulties.

Question 2

What is the sexual response cycle?

Answer 2

Desire –> Arousal –> Orgasm

Question 3

List some common sexual dysfunctions

Answer 3

Erectile dysfunction
Loss of sexual desire
Orgasmic dysfunction
Rapid ejaculation
Dyspareunia- painful sex

Question 4

How do sexual dysfunction problems present?

Answer 4

Overtly or covertly

Patients are then referred to various health sectors including gynaecology, urology, oncology and psychiatry.

Question 5

What parts of the history should be asked when a sexual dysfunction presents?

Answer 5

Relationship with partner
Medical history/Drug use
Sexuality
Psychosexual history 
Coping mechanisms
Mental health history

Question 6

List some good practice points when dealing with sexual dysfunction

Answer 6

Empathy
Recognise embarrassment
Privacy and confidentiality
Open and specific questions
Don't make assumptions
Talk to partner is necessary

Question 7

List some factors that may contribute to sexual dysfunction

Answer 7

Life events
Poor communication 
Early sexual abuse
Pressure to perform
Loss of confidence

Question 8

How can sexual dysfunctions be treated?

Answer 8

Educative counseling
Modify beliefs
Facilitate communication
Drugs for increased performance or stimulation