Paraphilic disorders; Sexual dysfunctions Flashcards
Marked difficulty in obtaining an erection during sexual activity
Marked difficulty in maintaining an erection until the completion of sexual activity
Marked decrease in erectile rigidity
sx must be almost all or all (approximately 75%-100%) occasions of sexual activity for at least 6 months
Erectile dysfunction
Oral phosphodiesterase inhibitors (sildenafil, vardenafil, avanafil, and tadalafil)
tx for Erectile dysfunction
Patient will present as → a 33-year-old woman with a chief complaint of trouble having intercourse. She is completely disinterested in sex and she is not receptive to her partner’s attempts to initiate foreplay. She reports that when they do have sex she never achieves orgasm. This is affecting her current relationship with her boyfriend.
Female sexual interest/arousal disorder
Persistently or recurrently deficient (or absent) sexual/erotic thoughts or fantasies and desire for sexual activity for a minimum duration of approximately 6 months
Male hypoactive sexual desire disorder
Recurrent and intense sexual arousal from observing an unsuspecting person who is naked, in the process of disrobing, or engaging in sexual activity for at least 6 months
The individual has acted on these sexual urges with a nonconsenting person,
voyeuristic disorder
Over a period of at least 6 months, recurrent and intense sexual arousal from the exposure of one’s genitals to an unsuspecting person, as manifested by fantasies, urges, or behaviors.
has acted on these sexual urges with a nonconsenting person,
Exhibitionist disorder
Patient will present as → a 23-year-old male who concerned that his behavior has resulted in his inability to maintain a relationship. He reveals that he requires his partners to strangle him and humiliate him in order for him to achieve and maintain an erection for at least 6 months
Sexual masochism disorder
Patient will present as → a female brings her 29-year-old boyfriend to a couples therapist because she is uncomfortable with his behavior. She found him clutching her feet during intercourse, and noticed that he insists on being able to see her feet while they engage in sexual acts for at least 6 months
Fetichistic disorder
Repeated and intense sexual urges or fantasies about watching, touching, or engaging in sexual acts with children (generally 13 years or younger), and either act on these urges or experiences clinically significant distress or impairment for at least 6 months
Pedophilic disorder
IM medroxyprogesterone acetate tx of choice in the US
tx for Pedophilic disorder
