psych sex disorders

Question 1

sexual changes with aging

Answer 1

desire for sex does not usually change as people age, but men usually require more direct stimulation of genitals and more time to achieve orgasm; the intensity of ejaculation usually decreases and the length of refractory period increases

Question 2

how does atherosclerosis cause problems with sexual functioning

Answer 2

vascular occlusion causes erectile dysfunction

Question 3

meds that have sexual side effects

Answer 3

antihypertensives, anticholinergics, antidepressants (esp SSRIs) and antipsychotics

Question 4

pharm treatment for erectile disorder

Answer 4

phosphodiesterase-5 inhib (sildenafil); alprostadil can be injected into the corpora cavernosa or transurethral

Question 5

meds that treat premature ejaculation

Answer 5

SSRIs and TCAs prolong the time from stimulation to orgasm

Question 6

treatment for hypoactive sexual desire disorder

Answer 6

testosterone for me; low doses may also improve libido in women; estrogen replacement may improve vaginal drynesss and atrophy in hypoestrogenic women

Question 7

paraphilias

Answer 7

engagement in unusual sexual activities and/or preoccupation with unusual sexual urges for at least 6 mos; must be intense, recurrent, and interfere with daily life

Question 8

frottuerism

Answer 8

sexual pleasure from touching or rubbing against a non-consenting person

Question 9

voyeurism

Answer 9

watching unsuspecting nude people in order to obtain sexual pleasure

Question 10

exhibitionism

Answer 10

exposure of one’s genitals to strangers

Question 11

sadism

Answer 11

sexual excitement from hurting or humiliating another

Question 12

transvestic fetishism

Answer 12

sexual gratification in men from wearing women’s clothing

Question 13

masochism

Answer 13

sexual excitement from being humiliated or beaten

Question 14

necrophilia

Answer 14

sexual pleasure from engaging in sex with dead people

Question 15

telephone scatalogia

Answer 15

sexual excitement from calling unsuspecting women and engaging in sexual conversations with them

Question 16

most common treatment for paraphilia

Answer 16

insight-oriented psychotherapy

Question 17

gender identity disorder

Answer 17

aka transexuality; people feel they were born into the wrong sex; usually the feelings start by age 3;

Question 18

drugs and effect on libido

Answer 18

long term alcohol use decreases libido; cocaine and amphetamines enhance libido by stimulating dopamine receptors; narcotics inhibit libido

Question 19

neurotransmitters and libido

Answer 19

dopamine enhances libido and seratonin inhibits sexual function

Question 20

common treatment for paraphilias

Answer 20

aversion therapy (patient is exposed to stimulus while simultaneously being subjected to some kind of discomfort)