psych sex disorders Flashcards
sexual changes with aging
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
how does atherosclerosis cause problems with sexual functioning
vascular occlusion causes erectile dysfunction
meds that have sexual side effects
antihypertensives, anticholinergics, antidepressants (esp SSRIs) and antipsychotics
pharm treatment for erectile disorder
phosphodiesterase-5 inhib (sildenafil); alprostadil can be injected into the corpora cavernosa or transurethral
meds that treat premature ejaculation
SSRIs and TCAs prolong the time from stimulation to orgasm
treatment for hypoactive sexual desire disorder
testosterone for me; low doses may also improve libido in women; estrogen replacement may improve vaginal drynesss and atrophy in hypoestrogenic women
paraphilias
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
frottuerism
sexual pleasure from touching or rubbing against a non-consenting person
voyeurism
watching unsuspecting nude people in order to obtain sexual pleasure
exhibitionism
exposure of one’s genitals to strangers
sadism
sexual excitement from hurting or humiliating another
transvestic fetishism
sexual gratification in men from wearing women’s clothing
masochism
sexual excitement from being humiliated or beaten
necrophilia
sexual pleasure from engaging in sex with dead people
telephone scatalogia
sexual excitement from calling unsuspecting women and engaging in sexual conversations with them
most common treatment for paraphilia
insight-oriented psychotherapy
gender identity disorder
aka transexuality; people feel they were born into the wrong sex; usually the feelings start by age 3;
drugs and effect on libido
long term alcohol use decreases libido; cocaine and amphetamines enhance libido by stimulating dopamine receptors; narcotics inhibit libido
neurotransmitters and libido
dopamine enhances libido and seratonin inhibits sexual function
common treatment for paraphilias
aversion therapy (patient is exposed to stimulus while simultaneously being subjected to some kind of discomfort)
