Psycho-Sexual Flashcards
Rapid Ejaculation: what are 3 common causes of this?
- Penile hypersensitivity and Pain
- Prostate issues
- Depression + Stress or relationship issues
- Recreational drug use
How do you manage rapid ejaculation? 3 ways
Topical anaesthetic
Couples psychosexual therapy
Thick condoms
Stop and Squeeze technique.
What are 3 causes of delayed ejaculation?
Trauma or surgery to the prostate or bladder
SSRI, thiazide or alpha blockers
Poor body image, past sexual or emotional abuse
What is the treatment for delayed ejaculation?
Individual therapy
Couples Therapy
Kegel’s exercises
What are two causes of retrograde ejaculation?
Damage to nerves surrounding the bladder neck
Damage to the muscles surrounding the bladder neck
What is the management of retrograde ejaculation?
Generally nothing is done
Unless the man wants to father a child. In that case surgery can be done.
What is Peyronie’s disease?
Thickening at the shaft of the penis. Causing the penis to become curved when erect.
When erect the penis can also be painful.
How do you treat Peyronie’s Disease?
No issues- no treatment is needed
Extracorporeal shockwave therapy (ESWT)
Surgical treatment
What is vaginismus?
When you have spasms in the pelvic muscles surrounding the vagina. Making anything inserted into it hard (i.e. in sex or tampon)
What is the management of vaginismus?
- Psychosexual Therapy
- Self exploration + dilators
- Kegel’s Exercises
What is vulvodynia? How would you manage it?
Persistent and unexplained pain in and around the vulva.
Self Care i.e. wear 100% cotton underwear.
Lidocaine can be applied to the vulva 10 minutes before sex
What are 5 causes of dyspareunia?
- Infection
- Lichen Sclerosis
- Thrush
- Endometriosis or Fibroids
- Vaginismus
What is hypospadias ?
Abnormality of penis (tightened chordae), tight foreskin leading to a hooded appearance and the urethra is miss placed
What are some symptoms of hypospadias ?
- Unable to drink urine
- Pain
- Issues with erection
- Pain when having sex or erection
What are 4 some causes of infertility in males?
- Cystic Fibrosis
- Anabolic Steroids
- Alcohol
- Hyperprolactinaemia, pituitary tumours, Kleinfelters and trauma
What are Petok’s 4 principles?
- Ask a couple about their religion
- How their religion affects sex and relationships
- Consult religious specialities
- Help couples come to reasonable expectations
What is paraphilia?
Abnormal sexual behaviours or impulses
What is Frotteurism ?
Rubbing or touching genitals against the body of a non consenting unfamiliar person
How do you treat patients with paraphilias?
- Psychoanalysis
2. Anti Androgens
Can you choose your gender or sex?
You can choose your gender
What is the management of Trans Male? FtM
Androgens
Hysterectomy, vaginectomy and salphingo oophorectomy
Phalloplasty and urethroplasty and penile prostheses
What is hypoactive sexual desire disorder?
A condition where you get a reduction in sexual desire and a reduced amount of sexual fantasies
If you have vaginal dryness can you have dyspareunia?
NO
What are the 5 categories that make up the sex cascade
Drive Desire Excitation Orgasm Resolution
Where are 3 types of medications that can cause issues with sex?
anti HTN
anti psychotics
anti depressants
What is the main cause of female sexual interest disorder?
Vaginal Dryness
What is the male version of pelvic floor exercises?
Kegel’s exercises
