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FINALS revision - @medicbotanist > Psycho-Sexual > Flashcards

Psycho-Sexual Flashcards

1
Q

Rapid Ejaculation: what are 3 common causes of this?

A
  1. Penile hypersensitivity and Pain
  2. Prostate issues
  3. Depression + Stress or relationship issues
  4. Recreational drug use
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2
Q

How do you manage rapid ejaculation? 3 ways

A

Topical anaesthetic

Couples psychosexual therapy

Thick condoms

Stop and Squeeze technique.

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3
Q

What are 3 causes of delayed ejaculation?

A

Trauma or surgery to the prostate or bladder

SSRI, thiazide or alpha blockers

Poor body image, past sexual or emotional abuse

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4
Q

What is the treatment for delayed ejaculation?

A

Individual therapy

Couples Therapy

Kegel’s exercises

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5
Q

What are two causes of retrograde ejaculation?

A

Damage to nerves surrounding the bladder neck

Damage to the muscles surrounding the bladder neck

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6
Q

What is the management of retrograde ejaculation?

A

Generally nothing is done

Unless the man wants to father a child. In that case surgery can be done.

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7
Q

What is Peyronie’s disease?

A

Thickening at the shaft of the penis. Causing the penis to become curved when erect.

When erect the penis can also be painful.

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8
Q

How do you treat Peyronie’s Disease?

A

No issues- no treatment is needed

Extracorporeal shockwave therapy (ESWT)

Surgical treatment

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9
Q

What is vaginismus?

A

When you have spasms in the pelvic muscles surrounding the vagina. Making anything inserted into it hard (i.e. in sex or tampon)

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10
Q

What is the management of vaginismus?

A
  1. Psychosexual Therapy
  2. Self exploration + dilators
  3. Kegel’s Exercises
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11
Q

What is vulvodynia? How would you manage it?

A

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

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12
Q

What are 5 causes of dyspareunia?

A
  1. Infection
  2. Lichen Sclerosis
  3. Thrush
  4. Endometriosis or Fibroids
  5. Vaginismus
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13
Q

What is hypospadias ?

A

Abnormality of penis (tightened chordae), tight foreskin leading to a hooded appearance and the urethra is miss placed

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14
Q

What are some symptoms of hypospadias ?

A
  1. Unable to drink urine
  2. Pain
  3. Issues with erection
  4. Pain when having sex or erection
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15
Q

What are 4 some causes of infertility in males?

A
  1. Cystic Fibrosis
  2. Anabolic Steroids
  3. Alcohol
  4. Hyperprolactinaemia, pituitary tumours, Kleinfelters and trauma
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16
Q

What are Petok’s 4 principles?

A
  1. Ask a couple about their religion
  2. How their religion affects sex and relationships
  3. Consult religious specialities
  4. Help couples come to reasonable expectations
17
Q

What is paraphilia?

A

Abnormal sexual behaviours or impulses

18
Q

What is Frotteurism ?

A

Rubbing or touching genitals against the body of a non consenting unfamiliar person

19
Q

How do you treat patients with paraphilias?

A
  1. Psychoanalysis

2. Anti Androgens

20
Q

Can you choose your gender or sex?

A

You can choose your gender

21
Q

What is the management of Trans Male? FtM

A

Androgens

Hysterectomy, vaginectomy and salphingo oophorectomy

Phalloplasty and urethroplasty and penile prostheses

22
Q

What is hypoactive sexual desire disorder?

A

A condition where you get a reduction in sexual desire and a reduced amount of sexual fantasies

23
Q

If you have vaginal dryness can you have dyspareunia?

A

NO

24
Q

What are the 5 categories that make up the sex cascade

A 
Drive 
Desire 
Excitation
Orgasm 
Resolution
25
Q

Where are 3 types of medications that can cause issues with sex?

A

anti HTN

anti psychotics

anti depressants

26
Q

What is the main cause of female sexual interest disorder?

A

Vaginal Dryness

27
Q

What is the male version of pelvic floor exercises?

A

Kegel’s exercises

FINALS revision - @medicbotanist (20 decks)

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