Psychosexual Disorders

Question 1

Sexual dysfunction defined

Answer 1

Lack of interest in or pain during sex or persistent probelsm achieving lubrication, erection, or orgasm

Question 2

Prevalence of psychosexual disorders

Answer 2

Will affect 1/4 adults

Second most common group of mental disorders

Question 3

Delayed ejaculation

Answer 3

Marked delay in ejaculiation

Infrequency or absence of ejaculation despite the presence of adequate sexaul stimukiation

Question 4

Erectile disorder

Answer 4

Marked difficulity obtaining or maintainingn erection

decrease in rigidity

Low self-esteem and lack of confidence associated

50% of men 60-70

Question 5

Female orgasmic disorder

Answer 5

Markedly delay, marked infrequency of, or absence of orgasm

Reduced inentisty of orgasm

Prevaance is from 10-42%

Question 6

Female sexual interest/arousal disorders

Answer 6

Decreased interest in sexual activity, thoughts, excitement during sexual activity

Unresponsive to partner’s attmept to initiate

Reduced response to cues

Reduced genital sensations during sex

Question 7

Genito-pelvic pain/penetration

Answer 7

Persistent or reoccuring difficulties with

Vaginal penetration
Marked pelvic pain during vaginal intercourse or penetration attmetps
Fear or anxiety about vulvo-vaginal or pelvic
Tensiojn or tightening of pelvic floor

Question 8

Male hypoactive sexual desire

Answer 8

Presistent lack of interest for 6 months or longer

Absence or decrease in sexual thoughts or desire for sex

Question 9

Premature ejaculation

Answer 9

Persistent pattern of ejaculation occurring within 1 munute following vaginal penetration

1/3 of men

Question 10

Substance/medication induced sexual dysfunction

Answer 10

25-80% of antidepressants

50% of anti-psychotics

Question 11

Sexual dysfunction and chronic dz

Answer 11

Alcohol/drug abuse

Diabetes and degerative neuro disorders

Question 12

Immediate causes of sexual dysfunction

Answer 12

Sexual ignorance
Sexual anxiety, generally performance issues
Psychological defenses
Lack of communication

Question 13

Clinical errors

Answer 13

Misinformation - oral sex causes germs…simultaneous orgasms is a must

Overreaction

Value judgement - which is best sex position

Wrong technique

Question 14

Psychosocial approaches

Answer 14

Brief, symptom-focused form of tx more successful

Coouple oriented is superior

Sex therapy - reducation of anxiety and restoration of confidence