Psychosexual disorders

Question 1

Low libido Mx

Answer 1

Psychological treatment
Communication encouraged
Senstate focus therapy:
1. intercourse banned
2. Non-genital caressing (pleasure and relaxation)
3. Genital touching to achieve arousal and orgasmé
4. In time intercourse occurs naturally
Timetimabling sex: helps partners w/different libido reach compromise

Question 2

Hypersexuality Mx

Answer 2

CBT based

Question 3

Erectile dysfunction Mx

Answer 3

RFs:
Smoking, exercise, weight, alcohol
Treat DM, HTN
R/v meds (SSRIs)
Psychological approaches
Consider sildenafil
Intracavernosal prostaglandin injection before sex
Vacuum pump

Question 4

Disorder of gender identity

Answer 4

hormone therapy
Gender reassignment surgery
NB pt must demonstrate ability to live successfully in their desired gender before surgery