Psychosocial aspects of women's health

Question 1

what are the different types of sexual dysfunction disorders? which type is the most common?

Answer 1

• desire
• arousal
• orgasmic
• pain

DESIRE is most common

Question 2

SSRIs are notorious for causing what type of sexual dysfunction?

Answer 2

arousal disorders

Question 3

what proportion of women have experienced childhood sexual abuse in the US?

Answer 3

1 in 5

Question 4

what are the diagnostic criteria for PMS?

Answer 4

at least one of the following affective and somatic symptoms during the 5 days before menses in each of the the three menstrual cycles:

AFFECTIVE

• depression
• angry outbursts
• irritability
• anxiety
• confusion
• social withdrawal

SOMATIC

• breast tenderness
• abnormal bloating
• headache
• swelling of extremities

Question 5

what is the current idea for PMS etiology?

Answer 5

serotonergic dysregulation

Question 6

what is the 3 step management for PMS?

Answer 6

step 1: supportive - diet, exercise, calcium supplement, possible spironolactone

step 2: SSRIs - fluoxetine in AM and anxiolytics

step 3: hormonal ovulation suppression (oral contraceptives or GnRH agonists - leuprolide, nafarelin, goserelin)