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OB/GYN > Psychosocial Concerns > Flashcards

Psychosocial Concerns Flashcards

1
Q

What percent of couples have some soft of sexual dissatisfaction/dysfunction?

A

50%

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2
Q

What are the three levels of arousal?

A
  • Excitement
  • Plateau
  • Orgasm
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3
Q

What happens to the vagina with orgasm? Uterus?

A
  • Contractions of perivaginal muscles and sphincter

- Uterine contractions

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4
Q

Is there any change with organsms post hysterectomy?

A

No

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5
Q

What are the different types of female sexual dysfunction?

A
  • Sexual desire disorder
  • Sexual arousal disorder
  • Female orgasmic disorder
  • Sexual pain disorder
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6
Q

What is sexual pain disorder?

A

Dyspareunia/vaginismus

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7
Q

What is the most common type of sexual disorder?

A

Desire disorder

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8
Q

Is testosterone therapy recommended for sexual desire disorder? Androgen?

A

No for either

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9
Q

Can vaginal dryness cause desire disorder?

A

True

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10
Q

What are the meds that can cause arousal disorders? (4)

A

SSRIs
EtOH
Antihypertensives
Anticholinergics

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11
Q

What is orgasmic dysfunction?

A

Inability to have an orgasm

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12
Q

What percent of women have never experienced an orgasm?

A

10-15%

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13
Q

What type of dyspareunia is experienced by women with endometriosis?

A

Deep

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14
Q

What are the causes of sexual pain disorders?

A
  • Scarring

- Dryness

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15
Q

What percent of women have experienced sexual abuse?

A

1 in 5

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16
Q

What are the common emotional reactions to sexual abuse?

A
  • fear
  • Self blame
  • depression/anxiety
17
Q

What are the somatic complaints of sexually abused women?

A

HA
Insomnia
Choking
Hyperventilation

18
Q

What is the best way to screen for sexual abuse?

A

Universal inquiry sheet

19
Q

How do you counsel women who have had sexual abuse?

A

-Give pt control over disclosure

20
Q

True or false: it is appropriate to postpone the pelvic exam if a woman is feeling uncomfortable (assuming no emergent need)

A

True

21
Q

What are the three things that should be explained to patients before you do it?

A
  • What will be done
  • What it might feel like
  • Why it is necessary
22
Q

What is premenstrual syndrome?

A

Cyclical recurrence of symptoms during the luteal phase of menstruation

23
Q

What are the somatic symptoms of PMS?

A
  • Breast TTP
  • Abdominal bloating
  • HA
  • Peripheral edema
24
Q

When do PMS s/sx occur? When are they resolved?

A
  • 5 days before menses

- Relieved within 4 days of the onset of menses

25
Q

What is premenstrual dysphoric disorder?

A

Severe PMS, that interferes with function. Comparable to other mental disorders

26
Q

What is the proposed cause of premenstrual dysphoric disorder?

A

Serotonergic dysregulation

27
Q

What are the pharmacologic therapies for premenstrual dysphoric disorder?

A

SSRIs or hormonal ovulation suppression if severe

28
Q

What are the two general types of s/sx of PMS?

A

Affective

Somatic

29
Q

PMS can be diagnosed if the patient reports s/sx how many days before menstruation? They have to be relieved within how many days? How many menstrual cycles are needed?

A
  • 5 days prior
  • Relieved within 4 days of the onset of menses
  • 3 menstrual cycles

OB/GYN (33 decks)

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