S3L1: Disability-Related Sexual Dysfunctions Flashcards
What are the main fertility issues typically encountered in assisted reproductive technologies such as intravaginal and intrauterine insemination, as well as in vitro fertilization?
A) Egg quality and ovulation frequency
B) Ovarian reserve and menstrual irregularities
C) Uterine abnormalities and endometrial thickness
D) Quantity and Quality of semen
D) Quantity and Quality of semen
What are the conditions that may render women unable to participate in sexual intercourse due to sexual pain disorders?
A) Sjogren’s syndrome and fibromyalgia
B) Severe adductor spasm/spasticity and endometriosis
C) Vulvodynia and dyspareunia
D) Sjogren’s syndrome and severe adductor spasm/spasticity
D) Sjogren’s syndrome and severe adductor spasm/spasticity
How does spinal cord injury (SCI) typically affect sperm motility and semen count in men?
A) Increases sperm motility and semen count
B) Decreases sperm motility but increases semen count
C) Decreases sperm motility and semen count
D) Has no effect on sperm motility and semen count
C) Decreases sperm motility and semen count
What are common factors associated with pregnancy in women with spinal cord injury (SCI)?
A) High birthweight infants and natural deliveries
B) Vacuum and forceps extractions but no correlation with birthweight
C) Low birthweight infants and a higher rate of cesarean sections
D) No correlation between SCI and pregnancy outcomes
C) Low birthweight infants and a higher rate of cesarean sections
Vacuum and forceps extractions are also common
Which of the following are potential physiological changes in women during pregnancy?
A) Increased risk of urinary tract infections (UTIs)
B) Increased risk of thrombophlebitis
C) Development of pedal edema
D) A & B only
E) All of the above
E) All of the above
Which of the following are potential physiological changes experienced by women with spinal cord injury (SCI) during pregnancy, except for:
A) Changes in bladder function
B) Skin breakdown
C) Increased risk for deep vein thrombosis (DVT)
D) Thrombophlebitis
E) Elevated blood pressure
E) Elevated blood pressure
Which of the following are potential complications experienced by women with spinal cord injury (SCI) during pregnancy, except for:
A) UTI
B) Inflamed vein due to blood clot
C) Fatigue
D) Gestational diabetes
E) Edema on feet and ankles
D) Gestational diabetes
Which of the following are potential complications experienced by women during pregnancy?
A) Delayed bowel emptying
B) Difficulty in transfers
C) Fatigue
D) A & B only
E) All of the above
E) All of the above
Most acquired neurological damage must undergo how many years of recovery before the remaining neurological sexual function is known
2-4 years
Give 3 psychological factors
● Depression d/t loss of interest in activities
● Loss of self esteem
● Anxiety (premature ejaculation, ↓ orgasmic attainment)
Why is there a possibility for depression?
loss of interest in activities
During anxiety, what physiologic process happens?
(premature ejaculation, ↓ orgasmic attainment)
Identify: HR for CV Factors and Risks
110-130 bpm
Identify: peak SBP for CV Factors and Risks
150-170 mmHg
Identify: METs for CV Factors and Risks:
do not exceed 4-5
CV Factors and Risks: METs during sexual intercourse is equals to what 2 exercises?
walking on treadmill at 3 mph at a 5% grade OR climbing
2 flights of stairs (6 METs, 20 steps in 10 secs)
CV Factors and Risks: The 6 METs from climbing and walking that is compared with METs during sexual intercourse is for what kinds of couple?
couple with long standing relationships
6 METs= measure used to determine risk of __ or _
ischemia; safe return to sexual activities
__ METs= measure used to determine risk of ischemia or
safe return to sexual activities
6
Studies reveal that extramarital sexual intercourse
reaches __
9 METs
SCI pts exhibit abnormally (high/low) HR
high
SCI pts exhibit abnormally HIGH hr DURING?
ejaculation
SCI pts have abnormal __, leading
to abnormally __
autonomic control; high HR
abnormal autonomic control and high HR can lead to?
autonomic dysreflexia
Most commonly asked questions apart from sexual dysfunctions
CV factors and risk
Due to the CV factors and risk, patients are discourage from participating in activities with __
high demands
PTs measure and limit physical activity
depending on __ and suggested __
status; level of
metabolic equivalent
Bladder and Bowel Control: Odor from leakage or visibility of urine or stool collection
devices ↓ __ & __
sexual interest & self esteem
Bladder and Bowel Control: Factors affecting sexual functions
- odor from leakage of urine or stool
- dec appetite for sexual activities
Why is there dec appetite for sexual activites
dec in self-esteem from the stool
collection devices
Pain Issues: Pts with chronic pain report sexual difficulties to be how many times difficult than
that of the general population
2x
Pain issues: physiological context as to why pain can decrease sexual function
Chronic pain → ↓ appetite → ↓ interest of individual
Pain issues: Kind of pain felt (2)
(1) pain in the genitals & (2) chronic pain
T or F: Disability-related sex dysfunctions are direct effects of vascular, neurologic (including pain), hormonal, anatomical, damage to any area functionally connected to sex response
True
T or F: Disability-related sex dysfunctions are direct effect of medical/psychological condition
False (indirect effect)
T or F: Disability-related sex dysfunctions involve Iatrogenic effects of Rx
True
T or F: Disability-related sex dysfunctions involve contextual factors like biopsychosocial & situational components
True
Give 3 Medications for Disability-related sex dysfunctions
- Dopamine (DA), Noradrenaline (NA), Serotonin
- Drugs that ↓ NA affect sexual function
- DA Blockers ↓ or impair libido
- DA Agonists ↑ libido
- Serotonin reuptake inhibitors ↓ libido, orgasmic & ejaculatory delay
- Sympathomimetic Drugs inhibit genital arousal
- Drugs that serve to address hypotension, weight loss
T or F: Aging is due to ↓ elasticity of tissues, narrowing of vasculature, and ↓ neural transmission → changes to the integrity & capacity of the sexual organs
True
T or F: There is more sexual dysfunction in ♀
False (More in Males)
Identify: painful sexual intercourse for females
Dyspareunia
♂: How many times as long as to achieve erection, erection not as rigid, orgasm delay, ↓ ejaculatory fluid volume, penile detumescence (engorgement) occur rapidly, longer refractory period (days)?
2-3 times
T or F: Males are not capable of impregnating due to old age
False
T or F: Age and neurological disability can cause orgasmic delay, but it is important to remind men that an erection is not required to reach orgasm
True
T or F: In women, sexual pain disorders appear to increase with age
False (decline)
T or F: Impending mortality means increased interest & tendency to focus more on survival
False (decreased interest)
Give 3 manifestations of Impending mortality
Fatigue, medications, change of body image, altered hormonal status, catheters, secondary paralysis
