S3L1: Sexuality Flashcards
Identify: Vehicle to demonstrate attraction, intimacy, and commitment
Sexuality
T or F: Survey shows that among SCI patients, sexuality appears to be the major priority (vs. return to sensation, ability to walk, N bowel and bladder function)
True
Sexual rehabilitation: _ remaining function AND remaking and readjusting
salvaging and restoring
Enumerate: Master and Johnsons’ (1966) FOUR-PHASE Model
- Excitement
- Plateau (high arousal before orgasm)
- Orgasm
- Resolution (reversal/dissipation of Phase 1)
True or False: Males manifest with tumescence /erection of erectile tissues during excitement phase
True
True or False: Females manifest with vaginal lubrication & accommodation (lengthening & uterine lifting) during resolution phase
False (excitement phase)
True or False: CV and respiration parameters decrease in excitement phase
False (increase)
True or False: Sweating can occur in excitement phase
True
♂: Maximal / peak erection & rigidity, approaches ejaculatory inevitability
a. EXCITEMENT
b. PLATEAU
c. ORGASMIC PHASE
d. RESOLUTION
B
Maximal HR, BP, & RR (in healthy individuals)
a. EXCITEMENT
b. PLATEAU
c. ORGASMIC PHASE
d. RESOLUTION
C
♀: outer third of vagina forms a thickening (orgasmic platform)
a. EXCITEMENT
b. PLATEAU
c. ORGASMIC PHASE
d. RESOLUTION
B
Pleasant experience recognized in the genital area, brain, and body.
a. EXCITEMENT
b. PLATEAU
c. ORGASMIC PHASE
d. RESOLUTION
C
Accompanied by rhythmic contractions that occur involuntarily and are seen on the pelvic floor muscle of both genders
a. EXCITEMENT
b. PLATEAU
c. ORGASMIC PHASE
d. RESOLUTION
C
(+) EJACULATION
a. EXCITEMENT
b. PLATEAU
c. ORGASMIC PHASE
d. RESOLUTION
C
Gradual reversal of tumescence (erection), pelvic vasocongestion, neuromuscular tension, CV parameters
a. EXCITEMENT
b. PLATEAU
c. ORGASMIC PHASE
d. RESOLUTION
D
Men have an additional physiological refractory period
a. EXCITEMENT
b. PLATEAU
c. ORGASMIC PHASE
d. RESOLUTION
D
Women have extended, repeated (multiple) orgasms
a. EXCITEMENT
b. PLATEAU
c. ORGASMIC PHASE
d. RESOLUTION
D
Identify: Disruption in any or a combination of the phases mentioned
Sexual Dysfunction
T or F: Sexual Dysfunction is multifactorial involving physiological, psychological, social, & emotional components
True
True or False: Sexual desire/libido is experience of specific sensations that motivate the individual to initiate or become responsive to sexual stimulation
True
True or False: Hypoactive sexual desire disorder
is an increase or change in sexual drive common among PWDs
False (decrease)
Give 2 causes of Hyperactive sexual desire disorder
(1) Kluver-Bucy syndrome
(2) Effect of medications (replacement of Dopamine in PD)
Disorders of male penile erection (aka erectile dysfunction, ED)
a. Arousal disorders
b. Ejaculatory dysfunction
c. Orgasmic disorders
A
Problems with antegrade seminal fluid expulsion
a. Arousal disorders
b. Ejaculatory dysfunction
c. Orgasmic disorders
B
Inability to reach orgasm
a. Arousal disorders
b. Ejaculatory dysfunction
c. Orgasmic disorders
C
Problems within these three phases include _ & _
fertility issues & dyspareunia
T or F: SEXUAL NEUROPHYSIOLOGY Precedes the activation of the ascending pathway
False (descending)
T or F: Both pathways act synergistically/simultaneously, but sometimes in isolation from each other to determine genital response
True
T or F: SEXUAL NEUROPHYSIOLOGY involves the Cerebrum, brainstem and spinal tracts, ANS, thoracolumbar, sacral, somatic nerves
True
T or F: SEXUAL NEUROPHYSIOLOGY is not modulated by mood, emotions, physical factorsis
False
In women, lubrication depends on both _ & _
intact innervation & normal estrogen levels
True or False: Testosterone levels should be high to produce an erection
True
In men, internal accessory organ functioning (including semen production) & erection are dependent on _
adequate testosterone levels
Triggered by direct stimulation of genitals
a. Reflexogenic
b. Psychogenic
A
Afferent: pudendal nerve → S2-S4 spinal segments → influence from the descending pathway → sacral parasympathetic center → pelvic nerve → genitalia
a. Reflexogenic
b. Psychogenic
A
Dominant in SCI pt (above psychogenic pathway); utilizes reflexogenic through touch
a. Reflexogenic
b. Psychogenic
A
Supraspinal origin (auditory, imaginative, visual, etc.)
a. Reflexogenic
b. Psychogenic
B
Medial preoptic nucleus → paraventricular (PV) nucleus of the hypothalamus → reticular activating system (RAS) → thoracolumbar sympathetic & sacral parasympathetic center
a. Reflexogenic
b. Psychogenic
B
Presence of morning (REM) erections is a sign that daytime erection problems are ____ in nature
a. Reflexogenic
b. Psychogenic
B
In SCI above LS , there is loss
a. Reflexogenic
b. Psychogenic
B
True or False: arousal is sympathetic
False (parasympthetic)
True or False: Ejaculation is predominantly parasympathetic in function
False (sympathetic)
S1 & S2 nerves → hypogastric nerves → activation of vas deferens, seminal vesicles, & prostate → smooth muscle contractions
a. EJACULATION
b. ORGASM
c. AROUSAL
A
Sympathetic Hypogastric nerve (L1, L2) closes the neck of the bladder to prevent retrograde ejaculation.
a. Seminal Emission (sympathetic T10-L2)
b. Expulsion (parasympathetic S2-S4 & sympathetic)
A
Transport of semen into prostatic urethra via the ejaculatory duct in the prostate
a. Seminal Emission (sympathetic T10-L2)
b. Expulsion (parasympathetic S2-S4 & sympathetic)
A
When the hypogastric nerve is injured, lacerated, or is not functioning well, the neck of the bladder will not be closed & can cause retrograde ejaculation.
a. Seminal Emission (sympathetic T10-L2)
b. Expulsion (parasympathetic S2-S4 & sympathetic)
A
aka Propulsatile ejaculation (Parasympathetic S2–4 & somatic)
a. EJACULATION
b. ORGASM
c. AROUSAL
A
Propulsion of semen distally or out of the urethral meatus or the opening of the urethra
a. EJACULATION
b. ORGASM
c. AROUSAL
A
May include orgasmic attainment without genital stimulation
a. EJACULATION
b. ORGASM
c. AROUSAL
B
Two phases
a. EJACULATION
b. ORGASM
c. AROUSAL
A
T or F: Half of men & women with complete SCI can still experience orgasm
True
Low androgen levels make orgasm more difficult in men & women.
a. EJACULATION
b. ORGASM
c. AROUSAL
B
_ levels rise during arousal & orgasm
Oxytocin
Prolactin remains elevated even after orgasm
a. EJACULATION
b. ORGASM
c. AROUSAL
B
