S3L1: Sexuality in Specific Disabilities Flashcards
Modified T/F
A. 75% of middle-aged female pts reported ↓ sexual activity
B. 80% of CHF reported inability to engage in sexual activities
FT
75% of **middle-aged male **pts reported ↓ sexual activity
In individuals with pulmonary disease, which physiological limitation often hinders their ability to engage in sexual activities?
a) Increased lung capacity
b) Poor muscular strength
c) Decreased endurance
d) Decreased aerobic fitness
c) Decreased endurance
What type of diabetes mellitus shows a correlation between sexual dysfunction and depression
Type 1 DM
Which of the following factors is NOT correlated with erectile dysfunction in patients with diabetes mellitus?
A) score glycemic control
B) onset of retrograde ejaculation
C) Impaired genital sensation (pscyhogenic pathway)
C) Impaired genital sensation (pscyhogenic pathway)
reflexogenic pathway
How does hyperprolactinemia impact sexual health?
A) Increases libido and frequency of sexual intercourse
B) Decreases libido, frequency of sexual intercourse, and causes orgasmic difficulties
C) Enhances libido but leads to orgasmic difficulties
D) Decreases libido but increases frequency of sexual intercourse
B) Decreases libido, frequency of sexual intercourse, and causes orgasmic difficulties
T/F
Comorbidities from Chronic Renal Failure include ED, menstrual abnormalities in women, & ↓ libido & infertility in male
False
↓ libido & infertility is observed in both sexes
How does stroke affect sexual function in patients?
A) Increases libido and frequency of sexual activity
B) Decreases lubrication but increases erectile capability
C) Decreases libido, lubrication, erectile capability, and frequency of sexual activity
D) Enhances erectile capability but decreases libido and lubrication
C) Decreases libido, lubrication, erectile capability, and frequency of sexual activity
How does traumatic brain injury impact sexual function?
A) Decreases desire, arousal disorders, and energy for initiating sex
B) Difficulties with erection
C) Vaginal dryness
D) All of the above
D) All of the above
T/F
In Parkinson’s disease, dopaminergic drugs, particularly levodopa, typically increase sexual drive.
False
dopamine agonists
T/F
In Parkinson’s disease, approximately 70% of men experience erectile dysfunction (ED), while 40% experience both premature ejaculation and delayed orgasm.
True
T/F
In Parkinson’s disease, approximately 75% of men experience difficulty with arousal and orgasm, while 50% have low sexual desire.
False
women
What supportive measures are typically recommended for individuals with upper limb or transfemoral amputations during sexual intercourse?
A) Increased physical exertion
B) Utilization of pillows or wedges and side-by-side positioning
C) Decreased use of supportive aids
D) No special considerations needed
B) Utilization of pillows or wedges and side-by-side positioning
What percentage of men and women with multiple sclerosis typically experience sexual dysfunction?
A) 50%
B) 60%
C) 70%
D) 80%
C) 70%
Among ambulatory male patients with multiple sclerosis, what percentage commonly experience erectile dysfunction?
A) 20%
B) 30%
C) 40%
D) 60%
D) 60%
35% of women with multiple sclerosis experience reduced vaginal lubrication, leading to ____
dyspareunia
means painful intercourse
What is the primary factor contributing to unsatisfactory sexual lives in women with multiple sclerosis?
A) Decreased libido
B) Fatigue
C) Reduced genital sensation
D) Difficulty reaching orgasm
B) Fatigue
48% of women with multiple sclerosis experienced reduced genital sensationd d/t ineffective ____ pathway
reflexogenic
True or False: In multiple sclerosis, decreased libido and difficulty reaching orgasm are common among both men and women.
True
True or False: Among ambulatory female patients with multiple sclerosis, 50% experienced ejaculatory or orgasmic dysfunction.
False
male pts
Modified T/F
A. In women with MS, 72%
difficulty reaching orgasm & anorgasmia, sexual pain
disorders
B. and 35% reported difficulty with arousal.
TT
True or False: Reduced sexual desire was reported in 40% of ambulatory male patients with multiple sclerosis.
True
Modified T/F
A. In spinal cord injury (SCI) patients, incomplete SCI above the LS spinal cord center (above T10) will result in the absence of psychogenic arousal.
B. Arousal triggered by touch is also absent.
FF
A. complete SCI
B. Arousal triggered by touch = reflexogenic pathway, which is present in a complete SCI above T10
T/F
Complete lesions interrupting sacral reflexogenic pathways will result to reliance on psychogenic arousal to promote genital erection in both men and women
True
Modified T/F
A. Men with sacral SCI are reliant on reflexogenic pathway
B. Unwanted seminal emission & penile detumescence are also triggered
FT
A. rely on psychogenic arousal
Modified T/F
A. SCI with preserved sensation in the T11-L3 level are capable of psychogenic arousal.
B. Similarly, presence of (+) bulbocavernosus reflex indicates intact psychogenic arousal capacity.
FF
A. T11-L2 level
B. (+) bulbocavernosus reflex = intact reflexogenic arousal capacity
True or False: In men with spinal cord injury (SCI), approximately 90% experience ejaculatory disorders.
True
True or False: Orgasm is attainable in a higher percentage of men than women after spinal cord injury (SCI).
False
40-45% = men
50% = women
Matching Type
- Natural ejaculation most likely to occur
- Natural ejaculation** least likely** to occur
- Lesions are found above the conus medullaris
A. Men with complete supraconal lesions
B. Men with incomplete conus medullaris or cauda equina lesion
- B
- A
- A
