sex med and aging Flashcards

1
Q

2 models of arousal

A
  1. linear - MandJ

2. circula - basson

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2
Q

4 dimensions of biopsychosocial model

A
  1. biology
  2. psych
  3. social
  4. interpersonal
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3
Q

3 key points to sexual function problems and their therapies

A
  1. indiv. psych - psychotherapy
  2. couples - couple ther
  3. physical - med therapy
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4
Q

most common female issues

A
  1. lack of interest
  2. trouble lubricting
  3. orgams
  4. pain
  5. not pleasure
  6. anxiety
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5
Q

most common male issues

A
  1. PE
  2. anxiety
  3. desire
  4. ED
  5. DE
  6. aversion
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6
Q

what is key issue

A

people don’t talk - need to ask

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7
Q

5 DSM 5 male disorder

A
  1. HSDD
  2. ED
  3. PE
  4. DE
  5. substancin induced
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8
Q

4 female

A
  1. sexual interest/arousal dis
  2. orgasmic dis
  3. genito-pelvic pain/penetration dis
  4. sunbstance induced
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9
Q

4 parts of physiologoly

A
  1. hormones
  2. nerves
  3. blood supply
  4. stim
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10
Q

3 therapies in menopause

A
  1. lubricants
  2. replens
  3. vagifem and estring - local E
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11
Q

role of T in menopause

A
  • NOT approved for HSDD
  • may help
  • possible breast CA?
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12
Q

2 treatments for antidep. associated female HSDD

A
  1. buproprion

2. PDE-5

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13
Q

3 vs of pain

A

vaginismus
vulvodynia
vestubulodynia

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14
Q

Ed and age

A

increases - esp. over 40

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15
Q

treatment options for ED

A
  1. caverject

2. PDE5

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16
Q

2 safety concerns for PDE-5s

A
  1. nitrates - cause hypotension

2. opthalmic concerns - non-arteritic anterior

17
Q

** 2 approved drugs for PE

A
  1. paroxetine
  2. dapoxetine
    both SSRIs
18
Q

what happens to partner of sexual dysfunction

A

50% also have sexual dysfunction