Sexual Flashcards
define vaginismus
persistent involuntary tightening of muscles around the vagina whenever penetration is attempted
sexual aversion disorder
persistent extreme aversion to genital sexual contact with a partner
hypoactive sexual desire
absence of sexual fantasies /desire for sexual activity
DSM diagnostic criteria for sexual dysfunction
A. persistent deficiency of part of the sexual response cycle, OR pain.
B. Causes marked distress / interpersonal difficulty
C. not better accounted for by other disorder/ drug
define paraphilia
abnormal sexual desires
in what 3 ways can physical illness impact on a patient sexually and give examples of each
- physical - vascular/neuro/immobility/fatigue
- psychological - carer role/ self esteem/ risk e.g. MI
- treatment - drugs/ surgery
define transsexualism
person who had genitalia/secondary sexual characteristics of one gender, but identifies psychologically as the other
name the 4 types of couple therapy
CBT [sensate focus]
psychodynamic
systemic
integrative
list 8 causes of erectile dysfunction
DM HTN peripheral vascular disease/atherosclerosis anxiety parkinsons MS spinal cord injury age smoking hypothyroid antidepressants alcohol
management options for erectile dysfunction
remove causative agent (smoking/drugs/alcohol) therapy viagra [sildenafil] vacuum device intracavernosal injection alprostadil intraurethral alprostadil
management of premature ejaculation
psychosexual therapy
kegels
dapoxetine (SSRI)
topical lidocaine spray
post menopausal sexual dysfunction managements
psychotherapy/ sensate focus
lubricants
local vaginal oestrogen cream
pelvic floor exercises
vulvodynia
persistent, unexplained pain in the vulva
blood tests in sexual problem investigation
cholesterol blood glucose testosterone/prolactin/oestrogen sex hormone binding globulin TSH
causes of Hypoactive sexual desire disorder
obesity anaemia DM CVD hyperprolactinaemia androgen deficiency hypothyroid antidepressants/COCP/HRT psychological
causes of premature ejaculation
Penile hypersensitivity
Hyperthyroid
anxiety
chlamydia Tx
Azithromycin
define Reiters syndrome
urethritis, conjunctivitis & reactive arthritis.
triad of PID [1 Sx and O/E]
lower abdo pain
adnexal tenderness
cervical excitation
treatment of gonorrhoea
Azithromycin + IM Ceftriaxone
gonorrhoea in pregnancy - complications. + 1 Neonatal complication
miscarriage, prem
neonatal conjunctivitis
multiple painful genital ulcers, fever, discharge
herpes
herpes Tx
no cure but aciclovir helps symptoms
Single PAINLESS geniptal papule erodes deeper into an ulcer. Indurated with clear base, clear serum, rounded edges. Dx?
syphilis
risk factors for thrush
DM
broad-spec Abx
AIDS/immunosuppr/steroids
thrush Tx
fluconazole PO
clotrimazole pessary and/ or cream
clue cells
and whiff test done in lab
BV
BV Tx
metronidazole
yellow/green frothy smelly discharge, strawberry cervix
trichomonas
trichomonas Tx
metronidazole
describe systemic psychosexual therapy
focuses on roles in the relationship and interaction
side effects of viagra
headache
flushing
causes of deep Dyspareunia
endometriosis
PID
cervical pathology
causes of superficial Dyspareunia
STIs, thrush, episiotomy, vaginal atrophy
viral cause of genital warts
HPV
2 ways in which a woman’s hypoactive sexual desire disorder could impact on partner
performance anxiety > ED
depression
3 behavioural interventions for young woman who has never been penetrated / anxious
self-exploration
dilators
graded penetration therapy
