Sexual arousal Flashcards

1
Q

The human sexual response cycle

A

Desire phase
Arousal phase
Plateau phase
Orgasm phase
Resolution phase
–> cycle can repeat itself after

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2
Q

Desire phase

A

Sexual urges occur in response to sexual cues or fantasies

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3
Q

Arousal stage

A

A subjective sense of sexual pleasure and psychological signs of sexual arousl: in males, penile tumescence; in females, vasocongestion leading to vaginal lubrication and breast tumescence

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4
Q

Plateau phase

A

Brief period of time befor orgasm

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5
Q

Orgasm phase

A

In males, feelings of the inevitability of ejaculation, followed by ejaculation; in females, contractions of the walls of the lower third of the vagina

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6
Q

Resolution phase

A

Decrease in arousal occurs after orgasm
- in men particularly

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7
Q

Vasocongestie

A

Wanneer er veel bloed naar een gebied stroomt als gevolg van de verwijding van de bloedvaten

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8
Q

Myotonie

A

Wanneer de spieren samentrekken, niet alleen in de geslachtsorganen maar ook in het hele lichaam

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9
Q

Masters and Johnson

A

three stages of sexual response
- excitement
(- plateau)
- orgasm
- resolution

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10
Q

Arousal

A

Various erotic thoughts and physical stimulation trigger parasympathetic reflexes that cause an erection
–> Release of NO, dopamine, serotonin, exytocin
- cognitive factors involving visual stimuli and high levels of activity in the amygdala and hypothalamus contribute to sexual arousal and sexual response in males

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11
Q

Erection neuron initiation phase

A

Stimuli: imaginary, ausio-visual, tactile
Inhibition: depression, stress, fear
–> Paraventriculaire nucleus ‘ereto-motoric area’
Dopamine –> dopamine receptoprs –> NO, Oxy –> neuronal erectil signal
ERECTION

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12
Q

Excitement

A

During arousal increases in heart rate, blood pressure, skeletal muscle tone, and hyperventilation occur
- bulbourethral glands start working

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13
Q

Erection

A

Occurs when neurons release nitric oxide (NO) at their synaptic endings
- NO causes smooth muscles of the penile arteries to relac, vessels to dilate, blood flow to the erectile tissue increase
- the vascular channels engorge with blood, resulting pressure causes the penis to become stiff
–> erection is obstructed bloodstream

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14
Q

Penile anatomy

A

slide 36 idek

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15
Q

What happens during plateau stage

A

Changes that begin during arousal are sustained at an intense level
- head of the penis increases in diameter and the testes swell
- toward the end of the plateau stage, emission occurs

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16
Q

Emission

A

Sympathetic stimulation causes peristaltic contractions of the internal urethral sphincter, ampulla of vas deferens, seminal vesicle, prostate gland and external urethral sphincter

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17
Q

Ejactulation

A

Sympathetic stimulation of the ischiocavernosus and bulbospongiosus muscles causes powerful rhytmic contractions that push the semen out of the penile urethra

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18
Q

Orgasm

A

Intensely pleasurable sensations associated with ejactualion
- other physiological changes include a pronounced increase in heart rate and blood pressure
- a serie of rhythmic contractions of the pelvic organs t 0.8 second intervals
- sharp increase in pulse rate, blood pressure, and breathing rate during orgasm
- for males, ‘ejaculatory inevitability’ is a sensation that ejaculation is just about to happen and cannot be stopped

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19
Q

Resolution

A

Sense of profound relacation- genital tissues, heart rate, blood pressure, breathing, and muscle tone return to normal
- during the early period of resolution, males enter a refractory period during which a second ejaculation and orgasm are physiologically impossible
- Post Orgasmic Refractory Period 3 - 30 min. post orgasm
- brain activity in men suggest a de-arousal neural network

20
Q

Criticisms of Masters and Johnson’s model

A

Focused almost entirely on the physiological aspects of the response
- ignored what the person is thinking and feeling emotionally
- desire and passion are not a part of the model
Research exclude anyone whose pattern of sexual response did not include orgasm
- model cannot be generalized to the entire population

21
Q

Kaplan’s three stage model of sexual repsonse

A

Three relatively independent phases
- sexual desire
- vasocongestion of the genitals (excitement)
- reflex muscular contractions of the orgasm phase

22
Q

Brancroft’s Dual Control model

A

Sexual response is controlled by two processes:
- excitation: responding with arousal to sexual stimuli
- inhibition: inhibiting sexual arousal
Both processes can be adaptive or distractive
Propensities towards both processes vary widely from one person to the next
Early learning and culture are critical factors

23
Q

Sex hormones

A

Interact with nervous system to influence sexual response
- organizing effects either activate or deactivate certain behaviors

24
Q

Receptoren

A

Detectoren stimuli en sturen de boodschap door naar het ruggenmerg of brein

25
Transmitters
Ontvangen de boodschap, interpreteren deze en sturen een boodschap om de juiste respons te produceren
26
Effectors
Neuronen of spieren die reageren op de stimulatie
27
Gräfenbergspot --> vrouwelijke ejaculatie
G-spot mondt uit in de urinebuis
28
Sekshormonen
Interacteren met het zenustelsel om seksuele respons te beïnvloeden - testosteron
29
Testosteron
Heeft effecten op het libido. Het lijkt een activerend effect te hebben in het behouden van seksueel verlangen in mannen - hypogonadisme
30
Hypogonadisme
fname/laag testosteron. en neemt af met de jaren - bij burn-out - geen zin in seks - bothuishouding
31
Men are more into:
- sex - genital pleasure - orgasm - penetration --> more assertive --> bad 'antenna'
32
Women are more into:
- the relation - contact - sensuality --> more submissuve --> sensitive for partner --> more feelings of guilt
33
Erogenous zones
34
Erectile dysfunction
Responsible for loss of quality of life in 12-24% of the population - age related - related to physical and mental condition - comparable with infertility, angina pectoris, and rheumatoid arthritis
35
Prevalence erectile dysfunction in NL
BOXMEER: 12% (1233) - 40-70 yr KRIMPEN: 35% (1688 urological department) - 50-80 yr ENIGMA: 17% (2117) - >18 yr
36
Organic cause diagnosis erectile dysfunction
Onset is gradual Course is consistant Reason: no conflict Situation is always No morning erection No erection with masturbation
37
Psychological cause diagnosis erectile dysfunction
Onset is acute Course is situational Reason: conflict Situation is situational Normal morning erection Good erection with masturbation
38
Impact of erectile dysfunction
The sexual function and sexual identity fall away and there is no sexual activity as result
39
Morbus peyronie
After baron François de la Peyronie - fibrous tissue formed in the tunica albuginea
40
Nesbit
Curve in the penis
41
Retrograde ejaculation
Internal urethral sphintcter fails to contract, semen can enter the bladder - sometimes happens after prostate surgery - some medications can also cause - neurological innervation problem - not harmful but impairs fertility
42
Medical treatment options erectile dysfunctions
- medication (PDE-5 inhibitors) - intra urethral medication (MUSE and vitaros) - vacuum penis pump - injection therapy - penile implant
43
PDE-5 inhibitors
- Sildenafil: 1 hour before activity (4-6 hrs) - Tadalafil: 30 min before activity (24 hrs) - Vardenfil: 30-60 min before activity (4-6 hrs)
44
Vacuum penis pump
Pump erect with vacuum
45
Intra urethral medication - vitaros and MUSE
Alprostadil (Pg E1) vasodilatation
46
Injection therapy
Papaverine/fentolamin (Androskat) --> Cave priapism (erection> 4 hrs)
47
Prothese
Malleable penile prothesis - inflatable penile implant