Sexual Disorders Flashcards
What five things can cause sexual dysfunction?
Medical conditions
Medication’s
Psychological factors
Substance-abuse
Endocrine disturbance
Psychologically, problems with sexual desire or performance, may be a result of…
Fatigue
stress
unhappiness in relationship
conflicted desire
poor self-esteem
boredom
distraction
unconscious fears about sex
Male hypoactive sexual disorder
Absence or deficiency of sexual thoughts, desires, or fantasies for> 6 months
Must cause significant distress
Female, sexual interest/ arousal disorder
Absence or deficiency of sexual thoughts, feelings, initiation of sex, sexual excitement, or pleasure
> 6 months
Must cause significant distress
Erectile disorder
Marked difficulty, obtaining, or maintaining an erection, or marketed, decrease in erectile rigidity
> 6 months
Must cause distress, and not be better explained by another mental disorder
Premature ejaculation
Recurrent pattern of ejaculation during sex within one minute and before the individual wishes
> 6 months
Treatment of premature early ejaculation
Focus on partner
Non-genital stimulation
Pinch & squeeze
SSRIs
Delayed ejaculation
Marked delay, and frequency, or absence of ejaculation
> 6 months
Female, orgasmic disorder
Delayed, infrequent, absent, or reduced intensity of orgasm
> 6 months
Genito-pelvic pain/ penetration disorder
Persistent or recurrent, difficulty imaginal penetration during intercourse
Used to be called sexual pain disorder
Genito-pelvic pain/penetration disorder is comprised of what 2 things
Dyspareunia- pain in pelvic area during or after intercourse
Vaginismus- involuntary spasm of vaginal musculature—> difficulty or painful penetration
Treatment of sexual dysfunction
Assuming medical/physiological causes have been addressed
Sex therapy
CBT
Pharmacologic treatment
Premature ejaculation —> SSRI and TCA
Premature ejaculation can be treated with
SSRIs
TCA
Any sexual interest other than that of genital stimulation with a physiologically mature, consenting human partner
Paraphilia
Why did the DSMV add the word disorder next to Paraphilia?
To indicate that Paraphilia it’s a problem, only when it causes distress or impairment the practicing individual
Or when the attainment of sexual satisfaction entails harm, or risk of harm to others
Pedophilia
Sexual fantasies, urges, or behaviors involving sexual acts with prepubescent children < 13 years old
The DSMV requires that a person be at least what _________ years old and _______ years older than the child to be a pedophile
16 years old; 5 years older
Frotteurism
Arousal from touching, or rubbing against a nonconsenting person
Voyeurism
Arousal from observing and unsuspecting person who is nude, or is in the process of disrobing
Often with binoculars
Exhibitionism
Arousal from exposure of one’s genitals to unsuspecting person
Often in a public place
Sexual masochism
Arousal from the act of being humiliated, beaten, bound, or otherwise made to suffer
Sexual sadism
Arousal from physically or psychologically suffering of another person
Fetishism
Arousal from either the use of nonliving objects, such as shoes, pantyhose, or non-general parts
Transvestitism
Arousal by cross-dressing
