Sexual Disorders

Question 1

What five things can cause sexual dysfunction?

Answer 1

Medical conditions
Medication’s
Psychological factors
Substance-abuse
Endocrine disturbance

Question 2

Psychologically, problems with sexual desire or performance, may be a result of…

Answer 2

Fatigue
stress
unhappiness in relationship
conflicted desire
poor self-esteem
boredom
distraction
unconscious fears about sex

Question 3

Male hypoactive sexual disorder

Answer 3

Absence or deficiency of sexual thoughts, desires, or fantasies for> 6 months
Must cause significant distress

Question 4

Female, sexual interest/ arousal disorder

Answer 4

Absence or deficiency of sexual thoughts, feelings, initiation of sex, sexual excitement, or pleasure
> 6 months
Must cause significant distress

Question 5

Erectile disorder

Answer 5

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

Question 6

Premature ejaculation

Answer 6

Recurrent pattern of ejaculation during sex within one minute and before the individual wishes
> 6 months

Question 7

Treatment of premature early ejaculation

Answer 7

Focus on partner
Non-genital stimulation
Pinch & squeeze
SSRIs

Question 8

Delayed ejaculation

Answer 8

Marked delay, and frequency, or absence of ejaculation
> 6 months

Question 9

Female, orgasmic disorder

Answer 9

Delayed, infrequent, absent, or reduced intensity of orgasm
> 6 months

Question 10

Genito-pelvic pain/ penetration disorder

Answer 10

Persistent or recurrent, difficulty imaginal penetration during intercourse

Used to be called sexual pain disorder

Question 11

Genito-pelvic pain/penetration disorder is comprised of what 2 things

Answer 11

Dyspareunia- pain in pelvic area during or after intercourse

Vaginismus- involuntary spasm of vaginal musculature—> difficulty or painful penetration

Question 12

Treatment of sexual dysfunction

Answer 12

Assuming medical/physiological causes have been addressed
Sex therapy
CBT
Pharmacologic treatment

Premature ejaculation —> SSRI and TCA

Question 13

Premature ejaculation can be treated with

Answer 13

SSRIs
TCA

Question 14

Any sexual interest other than that of genital stimulation with a physiologically mature, consenting human partner

Answer 14

Paraphilia

Question 15

Why did the DSMV add the word disorder next to Paraphilia?

Answer 15

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

Question 16

Pedophilia

Answer 16

Sexual fantasies, urges, or behaviors involving sexual acts with prepubescent children < 13 years old

Question 17

The DSMV requires that a person be at least what _________ years old and _______ years older than the child to be a pedophile

Answer 17

16 years old; 5 years older

Question 18

Frotteurism

Answer 18

Arousal from touching, or rubbing against a nonconsenting person

Question 19

Voyeurism

Answer 19

Arousal from observing and unsuspecting person who is nude, or is in the process of disrobing
Often with binoculars

Question 20

Exhibitionism

Answer 20

Arousal from exposure of one’s genitals to unsuspecting person
Often in a public place

Question 21

Sexual masochism

Answer 21

Arousal from the act of being humiliated, beaten, bound, or otherwise made to suffer

Question 22

Sexual sadism

Answer 22

Arousal from physically or psychologically suffering of another person

Question 23

Fetishism

Answer 23

Arousal from either the use of nonliving objects, such as shoes, pantyhose, or non-general parts

Question 24

Transvestitism

Answer 24

Arousal by cross-dressing

Question 25

Gender dysphoria

Answer 25

A marked incongruence between a persons experienced gender, and their primary and secondary sex characteristics, coupled with a desire to remove or alter these primary or secondary characteristics 

Question 26

Best response of medical professionals when approached with a patient with gender dysphoria?

Answer 26

Compassion & caution