Sexual Disorders Flashcards
What is the effect of progesterone on sex?
It decreases libido in men and women by blocking androgen receptors
-ocps, hrt, prostate cancer treatment
What is the effect of dopamine on libido?
enhances libido
-cocaine and amphetamines enhance dopamine receptors and increase libido
What is the effect of serotonin on sexual function?
Inhibits - which is why SSRIs cause decreased libido and delayed ejaculation
What are the most common sexual disorders in women?
- sexual desire disorder
2. orgasmic disorder
What are the 2 most common sexual disorders in men?
- secondary ED
2. premature ejaculation
What is sexual aversion disorder?
avoidance of genital contact with a sexual partner
What is female sexual arousal disorder? What percent of women experience it?
Inability to maintain lubrication until completion of sex act
1/3 of women
Describe dual sex therapy.
Male and female therapist meet with the couple in a four-way session to identify and discuss sexual problems.
Therapy= activities to heighten senses and then sexual contact
What are the pharmacological treatments for ED?
- sildenafil [phosphodiesterase-5 inhibitor] PO
2. alprostadil injection into corpus cavernosa
What are the pharmacological treatments for premature ejaculation?
What are the 2 main mechanical therapies?
drugs= SSRI, TCA prolong time from stimulation to ejaculation
mech = squeeze technique, stop-start technique
For something to be considered a paraphilia, how long must the unusual sexual urges/fantasies last?
6 months and they must disrupt daily functioning
What are the 3 most common paraphilias?
- pedophilia
- voyeurism
- exhibitionism
How old must a person be to be able to be classified as a pedophile?
16 and atleast 5 years older than the child
What is the most commonly used treatment for paraphilias?
Insight-oriented psychotherapy
What pharmacotherapy is used for paraphilias?
anti-androgens to reduce sexual desires
