Sexual Disorders

Question 1

Stages of Sexual Response Cycle

Answer 1

Desire: interest in sexual desire
Excitement: Fantasy or physical contact. (Erections or vaginal lubrication).
Plateua: Increased size of testicles, tightening of scrotal sack and secretion of seminal fluid.
Orgasm
Resolution

Question 2

Psych meds leading to sexual dysfunction

Answer 2

SSRI’s and Anti-psychotics

Others: anti-hypertensives anti-cholinergics.

Question 3

Disorders of Desire

Answer 3

Hypoactive sexual desire disorder

Sexual Aversion Disorder

Question 4

Disorders of Arousal

Answer 4

Male Erectile Disorder (inability to maintain erection).. Treat with 5-phosphodiesterase inhibitors.

Female Sexual Arousal Disorder ( Unable to maintain lubrication).

Question 5

Disorder of Orgasm

Answer 5

Female Orgasmic Disorder (30%)
Male ORgasmic Disorder (Orgasm achieved with great difficulty).
Premature Ejaculation: Ejaculation earlier than desired time. Up to 35% of all male sexual desires. (SSRIs and TCAs)

Question 6

Sexual Pain Disorder

Answer 6

Dyspareunia: Genital pain before, during and after intercourse

Vaginismus: Involuntary muscle contraction of the outer 1/3 of vagina during insertion of the penis.

Question 7

Paraphilias

Answer 7

sexual disorders characterized by engagement in unusual sexual activities and or preoccupation with suxual urges or fantasies.
Only disorders if they are intense, recurrent and interfere with daily life.

Pedophilia (Children 13 or younger, perp must be 16 and 5 years older than child)

Frotteurism: rubbing up against and unwanting person

Voyeurism: Watching unsuspecting nude individuals.

Exhibitionism
Sadism: hurt or humiliate another
Masochism: hurt or humiliate yourself
Necrophilia
Telephone scatologia

Question 8

Gender Identity Disorder (Transsexuality)

Answer 8

Feeling of being born the wrong sex.

Often associated with major depression, anxiety disorders and suicide.