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Sexual Medicine > Sexual Disorders > Flashcards

Sexual Disorders Flashcards

1
Q

Stages of sex

A 
Drive
Desire/libido
Excitation
Orgasm
Resolution
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2
Q

Sexual arousal conditions

A

Female sexual arousal disorder
Erectile Disorder
Male hypoactive sexual desire disorder
Paraphilias

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3
Q

Conditions relating to orgasms

A

Female orgasmic disorder

Ejaculatory delay, rapid ejaculation and retrograde ejaculation.

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4
Q

Definition of male hypoactive sexual desire disorder

A

Loss of sexual desire, with no secondary cause, persistent and recurrent deficiency in sexual thoughts or arousal.

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5
Q

Drugs which can lower libido

A

SSRI

In females - oral contraceptive, HRT, Tamoxifen for breast cancer.

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6
Q

Endocrine disorders which can lower libido

A

Andogren and oestrogen deficiencies.
Hyperprolactinaemia
Hypothyroid

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7
Q

What disease could low libido or erectile disorder show

A

CVD or DM

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8
Q

Treatment for male hypoactive sexual desire disorder

A

CBT, psychodynamic, integrative, systemic psychosexual therapies.
Testosterone replacement.

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9
Q

Definition of erectile disorder

A

Difficulty in developing and maintaining an erection for satisfactory intercourse.

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10
Q

Treatment for erectile disorder

A 
Sildenafil/Viagra (oral)
Injectable or intra-urethral creams available.
Vacuum devices.
Penile rings
Vibrators and lubricants
Kegel exercises
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11
Q

Female sexual arousal disorder definition

A

Failure of female genitalia to respond to sexual activity. Reduced interest, absence of erotic thoughts, unreceptive to sexual initiation, reduced pleasure in sex, reduced response to sexual cues, reduced genitalia sensation.

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12
Q

Treatment for female sexual arousal disorder

A

Behavioural interventions - CBT, psychodynamic

EROS therapy.

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13
Q

Changes that occur in menopause to cause sexual problems

A 
Vaginal dryness
Vaginal atrophy
Vaginal and pelvic pain
Lowered self-esteem and mood
Altered desires
Fatigue and tiredness
Night sweats
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14
Q

Female orgasmic disorder definition

A

Delayed, absent or infrequent orgasms.

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15
Q

Psych conditions which effect sexual activity

A 
Previous abuse - PTSD
Depression
Anxiety
Binge eating disorder
Stress
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16
Q

Rapid ejaculation definition

A

Inability to control ejaculation sufficient for mutual enjoyment and pleasure.

17
Q

Premature ejaculation definition

A

within 1min of vaginal penetration.

18
Q

Causes of rapid ejaculation

A 
Genetic susceptibility
Anxiety
Relationship issues
Penile hypersensitivity
Hyperthyroidism
Prostatitis
Medications
19
Q

Treatment for rapid ejaculation

A

Topical anaesthetic spray
Dapoxetine
Kegel exercises
Psychosexual therapy.

20
Q

Delayed ejaculation definition

A

Marked delay, infrequency or absence of ejaculation.

21
Q

Retrograde ejaculation investigations

A

Urine sample to look for fructose and spermatozoa

22
Q

Treatment for delayed ejaculation

A

Pseudoephedrine (off-label), Kegel exercises, Psychosexual therapy (CBT, psychodynamic)

23
Q

Vaginismus definition

A

Spasms of pelvic floor muscles surrounding vagina causing occlusion of vaginal opening. Results in difficult and painful penetration.

24
Q

Causes of vaginismus

A 
Thursh and infection
Pain diseases
FGM
Congenital abnormality
Psychiatric problem
25
Q

Treatment for vaginismus

A

Psychosexual therapy.
Self-exploration
Relaxation techniques and breathing

26
Q

Causes of painful sex

A 
DYSPAREUNIA
Infection
Injury and lesion
Bartholin's cyst
Interstitial cystitis.
Endometriosis
Urethritis
Poor lubrication
Tumour
herpes
IBS
27
Q

Main types of psychosexual therapy

A

CBT
Psychodynamic
Systemic
Integrative

28
Q

Hierarchy of couple’s therapy interventions

A 
Timetabling
Communication
Address intimacy
Being sexual
Adjust difficulties
29
Q

Best psychosexual therapy for predisposing and precipitating factors

A 
Precipitating = CBT
Predisposing = psychodynamic
30
Q

Gender dysphoria

A

Distress due to incongruence with sex assigned at birth and gender identity at present.

31
Q

Paraphilia

A

Sexual deviation or perversion with sexual arousal from atypical stimuli.

Sexual Medicine (1 decks)

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