Sexual Disorders Flashcards
What are hypoactive sexual desire disorder and sexual aversion disorder?
- disorders of desire
- hypoactive being the absence or a deficiency of sexual desire or fantasies and aversion being the avoidance of genital contact with a sexual partner
What are primary and secondary sexual disorders?
- secondary are those that occur after a period of normality
- primary are those that are not preceded by normal behavior/thoughts/actions
What are dyspareunia and vaginismus?
- dyspareunia is genital pain before, during, or after intercourse
- vaginismus is a common cause of dyspareunia amongst females and involves involuntary muscle contraction of the outer third of the vagina during penetration
What is dual sex therapy?
a form of therapy that utilizes the concept of the martial unit rather than the individual as the target of therapy
What are two pharmacologic treatments is available for ED?
- PDE5 inhibitors like sildenafil, which require sexual stimulation to achieve an erection
- alprostadil injections which do not require sexual stimulation to achieve erection
What pharmacologic treatment is available for hypoactive sexual desire disorder?
testosterone replacement is the preferred therapy for men and low dose supplementation may help in women
What two pharmacologic treatments are available for premature ejaculation?
SSRIs and TCAs
What mechanical therapies are used to treat premature ejaculation, dyspareunia, and vaginismus?
- premature ejaculation: the squeeze and the stop-start techniques
- dyspareunia: gradual desensitization
- vaginismus: dilator therapy
What is fetishism?
a sexual preference for inanimate objects
Wha tis transvestic fetishism?
sexual gratification in men from wearing women’s clothing
What is the most common treatment for paraphilias?
aversion therapy
