Sexual Disorders

Question 1

Flibanserin

Answer 1

For Female Sexual Interest/Arousal Disorder. 5HT-1A agonsist and 5HT-2A antagonist. Contraindicated for alcohol use, mod-strong cyp 3a4 inhibitor, and hepatic impairment.

Question 2

Bremelanotide h

Answer 2

Melanocortin receptor agonist , 2019 FDA approved for Female Sexual Interest/Arousal Disorder. AE of nausea, flushing , HA, hyperptgmentation.

Question 3

MoA of PDE inhibitors

Answer 3

Prevent degradation of cGMP, increase NO, relax smooth mm in penis, increase blood flow.

Question 4

Backwards Ejaculation

Answer 4

Ejaculate flows backward into the bladder. Complication of TURP (transurethral resection of the prostate) or of Diabetic Neuropathy.

Question 5

Amantadine treats which sexual dysfunction?

Answer 5

Delayed Ejaculation. Increases dopaminergic neurotransmission.

Question 6

Paroxetine treats which sexual dysfunction?

Answer 6

Premature (early) ejaculation

Question 7

Spasm in outer third of vagina, which disorder?

Answer 7

Genito-pelvic pain/penetration disorder

Question 8

What 3 meds can be given for pedophiles?

Answer 8

Medroxyprogesterone, leuprolide, and naltrexone.