Sexual Disorders

Question 1

What are the two basic physiological processes that occur during the Excitement Phase?

Answer 1

1. Vasodilation/Constriction
2. Myotonia

Question 2

When discussed sex and sexuality with patients, what is the most important thing?

Answer 2

Education

Question 3

What aspect of the sexual response cycle is important to discuss with patients?

Answer 3

Timing

Teach patients about the sexual response cycle so they know what is normal in themselves and their partner

Question 4

Describe Male Hypoactive Sexual Desire Disorder?

Answer 4

Persistently deficient or absent sexual fantasies and desire.

Certain factors are taken into account such as age and the context of the person’s life for 6 months

Question 5

Describe Female Sexual Interest/Arousal Disorder?

Answer 5

At least three of the following symptoms for 6 months:

1. reduced interest in sexual activity
2. reduced sexual/erotic thoughts
3. None or reduced initiation or sexual activity or unreceptive to partners attempts
4. absent or reduced sexual pleasure
5. absent or reduced sexual interest in response to sexual cues
6. absent or reduced genital/nongential sensations

Question 6

Describe Erectile Disorder

Answer 6

One or more of these symptoms experienced on almost all occasions of sexual activity for 6 months (75-100% of encounters)

1. difficulty obtaining an erection
2. difficulty maintaining an erection to completion
3. decreased in erectile rigidity

Question 7

Describe female orgasmic disorder

Answer 7

delay in or absence of orgasms following normal sexual excitement phase for 6 months

Question 8

Describe delayed ejaculation

Answer 8

either symptom experienced on all or almost all occasions for 6 months

1. marked delay in ejaculation
2. marked infrequency or absence of ejaculation

Question 9

Describe Premature Ejaculation

Answer 9

Persistent ejaculation with partnered sexual activity within approx. 1 minute following penetration and before pt prefers it, for 6 months on almost all or all occasions

Question 10

Describe Genito-Pelvic Pain Penetration Disorder

Answer 10

Persistent difficulties with 1 or more of the following for 6 months:

1. Difficulty with vaginal penetration
2. Vulvovaginal or pelvic pain during penetration
3. Fear/Anxiety about pain
4. Tensing/tightening of pelvic floor

Question 11

Define Paraphilia

Answer 11

Any intense and persistent sexual interest other than genital stimulation or fondling with phenotypically normal, physically mature consenting human partners for at least 6 months

Question 12

What is Sexual Masochism Disorder?

Answer 12

Derives pleasure from suffering (humiliation, beaten, bound) real acts, not simulated

Question 13

What is Hypoxyphilia?

Answer 13

sexual arousal by oxygen deprivation

• may increase the intensity of an orgasm
• can be deadly

Question 14

Describe Sexual Sadism Disorder

Answer 14

Derives sexual arousal from the physical or psychological suffering or another person

Question 15

What is Exhibitionism?

Answer 15

Exposure of genitals to unsuspecting strangers in public

Question 16

What is Fetishistic Disorder?

Answer 16

Sexual arousal from non-living objects or focus on non-genital body parts

Question 17

What is Frotteuristic Disorder?

Answer 17

Touching/Rubbing against a non-consenting person

Question 18

What is transvestic Disorder?

Answer 18

Sexually arousing fantasies, urges or behaviors about cross-dressing

Not related to gender identity

Question 19

What is Voyeristic Disorder?

Answer 19

Sexually aroused by watching a person disrobe/engage in sexual activity

Must be +18y/o

Question 20

What is Pedophilic Disorder?

Answer 20

Sexual fantasies, urges or activity with prepubescent child, usu. <13y/o

Must be aged 16+ and at least 5 years older than the child

May be exclusive or non-exclusive

Question 21

Are there currently any good treatments for paraphilias?

Answer 21

not really