Sexual Disorders and Gender Identity Flashcards
What are the stages of the NORMAL sexual response cycle?
- Desire
- Excitement
- Orgasmic
- Resolution
Sexual dysfunctions can involve any of these phases. Some sexual dysfunction is normal.
So what do you think Delayed Ejaculation involves? How can you specify this disorder.
- you got it, a marked delay or absence of ejaculation in all/almost all partnered sexual activity
- Sx exist for a min of 6 months and cause significant distress
- Specify:
lifelong/acquired
Generalized/situational
Mild/moderate/severe - No caused by relationship stress, nonsexual mental disorder or substances/meds
2-4 are the same for every disorder in this deck
How do you treat Delayed Ejaculation?
- Sensate focus: education on normal sexual function and foreplay
- Increased stimulation before intercourse
Pharmacotherapy: 1-2 hrs before anticipated sex
- Cyproheptadine
- Yohimbine
What is going on with Erectile Disorder?
At least 1 of the following:
- Marked difficult in obtaining an erection
- Marked difficulty maintaining an erection until completion
- Marked decreased in erectile rigidity
Sx for a min of 6 months and cause significant distress
Specify:
Lifelong/Acquired
Generalized/situational
Mild/Moderate/Severe
What are some risk factors for ED?
- Age (7% at 20-30yo vs. 50% at 40-70yo)
- Diabetes
- Vascular disease
- Smoking
- Hypercholesterolemia
How do you treat ED?
- Testosterone (for hypogonoadism)
- Bromocriptine (for hyperprolactinemia)
- Psychotherapies (when cause is mainly medical)
- Penile prosthetic
- Intracavernosal injectins
- Your basic sildenafil, tadalafil and vardenafil (Viagra, Levitra, Cialis)
What’s going on with the Female Orgasmic Disorder
- Marked delay in, infrequency of, or absence of orgasm
- Reduced intensity of orgasm
Sx for a min of 6 months and cause significant distress
Specify:
Lifelong/Acquired
Generalized/situational
Mild/Moderate/Severe
What happens in Female Sexual Interest/Arousal Disorder?
At least 3 of the following:
- Reduced or no interest in sexual activity
- Reduced or no sexual/erotic thoughts
- Reduced or no initiation of sexual activities/unreceptive to partner’s attempts
- Reduced or no pleasure in most sexual encounters/contexts
- Reduced or no arousal in response to internal or external sexual cues
- Reduced or no genital/non genital sensations in most sexual encounters
In Male Hypoactive Sexual Desire Disorder
Basically, just not into it. It causes distress.
Premature Ejaculation
Ejaculation within one minute following vaginal penetration and before the individual wishes it.
Treatment for Premature Ejaculation
- Behavioral (stop-start/squeeze)
2. Pharmacological: SSRIs/clomipramine
What is Genito-Pelvic Pain/Penetration Disorder
Pain during intercourse that creates marked fear or anxiety about this pain
What drugs can cause sexual dysfunction
MOST DRUGS
Anticholinergics Antihypertensives Antipsychotics SSRIs Spironolactone, steroids, estrogens Alcohol, opioids and psychostimulants
What are Paraphilias
Recurrent, intense sexual arousal, fantasies and urges involving anomalous sexual activity
What is a Paraphilic Disorder
Acting on the paraphilic urges, which results in distress or impairment in social, occupational or other important areas of functioning.
