Sexual Disorders and Paraphilias Flashcards
What is abnormal sexuality?
not a human sex partner
stimulates other than primary sex organs
compulsive and injurious to self or others
Describe high risk factors
substance use
limited access to care
poor health literacy about STI, STI sx and prevention
unassertive
poor communication skills
young age
Describe high-risk behaviors
unprotected genital, mouth-genital, anal sex
multiple sex partners
high-risk partner
sex trade work
self or partner use of IV drugs
Describe undesired outcomes from high-risk factors–> behaviors–> outcomes
STI
unwanted pregnancy
relationship complications
poverty
Describe sexual response cycle
Desire
Excitement
Orgasm
Resolution
Describe desire of sexual response
sexual drive
-biological, genital sensations and thoughts about sex
motivation
-psychological, willingness to offer body for sex
wish fulfillment
-social, hoping or expectation for sex, can be culturally influenced
Describe excitement stage of sexual response
AROUSAL:
lasts several minutes to hours
erection, vaginal lubrication, hardening of nipples
increased respiration, tachy up to 180 bpm, rise in BP
What are the 2 basic physiological processes that occur during the excitement stage of sexual response?
vasodilation/constriction
-engorgement of blood vessels of genitals d/t dilation of blood vessels
mytonia
-muscle contractions in genitals and throughout body
Describe orgasm stage of sexual response
peak of sexual pleasure
release of tension and rhythmic contraction of perinatal muscles and pelvic reproductive organs
3-25 seconds
Describe resolution of sexual response
disgorgement of blood from genitalia
body returns to resting state
if orgasm occurred–> rapid resolution with general sense of well-being
if orgasm did not occur–> can take up to 2-6 hours for resolution
What sexual response stage is erectile disorder associated with?
excitement/arousal
What sexual response stage is delayed or premature ejaculation associated with?
orgasm
What is the difference between male and female hypoactive sexual disorders?
male: with decreased desire
female: with decreased desire, excitement or arousal
Define male hypoactive sexual desire disorder
absent or deficient sexual fantasies and desire for 6 MONTHS
Define female sexual interest/arousal disorder
lack or significantly reduced interest/arousal (at least 3) for 6 MONTHS
interest in sexual activity sexual/erotic thoughts initiation or unresponsive pleasure arousal response sensations during activity