Sexual Dysfunction

Question 0

Give examples of the factors that can lead to sexual problems

Answer 0

Failure - precipitating (physical, psychological, life events)/predisposing (false beliefs, trauma, unrealistic expectations)
Fear of failure - self perpetuating (loss of confidence, spectatoring, guilt or shame)/partner perpetuating (pressure to perform, communication breakdown)

Question 1

Describe the sexual response cycle and give examples of dysfunctions that can arise at each stage

Answer 1

Desire --> arousal --> orgasm --> resolution 
Lack/loss of desire
Erectile disorder/arousal disorder
Rapid ejaculation/orgasmic dysfunction 
Aversion/lack of enjoyment/vaginismus 
Painful sex

Question 2

Describe the main components of psychosexual therapy

Answer 2

Educative counselling
Modification of attitudes/beliefs
Facilitation of communication/assertiveness
Specific directions for sexual behaviour e.g. sensate focus, dilator therapy, stop-start
Male - oral therapy (viagra, testosterone), local therapy, self injection therapy, mechanical, surgery
Female - oestrogen/testosterone, lubricants, clitoral therapy device