sexual dysfunction

Question 1

Normal sexual response

Answer 1

Sexual function depends on 2 complex and delicate neurologic pathways
A connection between the brain and genitals, and a reflex arc between the genitals and spinal cord, CNS PNS and ANS involvement

Question 2

sex dysfunction

Answer 2

involves difficulty with 1 or more aspect of sexual response cycle, bio, psych, interpersonal causes

Primary sex dysfunction- lifelong,
Secondary- after an interval when function has been normal
Must cause significant distress to the individual
Not better explained by a nonsexual mental disorder or as a consequence of severe relationship distress etc

Question 3

Excitement, plataeu, orgasm, resolution

Answer 3

Excitement- penile ercetion, female clitoral erection, labial swelling, Vaginal transudate, tent, increased sympathetic, nipple erection

Orgasm

Female sexual response- emotional

Serotonin is negative feedback of sex

Question 4

disorders of sexual desire

Answer 4

Hypoactive- reduced or absent fantasies of desires, up to 20% of pop, more common in women

Sexual aversion- aversion to all sexual contact

Question 5

sexual arousal excitement disorders

Answer 5

Erectile disorder: 1 or more symptoms, erection is weak or absent, primary vs secondary

Question 6

Female orgasm disorder

Answer 6

lots of women never have an orgasm

Question 7

treatment of sexual dysfunction

Answer 7

do not assume anything
SSRI delay orgasm,
Flibanserin- inhibits serotonin neg libido effects
Opioid antagonists and vasodilators

Sildenafil (pde5- viagra)