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N825 > Sexual Dysfunction > Flashcards

Sexual Dysfunction Flashcards

2
Q

Vaginismus

A
  • Involuntary spasm of the musculature of the outer 3rd of the vagina that interferes with penetration, which causes distress
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3
Q

Noncoital sexual pain disorder

A
  • genital pain induced by noncoital sexual stimulation
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4
Q

Women’s Health Challenges of aging

A
  • Menopause
  • Incontinence
  • Surgery: hysterectomy, mastectomy, reconstruction
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5
Q

Factors that ease women’s talking to providers about sexual concerns

A
  • Provider seems concerned
  • provider seems comfortable
  • Provider seems caring and understanding
  • Professional demeanor
  • Has seen provider before and knows patient
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6
Q

Medical conditions associated with sexual dysfunction

A
  • Medical: thyroid Dz, hyperprolactinemia, depression, adrenal insufficiency
  • Meds: Antidepressants, corticosteroids, oral estrogen therapies
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7
Q

Arousal/Orgasm Disorder Treatments

A
  • Vacuum Therapy: Increases blood flow to clitoris

- Electrical stimulation

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8
Q

Vaginal Dryness/Pain Treatment

A
  • Estrogen therapy

- Water-based lubricant

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9
Q

Low Sexual Desire Tx

A
  • Combination estrogen-testosterone therapy
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10
Q

Indications to refer to sex therapist or OB-GYN

A
  • Long-standing dysfunction
  • Multiple sexual dysfunctions
  • Comorbid psychologic disorders
  • Marital problems
  • Sexual abuse
  • Lack of response
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11
Q

Determinants of Healthy Sexual Function

A
  • Psychological well-being
  • Partner relationship
  • Developmental experiences
  • Physical health
  • Medications
  • Lifestyle factors (life demands, stress, family, substance abuse)
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12
Q

Masters and Johnson Theory of Sexual Response (1966)

A
  • 4 Phases
    1) Excitement (rapid in men)
    2) Plateau
    3) Orgasmic
    4) Resolution - In men, includes refractory period in which erection may not be achieved; refractory period increases in time with age; NO refractory period in women
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13
Q

Kaplan’s Theory of Sexual Response (1979)

A
  • Desire
  • Arousal
  • Orgasm
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14
Q

Что нибудь

A

Anything

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14
Q

Z & E Theory of Sexual response (1980)

A
  • Desire
  • Arousal
  • Physiological readiness
  • Orgasmic
  • Satisfaction
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15
Q

DSM-IV Theory on Sexual Response

A
  • Appetite (Desire)
  • Excitement
  • Orgasmic
  • Resolution
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16
Q

Medical Model of Sexual Function

A
  • Based on ideal script of regular and mutually desired relations involving erection, vaginal lubrication, and mutual orgasm
  • Assumption is that sexual Fx is coital experience
17
Q

Cultural Model of Sexual Function

A
  • Physical equipment for all human activities exists in everyone
  • Activities may never be desired
  • May need culture based learning to shape appropriate rules and goals
  • Sexual performance that fulfills high expectations requires training, practice, and patience
18
Q

Female Sexual Dysfunction

A
  • Comorbidity of arousal and desire disorders
  • Disorders may vary from one culture to another
  • Women complain more often about contextual problems than about functional problems
19
Q

Reasons for Female Sexual Intercourse

A
  • Procreation
  • Physical pleasure
  • Emotional intimacy
  • Provide a service (often disguised and difficult to admit)
20
Q

Factors Related to Sexual Problems

A
  • Sociocultural, political, economic
  • Partner and relationship
  • Psychological
  • Medical/physical
21
Q

Categories of Female Sexual Disorders

A
  • Sexual Desire Disorders: Hypoactive sexual desire disorder; Sexual aversion disorder
  • Female Sexual Arousal Disorder
  • Female sexual orgasm disorder
  • Sexual Pain Disorders: Dyspareunia, Vaginismus, Noncoital sexual pain disorders
22
Q

Hypoactive Sexual Desire Disorder

A
  • Sexual desire disorder
  • Absence of sexual fantasies, thoughts, and/or desire for, or receptivity to, sexual activity, which causes personal distress
23
Q

Sexual Aversion Disorder

A
  • Sexual desire disorder
  • Phobic aversion to and avoidance of sexual contact sexual contact with a sexual partner, which causes personal distress
24
Q

Female Sexual Arousal Disorder

A
  • Inability to attain or maintain sufficient sexual excitement, causing personal distress
  • May be expressed as lack of subjective excitement, genital lubricant/swelling, or other somatic response
25
Q

Female Orgasmic Disorder

A
  • Delay in or absence of attaining orgasm following sufficient sexual stimulation and arousal, which causes personal distress

N825 (16 decks)

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