sexual dysfunction and gender dysphoria Flashcards

1
Q

diagnostic criteria for delayed ejaculation

A

-at least 1 manifestation for at least 6 months not better explained by another medical/mental disorder or substance

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2
Q

2 possible manifestations of delayed ejaculation

A

-marked delay in ejaculation
-marked infrequency/absence of ejaculation

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3
Q

specifiers for delayed ejaculation

A

lifelong
acquired
generalized
situational
mild, mod, severe

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4
Q

diagnostic criteria for erectile disorder

A

-1+ manifestation most/all of the time for at least 6 months that causes clinically significant distress not better explained by another medical/mental disorder or substance

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5
Q

3 possible manifestations of erectile disorder

A

-difficulty obtaining erection
-difficulty maintaining erection
-decrease in erectile rigidity
-

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6
Q

difference between erectile dysfunction and erectile disorder

A

erectile dysfunction is a singular problem. Erectile disorder is persistent erectile dysfunction for 6+ months

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7
Q

risk factors for erectile disorder

A

age
smoking
lack of exercise
diabetes
decreased desire

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8
Q

erectile disorder is predictive of what medical issue

A

CAD

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9
Q

when should you test for low testosterone with erectile disorder

A

especially with DM, hypoactive desire, and non-responders to phosphodiesterase inhibitors

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10
Q

what mental disorder is closely associated with erectile disorder

A

depression

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11
Q

diagnostic criteria for female orgasmic disorder

A

one or both
marked delay/infrequency of orgasm
marked reduced intensity of orgasm

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12
Q

how long do sx have to persist for dx of female orgasmic disorder

A

at least 6 months

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13
Q

diagnostic criteria for female sexual interest/arousal disorder

A

lack/reduced sexual interest for at least 6 months that causes clinically significant distress and is not better explained by another medical/mental disorder or a substance

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14
Q

6 possible manifestations of female sexual interest/arousal disorder

A

-absent/reduced interest in sex
-absent/reduced sexual thoughts/fantasies
-no/reduced initiation or unresponsive to partner
-absent/reduced pleasure in most/all sexual encounters
-absent/reduced arousal r/t sexual cues
-absent/reduced genital sensation during sexual activity

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15
Q

diagnostic criteria for genito-pelvic pain/penetration disorder

A

at least 1 persistent/recurrent difficulty for at least 6 months

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16
Q

4 possible areas of difficulty in genito-pelvic pain/penetration disorder

A

-vaginal penetration during intercourse
-vulvo-vaginal/pelvic pain during penetration attempts
-fear/anxiety about pain
-tensing of pelvic floor during penetration attempts

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17
Q

dyspareunia

A

pain during intercourse

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18
Q

vaginismus

A

involuntary muscle contraction making penetration difficult or impossible

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19
Q

vulvodynia

A

idiopathic vulvar pain lasting 3+ months

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20
Q

diagnostic criteria for male hypoactive sexual desire disorder

A

persistent little/no fantasies or sexual desire lasting at least 6 months that causes clinically significant distress and is not better explained by another medical/mental disorder or substance

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21
Q

diagnostic criteria for premature ejaculation

A

persistent pattern of ejaculation within 1 minute of penetration lasting at least 6 months causing clinically significant distress not better explained by another medical/mental disorder or a substance

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22
Q

what medical conditions are associated with premature ejaculation

A

-thyroid disease
-prostatitis
-drug withdrawal

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23
Q

substances most frequently associated with sexual dysfunction

A

alcohol
opioids
sedatives
hypnotics
anxiolytics
stimulants
antidepressants
antipsychotics
hormone contraceptives

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24
Q

gender dysphoria definition

A

distress from incongruence between expressed and assigned gender

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25
transgender
gender identity is different than birth-assigned gender
26
cisgender
gender identity congruent with birth assigned gender
27
transexual
one who seeks or is undergoing transformation from one gender to another
28
how many manifestations must be present for gender dysphoria dx in children
6+
29
8 possible manifestations of gender dysphoria in children
-strong desire to be another gender -strong preference for cross-dressing -cross-gender roles in make-believe play -strong preference for toys/games typically used by opposite sex -preference for playmates of opposite gender -strong rejection of toys typically used by assigned gender -strong dislike of own sexual anatomy -desire for sex characteristics that match expressed gender
30
how many manifestations must be present for dx of gender dysphoria in adolescents/adults
2+
31
6 possible manifestations of gender dysphoria in adolescents/adults
-incongruence between expressed gender and sex characteristics -strong desire to be rid of own sex characteristics -strong desire for sex characteristics of other gender -strong desire to be other gender -strong desire to be treated as other gender -conviction that they have thoughts/feelings/reactions of other gender
32
categories of paraphilic disorders
anomalous activity preferences anomalous target preferences
33
subcategories of anomalous activity preference paraphilias
courtship disorders algolagnic disorders
34
courtship paraphilic disorders
voyeuristic exhibitionistic frotteuristic
35
what does algolagnic disorder mean
associated with pain and suffering
36
what are the algolagnic paraphilias
sexual masochistic disorder sexual sadism disorder
37
what are the subcategories of anomalous target preference paraphilias
directed at another directed elsewhere
38
anomalous target preference paraphilia directed at another
pedophilic disorder
39
anomalous target preference paraphilias directed elsewhere
fetishistic transvestic
40
length of time symptoms must be present to qualify as paraphilic disorder
at least 6 months
41
what is common to all paraphilia diagnostic criteria
-manifested by urges/fantasies/behaviors -have either acted on them or is causing distress/impairment -symptoms for at least 6 months
42
voyeuristic disorder
intense sexual arousal from watching someone naked, disrobing, or engaged in sexual behavior
43
which paraphilias have an age requirement of 18 years
voyeuristic exhibitionistic
44
what is the age requirement for pedophilic disorder
at least 16 and 5 years older than victim
45
specifiers for all paraphilic disorders
-in a controlled environment -in full remission
46
criteria for paraphilia to be in full remission
no acting on urges or associated distress for at least 5 years in an uncontrolled environment
47
when can patients who deny urges or distress be dx with a paraphilic disorder
when there is evidence they have acted on urges
48
what lends credibility to a paraphilic behavior being recurrent
multiple victims on multiple occasions
49
what is the most common potentially law breaking sexual behavior
voyeurism
50
common paraphilic comorbidities
-other paraphilic disorders -depressive, anxiety, bipolar disorders -substance use disorder -conduct/antisocial personality disorders
51
exhibitionistic paraphilic disorder
sexual arousal from exposing genitals to unsuspecting persons
52
specifiers unique to exhibitionistic disorder
sexually aroused by exposing genitals to children, adults, or both
53
frotteuristic disorder
intense sexual arousal from touching/rubbing against unsuspecting victims
54
sexual masochism disorder
recurrent intense sexual arousal r/t being humiliated, beaten, bound, or otherwise made to suffer
55
specifier unique to sexual masochism disorder
with asphyxiophilia
56
what is different about diagnostic criteria in sexual masochism as opposed to the other paraphilias
applies to those who freely admit paraphilic interests
57
what if there are paraphilic behaviors but they do not cause distress/impairment
they are considered paraphilias (sexual interests) not necessarily disorders
58
sexual sadism disorder
recurrent intense sexual arousal from the suffering of others
59
what is a typical associated feature of both sexual sadism and masochism
extensive use of sadomasochistic porn
60
pedophilic disorder
recurrent intense sexual arousal from prepubescent children
61
specifiers unique to pedophilic disorder
-exclusive type (attracted only to children) -nonexclusive type -attracted to males -attracted to females -attracted to both
62
3 types of emotional congruence with children
-prefer social interactions with children over adults -feel like they have more in common with children -choosing occupations or volunteer activities to be close to children
63
when do most paraphilias begin to manifest
adolescence
64
diagnostic tests for pedophilic disorder
penile plethysmography viewing time
65
what is the difference between child sexual abuse in pedophilia as opposed to antisocial personality disorder
in antisocial personality disorder it is typically d/t easy access to the child and in pedophilia it is due to attraction to child
66
fetishistic disorder
recurrent intense sexual arousal from nonliving objects or specific nongenital body parts
67
what differentiates fetishistic disorder from cross-dressing
fetishistic disorder is not dx if fetish objects are exclusively clothing items for cross-dressing or inanimate objects made for sexual stimulation
68
specifiers unique to fetishistic disorder
-body -nonliving object other
69
what is the primary means of sexual arousal in fetishistic disorder
whatever the fetish object is. Arousal can often not be achieved without it
70
Partialism in fetishistic disorder
exclusive focus on body part
71
transvestic disorder
recurrent intense sexual arousal from cross-dressing
72
specifiers unique to transvestic disorder
with fetishism with autogynephilia
73
transvestic disorder with fetishism
sexually aroused by fabrics
74
transvestic disorder with autogynephilia
sexually aroused by thoughts/images of self as a woman
75
what increases likelihood of gender dysphoria with transvestic disorder
autogynephilia
76
what decreases chances of gender dysphoria with transvestic disorder
fetishism
77
difference in masturbation associated with transvestic disorder in younger and older men
usually leads to erection and masturbation in younger men. Older men may refrain or delay erection and masturbation to prolong cross-dressing session
78
purging and acquisition pattern of behavior in transvestic disorder
spends a great deal of money on clothes, discards them in an effort to stop cross-dressing, then begins to acquire them again
79
sexual arousal v. desire in transvestic disorder as one ages
may feel less sexual arousal even though desire to cross-dress remains the same or heightens