sexual dysfunction and gender dysphoria Flashcards
diagnostic criteria for delayed ejaculation
-at least 1 manifestation for at least 6 months not better explained by another medical/mental disorder or substance
2 possible manifestations of delayed ejaculation
-marked delay in ejaculation
-marked infrequency/absence of ejaculation
specifiers for delayed ejaculation
lifelong
acquired
generalized
situational
mild, mod, severe
diagnostic criteria for erectile disorder
-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
3 possible manifestations of erectile disorder
-difficulty obtaining erection
-difficulty maintaining erection
-decrease in erectile rigidity
-
difference between erectile dysfunction and erectile disorder
erectile dysfunction is a singular problem. Erectile disorder is persistent erectile dysfunction for 6+ months
risk factors for erectile disorder
age
smoking
lack of exercise
diabetes
decreased desire
erectile disorder is predictive of what medical issue
CAD
when should you test for low testosterone with erectile disorder
especially with DM, hypoactive desire, and non-responders to phosphodiesterase inhibitors
what mental disorder is closely associated with erectile disorder
depression
diagnostic criteria for female orgasmic disorder
one or both
marked delay/infrequency of orgasm
marked reduced intensity of orgasm
how long do sx have to persist for dx of female orgasmic disorder
at least 6 months
diagnostic criteria for female sexual interest/arousal disorder
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
6 possible manifestations of female sexual interest/arousal disorder
-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
diagnostic criteria for genito-pelvic pain/penetration disorder
at least 1 persistent/recurrent difficulty for at least 6 months
4 possible areas of difficulty in genito-pelvic pain/penetration disorder
-vaginal penetration during intercourse
-vulvo-vaginal/pelvic pain during penetration attempts
-fear/anxiety about pain
-tensing of pelvic floor during penetration attempts
dyspareunia
pain during intercourse
vaginismus
involuntary muscle contraction making penetration difficult or impossible
vulvodynia
idiopathic vulvar pain lasting 3+ months
diagnostic criteria for male hypoactive sexual desire disorder
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
diagnostic criteria for premature ejaculation
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
what medical conditions are associated with premature ejaculation
-thyroid disease
-prostatitis
-drug withdrawal
substances most frequently associated with sexual dysfunction
alcohol
opioids
sedatives
hypnotics
anxiolytics
stimulants
antidepressants
antipsychotics
hormone contraceptives
gender dysphoria definition
distress from incongruence between expressed and assigned gender