Sexual Dysfunction for Both Men & Women. Flashcards
What is Low or Inhibited Sexual Desire?
lack of interest, does not initiate, does not respond, but normal physiological function. Most common complaint, difficult to resolve.
What is the cause of Low or inhibited sexual desire?
- Hormonal deficiency
- Depression and anxiety
- Relationship dissatisfaction
- History of assault or abuse
What are the treatments for low or inhibited sexual desire?
- Relationship counseling and sex education
- Therapy for psychological illnesses and abuse
- Behavior exercises (sensate focus)
What is the second form of sexual desire disorders?
Compulsive sexual Behavior
What is compulsive sexual behavior
constant sexual desire with pursuit of gratification, but an inability to have satisfying sexual interpersonal relationships
What is the cause of Compulsive Sexual Behaviours?
Organic (disease or injury)
Strong need for love but inability to relate.
What is the treatment for compulsive sexual behaviour?
Lifestyle counseling or medications.
What is sexual aversion?
Extreme negative reaction to sexual activity
- repulsed by genitals
What is the cause of sexual aversion?
Shame, fear, anxiety
History of abuse or assault
What is the treatment of sexual aversion?
Medications
Psychological counseling.
When can frequency of sexual activity & choice be behaviours?
Partners have difference in timing, sex drive, and lifestyle demands, emotional needs and activity preferences.
When can frequency of sexual activity & choice be behaviours?
Partners have difference in timing, sex drive, and lifestyle demands, emotional needs and activity preferences.
What is the treatment for frequency of sexual activity & choice be behaviors?
Identify and treat underlying causes
Relationship counseling
What is Dyspareunia?
Painful intercourse (most often women)
What is Substance/medication induced sexual dysfunction
Symptoms develop during or soon after intoxication or withdrawal or after exposure to substance.
For women, interest and arousal disorders are described as what?
Inadequate excitement and vagina lubrication
What are some of the causes of interest/arousal disorders for women?
- diabetes
- reduced estrogen levels
- neurological disorders e.g. SCI
- anxiety or stress
- narcotics, alcohol, medications
- negative experiences such as abuse
What is the treatment for interest or arousal disorders (in women)
Medical intervention for physical causes
Sexual counseling to reduce performance anxiety
Relationship counseling
What are some Orgasmic disorders that are seen in women?
An-orgasmic or pre-orgasmic
conditions that make it difficult or when they are unable to achieve orgasm
What are some of the causes of orgasmic disorders?
- Guilt or anxiety
- Insufficient clitoral stimulation
often situational
What is the treatment for orgasmic disorders?
- counseling & sex education to get rid of negative attitudes towards sex
- self exploration and massage
- Couple education on female sexual response
- education on alternate sexual activities
What is the Gentio-pelvic/penetration disorder called Dyspareunia?
Painful intercourse or penetration of the vagina
What is the cause of Dyspareunia?
Most often due to inadequate vaginal lube
- vaginal infection or STD’s
- P.I.D endometriosis, or other diseases
What is the treatment for Dyspareunia?
- medical intervention for physical causes
- use of artificial lube
- Counseling for psychological causes
- sex education
What is Vulvodynia?
Vulvar pain, such as chronic burning sensation, irritation, and soreness.
Although it can be painful it is not considered a sexual dysfunction
What is Vaginisms?
The involuntary contraction of the pelvic muscles surrounding the outer third of the vaginal barrel.
What is the cause of Vaginisms?
fear of vaginal penetration often related to history of assault or abuse
What is the treatment for Vaginisms?
- use of graduated vaginal dilators
- couples sexual activities with women in control
- intercourse with women on top
- counseling regarding abuse
Sexual dysfunction can be related to…
- desire
- arousal
- penetration
- erection maintenance
- orgasm and ejaculation
What is Erectile dysfunction?
Inability to achieve or maintain an erection of sufficient firmness to have intercourse.