Sexual Dysfunctions

Question 1

Sexual dysfunction

Answer 1

significant disturbance in the ability to respond sexually or to experience sexual pleasure
-use clinical judgment to determine if due to inadequate sexual stimulation (in which case, no dx is made)

Question 2

Subtypes of sexual dysfunction dx

Answer 2

Lifelong
Acquired
Generalized
Situational

Question 3

Delayed ejaculation

Answer 3

Either of following on most occasions of sexual activity w/ partner (75-100%), & no desired delay:
-marked delay in ejaculation
and/or
-marked infrequency or absence of ejaculation

Question 4

Min time for delayed ejaculation sx to have persisted

Answer 4

at least 6 months

Question 5

Specifiers of delayed ejaculation

Answer 5

lifelong/acquired

or generalized/situational

Question 6

least common male sexual complaint

Answer 6

delayed ejaculation

Question 7

Erectile disorder

Answer 7

At least 1 of following on most occasions of sexual activity (75-100%)
-marked difficulty obtaining erection during sex
and/or
-marked difficulty maintaining an erection until completion of sexual activity
and/or
-marked decrease in erectile rigidity

Question 8

7 factors to consider w sexual dysfunctions

Answer 8

• partner factors
• relationship factors
• individual vulnerability factors
• psychiatric comorbidity
• stressors
• cultural/religious factors
• medical factors relevant to prognosis, course, or tx

Question 9

% of men under 50 to complain of erectile disorder

Answer 9

around 2%

Question 10

% of men 60+ to complain of erectile disorder

Answer 10

40-50%

Question 11

Female orgasmic disorder

Answer 11

Either of following on most occasions of sexual activity (75-100%):
-marked delay in, marked infrequency of, or absence of orgasm
and/or
-marked reduced intensity of orgasmic sensations

Question 12

additional specifier for female orgasmic disorder

Answer 12

never experienced an orgasm under any situation

Question 13

% of women to never orgasm across lifetime

Answer 13

10%

Question 14

Female sexual interest/arousal dx

Answer 14

Lack of, or sig reduced, sexual interest/arousal, manifested by 3+:

• absent/reduced interest in sexual activity
• absent/reduced sexual/erotic thoughts
• absent/reduced sexual excitement/pleasure during sexual activity in 75-100% sexual encounters
• absent/reduced sexual interest/arousal in response to any internal or external sexual/erotic cues
• absent/reduced genital or congenital sensations during sexual activity in 75%-100% sexual encounters

Question 15

Genito-Pelvic Pain/Penetration Disorder

Answer 15

persistent difficulties with 1+ : -vag penetration during intercourse

• vulvovaginal or pelvic pain during vag intercourse or penetration attempts
• fear/anxiety about pain from vag penetration
• tensing or tightening of pelvic floor muscles during attempted vag penetration

Question 16

% of women who report pain during intercourse in North America

Answer 16

15%

Question 17

Lifelong sexual dx

Answer 17

problem present from 1st sexual experiences

Question 18

acquired sexual dx

Answer 18

disorders that develop after a period of sexual function w/in typical norms

Question 19

generalized sexual dx

Answer 19

sexual difficulties that are not limited to certain types of stimulation, situations, or partners

Question 20

situational sexual dx

Answer 20

sexual difficulties that only occur w/ certain types of stimulation, situations, or partners

Question 21

other factors to be considered during assessment of sexual dysfunctions

Answer 21

• partner factors
• relationship factors
• individual vulnerability factors
• psychiatric comorbidity
• stressors
• cultural or religious factors
• medical factors relevant to prognosis, course, or tx

Question 22

Severity specifier for delayed ejaculation based on ___

Answer 22

distress over sxs

Question 23

Male Hypoactive Sexual Desire Disorder

Answer 23

Persistent deficiency of sexual/erotic thoughts or fantasies and desire for sexual activity
Clinical judgment accounting for age and general and sociocultural contexts of individual’s life
Minimum sx duration of around 6 months
Sxs cause clinically significant distress

Question 24

Premature (early) ejaculation

Answer 24

Persistent pattern of ejaculation w/in -1 min after vaginal penetration and before the individual desires
*Specific duration criteria have not been established for nonvaginal sexual activities, but can still be dx
min 6 mos
on most occasions of sexual activity
sxs cause clinically sig distress

Question 25

Severity specifiers for premature (early) ejaculation

Answer 25

mild: -30 seconds to 1 minute
moderate: 15-30 seconds
severe: prior to sexual activity or w/in -15 seconds

Question 26

Substance /Medically-Induced Sexual Dysfunction

Answer 26

Clinically significant disturbance in sexual function
Evidence from hx, physical exam, or labs of both:
-Sxs developed during or soon after substance intoxication or w/drawal or after exposure to a medication
-the involved substance/medication can produce the sxs

Question 27

Specifiers of Subst/Med-Induced Sexual Dysfxn

Answer 27

W/ onset during intoxication
W/ onset during withdrawal
W/ onset after medication use

Question 28

Medications that can induce sexual dysfunctions

Answer 28

Antidepressants
Antipsychotics
Hormonal contraceptives

Chronic alcohol abuse
chronic nicotine abuse