Sexual Function (14) Flashcards
Sexual Function Dissatisfaction
Common outcome of a difficulty in sexual functioning AKA: sexual dysfunction
How does the DSM V define sexual dysfunction?
“A clinically significant disturbance in a person’s ability to respond sexually or to experience sexual pleasure
What does the recent DSM-5 stress?
That five factors must be considered in the assessment and diagnosis of sexual function problems – they may be relevant to the cause of the problem or the treatment of the dysfunction
Stresses five factors:
Sexual Partner Factors, Relationship Factors, Individual Vulnerability Factors (Psychological problems or stress), Culture and Religion Factors, Medical Factors
What must be considered in the assessment and diagnosis of sexual function problems?
That they may be relevant to the cause of the problem and/or treatment of the dysfunction
The National Survey of Sexual Attitudes and Lifestyle study found that for both males and females low sexual function was associated with several factors which include…
Increased age, Depression
Self reported poor health status, Experiencing end of relationship, Inability to talk easily about sex with partner, Not happy in relationship, Engaging in less than 4 sexual episodes in past 4 weeks, Paying for sex (men only), Higher number of lifetime sexual partners (women only), Negative sexual health outcomes (Experience of non-voluntary sex), Having had same sex partners
Female sexual interest/arousal disorder
Absent/reduce sexual interest in sexual activity, Must occur for at least 6 months and cause significant individual distress, Frequently associated with problems experiencing orgasm, pain during sex, low frequency
Male hypoactive sexual desire disorder
Defined as low/absent desire for sex and deficient sex-related thoughts/fantasies that persist for a minimum of 6 months and cause significant distress
Erectile Disorder
Inability to obtain or maintain an erection during partner sexual activity; 6 months
Female Orgasmic Disorder
Persistent and recurrent absence of delay in orgasm for women following normal sexual excitements
Delayed ejaculation
Not able to ejaculate easily
Pre-mature Ejaculation
Ejaculation within a minute of vaginal penetration
Genital, pelvic pain penetration disorders:
Vaginismus and Dyspareunia
Vaginismus
Muscle spasms around the vagina
Dyspareunia
Painful intercourse
4 diagnostic categories of Sexual Pain Disorders
Marked difficulties having vaginal intercourse/penetration, Marked vaginal or pelvic pain during vaginal intercourse or penetration attempt, Fear or anxiety about vaginal or pelvic pain anticipation of, during or as a result of penetration, Marked tensing or tightening of the pelvic floor muscles during attempted vaginal penetration
Diagnosis of Sexual Pain Disorders is based on…
Persistent and recurrent difficulty with any one of the four symptoms)
Peyronies disease
Calcium deposits and tough fibrous tissue develops in the corpora cavenosa with in the penis
Priapism
Prolonged painful erection blood is unable to drain from penis from several hours to a few days
Psychological Causes of Sexual Function: Difficulties and Dissatisfaction
Fatigue and Stress, Ineffective Sexual Behavior, Sexual Anxiety, Excessive need to please a partner
Sexual Function Enhancement
Develop self-awareness, Develop conditions for good sex, Homework, Changing Sexual Relationships
