Sexual Function (14)

Question 1

Sexual Function Dissatisfaction

Answer 1

Common outcome of a difficulty in sexual functioning AKA: sexual dysfunction

Question 2

How does the DSM V define sexual dysfunction?

Answer 2

“A clinically significant disturbance in a person’s ability to respond sexually or to experience sexual pleasure

Question 3

What does the recent DSM-5 stress?

Answer 3

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

Question 4

Stresses five factors:

Answer 4

Sexual Partner Factors, Relationship Factors, Individual Vulnerability Factors (Psychological problems or stress), Culture and Religion Factors, Medical Factors

Question 5

What must be considered in the assessment and diagnosis of sexual function problems?

Answer 5

That they may be relevant to the cause of the problem and/or treatment of the dysfunction

Question 6

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…

Answer 6

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

Question 7

Female sexual interest/arousal disorder

Answer 7

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

Question 8

Male hypoactive sexual desire disorder

Answer 8

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

Question 9

Erectile Disorder

Answer 9

Inability to obtain or maintain an erection during partner sexual activity; 6 months

Question 10

Female Orgasmic Disorder

Answer 10

Persistent and recurrent absence of delay in orgasm for women following normal sexual excitements

Question 11

Delayed ejaculation

Answer 11

Not able to ejaculate easily

Question 12

Pre-mature Ejaculation

Answer 12

Ejaculation within a minute of vaginal penetration

Question 13

Genital, pelvic pain penetration disorders:

Answer 13

Vaginismus and Dyspareunia

Question 14

Vaginismus

Answer 14

Muscle spasms around the vagina

Question 15

Dyspareunia

Answer 15

Painful intercourse

Question 16

4 diagnostic categories of Sexual Pain Disorders

Answer 16

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

Question 17

Diagnosis of Sexual Pain Disorders is based on…

Answer 17

Persistent and recurrent difficulty with any one of the four symptoms)

Question 18

Peyronies disease

Answer 18

Calcium deposits and tough fibrous tissue develops in the corpora cavenosa with in the penis

Question 19

Priapism

Answer 19

Prolonged painful erection blood is unable to drain from penis from several hours to a few days

Question 20

Psychological Causes of Sexual Function: Difficulties and Dissatisfaction

Answer 20

Fatigue and Stress, Ineffective Sexual Behavior, Sexual Anxiety, Excessive need to please a partner

Question 21

Sexual Function Enhancement

Answer 21

Develop self-awareness, Develop conditions for good sex, Homework, Changing Sexual Relationships