Sexual function and dysfunction Flashcards
1
Q
Sexual response cycle
A
- transition
- desire
- arousal/ excitement
- plateau
- orgasm
- resolution
- refractory
2
Q
Alternative model of woman’s sexual response
A
- sexual neutrality
- receptive to sexual stimulation
- factors influence processing in limbic system
- sexual arousal
- desire for more
- satisfaction
3
Q
Types of sexual dysfunction
A
- desire disorders
- arousal disorders
- orgasmic disorders
- pain disorders
4
Q
PLISSIT model for sex therapy
A
- intensive therapy
- limited information
- home love play exercises
- permission
5
Q
Causes of superficial dyspareunia
A
- infection
- hormonal
- psycho-sexual
- muscular
- chemicals
- trauma
- pain, vulvodynia
- thick hymen
- diabetes
- radiotherapy
6
Q
Causes of deep dyspareunia
A
- endometriosis
- pelvic infection
- uterine fibroids
- uterine prolapse
- ovarian cyst/ tumour
- bowel pathology
7
Q
Definition of vaginismus
A
Involuntary spasm of PC and levator ani muscles with anticipation of or penetration which interferes with coitus because of pain and difficulty with penetration
8
Q
Causes of vaginismus
A
- developmental
- traumatic
- dyspareunia
9
Q
Treatment of vaginismus
A
- explain anatomy and PC muscles
- reflex nature of spasm
- teach control by desensitization
- relaxation techniques
- self, then partner digital dilatation
- controlled coitus
10
Q
Local causes of sexual pain in men
A
- phimosis, balanitis
- herpes
- orchitis, prostatitis
- urethritis, stricture, cystitis
- local irritation
- chordee, Peyronie’s, priapism
11
Q
ED definition
A
Inability to achieve or maintain an erection sufficient for satisfactory erectile performance
12
Q
Causes of ED
A
- vasculogenic
- neurogenic
- psychogenic
- structural
- endocrinologic
- iatrogenic
- lifestyle
13
Q
Non-invasive therapies for ED
A
- elimination of modifiable risk factors
- treat pathology
- counselling and/or psychotherapy
- pharmacological agents
- vacuum constriction devices
14
Q
Invasive therapies for ED
A
- intraurethral drug application
- intracavernosal injection therapy
- prosthetic implantation
- venous/arterial surgery
