Sexual fxn Flashcards

1
Q

4 phases of sexual response

A
  1. Excitement
  2. Plateau
  3. Orgasm
  4. Resolution
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2
Q

Does everyone have a desire for intercourse?

A

Yes - but desire can be augmented or inhibited by learned responses and experiences

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3
Q

Erection is mediated by the release of _____ from nerve terminals and endothelial cells, which stimulates ______ in smooth muscle cells

A

NO, the synthesis of cGMP

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4
Q

Low libido

- assoc. with?

A

Female sexual interest/arousal disorder:
chronic lack of interest in sexual activity

  • chronic disease
  • depression
  • hypoestrogenic/hypotestosertone states
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5
Q

Vaginismus

A

involuntary spasm of muscles around outer third of vagina
- may make penetration impossible

*caused by pain, religion, severe negative parental attitudes

tx MUST involve partner - they can learn that they can have something in vagina

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6
Q

Most sexual dysfxn are due to _______

A

performance anxiety

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7
Q

Sensate focus has how many visits? What does it involve?

A

12-16 visits

Involves:

  • behavioral modif
  • Marital therapy
  • must be trained in technique
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8
Q

Which treatment is most successful in orgasmic dysfxn?

A

Bibliotherapy

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9
Q

Flibanserin (addyi)

A

Tx acquired, generalized hypoactive sexual desire disorder (HSDD) in premenopausal women
- not clinically sig

Post-synaptic 5HT1 alpha receptor agonist

  • lowers 5-HT and raises dopamine and noradrenaline in prefrontal cortex
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10
Q

Flibanserin adverse effects

A

hypotension, especially if used with alcohol

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11
Q

Which type of therapy is very effective against ED?

A

Sensate focus

12-16 visits

Involves:

  • behavioral modif
  • Marital therapy
  • must be trained in technique
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