Sexual fxn

Question 1

4 phases of sexual response

Answer 1

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

Question 2

Does everyone have a desire for intercourse?

Answer 2

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

Question 3

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

Answer 3

NO, the synthesis of cGMP

Question 4

Low libido

- assoc. with?

Answer 4

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

• chronic disease
• depression
• hypoestrogenic/hypotestosertone states

Question 5

Vaginismus

Answer 5

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

Question 6

Most sexual dysfxn are due to _______

Answer 6

performance anxiety

Question 7

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

Answer 7

12-16 visits

Involves:

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

Question 8

Which treatment is most successful in orgasmic dysfxn?

Answer 8

Bibliotherapy

Question 9

Flibanserin (addyi)

Answer 9

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

Question 10

Flibanserin adverse effects

Answer 10

hypotension, especially if used with alcohol

Question 11

Which type of therapy is very effective against ED?

Answer 11

Sensate focus

12-16 visits

Involves:

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