Sexual fxn Flashcards
4 phases of sexual response
- Excitement
- Plateau
- Orgasm
- Resolution
Does everyone have a desire for intercourse?
Yes - but desire can be augmented or inhibited by learned responses and experiences
Erection is mediated by the release of _____ from nerve terminals and endothelial cells, which stimulates ______ in smooth muscle cells
NO, the synthesis of cGMP
Low libido
- assoc. with?
Female sexual interest/arousal disorder:
chronic lack of interest in sexual activity
- chronic disease
- depression
- hypoestrogenic/hypotestosertone states
Vaginismus
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
Most sexual dysfxn are due to _______
performance anxiety
Sensate focus has how many visits? What does it involve?
12-16 visits
Involves:
- behavioral modif
- Marital therapy
- must be trained in technique
Which treatment is most successful in orgasmic dysfxn?
Bibliotherapy
Flibanserin (addyi)
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
Flibanserin adverse effects
hypotension, especially if used with alcohol
Which type of therapy is very effective against ED?
Sensate focus
12-16 visits
Involves:
- behavioral modif
- Marital therapy
- must be trained in technique