sexual health

Question 1

Why should older people drink water everyday?

Answer 1

thirst signals decrease in the older adult (drink with meals)

Question 2

Why is it important to understand your body’s response to medications when you’re older?

Answer 2

metabolism changes

Question 3

Is urinary incontinence normal in older people?

Answer 3

no, don’t expect it

Question 4

what changes in the female body with age?

Answer 4

• vaginal shortening and narrowing
• vaginal walls thinner and stiffer
• less vaginal lubrication (your pussy don’t get wet)
• dyspareunia (painful sex)
• menopause

Question 5

what causes the female body to change

Answer 5

decreased estrogen, connected to menopause

Question 6

what is dyspareunia

Answer 6

painful intercourse

Question 7

what three things help with dyspareunia

Answer 7

• ospemifene (osphena)
• prasterone (intrarosa)
• desensitization therapy

Question 8

what drug helps with vaginal lubrication, works like estrogen (hormone replacement), and has the side effects of stroke, blood clots, and uterine cancer?

Answer 8

ospemifene (osphena)

Question 9

what drug is a vaginal suppository

Answer 9

prasterone (intrarosa)

Question 10

what can you do for vaginal relaxation?

Answer 10

desensitization therapy

Question 11

what does menopause lead to

Answer 11

less estrogen = less sensitive = less aroused

Question 12

hormone therapy for menopause may ___ libido and come with great cv risks

Answer 12

increase

Question 13

What is impotence?

Answer 13

erectile dysfunction

Question 14

what are the characteristics of impotence/erectile dysfunction?

Answer 14

• loss of ability to have and keep erection
• increased time to arousal, ejaculation, refactory period (times between)
• decreased firmness of erection
• decreased force of ejaculation

Question 14

what are the characteristics of impotence/erectile dysfunction?

Answer 14

• loss of ability to have and keep erection
• increased time to arousal, ejaculation, refactory period (times between)
• decreased firmness of erection
• decreased force of ejaculation

Question 15

what are three medications for impotence/erectile dysfunction

Answer 15

• sildenafil (viagra)
• vardenafil (levitra, staxyn)
• tadalafil (cialis)

Question 16

What are the instructions for Sildenafil (Viagra)

Answer 16

take on an empty stomach one hour before sex
works for 4-5 hours or more

Question 17

what are the instructions for vardenafil (levitra, staxyn)

Answer 17

take one hour before sex with or without food
low fat medication (fat stops absorption)
works for 4-5 hours
newer pill goes under tongue

Question 18

what are the instructions for tadalafil (cialis)

Answer 18

take with or without food 1-2 hours before sex
works up to 36 hours

Question 19

what is the way to remember ED meds

Answer 19

“fil” : in the “feels” for ED

Question 20

What are the medication considerations for ED meds

Answer 20

Do not take with: nitrates, hypotension, uncontrolled HTN, severe liver disease, renal failure with dialysis

Question 21

why can’t you take nitrates with ED meds

Answer 21

causes too much vasodilation which can cause severe life threatening hypotension

Question 22

what are the side effects of ED meds

Answer 22

flushing, HA, indigestions, vision changes, back pain

Question 23

what are the serious side effects of ED meds

Answer 23

an erection that doesn’t go away (priapism): is rare, however requires medical treatment to avoid permanent damage to penis (erection lasting longer than 4 hours)

Question 24

what is the average age in the US for menopause

Answer 24

51

Question 25

what are the symptoms of menopause

Answer 25

- irregular periods - hot flashes / night sweats / chills - sleep problems - mood changes - weight gain and slowed metabolism - thinning hair and dry skin - loss of breast fullness

Question 26

what are the complications that come with menopause

Answer 26

- CVD - osteoporosis (bone matrix decreases, increased fractures) - urinary incontinence - sexual function (dyspareunia) - weight gain (make sure to move!)

Question 27

what are treatments for menopause

Answer 27

- hormone therapy (lower dose) - vaginal estrogen - low-dose antidepressants - gabapentin/clonidine - prevent/treat osteoporosis

Question 28

why can low-dose antidepressants be used for treatment of menopause

Answer 28

SSRIs minimize hot flashes

Question 29

what is andropause

Answer 29

gradual decline in hormones (as opposed to plummet in F)

Question 30

what are the signs and symptoms of andropause

Answer 30

- most of the time go unnoticed - reduced sexual desire/activity - decreased erections / ED - breast discomfort / swelling - infertility - loss of height - hot flashes/sweats - decreased energy, motivation, confidence, poor concentration, depression - increased fatigue, sleep disturbances, reduced muscle bulk & strength, increased body fat

Question 31

what is the treatment for andropause

Answer 31

- healthy diet, adequate sleep, exercise, stress reduction - hormone replacement dangers

Question 32

what is a good way to remember how to talk about sex to older people

Answer 32

PLISSIT

Question 33

what is PLISSIT

Answer 33

permission, limited information, specific suggestions, intensive therapy (expert)

Question 34

what are the roadblocks to a healthy sex life

Answer 34

- arthritis (hurts) - chronic pain - dementia - diabetes - heart disease - incontinence - stroke (paralysis/communication) - depression - surgery (hysterectomy / mastectomy / prostatectomy) - medications

Question 35

what kinds of medications can create roadblocks to a healthy sex life

Answer 35

- bp, antihistamines, parkinson's disease, cancer meds, appetite suppressants, mental health medications, and ulcer drugs

Question 36

what are the obstacles of sexual expressions in long-term care facilities

Answer 36

- lack of privacy - negative attitudes - lack of staff education - physical/mental limitations

Question 37

Facts about sexual expressions in long-term care facilities

Answer 37

- usually non-sexual (hold hands/kiss) - Consensual? (family can say no, sexual poa?) - HIV - monitor your own personal beliefs

Question 38

biological sex (male/female) in accordance with internal/external reproductive organs

Answer 38

sex

Question 39

person's identity/social classification based on masculine/feminine qualities and personality traits

Answer 39

gender

Question 40

sexual attraction to others (men, women, both, neither, or other)

Answer 40

sexual orientation

Question 41

live transgender full time and undergo hormone supplementation or gender reassignment (or both)

Answer 41

transsexual

Question 42

a person whose gender identity or gender expression differs from the sex assigned to them at birth (aka gender variant, gender non-conforming, gender different)

Answer 42

transgender

Question 43

those who redefine, refute, or break traditional gender norms. may identify with neither gender or both genders

Answer 43

genderqueer

Question 44

(aka cross dressers) wear the clothes and otherwise take on the social roles of the opposite sex- regularly or occasionally- and are comfortable with their anatomical sex

Answer 44

transvestite

Question 45

What are problems related to lgbtq health

Answer 45

- lack of research - bias - transgender people denied routine and transgender related care