Sexual Health Flashcards

1
Q

Sexual Health Definition

A

a state of physical, emotional, mental and social well-being in relation to sexuality

not merely the absence of disease, dysfunction or infirmity

Sexual health requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences, free of coercion, discrimination and violence

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2
Q

Why is sexual health preferable to reproductive health?

A
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3
Q

Most medical research focuses on diseases and STIs and dysfunction but less attention is given to sexual well-being in more broad terms

A
  • sexual satisfaction
  • sexual difficulties
  • sexual coercion
  • STIs
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4
Q

An active sex life is important for your sense of well-being

What % of men and women agree

A

87% men 79% women

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5
Q

Overall, is relationship satisfaction related to sexual satisfaction?

A

Strong relation
Satisfaction is significantly is related to greater physical satisfaction and more frequent sex

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6
Q

What is the ideal frequency of sex in relationships according to survey?

A

Men have slightly higher ideal but large male/female overlap

actual frequency is similar for men and women and lower than ideal

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7
Q

What is the mean frequency of sex in relationships?

A

1.5 times per week

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8
Q

Sexual difficulties involve

A
  • lack of interest in sex
  • orgasm too quickly
  • unable to orgasm
  • anxiety
  • not pleasurable
  • pain during intercourse
  • vaginal dryness
  • erectile dysfunction:
    obtaining/maintenance
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9
Q

Lower sexual function is related to

A
  • increase in age
  • depression
  • poor physical health
  • lower relationship satisfaction
  • inability to talk about sex with partners
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10
Q

Relationship between poor physical health and sexual frequency and satisfaction

A

Negative correlation

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11
Q

Long lasting effects of sexual coercion on:
- psychological well-being
- physical well-being
- sexual well-being

A
  • higher prevalence of depression and
    anxiety
  • lower well-being, drug, smoking, alcohol
  • more STIs, negative attitudes
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12
Q
A
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13
Q

Sexual Health Concerns: Youth:

A
  • avoiding unintended pregnancy
  • avoiding STIs
  • treating STIs to protect reproductive
    health
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14
Q

Sexual Health Concerns: Adulthood:

A
  • optimising reproductive health
  • optimising sexual satisfaction
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15
Q

Sexual Health Concerns: Older Age:

A
  • optimising sexual function
  • limiting impact of physical health on
    sexual health
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16
Q

Is there lifespan variation in sexual health needs of homosexual people?

A

Maybe -> reproductive issues may require IVF, donors etc

17
Q

Age of beginning sexual relationships start later between 1940s and 1980s.

A

true

18
Q

Sexual Problems Among Men:

A
  • varies with age
  • but not all to do with age
  • anxiety and erectile dysfunction
19
Q

Sexual Problems Among Women:

A
  • not simply physical
  • pain during sex
  • vaginal dryness
  • varies with age
20
Q

What affects condom use?

A
  • knowledge
  • attitudes
  • subjective norms
  • intentions to use
21
Q

What drugs can be used to prevent sexual transmission of HIV?

A

anti-retroviral therapy drugs

22
Q

When can anti-retroviral drugs be used to prevent the sexual transmission of HIV?

A
  • post-exposure prophylaxis (PEP)
    immediately after high-risk events
  • pre-exposure prophylaxis (PrEP)
23
Q

Why are diagnoses not decreasing for many STIs?

A
  • artefact:
  • more sensitive tests
  • more people getting tested
  • real increase:
  • inconsistent condom use
  • belief that STIs are not serious
24
Q

National Chlamydia Screening Programme:

A
  • opportunistic screening under 25s
  • testing at places other than GUM clinics
  • males tested via urine sample
  • females tested via self-collected vulvo-
    vaginal swabs
25
Q

What % of people aged 16-24 not seeking STI testing tested positive for chlamydia?

A

10%

26
Q

Change in Prevalence of HPV between 20-24yr women before and after HPV vaccine:

A
  • was 20-40%
  • now 6%