Sexual Health: Johnson Flashcards

1
Q

What we think is aging is actually?

A

Deconditioning

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2
Q

When does optimal heterosexual sex take place? What is the rat rule ratio? What tone must rule sex and what sorts of drugs can help out?

A

In PLAY mode; 70:30;
parasympathetic;
PDE 5 inhibitors like sildenafil, vardenafil, taldalafil

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3
Q

Testosterone is related positively with what? Negatively with what? What are four things associated with low testosterone?

A

Muscle strength and bone density; negatively with fat masses (decreased testosterone leading to increased visceral fat);
obesity, type 2 diabetes, cv disease, inflammatory disorders

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4
Q

Chronic ____ causes sexual dysfunction

A

Pain

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5
Q

What antihypertensive drugs inhibit sexual function? What drugs can promote it?

A

Beta blockers bad except nebivolol, all diuretics bad, digoxin bad; ACE inhibitors, A II antagonists good, Ca channel blockers okay, statins good

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6
Q

Opioids _____ sexual functioning in ____ and _____. How else do they affect general health?

A

diminish; men, women; increase osteoporosis, fatigue, pain, depression

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7
Q

How do antipsychotics and benzos affect sexual function?

A

Probably diminish it but evidence lacking

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8
Q

_____ and _____ antidepressants are extremely _____ to sexual functioning, while what two drugs are sex positive?

A

SSRI, SNRI; toxic; buproprion, trazodone

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