Sexual Health: Johnson Flashcards
What we think is aging is actually?
Deconditioning
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?
In PLAY mode; 70:30;
parasympathetic;
PDE 5 inhibitors like sildenafil, vardenafil, taldalafil
Testosterone is related positively with what? Negatively with what? What are four things associated with low testosterone?
Muscle strength and bone density; negatively with fat masses (decreased testosterone leading to increased visceral fat);
obesity, type 2 diabetes, cv disease, inflammatory disorders
Chronic ____ causes sexual dysfunction
Pain
What antihypertensive drugs inhibit sexual function? What drugs can promote it?
Beta blockers bad except nebivolol, all diuretics bad, digoxin bad; ACE inhibitors, A II antagonists good, Ca channel blockers okay, statins good
Opioids _____ sexual functioning in ____ and _____. How else do they affect general health?
diminish; men, women; increase osteoporosis, fatigue, pain, depression
How do antipsychotics and benzos affect sexual function?
Probably diminish it but evidence lacking
_____ and _____ antidepressants are extremely _____ to sexual functioning, while what two drugs are sex positive?
SSRI, SNRI; toxic; buproprion, trazodone