Sexual Helth Lecture Flashcards

1
Q

Vaginal Changes

A

shortening and narrowing
walls thinner and stiffer
less lubrication
painful intercourse
menopause (less estrogen= may be less aroused = less sensitive)

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2
Q

Dyspareunia

A

painful sexual intercourse

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3
Q

Ospemifene (Osphena)

A

works like estrogen
helps vaginal lubrication
increases risk of blood clots, strokes, and uterine cancer

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4
Q

Prasterone (Intraosa)

A

vaginal suppository used daily

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5
Q

Desensitization Therapy

A

vaginal relaxation techniques

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6
Q

Impotence

A

erectile dysfunction

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7
Q

Changes of Male Body

A

Loss of ability to have and keep
erection
Increased time to arousal, ejaculation, refractory period
Decreased firmness of erection
Decreased force of ejaculation

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8
Q

Vardenafil (Levitra, Staxyn)

A

most effective taken an hour before sex
can be taken with or without food
low fat meal so it can easily be absorbed
effective for 4-5 hours
newer form that dissolves on tongue

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9
Q

Tadalafil (Cialis)

A

with or without food
lasts for 36 hours
can be taken in smaller or larger doses

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10
Q

For Male meds, what are some considerations

A

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

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11
Q

Side effects of Male meds

A

flushing
HA
Indigestions
vision changes
back pain

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12
Q

Priapism

A

an erection that doesn’t go away (lasts longer than 4 hours)

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13
Q

pendulous

A

saggy breasts, lose collagen and elasticity

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14
Q

Menopause definition

A

no menstruation for 12 months

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15
Q

Average age in US for menopause

A

51 years old

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16
Q

symptoms of menopause

A

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

17
Q

Complications of Menopause

A

CVD
Osteoporosis
Urinate Incontinence (lose elasticity in urethra)
Sexual function (dyspareunia)
weight gain

18
Q

Treatment of Menopause

A

hormone therapy
vaginal estrogen
low dose antidepressants (mood changes)
Gabepentin/Clonidine (hot flashes)
Prevent / Treat Osteoporosis

19
Q

Andropause

A

male gradual decline in hormones

20
Q

Signs and Symptoms of Andropause

A

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

21
Q

Andropause Treatment

A

healthy diet, adequate sleep, exercise, stress reduction
Hormone replacement (dangers)

22
Q

PLISSIT

A

Permission, Limited Information, Specific Suggestions, Intensive Therapy

23
Q

Patient Education on Menopause

A

hot flashes have triggers (write them down)
wear layers, cold water, cool towels
avoid stimulation before bed
lubricants
relaxation techniques
strengthen pelvic floor
good diet, exercise, quit smoking

24
Q

Sildenafil (Viagra)

A

most effective taken on an empty stomach an hour before sex
effective for 4-5 hours

25
Roadblocks to a Healthy Sex Life
arthritis chronic pain dementia diabetes heart disease incontinence stroke depression surgery (hysterectomy/mastectomy/ prostatectomy) Medications (BP, antihistamines, parkinson’s disease, cancer meds, appetite suppressants, mental health meds, ulcer drugs)
26
Obstacles of Sexual Expression in Long term care facilities
lack of privacy negative attitudes lack of staff education physical/mental limitation consensual? family can say no (Sexual POA) HIV