Sexual Helth Lecture

Question 1

Vaginal Changes

Answer 1

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

Question 2

Dyspareunia

Answer 2

painful sexual intercourse

Question 3

Ospemifene (Osphena)

Answer 3

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

Question 4

Prasterone (Intraosa)

Answer 4

vaginal suppository used daily

Question 5

Desensitization Therapy

Answer 5

vaginal relaxation techniques

Question 6

Impotence

Answer 6

erectile dysfunction

Question 7

Changes of Male Body

Answer 7

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

Question 8

Vardenafil (Levitra, Staxyn)

Answer 8

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

Question 9

Tadalafil (Cialis)

Answer 9

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

Question 10

For Male meds, what are some considerations

Answer 10

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

Question 11

Side effects of Male meds

Answer 11

flushing
HA
Indigestions
vision changes
back pain

Question 12

Priapism

Answer 12

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

Question 13

pendulous

Answer 13

saggy breasts, lose collagen and elasticity

Question 14

Menopause definition

Answer 14

no menstruation for 12 months

Question 15

Average age in US for menopause

Answer 15

51 years old

Question 16

symptoms of menopause

Answer 16

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

Question 17

Complications of Menopause

Answer 17

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

Question 18

Treatment of Menopause

Answer 18

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

Question 19

Andropause

Answer 19

male gradual decline in hormones

Question 20

Signs and Symptoms of Andropause

Answer 20

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

Question 21

Andropause Treatment

Answer 21

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

Question 22

PLISSIT

Answer 22

Permission, Limited Information, Specific Suggestions, Intensive Therapy

Question 23

Patient Education on Menopause

Answer 23

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

Question 24

Sildenafil (Viagra)

Answer 24

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

Question 25

Roadblocks to a Healthy Sex Life

Answer 25

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)

Question 26

Obstacles of Sexual Expression in Long term care facilities

Answer 26

lack of privacy
negative attitudes
lack of staff education
physical/mental limitation
consensual?
family can say no (Sexual POA)
HIV