Sexual Helth Lecture Flashcards
Vaginal Changes
shortening and narrowing
walls thinner and stiffer
less lubrication
painful intercourse
menopause (less estrogen= may be less aroused = less sensitive)
Dyspareunia
painful sexual intercourse
Ospemifene (Osphena)
works like estrogen
helps vaginal lubrication
increases risk of blood clots, strokes, and uterine cancer
Prasterone (Intraosa)
vaginal suppository used daily
Desensitization Therapy
vaginal relaxation techniques
Impotence
erectile dysfunction
Changes of Male Body
Loss of ability to have and keep
erection
Increased time to arousal, ejaculation, refractory period
Decreased firmness of erection
Decreased force of ejaculation
Vardenafil (Levitra, Staxyn)
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
Tadalafil (Cialis)
with or without food
lasts for 36 hours
can be taken in smaller or larger doses
For Male meds, what are some considerations
Do not take with nitrates, hypotension, uncontrolled HTN, severe liver disease, renal failure with dialysis
Side effects of Male meds
flushing
HA
Indigestions
vision changes
back pain
Priapism
an erection that doesn’t go away (lasts longer than 4 hours)
pendulous
saggy breasts, lose collagen and elasticity
Menopause definition
no menstruation for 12 months
Average age in US for menopause
51 years old
symptoms of menopause
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
Complications of Menopause
CVD
Osteoporosis
Urinate Incontinence (lose elasticity in urethra)
Sexual function (dyspareunia)
weight gain
Treatment of Menopause
hormone therapy
vaginal estrogen
low dose antidepressants (mood changes)
Gabepentin/Clonidine (hot flashes)
Prevent / Treat Osteoporosis
Andropause
male gradual decline in hormones
Signs and Symptoms of Andropause
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
Andropause Treatment
healthy diet, adequate sleep, exercise, stress reduction
Hormone replacement (dangers)
PLISSIT
Permission, Limited Information, Specific Suggestions, Intensive Therapy
Patient Education on Menopause
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
Sildenafil (Viagra)
most effective taken on an empty stomach an hour before sex
effective for 4-5 hours
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)
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
