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Finals > Sexual medicine > Flashcards

Sexual medicine Flashcards

1
Q

What is a paraphilia?

A

sexual interest in an object/situation which is atypical

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2
Q

What is a sexual aversion disorder?

A

persistant avoidance of genital contact with a sexual partner

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3
Q

Causes of sexual aversion disorder?

A

bad previous experiences, violent experiences, anxiety

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4
Q

what is hypoactive sexual desire disorder?

A

low sexual desire, rarely engages in sexual activities and don’t initiate sexual activity

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5
Q

causes of hypoactive sexual desire disorder?

A

pregnancy, menopause, relationship problems, mental illness, fatigue, low confidence, ED, delayed ejaculation, neurological issues

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6
Q

Ix for hypoactive sex drive?

A

hormone levels, pelvic exam, BP check, CHD check, prostate exam

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7
Q

What is orgasmic disorder?

A

difficulty reaching orgasm despite sufficient sexual stimulation

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8
Q

causes of orgasmic disorder?

A

age, SSRIs, depression, anxiety, Hx sexual abuse, low confidence, relationship issues

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9
Q

Ix for orgasmic disorder?

A

physical exam, sexual history, bloods

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10
Q

what is delayed ejaculation?

A

takes >30 minutes of penetrative sex in order for male climax (sometimes not possible to climax at all)

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11
Q

causes of delayed ejaculation?

A

psych - depression, anxiety
meds - SSRI, alcohol, antipsychotics
physical - pelvic nerve injury, prostate surgery

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12
Q

what is retrograde ejaculation?

A

semen enters the bladder instead of through the penis. DRY ORGASM - followed by cloudy urine, and reduced fertility

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13
Q

causes of retrograde ejaculation?

A

bladder neck surgery, nerve damage (diabetes/MS/PD)

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14
Q

what is peyronies disease?

A

fibrous tissue develops on the penis - creates a curved shape and painful erectionss

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15
Q

what is ED?

A

persistant inability to attain or maintain an erection for sexual performance

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16
Q

RF for ED?

A

CVD, obesity, diabetes, hyperlipidaemia, HTN, smoking, SSRIs, B blockers

17
Q

name a medication and class used to treat ED

A

PD5 inhibitors - e.g Viagra

18
Q

what is vaginismus?

A

difficulty with vaginal penetration despite wanting to, due to involuntary contraction of the pelvic floor muscles and thigh adductors

19
Q

how do you manage vaginismus?

A

vaginal dilators

20
Q

what is vulvodynia?

A

burning pain around the vagina in absence of physical findings/neuro findings

21
Q

Mx for vulvodynia?

A

1st line = pelvic floor exercises, internal and external massage, topical LA
2nd line - TCA, gabapentin

Finals (21 decks)

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