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Phase 3a BigBoi > Sexual Medicine Peer Teaching > Flashcards

Sexual Medicine Peer Teaching Flashcards

1
Q

What is female sexual interest/ arousal disorder

A

Reduced or absent sexual interest, physical responses to sexual stimuli, erotic thoughts, sexual pleasure

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2
Q

What is female orgasmic disorder

A

Absent, infrequent, reduced or delayed orgasm

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3
Q

What is genitopelvic pain/ penetration disorder

A

Fear/anxiety, tightening, vulvovaginal pain with attempted vaginal penetration during or after seex

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4
Q

What is the normal female physical response to sexual stimuli

A

Pelvic vasocongestion, swelling of external genitalia, vaginal lubrication and expansion

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5
Q

Biological causes of female sexual dysfunction

A 
Age
Menopause
Thyroid, DM, pituitary adenoma
Atherosclerosis
Neuro
Meds
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6
Q

Why can menopause cause sexual dysfunction

A

Low oestrogen causes urogenital atrophy, thin, dry skin, pain

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7
Q

Which class of drugs in particular cause female sexual dysfunction?

A

SSRI

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8
Q

Psychological causes of female sexual dysfunction

A

Previous abuse
Body image
Depression/ anxiety

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9
Q

Social causes of female sexual dysfunction

A

Relationship troubles
Life stresses
Pressure to perform

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10
Q

Causes of superficial dyspareunia

A

Vaginismus, insufficient lube, thrush, herpes, vestibulo/vulvodynia

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11
Q

Causes of deep dyspareunia

A

Insufficient lube, pelvic inflammatory disease, endometriosis, cervical pathology

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12
Q

Investigation of female sexual dysfunction

A

History
Exam
Blood pressure
Bloods

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13
Q

Which bloods would you do for female sexual dysfunction

A

TFT, Prolactin, testosterone, oestrogen, SHBG (sex hormone binding globulin), glucose, lipids, FBC

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14
Q

Treatment for female sexual dysfunction

A

Pyschotherapy
Treat underlying physical cause
Kegel exercises
Topical oestrogen

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15
Q

Causes of erectile dysunction

A 
Atherosclerosis
Neuro
DM
High prolactin
Pscyhological
Agnrodgen deficiency
Venoclusive disease
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16
Q

Causes of androgen deficiency

A 
Lack of testosterone
Age, obesity
Chemo, radio, mumps affect testicular function
Pituitary adenoma or prolactinoma
Hypothalamus
Absent gonads
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17
Q

Bloods for ED

A

TFT, Prolactin, testosterone, SHBG (sex hormone binding globulin), glucose, lipids, FBC

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18
Q

Why are atherosclerosis and ED an important connection

A

Will present clinically earlier as smaller artery so smaller plaque has bigger effect on flow

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19
Q

ED treatments

A 
Sildenafil
Intracorporeal injection of alprostadil
Vacuum device
Kegels
Penile ring
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20
Q

What type of drug is sildenafil

A

PDE5 inhibitor (phosphodiesterase)

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21
Q

What type of drug is alprostadil

A

Prostaglandin E1 (PGE1)

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22
Q

Definition of premature ejaculation

A

Inability to control ejaculation, usually under 60s. Requires minimal stimulation, inadequate for both partners to enjoy sex

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23
Q

Causes of premature ejaculation

A

Penile hypersensitivity
Hyperthyroid
Psycho- anxiety, lack of experience, relationship troubles

24
Q

Premature ejaculation treatment

A

Desensitising gel
Couples therapy
Kegels
Stop start continue

25
Name 4 psychosexual couples therapy approaches
CBT Psychodynamic Stystemic Inegrative
26
Describe CBT approach to couples therapy
``` Cognitive= reduces unhelpful thinking Behavioural= touch exercises with partner, personal sexual growth programme ```
27
Describe psychodynamic approach to couples therapy
Explore unresolved issues, previous dysfunctional relationships
28
Describe systemic approach to couples therapy
Interactions/ roles in a relationship
29
Describe the integrative approach to couples therapy
Mixed approach
30
What must a sexual disorder be to be classed as a disorder
Persistent | Cause marked distress
31
Hypoactive sexual disease disorder
Lack or loss of sexual desire causing distress (doesnt preclude sexual enjoyment or arousal but makes the initiation of sex less likely)
32
How is testosterone replacement given
Repeat tests, injections, transdermal patches, buccal, subcut implants
33
Premenopausal and hypoactive sexual desire disorder treatment in women
Flibanserin
34
Side effects of sildenafil
Head aches and flushing
35
Contraindications of sildenafil
Hypertension
36
Female orgasmic disorder treatment
Topical oestrogens | Behavioural interventions: guided masturbation and vibrators
37
Define vaginismus
Spasm of the pelvic floor muscles that surround the vaginal opening, make penile entry painful or impossible
38
Causes of vaginismus
Thrush, FGM, Congenital abnormality. Previous trauma/abuse, fear/dislike of partner or pregnancy, misinformed
39
Treatment of vaginismus
Self exploration, vaginal dilators, graded penetration therapy
40
Describe candida albicans
Cottage cheese. Immunosuppresion causes it. Diagnosis: MC+S shows mycelia spores Antifungals: Clotrimazole, fluconazole
41
Describe bacterial vaginosis
White fishy smelly Sexually active, IUCD, new partner Ix: pH>4.5, CLUE CELLS. Tx: Metronidazole
42
Describe gonnorhea
Neisseria gonorrhoea Previous STI, multiple partners. NAAT IM Ceftriaxzone (+Aziothromycin for chlamydia), contract tracing
43
Descirbe Neisseria Gonorrhoea
Gram negative diplococcus
44
What is NAAT
Nucleic acid amplification test
45
What symptoms can you get for gonorrhoea
Normally none but can get discharge and dysuria
46
What symptoms can you get for chlamydia
Usually none but can get discharge, dysuria and IMB
47
Describe chlamydia
``` Chlamydia Trachomatis Previous STI, multiple partners. NAAT, swabs PID/ Reiters Aziothromycin Contact tracing ```
48
Describe chlamydia trachomatis
Gram negative cocci
49
What is Reiters syndrome
Cant see, cant wee, cant climb a tree | Conjuctivitis, urethritis, reactive arthritis
50
What is PID most commonly caused by
Chlamydia
51
Describe trichmonas vaginalis
``` T. Vaginalis Frothy offensive yellow/green discharge, strawberry cervic, dysuria, itchy and sore NAAT, swabs Metronidazole Treat partner too ```
52
Describe trichomonas vaginalis histologically
Flagellated protozoan
53
Cause of genital warts and consequence
HPV 6 and 11, both external so dont have cervical cancer risk
54
Describe genital warts
Growths/lesions, multiple or solitary, painless, itch, dyspareunia
55
Diagnosis of genital warts
Examination and STI screen
56
Treatment of genital warts
Cryotherapy and podophyllotoxin cream

Phase 3a BigBoi (11 decks)

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