Sexual/ Paraphilic Flashcards
How do alcohol and marijuana effect sex?
- enhance desire short term but delay/prevent orgasm
- long term decrease arousal
How do cocaine and amphetamines effect sex?
-enhance libido
How do narcotics effect sex?
inhibit libido
Male changes in sex with aging
- no change in desire!
- need more stimulation + time to orgasm
- lower intensity of ejaculation
- increased refractory period
Female changes in sex with aging
- vaginal dryness/thinning
- reduced nipple/clitoral/vulvar sensitivity
How to enhance female sex with age
- HRT
- vaginal creams
Three medical conditions that contribute to sexual dysfunction
- atherosclerosis
- diabetes
- pelvic adhesions
Medications that cause sexual dysfunction
- antihypertensives
- anticholinergics
- antidepressants
- antipsychotics
What causes libido in both men and women
What inhibits libido
testosterone =^ libido
progesterone inhibits
What neurotransmitters effect libido?
- dopamine ^
- serotonin lowers
MC sexual d/o in men
- erectile d/o
- premature ejaculation
MC sexual d/o in women
- interest/arousal d/o
- female orgasmic d/o
Absence or defiency of sexual thoughs/desires for 6 months is ______
Hypoactive sexual desire d/o
Diagnosis of ED requires what length of time?
-6 months
Time required for premature ejaculation d/o
- less than 1 minute during sex
- before individual wants it to
- lasts for more than 6 months
Treatment for premature ejaculation
SSRIs/ TCAs
Treatment for hypoactive sexual d/o
testosterone
When can sex reassignment therapy be done?
- 1 year of living in gender role must be completed
- 1 year of HT must be completed
What makes a sexual fantasy a paraphilia
-intense, recurrent, interfere with daily life. occasional bizarre fantasies are normal
Three most common types of paraphilis
- pedophilia
- voyeurism
- exhibitionism
What type of paraphilia is:
- feotteuristic
- voyeuristic
- exhibitionistic
- feotteuristic: touching/ rubbing
- voyeuristic: observing someone undressing
- exhibitionistic: exposure of ones genitals
What type of paraphilia is:
- sexual masochism
- sexual sadism
- fetishistic
- masochism: being made to suffer
- sadism: inflicting suffering
- fetishistic: arousal from non-living things or non-genital body parts
What drugs have been used to treat paraphilias:
- SSRIs
- naltrexone
- antiandrogens
- long acting GNRH
