Sexual Pathology

Question 1

What is erectile disorder defined as?

Answer 1

Marked difficult in obtaining an erection, maintaining rigidity, and maintaining an erection until ejaculation during sexual activity for at least 6 months in 75-100% of siutations

Question 2

What is delayed ejaculation defined as?

Answer 2

For at least 6 months in 75-100% of situations, delayed ejaculation is seen and unwanted

Question 3

What is premature ejaculation defined as?

Answer 3

Cuming within one minute of vaginal entry

Question 4

What are the potential consequences of priapism?

Answer 4

Blood flow that remains in the penis is restricted and deprived of oxygen and can become necrotic and die.

Question 5

How is priapism treated?

Answer 5

Typically adrenaline reverses the erection

Question 6

What is chordee?

Answer 6

This is a congenital condition where the penis curves downward. It often accompanies hypospadiasis. Chordee may not be noticeable except during erections

Tx is surgery, where the surgeon takes mouth or thigh tissue to lengthen the penis

Question 7

What is vaginismus?

Answer 7

Pelvic floor muscle pain (PMP), making intercourse very painful. This is a type of dyspareunia.

Question 8

Treatment of sexual dysfunctions is most effective with a ___________ approach

Answer 8

bio-psychosocial. Even if there is a seemingly clear physical cause, psychological issues will compount the problem. Resist the urge to categorize sexual problems are organic or psychological

Question 9

When assessing and determining the best tx for individuals with out of control sexual behaviors, an appropriate question is:

Answer 9

to ask if they have a hx of addictive behaviors.

Question 10

How is true sex addiction treated?

Answer 10

A traditional 12-step conceptualization of the issue along with its treatment

However, a pts. may have out of control sexual behavior (OCSB) but not be addicts.

Question 11

What is paraphilia?

Answer 11

Atypical sexual practices including BDSM or having requiring a particular fetish for arousal. These are far more common than thought, are not considred disorders as ‘normal’ and ‘atypical’ varies for everyone. Importantly, paraphilias dont require clinical intervention just because they might be out of the provider’s realm of ‘normal’

NOTE: Paraphilic disorders requires that there is personal distress about their interest, not merely distress resulting from societal disapproval. Additionally, it becomes a disorder if the desire involves another person’s distress, injury, or death