Sexual Response

Question 1

Name the 5 stages of the sexual response

Answer 1

1) Desire
2) Arousal/excitement
3) Plateau
4) Orgasm
5) Resolution
DAPOR

Question 2

Name physiological responses to arousal that are common in both men and women

Answer 2

Increased HR
Increased BP
Increased resp. rate
Flushing
Nipple erection
Pelvic and genital vascular engorgement
Muscle contraction

Question 3

Name a few male specific responses that occur during arousal

Answer 3

Penis erects
Scrotum thickens
Testes rise

Question 4

Name a few female specific responses that occur during arousal

Answer 4

Enlargement of breasts
Vasocongestion of vaginal walls
Vaginal lubrication
Vagina elongates and widens
Tumescence (swelling) and erection of clitoris and labia
Elevation of cervix and uterus (to increase vaginal length)

Question 5

Name one procedure and one form of medication that can affect sexual response in men

Answer 5

Prostate surgery

Anti-depressants

Question 6

What does the plateau stage consist of in the sexual response?

Answer 6

Period of sexual excitement prior to orgasm

Question 7

During the plateau phase does the urethral sphincter contract or relax and what is the purpose of this?

Answer 7

Contracts to prevent:

• urine mixing with semen
• retrograde ejaculation

Question 8

How do orgasms vary between men and women?

Answer 8

In men consists of 3-6 contractions of urethra, pelvic floor and anus where as in women it’s 5-12 contractions.
Men can only have a single orgasm then have to have a resolution phase whereas women can have multiple orgasms to and from plateau

Question 9

What phase in the sexual response does ejaculation occur?

Answer 9

Orgasm

Question 10

What occurs in the resolution phase?

Answer 10

Relaxation

• HR, BP etc. decrease
• blood vessels dilate

Question 11

Where is brain activity highest as an orgasm begins?

Answer 11

Cerebellum and frontal cortex

Question 12

During orgasm, where does brain activity peak and what hormone is produced?

Answer 12

Hypothalamus

Oxytocin is released

Question 13

What effect does oxytocin have on the uterus?

Answer 13

Causes it to contract

Question 14

What area of the brain also peaks during orgasm that is linked to reward and pleasure?

Answer 14

Nucleus accumbens

Question 15

If someone has a lack of desire for sexual activity what disorder do they have?

Answer 15

Hypoactive sexual desire disorder

Question 16

Name the disorder - lack of desire for sexual activity accompanied with anxiety about idea of having sex

Answer 16

Sexual aversion disorder

Question 17

What is the medical name for pain during or after sex?

Answer 17

Dyspareunia

Question 18

What is vaginismus?

Answer 18

tightening of muscles around vagina when penetration is attempted

Question 19

Name the three subtypes of Hypoactive sexual desire disorder

Answer 19

1) Lifelong/generalised - little/no desire for sexual stimulation and has never had
2) acquired/situational - previously sexually interested in partner but now lacks interest but has desire for sexual stimulation either alone or with different person
3) Acquired/generalised - previously had sexual interest in partner but now lacks interest completely

Question 20

Treatment for hypoactive sexual desire disorder

Answer 20

Rule out biological cause then move onto psychological therapy

Question 21

What is female genital mutilation?

Answer 21

All procedures which involve removal or injury to the female external genitalia for non-therapeutic reasons

Question 22

What is Type I female genital mutilation

Answer 22

Clitoridectomy - partial/total removal or clitoris and/or its prepuce

Question 23

Type II female genital mutilation

Answer 23

Excision - clitoris and labia minora are partially or totally removed with or without excision of labia majora

Question 24

Type III female genital mutilation

Answer 24

Most severe form - Infibulation or Pharaonic type - sealing/narrowing vaginal orifice by appositioning the labia minora and/or majora with or without removal of clitoris. Small opening left for urine and menstrual blood to escape

Question 25

Type IV FGM

Answer 25

Pricking, piercing, incising, scraping, cauterisation