Sexual Response Cycle (Exam 4) Flashcards
what is the name of a sexual disorder for women?
sexual interest/arousal disorder
what are two sexual disorders for men?
male hyposexual disorder, erectile disorder
what is the orgasmic disorder for women?
female orgasmic disorder
what are the orgasmic disorders for men?
premature ejaculation, delayed ejaculation
what are the sexual pain disorders for men and women?
genito-pelvic pain/penetration disorder
true or false: the sexual response cycle of humans is mostly linear
false; men’s is mostly linear but about half of women experience a more circular cycle
what is the progression of steps in a linear sexual response cycle?
desire, excitement (arousal), plateau, orgasm, resolution - sometimes arousal precedes desire
according to the self-reported study what are the 3 most common sexual dysfunctions for women that are typically experienced together?
lacked interest in sex, inability to reach orgasm, and lack of pleasure during sex
according to the self-reported study what are the two most common sexual dysfunctions for men?
trouble maintaining or achieving an erection and reaching orgasm too quickly
sexual desire is difficult to measure, how do they do it?
ask questions such as how often do you think of sex, what are your masturbation rates, and how much sex would you like?
what are the four categories of what triggers sexual desire (found in a study of only women)?
emotional bonding cues, explicit erotic cues, evolutionary-based cues, and romantic/implicit cues
what are the sex hormones that are produced in different amounts for men and women?
androgens, estrogen, progesterone
what are two types of androgens?
testosterone, dihydrotestosterone
what are the three types of estrogen and which is the most powerful in women?
estradiol, estriol, estrone; estradiol is most powerful in women
where are hormones produced in humans?
males: testes and adrenal glands
females: ovaries and adrenal glands
what role do sex hormones play in sexual desire of men?
- estrogen and progesterone have a little effect
- androgens (T) are the most important
true or false: high levels of Estrogen inhibit sexual desire among male sex offenders
true; it is likely because it suppresses T
true or false: levels of T in humans increases in anticipation of sexual contact
true; island man beard growth test
true or false: castration decreases sexual interest in men and is irriversable
false; it can be reversed with T replacement
true or false: levels of sexual desire in men are variable based on levels of T
false; the amount of T is irrelevant, it is the receptors that read T that are important and limited
what role to sex hormones play sexual desire of women?
- estrogen and progesterone play a minimal role
- T plays an important role
though estrogen has little effect in sexual desire of women, it has a secondary effect, what is that?
low E decreases vaginal lubrication which can decrease sexual desire
what is the “normal” range of free T women ages 18-46 have?
1.3 - 6.8 pictograms per milliliter
starting at puberty, males produce how much T per day?
300 - 1,000 pictograms per milliliter per day
what is an oophorectomy and what effect can it have?
the removal or ovaries and it can decrease desire which can be restored with T
true or false: some oral contraceptives decrease T and impair desire in women
true; because the SHBG in some birth control attaches to T so the body can’t read it
in the long distance monogamous relationship study on T levels, when were the levels of T the highest in women?
the day before they reunited with their partner
true or false: in women, sexual desire is influenced by T but androgens alone are not sufficient for sexual desire
true
true or false: androgen antagonists consistently suppress libido in women
false
in what way are aphrodisiacs most effective?
via placebo
why are placebos so powerful in sex?
they change expectancies
what possible secondary effect can antihistamines have on sex drive
they can dry out mucous membranes in vaginal tissue
what effect can alcohol have in sex?
small amounts can disinhibit inhibitory mechanisms, but larger amounts can impair performance
what effect can marijuana have on sex?
varies by person, anxiety vs. relaxation
what effect can methamphetamine have on sex?
claimed to intensify pleasure while partners say the opposite and damages the dopamine system making orgasm unattainable
what effect can cocaine have on sex?
increases the dopamine system, can enhance sensations at moderate doses but sexual dysfunction at higher doses
what effect can MDMA (ecstasy) have on sex?
increases sexual arousal, repeated use leads to sexual dysfunction by impairing the serotonin system
what are four psychological factors impacting sexual desire?
depression, childhood sexual abuse, stress/anxiety, and body image
what is “spectatoring”
out of body experience caused by being distracted, worrying about body, whether you’re being judged
what are relationship factors that influence sexual desire?
communication, anger, lack of trust, lack of connection, lack of emotional intimacy, lack of sexual skill, loss of attraction, unrealistic expectations
true or false: culture and religion strongly influence both how humans feel about their sexuality and how they express it
true
sexual desire and function can decrease with what aspects?
age, health, medication use, depression, loss of sexual partner, smoking/alcohol
what are some symptoms of hypoactive sexual desire disorder (HSDD)
little to no interest in sexual activity, few to no sexual thoughts or fantasies, disinterest in initiating sex, difficulty getting pleasure, lack of pleasurable sensations
what are three treatments for hypoactive sexual desire disorder (HSDD)?
- counseling to deal with emotions, increase communication, and identify pleasurable techniques
- estrogen supplementation for women with low E
- drug treatments like flibanserin and bremelanotide
(Last two only beneficial if she has lower T levels than normal)
what are the two components to sexual arousal?
psychological and physiological
true or false: humans have a very close correlation between their psychological and physiological arousal
false; men do but women don’t
what does a strain gage do?
measures the blood flowing into erectile tissue which changes in circumference
what are the two cylindrical bodies in erectile tissue that fill with blood to create an erection?
corpora cavernosa (single ventral body) and corpus spongiosum (containing the urethra)
each corpora in erectile tissue is composed of many small compartments separated by muscle tissue which are called what?
trabeculae
what separates corpora cavernosa and allows blood to flow freely from one side to the other?
a narrow septum
what is the bulbocavernosus muscle?
the muscle that covers the corpus spongiosum and contracts to facilitate the expulsion of semen or urine through the urethra
what is the other name for the “head” of the penis and what is it made of?
the glans made from the expansion of the corpus spongiosum
what is the scrotum?
loose sac within which testes are suspended by the spermatic cord
what does the scrotum contain?
vas defrens blood vessels, nerves, and cremaster muscle which raises and lowers the testicles
what is the muscle in the middle layer of the scrotum that contracts in response to temperature changes?
dartos muscle
what is the primary function of testes?
the production of spermatozoa and testosterone
each testicle is divided into many lobes filled with what?
winding seminiferous tubules
in the connective tissue between the seminiferous tubules which cells produce T?
leydig cells
T levels vary slightly with what?
stress, time, and day/month
what glands keep T levels relatively stable?
endocrine glands (hypothalamus, pituitary)
from the – –, the developing sperm cells pass into convoluted duct system –, and are finally transported from the testes via – –
seminiferous tubules, epididymis, vas deferens
what is semen and where is it formed?
sperm mixed with fluids from the prostate, seminal vesicle, and cowper’s gland created in transport from the testes to the urethra
sperm is moved by the contraction of – and – – and once they are mobile they propel themselves whipping their tails
epididymis and vas deferens
true or false: there are 200 - 500 million sperm per teaspoon of semen
true
how does erection work?
during sexual arousal, nerves release chemicals that increase blood flow into two erection chambers in the penis, the spongy erectile tissue relax and trap blood and the blood pressure in the chambers make the penis firm
to be diagnosed with erectile dysfunction (ED) the DSM5 criteria is at lease one of the three criteria which are?
- marked difficulty obtaining erection during sex
- marked difficulty maintaining an erection until completion of sexual act
- marked decrease in erectile rigidity
what are the three other criteria to be diagnosed with erectile dysfunction (ED) by DSM5?
- problems for a minimum of 6 months
- causes significant distress
- not better explained by nonsexual mental disorder, relationship distress, other stressor, substance/meds
what percentage of men experience occasional erectile failure?
50 - 80%
true or false: cycling can cause nerve damage via pressure to the testes and cause impotence
true
smoking and alcohol can damage what system which can lead to ED?
the nitric oxide system which is chemical in erectile response and helps keep blood in the penis
low T can rarely cause ED but only if what?
if its critically low
how does alcohol effect erectile ability?
more alcohol leads to slower blood flow to penis
true or false: at a blood alcohol content of .75 there is a total decrease in erectile response
true
true or false: ED is equal in those who smoke vs. those who never have
false; in smokers ED is 2x higher
true or false: nicotine causes a decreased erectile response, and decreased blood flow to genital in women
true
true or false: when men use viagra it causes a psychological effect where they begin to rely on it, believing they can’t get an erection without it
true
what is Barlow’s cognitive model for sexual function and dysfunction?
sex cues lead to reflection of past experiences positive or negative and they are either exciting or a self fulfilling prophecy leading to inability
what are the reasons porn causes ED according to the Dr. Oz clip?
instant gratification and unrealistic expectations, desensitization requires more to achieve arousal, numbing of dopamine
what are some treatments for ED?
treat low T, PDE 5 inhibators like viagra, alprostadil injection into corpus cavernosum, vacuum constriction devices
what is the way to tell if ED is a psychological or physiological problem?
If yes to either, its psychological
1. can you attain an erection during masturbation
2. do you have nocturnal erections
what are the implants that can be done for ED?
flexible rod implant or inflatable penile implant
true or false: sexual desire and arousal are synonymous
false; desire is a prerequisite
what are the theories as to why women’s psych and physio arousal have a lower correlation than men?
because erection is very noticeable while women’s is not, men use and hold their penis to pee from a young age while women are not
if psychological arousal for women is not very related to physio, what does it rely on?
feelings towards the partner, the environment, etc.
what is the primary function of the clitorus?
sensory, full of nerves
what is the only part of the clitoris that is visible?
the glans
what is the internal part of the clitoris and how long is it?
the clitoral shaft which is about 1” long by 1/4” wide
what is the perineum?
area between posterior boundary of the labia and anus
what is the name of the vaginal opening?
introitus
what is the name of the fold of tissue across the vaginal opening?
hymen
what short tube connects the urethral opening to the bladder?
ureter
in an unaroused state what does the vagina resemble?
collapsed tube shaped like the letter S
true or false: during arousal the vagina increases up to 50% in length and diameter
true
what muscle surrounds the outer 1/3 - 1/2 of the vagina and is sensitive to stimulation, and starts and stops the flow of urination?
pubococcygeus muscle
the entire vagina is lined with what cells that are the source of vaginal lubrication?
the squamous epithelium cells
what causes vaginal lubrication?
as the vaginal tissue fills with blood it squeezes the squamous epithelial cells which release lubriation
what is the cervix?
passageway between the vagina and uterus
what is the name of the opening in the middle of the cervix that is normally the width of the straw that expands during childbirth?
os
true or false: sperm passed from the vagina to the uterus through the cervical canal
true
what is the uterus?
organ in which a fertilized ovum implants and develops until birth, it is a hollow muscular structure approximately 3” long x 3” wide
ovaries are on each side of the uterus attached by what?
ovarian ligaments
what do ovaries do?
secrete hormones (E, progesterone, T) and release ova necessary for conception and birth
what hormone stimulates the ovary to release ovum?
luteinizing hormone (LH)
estrogen and progesterone work together to do what?
regulate menstrual cycle
ovum are transported into the uterine cavity by what?
the fimbria of the fallopian tubes
what is vasocongenstion?
blood flowing into the genitals swelling the clitoris, labia majora, labia minora, and causes the vagina to expand in length and diameter by 50%
what is the parasympathetic nervous system responsible for?
bringing the body back down to equilibrium