sexuality Flashcards
sexual dysfunction
self-identified source of personal or relational distress
function vs dysfunction
individuals desire to have sex daily and another’s to have sex every few months
what does the word “normal” in scientific context generally mean?
“average”
there is limited ability to define average when it comes to human sexuality
underlying situation that lead to sexual disorder or sexual dysfunction (SD)
physiological
psychological
maturational
environmental factors
combination of above
alteration in sexuality and sexual function can be further categorized as
- lifelong vs acquired
- situational vs generalized
- organic vs psychogenic
physiologic factors
alteration in physiological function of body systems (cardiovascular, respiratory, musculoskeletal, neurologic, and endocrine) can result in SD
what can contribute to alteration in sexual functions
acute illness
infections
surgery
trauma
medications
loss of mobility
decreased activity tolerance
hormonal changes
alcohol or substance abuse
physiologic conditions
non-pathologic conditions that contribute to SD
pregnancy
process of aging
psychological factors
any stressors that affects the human psyche
fear
anxiety
fatigue
reproductive health concerns
adverse childhood events
alteration in body image and self-image
role confusion
personal conflicts (religion, culture, and values)
mental health conditions such as psychosis
alterations in cognition related to dementia
maturational
result of a knowledge deficit with regards to sexuality, birth control, safer sex practices, and changes associated with aging.
lack of general social skills can inerfere with establishing intimate and social relationships necessary in the growth and development of one’s own sexuality.
environmental
environmental pollutants and chemicals can depress sexual function
situational factors that influence the patient’s environment include social isolation and the absence or lack of a partner, disallowing persons to experience the wholeness of their sexuality.
lack of privacy or inappropriate environment in which to sexual
which STI is curable with treatment
Chlamydia
what STI is chronic?
genital herpes
diagnosis of SD
frequent, persistent, or at least episodic over time, and be associated with clinically significant distress
SD in women
focused on psychological causes:
stress
anxiety
depression
anger
conditions of SD include?
medical diagnosis of hyposexual activity disorder
sexual aversion disorder
sexual arousal disorder
orgasmic disorder
sexual pain disorder
persistent genital arousal disorders
two male recognized SD
- erectile dysfunction (ED)
- ejaculatory disorder
Erectile dysfunction
inability to develop or maintain an erection of the penis during sexual activity.
ejaculation dysfunction
characterized by reduced or absent semen volume, which may be the result of psychological condition, a medical condition, medication, or surgery
what affects erectile dysfunction
stress
vascular disease
diabetes
antidepressants
antihypertension medications
alcohol
illicit drugs
prostate surgery
four category of ejaculatory disorders are
- premature ejaculation
- delayed ejaculation
- retrograde ejaculation
- anejaculation/anorgasmia (no ejaculation/no orgasm)
physiologic consequences due to sexual disorder
unfulfilled sexual desire
unsatisfactory sexual response
pain
STI infection as result of sexual encounter
inability to create a pregnancy
complications with pregnancies
psychosocial consequences
problems with relationships
low self esteem
anxiety
depression
