Sexuality

Question 1

How is sexual dysfunction defined?

Answer 1

disorder of sexual desire, arousal, orgasm, or pain in the setting of personal distress to the patient

Question 2

What should you use for vaginal dryness in patient with breast cancer diagnosis?

Answer 2

Water based lubricant, as estrogen is likely contraindicated

Question 3

Deep dyspareunia is associated with”

Answer 3

pelvic inflammation, such as endometriosis and prior pelvic surgery

Question 4

In presence of severe vaginal atrophy and lack of estrogen(tamoxifen) due to menopause, what might a patient experience during sex?

Answer 4

Insertional dyspareunia

Question 5

How is lubrication during arousal phase of intercourse achieved?

Answer 5

most dependent on transudate of fluid across vaginal mucosa as genitalia become increasingly engorged with blood

Question 6

What is vaginismus?

Answer 6

involuntary constriction of vaginal musculature that makes coitus painful or impossible that is perpetuated by cycle of anxiety and pain that exacerbate each other

Question 7

How is vaginismus treated?

Answer 7

graduated vaginal dilators used in setting of appropriate counseling

Question 8

What can tamoxifen cause during sex?

Answer 8

Insertional dyspareunia because it is a selective estrogen receptor modifier and may antagonize vaginal estrogen receptors