Sexuality and Dysfunction Flashcards
The perception of being male or female, private thoughts and fantasies, and sexual behaviour
Sexuality
Enumerate the 4 components of sexuality
Sexual identity
Gender
Sexual orientation
Sexual behaviour
A pattern of a person’s biological/physical sexual characteristics
Sexual identity
The psychological and sociocultural aspect of behaviour related to masculinity or femininity
Gender identity
Describes the object of a person’s sexual impulses
Sexual orientation
T or F: orgasm is regulated by the parasympathetic nervous system
False. Orgasm is modulated by the sympathetic nervous system; it is arousal that is modulated by the PNS
Enumerate the 4 phases of the sexual response cycle
- Desire
- Excitement
- Orgasm
- Resolution
This phase involves the peaking of sexual pleasure and release of sexual tension
Orgasm
Phase in the sexual cycle occurring mostly in the mind and characterised mainly by sexual fantasies
Desire
When does masturbation become pathologic?
When it becomes compulsive and beyond wilful control
A disorder characterised by a deficiency or absence for at least 6 months of sexual fantasies or desire for sexual activity in the male
Male hypoactive desire disorder
J, a 50 year old female with a turbulent marriage who recently went into menopause, finds that she has a decreased interest in sexual activity, decreased sexual thoughts and fantasies, and she exhibits no arousal due to internal and external sexual cues; neither does she respond to either genital or nongenital stimulation. This has been going on for 6 months. What disorder does she have?
Female sexual interest/arousal disorder
The disability to sustain an erection sufficient to maintain vaginal penetration, brought about mostly by feelings of helplessness, hopelessness, and low self-esteem
Male erectile disorder
The inability to maintain sexual arousal within a committed, loving relationship, where men see women as “either saintly Madonnas or debased prostitutes”, and are only sexually aroused by the degraded partner
Madonna-Puttanna (Madonna-whore) complex
Criteria for male erectile disorder
- Marked difficulty in obtaining an erection either during or until completion of sexual activity
- Marked decreased erectile rigidity
- Not due to an underlying mental disorder or substance/medication
A disorder characterised by the recurrent or persistent inhibition, delay, or absence of female orgasm after normal sexual excitement phase, either in masturbation or coitus
Female orgasmic disorder/inhibited female orgasm
Factors influencing the development of female orgasmic disorder
- fear of impregnation
- Rejection of sexual partner
- Damage to vagina
- Hostility toward men
- Poor body image
- Feelings of guilt about sexual impulses
Inhibited orgasm or retarded ejaculation in the male
Male orgasmic disorder/delayed ejaculation
The presence for 6 months of difficulty with ejaculation characterised by a marked delay, marked infrequency, or total absence of ejaculation, occurring in about 5% of the male population
Delayed ejaculation
Persistent recurrent ejaculation or orgasm before or within 1 minute
Premature ejaculation
Exercises for premature ejaculation
- Seman’s stop-start technique: achieving the point before orgasm then stopping
- Master and Johnson Squeeze Technique: squeezing of the glans and corona
A disorder presenting as difficulty having intercourse with genitopelvic pain, and/or fear of pain or penetration, or tension of pelvic floor muscles
Genitopelvic pain/penetration disorder
Involuntary pelvic floor tightening leading to contraction of the lower third of the vagina
Vaginismus
Recurrent persistent genital pain occuring before, during, or after intercourse
Dyspareunia
Treatment modalities for sexual pain disorders
- Individual psychotherapy
- Sex therapy
- Hypnotherapy
- Behaviour therapy
- Mindfulness
- Group therapy
True or False: Sildenafil provides an instant erection even without stimulation
Sildenafil has an onset of action of around 30 min; stimulation is needed for erection to occur
Unusual sexual fantasies, urges, or behaviours that are recurrent and sexually arousing
Paraphilias
Most common paraphilia
Pedophilia: recurrent intense sexual urge toward or arousal by children 13 years or younger
The recurrent desire to expose genitals to a stranger or unsuspecting person
Exhibitionism
Recurrent preoccupation with fantasies and acts involving the observation of people who are naked or are engaged in grooming or sexual activities
Voyeurism
Sexual arousal by objects such as shoes, gloves, or stockings that are intimately associated with the human body
Fetishism
Fantasies or sexual urges to dress in opposite gender clothing as a means of arousal and as adjunct to masturbation and coitus
Transvestic fetishism
Characterised by a man rubbing his pants against the body parts of a fully-clothed woman, usually occurring in public places and targeting isolated and passive persons
Frotteurism
Recurrent sexual fantasies, urges, or behaviours in which the psychological or physical suffering of the victim is sexually exciting to the person
Sexual sadism
Preoccupation with sexual urges or fantasies involving the act of being humiliated, beaten, bound, or otherwise made to suffer
Sexual masochism
Obsession with obtaining sexual gratification from a cadaver
Necrophilia
Sex with animals
Zoophilia
Sexual acts involving feces
Coprophilia
Eroticism involving urine
Urophilia
