Sexuality and Dysfunction

Question 1

The perception of being male or female, private thoughts and fantasies, and sexual behaviour

Answer 1

Sexuality

Question 2

Enumerate the 4 components of sexuality

Answer 2

Sexual identity
Gender
Sexual orientation
Sexual behaviour

Question 3

A pattern of a person’s biological/physical sexual characteristics

Answer 3

Sexual identity

Question 4

The psychological and sociocultural aspect of behaviour related to masculinity or femininity

Answer 4

Gender identity

Question 5

Describes the object of a person’s sexual impulses

Answer 5

Sexual orientation

Question 6

T or F: orgasm is regulated by the parasympathetic nervous system

Answer 6

False. Orgasm is modulated by the sympathetic nervous system; it is arousal that is modulated by the PNS

Question 7

Enumerate the 4 phases of the sexual response cycle

Answer 7

1. Desire
2. Excitement
3. Orgasm
4. Resolution

Question 8

This phase involves the peaking of sexual pleasure and release of sexual tension

Answer 8

Orgasm

Question 9

Phase in the sexual cycle occurring mostly in the mind and characterised mainly by sexual fantasies

Answer 9

Desire

Question 10

When does masturbation become pathologic?

Answer 10

When it becomes compulsive and beyond wilful control

Question 11

A disorder characterised by a deficiency or absence for at least 6 months of sexual fantasies or desire for sexual activity in the male

Answer 11

Male hypoactive desire disorder

Question 12

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?

Answer 12

Female sexual interest/arousal disorder

Question 13

The disability to sustain an erection sufficient to maintain vaginal penetration, brought about mostly by feelings of helplessness, hopelessness, and low self-esteem

Answer 13

Male erectile disorder

Question 14

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

Answer 14

Madonna-Puttanna (Madonna-whore) complex

Question 15

Criteria for male erectile disorder

Answer 15

1. Marked difficulty in obtaining an erection either during or until completion of sexual activity
2. Marked decreased erectile rigidity
3. Not due to an underlying mental disorder or substance/medication

Question 16

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

Answer 16

Female orgasmic disorder/inhibited female orgasm

Question 17

Factors influencing the development of female orgasmic disorder

Answer 17

1. fear of impregnation
2. Rejection of sexual partner
3. Damage to vagina
4. Hostility toward men
5. Poor body image
6. Feelings of guilt about sexual impulses

Question 18

Inhibited orgasm or retarded ejaculation in the male

Answer 18

Male orgasmic disorder/delayed ejaculation

Question 19

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

Answer 19

Delayed ejaculation

Question 20

Persistent recurrent ejaculation or orgasm before or within 1 minute

Answer 20

Premature ejaculation

Question 21

Exercises for premature ejaculation

Answer 21

1. Seman’s stop-start technique: achieving the point before orgasm then stopping
2. Master and Johnson Squeeze Technique: squeezing of the glans and corona

Question 22

A disorder presenting as difficulty having intercourse with genitopelvic pain, and/or fear of pain or penetration, or tension of pelvic floor muscles

Answer 22

Genitopelvic pain/penetration disorder

Question 23

Involuntary pelvic floor tightening leading to contraction of the lower third of the vagina

Answer 23

Vaginismus

Question 24

Recurrent persistent genital pain occuring before, during, or after intercourse

Answer 24

Dyspareunia

Question 25

Treatment modalities for sexual pain disorders

Answer 25

1. Individual psychotherapy
2. Sex therapy
3. Hypnotherapy
4. Behaviour therapy
5. Mindfulness
6. Group therapy

Question 26

True or False: Sildenafil provides an instant erection even without stimulation

Answer 26

Sildenafil has an onset of action of around 30 min; stimulation is needed for erection to occur

Question 27

Unusual sexual fantasies, urges, or behaviours that are recurrent and sexually arousing

Answer 27

Paraphilias

Question 28

Most common paraphilia

Answer 28

Pedophilia: recurrent intense sexual urge toward or arousal by children 13 years or younger

Question 29

The recurrent desire to expose genitals to a stranger or unsuspecting person

Answer 29

Exhibitionism

Question 30

Recurrent preoccupation with fantasies and acts involving the observation of people who are naked or are engaged in grooming or sexual activities

Answer 30

Voyeurism

Question 31

Sexual arousal by objects such as shoes, gloves, or stockings that are intimately associated with the human body

Answer 31

Fetishism

Question 32

Fantasies or sexual urges to dress in opposite gender clothing as a means of arousal and as adjunct to masturbation and coitus

Answer 32

Transvestic fetishism

Question 33

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

Answer 33

Frotteurism

Question 34

Recurrent sexual fantasies, urges, or behaviours in which the psychological or physical suffering of the victim is sexually exciting to the person

Answer 34

Sexual sadism

Question 35

Preoccupation with sexual urges or fantasies involving the act of being humiliated, beaten, bound, or otherwise made to suffer

Answer 35

Sexual masochism

Question 36

Obsession with obtaining sexual gratification from a cadaver

Answer 36

Necrophilia

Question 37

Sex with animals

Answer 37

Zoophilia

Question 38

Sexual acts involving feces

Answer 38

Coprophilia

Question 39

Eroticism involving urine

Answer 39

Urophilia