Sexuality and Gender- Sexual Disorders and Paraphilias (Schmidt) Flashcards
What are high risk sexual factors?
1) Substance abuse
2) Limited access to care
3) Poor health literacy about STI
4) Young age
What are high risk sexual behaviors?
1) Unprotected sex
2) Multiple sexual partners
3) High-risk partner
4) Sex trade work
5) Self or partner use of IV drugs
What are undesired outcomes of sex?
1) STI
2) Unwanted pregnancy
3) Relationship complications
4) Poverty
What are the 4 phases of sexual response cycle?
1) Desire
2) Excitement
3) Orgasm
4) Resolution
What are the components of phase 1: desire?
1) Sexual drive
2) Motivation
3) Wish fulfillment
What occurs during phase 2: excitement?
1) Erection; vaginal lubrication
2) Nipples harden
3) Increase in respiration, tachycardia, rise in BP
What are the two basic physiological processes that occur during the excitement stage?
1) Vasodilation / constriction
2) Myotonia
What occurs during phase 4: Resolution?
1) Disgorgement of blood from the genitalia
2) Body returns to resting state
When is resolution rapid and accompanied by a general sense of well-being?
If orgasm occured
If orgasm did not occur, how long may resolution take?
Up to 2-6
What is Male Hypoactive Sexual Desire Disorder?
The judgment of deficiency is made by the clinician, taking into account factors that affect sexual functions such as?
1) Deficient (or absent) sexual fantasies and desire
2) Age and the context of the persons life for 6 months
Female Sexual Interest / Arousal Disorder defined by lack of or significantly reduced sexual interest/arousal with at least 3 symptoms, for how long?
What are the symptoms (need at least 3)?
6 months
1) Reduced interest in sex
2) Reduced sexual thoughts
3) Reduced initiation
4) Reduced sexual pleasure
5) Reduced interest in response to sexual cue
6) Reduced genital sensations
Erectile Disorder (ED) is defined by at least one of the three symptoms and must be experienced on almost all sexual activity for how long?
What are the symptoms (need 1 out of 3)?
6 months
1) Difficulty obtaining an erection
2) Difficulty maintaining an erection until completion
3) Marked decrease in erectile rigidity
What is Female orgasmic disorder defined by?
Delay in, or absence of, orgasm for 6 months
What is Delayed Ejaculation defined by?
Either delay in ejaculation or absence of ejaculation for 6 months
What is premature ejaculation defined by?
Ejaculation within about a minute following penetration for almost all sexual activity in 6 months
Genito-Pelvic Pain Penetration Disorder is defined by persistent or recurrent difficulties with 1 or more of following, for 6 months:
1) Vaginal penetration during intercourse
2) Vulvovaginal or pelvic pain during penetration
3) Fear or anxiety about pain prior, during, or as a result of penetration
4) Tensing or tightening of the pelvic floor muscles
Sexual Masochism Disorder derives sexual pleasure from?
Suffering (humiliation, beaten, bound)
Hypoxyphilia ( also known as “autoerotic asphyxiation”) involves?
Sexual arousal by oxygen deprivation
Cerebral hypoxia makes a person dizzy and light-headed and may cause?
Increase intensity of orgasm
Sexual Sadism Disorder is defined by?
Sexual arousal from the physical or psychological suffering of another person
What is exhibitionisms?
Exposure of genitals to unsuspecting strangers in public
What is Fetishistic disorder defined by?
Sexual arousal from non-living objects or specific focus on non-genital body parts (Women’s shoes or feet)
What is Frotteuristic Disorder defined by?
Touching or rubbing against a non-consenting person
What is Transvestic Disorder defined by?
Sexually arousing fantasies, urges, or behaviors about cross-dressing
What is Voyeuristic Disorder defined by?
Sexual arousal by watching an unsuspecting person who is naked or engaging in sexual activity
What is Pedophilic Disorder defined by?
Sexual fantasies, urges, or activity with prepubescent child
