Sexuality & Gender

Question 1

what were condoms used for during the renaissance?

Answer 1

to prevent syphilis

Question 2

what influences sexuality?

Answer 2

influenced by anatomy/physiology, culture, relationships with others, developmental experiences

Question 3

sexual identity vs gender identity

Answer 3

sexual - biology (chromosomes, sex characteristics, hormones, etc)
gender identity - person’s sense of maleness/femaleness.

Question 4

when is gender identity in place?

Answer 4

by age 3

Question 5

gender role?

Answer 5

all of the things that a person says/does that tells the world around them what their gender is. not est at birth, built cumulatively through life

Question 6

sexual orientation?

Answer 6

the object of a person’s sexual impulses

heterosexual, homosexual, bisexual, or asexual

Question 7

do lesbian or gay couples experience less social stigmatization?

Answer 7

lesbian couples

Question 8

T/F: lesbians may be less likely to seek gyn care

Answer 8

true

Question 9

T/F: lesbians have a more long term, monogamous relationship than gay couples

Answer 9

true

Question 10

who determines their preference earlier, gay men or lesbian women?

Answer 10

gay men (early adolescence). women identify in middle-late adolescence or young adulthood

Question 11

is treatment recommended to change one’s sexual orientation?

Answer 11

no. it is almost impossinle to change one’s attraction toward an entire gender.

Question 12

what’s the thought on nature vs nurture?

Answer 12

it’s split.

even when you break it down by education level, it’s pretty split

Question 13

do any of these things contribute to sexual orientation?:
style of parenting, absence of a male or female parent, degree of opportunity for any type of sexual experience in adolescence, early seduction or rape

Answer 13

no.

Question 14

what do we recommend for people to become comfortable with themselves?

Answer 14

psychological intervention

Question 15

GENDER DYSPHORIA

Answer 15

incongruence between assigned gender and the one that they are experiencing

Question 16

how many sx and how many months for gender dysphoria? (children vs adults)

Answer 16

children: 6 months, 6 or more of the following sx
adults: 6 months, 2 or more of the following
* *different than other DSM criteria in that it does not have to cause distress

Question 17

T/F:

• Among males with early onset- more likely to be satisfied with gender reassignment because their dysphoria tends to be stronger
• Late onset males- more ambivalent and less satisfied after surgery

Answer 17

true.

Question 18

how does gender dysphoria differ from transvestic disorders?

Answer 18

transvestic disorder - individuals, typically male, who achieve sexual arousal from cross-dressing
Lacks identification with other gender as their identity

Question 19

differentials for people with ambiguous genitalia

Answer 19

Virilizing adrenal hyperplasia
Turner’s Syndrome
Kleinfelter’s Syndrome
Hermaphroditism/Pseudohemaphroditism

Question 20

what is virilizing adrenal hyperplasia

Answer 20

excess androgens in a fetus who is XX
enlarged clitoris
fused labia
hirsuitism in adolescence

Question 21

turner’s syndrome

Answer 21

45XO (no second X chrom)
Webbed neck
Bilateral streak gonads, underdeveloped Mullerian tract (tract that will eventually become fallopian tubes, uterus and vagina) in female/regress in males
Dwarfism
No sex hormones produced, so infertile
Assigned as female due to appearance of genitals

Question 22

klinefelter’s

Answer 22

XXY. low androgen, small penis, ruidmentary testicles, weak libido, high incidence of MR, usually assigned as a male

Question 23

androgen insensitivity syndrome

Answer 23

they have XY but their outward appearance suggests female. presents as primary amenorrhea. tall with female breasts and external genitalia

Question 24

hermaphroditism

Answer 24

mosaic. both testes and overies in same person.

46XX or 46XY

Question 25

pseudohermaphrodism

Answer 25

have normal chromosomes

Question 26

when does masturbation become abnormal?

Answer 26

Abnormal only if this is the only type of sexual activity performed even when could have other intimate acts, or if it is a compulsion

Question 27

what are the 4 stages of sexual response cycle?

Answer 27

1: desire
2: excitement (peak of arousal)
3: orgasm (release of sexual tension)
4: resolution (the let-down)

Question 28

how long must sexual dysfunction be present for?

Answer 28

6 months.

must be distressing

Question 29

T/F: male hypoactive sexual desire disorder has to be present for at least 6 months and be distressing. has to do with decreased desire

Answer 29

true

Question 30

what substance can cause decreased sexual desire over time?

Answer 30

ETOH