Summary Flashcards
Sexual Aversion Disorder
Persistent or recurrent extreme aversion to and avoidance of all or almost all genital sexual contact with a sexual partner.
Marked distress or interpersonal difficulty.
Male Hypoactive Sexual Desire Disorder
Persistently or recurrently deficient (or absent) sexual fantasies and desire for sexual activity.
(Take into context the age, sexual functioning and context of the persons life)
Marked distress or interpersonal difficulty (ICD)
Loss of or lack of sexual desire as the principal problem and not secondary to other sexual difficulties, such as erectile failure or dyspareunia. Lack of sexual desire does not preclude sexual enjoyment or arousal but makes initiation of sexual activity less likely (DSM-5)
Female Sexual Interest/Arousal Disorder
Failure of genital response
• principle problem is vaginal dryness/lack of lubrication (ICD)
Lack of, or significantly reduced, sexual interest/arousal, as manifested by at least three of the following:
• absent/reduced interest in sexual activity
• absent/reduced sexual/erotic thoughts or fantasies
• no/reduced initiation of sexual activity, and typically unresponsive to partners attempts to initiate
• absent/reduced sexual excitement phase/pleasure during sexual activity
• absent/reduced sexual interest/arousal in response to any internal or external sexual/erotic cues
• absent/reduced genital or non-genital sensations during sexual activity (DSM-5)
Erectile Disorder
Difficulty in developing or maintaining an erection suitable for satisfactory intercourse (ICD)
- Marked difficulty in obtaining an erection during sexual activity
- Marked difficulty in maintaining an erection until the completion of sexual activity
- Marked decrease in erectile rigidity (DSM-5)
Orgasmic Disorder
Orgasm either does not occur or is markedly delayed (ICD)
- Marked delay in, marked infrequency of, or absence of orgasm
- Marked reduced intensity of orgasmic sensations (DSM-5)
Inhibited/Delayed Ejaculation
Occurs almost or all occasions (75-100%) either generalised or situational, without the individual desiring the delay.
- marked delay in ejaculation
- marked frequency or absence of ejaculation.
May be lifelong or acquired, mild, moderate or severe (DSM-5)
Important to distinguish between ejaculation and orgasm in men
Rapid Ejaculation
The inability to control ejaculation sufficiently for both partners to enjoy sexual interaction (ICD)
- persistent or recurrent pattern of ejaculating occurring during partnered sexual activity within approximately 1 minute following vaginal penetration and before the person wishes it
- Note: Although the diagnosis of rapid ejaculation may be applied to individuals engaged in non-vaginal sexual activities, specific duration criteria have not been established for these activities (DSM-5)
Retrograde Ejaculation
Occurs when semen, which would normally be ejaculated via the urethra, is redirected to the urinary bladder. Sometimes called ‘dry orgasm’.
Dyspareunia
Pain during intercourse in either women or men. Often attributed to local pathology and should then be properly categorised under the pathological condition. This category is to be used only if there is no primary nonorganic sexual dysfunction and NOT CAUSED BY VAGINISMUS OR LACK OF LUBIRCATION (ICD)
Genito-Pelvic Pain/Penetration Disorder, persistent or recurrent difficulties with one of the following:
• vaginal penetration during intercourse
• marked vulvovaginal or pelvic pain during vaginal intercourse or penetration attempts
• marked fear of anxiety about vulvovaginal or pelvic pain in anticipation of, during, or as a result of vaginal penetration
• marked tensing or tightening of the pelvic floor muscles during attempted vaginal penetration. (DSM-5)
Vaginismus
Spasm of the pelvic floor muscles that surround the vagina, causing occlusion of the vaginal opening. Penile entry is either impossible or painful (ICD)
Genito pelvic pain/penetration disorder, persistent or recurrent difficulties with one or more of the following:
• vaginal penetration during intercourse
• marked vulvovaginal or pelvic pain during vaginal intercourse or penetration attempts
• marked fear of anxiety about vulvovaginal or pelvic pain in anticipation of, during, or as a result of vaginal penetration
• marked tensing or tightening of the pelvic floor muscles during attempted vaginal penetration. (DSM-5)
Vulvodynia
Vulvodynia is persistent, unexplained pain in the vulva (the skin surrounding the entrance to the vagina).
It can affect women of all ages, and often occurs in women who are otherwise healthy.
Vulvodynia can be a long-term (chronic) problem that’s very distressing to live with, but much can be done to help relieve the pain.
Unfortunately, many doctors are unaware that these conditions even exist, and may mistakenly suggest to patients that this is a psychological condition. It is common for women with vulvodynia to suffer for many years and see many doctors before being correctly diagnosed.
Peyronie’s Disease
Peyronie’s disease (PD), which is characterised by fibrous plaque formation in the tunica albuginea of the penis, is associated with pain, erectile dysfunction, and anatomical malformations that negatively affect the quality of life of affected men. Can cause penile deformity in terms of bending, twisting or banding or penis.
Azoospermia
Absence of sperm in the ejaculate.
Hypospadias
Hypospadias is a birth defect of the urethra in the male that involves an abnormally placed urinary meatus (opening). Instead of opening at the tip of the glans of the penis, a hypospadic urethra opens anywhere along a line (the urethral groove) running from the tip along the underside (ventral aspect) of the shaft to the junction of the penis and scrotum or perineum. A distal hypospadias may be suspected even in an uncircumcised boy from an abnormally formed foreskin and downward tilt of the glans.
Anejaculation
Pathological inability to ejaculate in males, with (orgasmic) or without (anorgasmic) orgasm.
