Test 3 Deck 5 Flashcards
Normal variations of sexual response w/ pregnancy?
Fatigue, hormone changes, breast feeding (increased desire if not breast feeding), method of delivery (earlier w/ c-section)
Normal variations of sexual response with menopause?
Hypoestrogenic state
Sexual dysfunctions disorders?
Lack of interest or arousal
Orgasm disorder
Genitopelvic pain/penetration disorder
All >6 months
Libido is the __ for sex. It is modulated by testosterone which is excited by __ and suppressed by ___. __ disorder is associated w/ libido
Appetite, dopamine, serotonin, hypoactivity
Excitement or arousal is modulated by ____. It is enhanced by ___, and a lack of this __ is the moist common cause of dysfunction in the arousal phase. It leads to HR, BP and sex flush.
Parasympathetic (S2-4), estrogen
The orgasmic phase is modulated by ___. Clitoral input leads to increased rate and intensity.
Sympathetic
What is the most treatable sexual phase disorder?
Orgasmic phase
Treatment for sexual dysfunction?
Gynecologist, psychologist, nurse-specialist, urology, gastroenterology, anesthesiology
Sexual dysfunction associated w/ involuntary contractio of outer 1/3 of vaginal muscles?
Vaginismus
Treatment for sexual assault?
STD prophylaxis, emergency contraception (plan B/anti-emetic)
What is the follow up for sexual assault?
1 wk if prophylaxis given
Or
2 wks if no prophylaxis given (repeat GC/chlamydia/trichomonas)
Other
Syphilis 6-weeks
HIV- 6, 12, 24, regardless of prophylaxis
What are the two phases of rape trauma syndrome?
Acute/disorganization (hr to days) HA, emotional, eating/sleeping
Integration/resolution (months to years): flashbacks, nightmares, menstrual complaints
What can be used to help w/ PTSD?
Acute crisis counseling
PTSD symptoms?
Increased arousal,
Reexpierencing trauma
Lasting longer than 1 month
