Using the Genitals

Question 1

Masters and Johnson Sexual response cycles

Answer 1

4 phase model

Question 2

Kaplan sexual response cycle

Answer 2

introduced desire

intended to be inclusive for all genders

Question 3

Whipple and Brash-McGreer sexual response cycle

Answer 3

circular pattern

Seduction (encompassing desire)
 Sensations (excitement and
plateau)
 Surrender (orgasm)
 Reflection (resolution)

Question 4

Basson sexual response cycle

Answer 4

incorporated emotional intimacy,
stimulus, and psychosocial issues

Question 5

During excitement arousal

Answer 5

Myotonia (muscle tension increases)
 Heart rate and blood pressure increase
 Breathing accelerates
 Flushing
 Nipples erect
 Increased blood flow to genitals
(engorgement of penis and clitoris)
 Vaginal lubrication
 All happen at varying rates, even for the
same person

Question 6

excitement is affected by

Answer 6

 Affected by age, health problems, drugs

Question 7

Plateau Phase

Answer 7

Not a static boring place
 Surges of excitement/pleasure
 Brief or lengthy

Question 8

orgasm phase

Answer 8

Rhythmic contractions of specific tissues
 Heart rate, blood pressure, and breathing peak
 Wet and dry orgasms (for all genders)
 Controlled by the sympathetic nervous system
 Release oxytocin

Question 9

ejaculation from ovary person

Answer 9

 What we know:
 Composition of fluid varies with menstrual cycle
 Varies with age
 Contains urea, creatinine, prostatic acid, prostate
specific antigen, glucose, and fructose

Question 10

refractory period

Answer 10

Resolution phase
 Defined by inability to become aroused regardless of
stimulation
 Varied and can last from a few seconds to a few days

Question 11

changes in sexual response

Answer 11

 Disinterest or lack of desire (when previously
interested)
 Difficulty with arousal
 Difficulty with erection, ejaculation, lubrication, pain,
orgasm

Question 12

hypoactive sexual desire disorder

Answer 12

 Decrease in desire for sexual activity or sexual fantasy which causes distress
 May include decrease in estrogen or testosterone
 May be due to aging, fatigue, medications, depression, anxiety

treatment - counceling and meds

Question 13

sexual arousal disorders

Answer 13

Lack of desire, lack of arousal, pain during intercourse,
and lack of orgasm
 May be due to decreased blood flow (lack of erection),
lack of lubrication, decreased genital/erogenous zone
stimulation, psychological and emotional factors,
situational, medications, chronic disease
 Treatment: counseling, hormone therapy, blood flow
enhancing medication

Question 14

erectile dysfunction

Answer 14

Inability to develop or maintain erection of the penis
 Problem is with decreased blood flow
 Most commonly due to psychological factors or cardiovascular disease and
diabetes, but can be due to trauma, hormonal insufficiency, and drugs
 Diagnosed by assessing medical causes and nocturnal penile tumescence
 Treatment: exercise, tobacco cessation, phosphodiesterase inhibitors,
pumps, surgery, injections
 Herbal supplements – not proven to be effective

Question 15

Phosphodiesterase (5) inhibitor (PDE5)

Answer 15

breaks down nitric acid and causes flacid penis - inhibitor stops that break down

Question 16

premature ejaculation

Answer 16

Ejaculation that always or nearly always occurs prior to or within
approximately one minute of stimulation/penetration
 The inability to delay ejaculation
 Negative personal consequences, such as distress, bother,
frustration, and/or the avoidance of sexual intimacy
 Occurs in approximately 4% of the population, although up to 30%
in community surveys complain of ejaculating too rapidly
 Few people seek treatment
 Cause – hypersensitivity, genetics, psychological factors
 Treatment – pharmacology (SSRIs or topical anesthetic), behavior
therapy, conditioning, hypnosis

Question 17

management of changes in sexual response

Answer 17

Step 1, knowing how everything can work
 Step 2, talking about it
 Step 3, validating
 Step 4, looking for ways to change if
warranted
 Step 5,