Week 12 review

Question 1

What is sex therapy?

Answer 1

Talk therapy addressing sexual issues and concerns.
Requires knowledge of OCD, depression, anxiety, and abuse.
Not the same as relationship therapy.

Question 2

What is the PLISSIT model?

Answer 2

A framework for addressing sexual concerns.
P: Permission – Encourage open conversation, give reassurance.
LI: Limited Information – Provide factual sex education, dispel myths.
SS: Specific Suggestions – Sensate focus exercises, set goals for couples.
IT: Intensive Therapy – Address trauma, abuse, or severe mental health issues.

Question 3

What is sensate focus?

Answer 3

technique by Masters and Johnson.
Focus on sensory aspects of touch without expectations.
Progressive stages: non-genital touching, genital focus, penetration.

Question 3

How does Viagra work?

Answer 3

Blocks PDE-5, increasing blood flow to the penis.
Requires sexual stimulation.
Lasts 4-6 hours.

Question 4

Pelvic floor physiotherapy – what does it address?

Answer 4

Issues like vaginismus, vulvodynia.
Uses manual techniques, biofeedback, and vaginal dilation.
Improves muscle control and reduces anxiety around penetration.

Question 4

Side effects of Viagra?

Answer 4

Flushing, headaches, altered vision, dizziness, nasal congestion.

Question 5

What are intracavernosal injections for ED?

Answer 5

Inject vasodilators into the penis.
No sexual stimulation needed.
Erection occurs in 4-10 minutes, lasts about an hour.

Question 6

What is the MUSE system?

Answer 6

Urethral suppository for ED.
Erection occurs in 5-10 minutes, lasts 30-60 minutes.
Side effects: discomfort, dull aching erection.

Question 7

What are SSRIs used for in sexual health?

Answer 7

Treat premature ejaculation (off-label use).
Side effects: dizziness, nausea, dry mouth, weight changes.

Question 8

What is Addyi, the “little pink pill”?

Answer 8

MSAA (multifunctional serotonin agonist antagonist) for low sexual desire.
Taken daily; affects neurotransmitters like serotonin and dopamine.
Side effects: dizziness, fatigue, nausea.

Question 9

What are vacuum erection pumps?

Answer 9

Devices to draw blood into the penis with a constriction band.
~85% satisfaction rate, minimal side effects.

Question 10

What is vulvar vestibulectomy?

Answer 10

Surgery for provoked vestibulodynia.
High success rates for pain relief.
May cause numbness and slight changes in appearance.

Question 11

Tips for managing premature ejaculation

Answer 11

Ejaculate more frequently.
Reframe the goal of sex; it’s not just about ejaculation.
Use the stop-start technique or sensate focus.

Question 12

What are the contraindications for Viagra?

Answer 12

Viagra and nitrates cause blood vessels to dilate, which can dramatically escalate if the drugs are taken close together, potentially causing a sharp drop in blood pressure

Question 13

Surgical options for ED

Answer 13

Penile prosthesis implantation (semi-rigid or inflatable).
Last resort due to high costs, invasiveness, and potential pain.

Question 13

What are intracavernosal injections for ED?

Answer 13

Injected into the corpora cavernosa (spongy tissue in the penis).
Produces an erection in 4-10 minutes without the need for sexual stimulation.
Stronger results compared to Viagra but involves risks like scarring and infections.

Question 14

Common myths about male sexuality to dispel

Answer 14

“Sex = intercourse.”
“Men should always want and be ready for sex.”
“All physical contact must lead to intercourse.”