Week 6 Exam Questions Sexual Function Flashcards

1
Q

what spinal levels are responsible for ejaculation

A

T11-T12

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2
Q

what are the three types of erections men can have

A

reflexogenic, psychogenic or spontaneous

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3
Q

what is a psychogenic erection

A

this is when things like erotic pictures, sounds, smells, and thought can stimulate an erection. If you injury is at or above T11-L2, you may not be able to get this kind of erection

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4
Q

what is a reflexogenic erection

A

this is when you get it up from stroking, or touching zones. This happens at levels S2-4

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5
Q

what is a spontaneous erection,

A

you get one from a stimulus, like a full bladder, this is what happens at the level of S2-4

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6
Q

Complete UMN above T11 what kind of erection

A

reflexogenic

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7
Q

complete LMN

A

psychogenic (preserved functional at T11-L2)

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8
Q

what happens with an incomplete UMN

A

you can get either one

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9
Q

what happens with an incomplete LMN

A

psychogenic

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10
Q

what are the 5 areas we look at for sexual function in men

A

arousal, orgasm, erection, ejaculation, fertility

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11
Q

how many people post SCI can have an orgasm

A

50%

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12
Q

with what type or erection do you have a better change of ejaculation

A

psychogenic

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13
Q

what are some other ways to get ejaculation out of a man. which one is better for insemination

A

PVS: penile vibratory stimulation and electro ejaculation.

the PVS is better because it is non-evasive, and you get higher quality sperm out of it.

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14
Q

what are the 5 components of sperm quality. which are the most important

A

*motility
*speed
*morphology
sperm count
concentration

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15
Q

what is usually decreased after SCI

A

motility of sperm, so you need a higher sperm count

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16
Q

what are the 6 considerations for females

A
menstruation 
vaginal lubrication 
arousal and orgasm 
birth control 
fertility and pregnancy 
labor and delivery
17
Q

how long after SCI might you have amenorrhea

A

3-6 months

18
Q

TF: above T6, PMS can cause AD

A

true

19
Q

what are the two types of lubrication, and when do you get each one

A

above T12, reflexogenic lubrication

below T12: psychogenic lubrication

20
Q

what kinds of things will determine if you can have a psychogenic arousal

A

level of injury and the amount of sparing, and how much you can feel