Womens Sexual Dysfunction Flashcards
What are 4 symptoms of sexual dysfunction?
- Low sexual desire
- Sexual arousal disorder
- Orgasmic disorder
- Sexual pain disorder
What are the 3 types of female sexual dysfunctions?
- Female orgasmic disorder
- Female sexual/arousal disorder
- Genito-Pelvic pain/ penetration disorder
What does genito-pelvic pain/penetration disorder include? 2
- Vaginismus
- Dyspareunia
How long does the symptom of change in orgasm have to be present to be diagnosed with FOD?
6 months
For penetration disorder, what 5 things are needed for diagnosis?
- Tightening of the vaginal muscles, which prohibits penetration
- Tension,pain, or a burning sensation when penetration is attempted
- A lack or absence of the desire to have intercourse
- Intense phobia or fear of the penetration pain
- Avoidance of any kind of sexual activity
What are 2 physiological/social causes of FSD?
- Untreated anxiety or depression
- History of sexual abuse
What are 4 physical issues that can cause FSD?
- Cancer
- Kidney failure
- Heart disease
- Bladder problems
What are 5 nonpharmacological treatments for FSD?
- Open communication with partner
- Healthy lifestyle habits
- Counseling
- Lubricants
- Use of device
What type of women is estrogen therapy used for?
Post menopausal
What can estrogen therapy treat and improve?
Treat: vaginal atrophy
Improve: dyspareuria
What is ospemifine used for?
Moderate-Severe
1. Dyspareunia
2. Vaginal dryness
What is the BBW for ospemifine?
- Endometrial cancer
- CVD
OSPEMIFINE
OSPHENA
What is flibanserin used for?
Hypoactive sexual disorder in premenopausal women
When should flibanserin be taken?
At bedtime
What is the BBW for flibanserin?
- Hypotension
- Syncope
When should you not take Flibanserin?
If you drank 2-3 drinks of alcohol
How long should you wait to take flibanserin if you drank 1-2 standard alcoholic drinks?
Wait at least 2 hours
What does bremelanotide increase?
Sexual desire and arousal
Melanocortin receptor agonist
Bremelanotide
FLIBANSERIN
Addyi
BREMELANOTIDE
Vyleesi
What are contraindications to bremelanotide?
- Uncontrolled Hypertension
- Known Cardiovascular disease
What are the 2 side effects of bremelanotide?
- Focal hyperpigmentation
- Nausea
What is prasterone indicated for?
Females with Dyspareunia after menopause
What is prasterone contraindicated in?
Known or suspected history of breast cancer
PRASTERONE
Intrarosa
You can’t take any more than ___ doses/month of bremelanotide
8