Term
| What is sexual dysfunction? |
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Definition
| A disturbance in the desire, excitement, or the orgasmic phase of the sexual response cycle or pain during intercourse |
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Term
| What is Master’s & Johnson’s sexual response cycle? |
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Definition
Excitement
Plateau
Orgasm
Resolution |
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Term
| What is Kaplan’s sexual response cycle? |
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Definition
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Term
| What are the physiological causes of sexual dysfunction? |
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Definition
Age-related
CV
Neurologic
Gynecological
Endocrine
Medications |
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Term
| What are the labs to test for physiological causes of sexual dysfunction? |
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Definition
Thyroid
CBC (RBC): Anemia
Testosterone
Estrogen |
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Term
| What are the psychological causes of sexual dysfunction? |
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Definition
Rape
Stress
Depression
Low self-esteem
Body image disorders
Trauma (psychological)
Might not be performing like you were before event
Might be worried about pregnancy |
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Term
| What are the sexual desire disorders? |
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Definition
Hypoactive sexual desire
Sexual aversion disorder |
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Term
| What are the goals for hypoactive sexual desire? |
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Definition
| To enhance sexual desire according to the baseline for the client |
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Term
| What are the treatments for hypoactive sexual desire? |
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Definition
^ testosterone
Helping them to find out what is more pleasing to them
Focus on communication between couple
Underlying medical condition |
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Term
| What is a common reaction in sexual aversion disorder? |
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Definition
Might have a panic reaction to genital contact
Anxiety/repulsion |
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Term
| What are the treatments for sexual aversion disorder? |
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Definition
Underlying medical condition
Systematic desensitization
Might need one on one therapy
SSRI’s or TCA’s if panic (however side effect v desire) |
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Term
| What are the sexual arousal disorders? |
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Definition
Female sexual arousal (Frigidity)
Male erectile disorder (impotence) |
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Term
| What is a possible cause for female sexual arousal? |
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Definition
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Term
| What are the treatments for female sexual arousal? |
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Definition
Sensate focusing: working a lot on the desire phase to help the arousal
Lubercation
Device: helps to pump blood to the clitoris |
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Term
| What are the two types for male erectile disorder? |
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Definition
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Term
| What is primary male erectile disorder? |
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Definition
| Person has never had an erection |
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Term
| What is secondary male erectile disorder? |
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Definition
| Has been successful in the past |
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Term
| What is treatment for male erectile disorder? |
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Definition
Underlying medical cause
Viagra/cialisis
Sensate focusing: cuddling, kissing, taking pressure off |
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Term
| What are the side effects of Viagra/cialisis? |
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Definition
HA
Pain
Flushing of the skin/face
Nasocongestion
GI upsent
Pripesium |
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Term
| What are the types of orgasmic disorders? |
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Definition
Female and Male inability to achieve
Premature ejaculation |
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Term
| What is the main treatment for females and males who are unable to achieve orgasm? |
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Definition
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Term
| What are the possible causes of premature ejaculation? |
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Definition
Might be supersensitive to touch
Learned behavior (let’s do a quickie) |
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Term
| What are the treatments for premature ejaculation? |
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Definition
Squeeze technique
Distraction
Anafrinal |
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Term
| What are the sexual pain disorders? |
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Definition
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Term
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Definition
| Painful intercourse (before, during, or after) |
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Term
| What are the causes of dyspareunia? |
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Definition
| Infections, postsurgical scarring |
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Term
| What is the treatment for dyspareunia? |
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Definition
Physiological first
Sensate focus
Distraction
Education |
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Term
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Definition
| Painful, involuntary spasms in the outer 3rd of the vagina anytime there is a penetration |
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Term
| What is the treatment for vaginismus? |
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Definition
| Start small and work larger |
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Term
| What is the role of the nurse in sexual dysfunctions? |
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Definition
Be comfortable with discussing sexual health with patient
Be knowledge about the normal sexual response cycle
Be aware of cultural practices
Take a good sexual history
Follow up with a medical history
Know the resources
Not within scope of practice to perform sex therapy |
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Term
| What are the preferences for paraphilias? |
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Definition
Non-human object
Humans in which you can inflict suffering or humiliation
Non-consisting partners |
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Term
| What do you often find paraphilias secondary to? |
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Definition
Depression
Medical problems
Substance abuse |
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Term
| What are the ranges of severity of paraphilias? |
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Definition
Mild: urge but don’t act
Moderate: occasionally act out
Severe: consistently act on the urges |
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Term
| What are potential causes for paraphilias? |
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Definition
Emotional: child abuse, symbolism
Too many androgens/testosterone
Learned as expected norm |
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Term
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Definition
| Sexual arousal elicited by inanimate objects or specific body parts |
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Term
| What is autoerotic asphyxia? |
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Definition
| Constriction of the neck to enhance a masturbation experience, often leads to accidental death |
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Term
| What is sexual masochism? |
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Definition
| Erotic interest in receiving psychological or physical pain, real or fantasized |
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Term
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Definition
| Erotic interest in inflicting psychological or physical pain, real or fantasized |
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Term
| What is transvestic fetishism? |
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Definition
| Sexual arousal elicited by cross-dressing (most often a heterosexual male dressing in female clothes) |
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Term
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Definition
| Intentional exposure of the genitals to a stranger or unsuspecting person; may be accompanied by arousal and masturbation either during or after exposure |
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Term
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Definition
| Secret observation of an unsuspecting person (usually a woman) engaged in a private act (undressing or having sex). Often masturbates during or after the viewing |
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Term
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Definition
| Intense sexual arousal elicited by rubbing the genitals against a non-consenting person |
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Term
| What are obscene phone callers? |
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Definition
| Calling a non-consenting person and making sexual noises, using profanity, attempting to seduce, or describing sexual activity. The caller often masturbates during or after the call |
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Term
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Definition
| Sexual interest in a child; behavior ranges from exposure, voyeurism, and explicit talking to touching, oral sex, and intercourse. |
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Term
| What ages are considered for pedophilia? |
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Definition
| Must be at least 16 and the person must be five years younger |
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Term
| What are sexual addictions? |
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Definition
| Over 50% of waking hours are about sex, thinking or acting in the form of porn, masturbation, or having affairs |
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Term
| What are characteristics of sexual addictions? |
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Definition
Progressive in nature
To numb pain and avoid problems
Leading a double life
People want to stop but are unable |
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Term
| What is the treatment for sexual addictions? |
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Definition
Groups
Clinics
Often follow the 12 steps
Equine therapy
Couple therapy |
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Term
| What is general treatment for paraphilias? |
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Definition
Group therapy
Underlying medical cause
Medication
Europe: castration |
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Term
| What should a nurse do in relation to paraphilias? |
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Definition
Assess attitude and values
Teach normal relations between males and females: role model
Problems with assertiveness
Self-esteem issues
Help gain a better understanding of how their behavior affects themselves and others |
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