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Sexual Disorders
N/A
26
Medical
Professional
03/08/2010

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Cards

Term
What are the 5 stages of the sexual response cycle?
Definition
1. Desire
2. Excitement
3. Plateau
4. Orgasm
5. Resolution
Term
Describe the desire phase of the sex response cycle
Definition
the interest in sexual activity
Term
Describe the excitement phase of the sex response cycle
Definition
-begins with fantasy or physical contact
-characterized by erection in guys
-vaginal lubrication, labial swelling, clitoral erection in females
-increased BP and nipple erection in both sexes
Term
Describe the plateau phase of the sex response cycle
Definition
Men: increased testicle size, secretion of a few drops of seminal fluid
Women: contraction of the outer vagina, enlargement of the inner vagina
Both: facial flushing and increased pulse, blood pressure, and respiration
Term
Describe the orgasm phase of the sex response cycle
Definition
-men: ejaculation
-women: contractions of the uterus and lower one third of the vagina
Term
Describe the resolution phase of the sex response cycle
Definition
muscles relax and cardiovascular state returns to baseline; men have a refractory period during which no orgasm can occur and women have women have little or no refractory period
Term
What happens to the refractory period and the nature of the ejaculation as men age?
Definition
Refractory period lengthens and intensity of ejaculation decreases
Term
What are the 2 main types of psychiatric drugs implicated in sexual dysfunction>
Definition
SSRI's and anti-psychotics (block dopamine)
-dopamine enhances libido
-serotonin inhibits libido
Term
Absence or deficiency of sexual desire or fantasies
Definition
Hypoactive sexual desire disorder
-the disroder must cause marked distress or interpersonal difficulty
-not caused by substance use or a general medical condition
Term
Avoidance of genital contact with a sexual partner
Definition
Sexual aversion disorder
Term
Disorders of the excitement and plateau phases
Definition
1. Male erectile dysfunction disorder--inability to attain an erection; may be primary (never had one) or secondary (acquired after a previous ability to maintain erections)
2. Female sexual arousal disorder--
inability to maintain vagina lubrication
Term
Disorders of the orgasmic phase.
Definition
1. Female orgasmic disorder: inability to have an orgasm after a normal excitement
2. Male orgasmic disorder:
achieves orgasm with great difficulty if at all
3. Premature ejaculation:
ejaculation earlier than desired time
Term
involuntary muscle contraction of the outer 1/3 of the vagina during insertion of penis or object
Definition
Vaginismus
-common cause of dyspareunia
-use vaginal dilator to open up vagina
Term
Premature ejaculation techniques
Definition
1. squeeze technique
2. start-stop (cessation of all penile stimulation when the man is near ejaculation)
3. SSRIs, TCAs
Term
sexual disorders characterized by engagement in unusual sexual activities or preoccupation with unusual sexual urges or fantasies for at least 6 months that lead to impairment in daily functioning
Definition
paraphilias
Term
sexual gratification from fantasies or behaviors involving sexual acts with children
Definition
pedophilia
Term
watching unsuspecting nude persons in order to obtain sexual pleasure
Definition
voyeurism
Term
exposure of one's genitals to strangers
Definition
exhibitionism
Term
sexual preference for inanimate objects
Definition
fetishism
Term
sexual gratification in men (usually heterosexual) from wearing women's clothing
Definition
transverse fetishism
Term
Sexual pleasure in men from rubbing their genitals against unsuspecting women
Definition
Frotteurism
Term
Sexual excitement from being humiliated or beaten
Definition
Masochism
Term
Sexual excitement from hurting or humiliating another
Definition
sadism
Term
sexual pleasure from engaging in sexual activity with dead persons
Definition
necrophilia
Term
sexual excitement from calling unsuspecting women and engaging in sexual conversations with them
Definition
telephone scatologia
Term
Treatment of paraphilias
Definition
1. Insight-oriented psychotherapy
-most common method where patients gain insight into the stimuli that cause them to act as they do
2. Behavior tx
aversive conditioning used to disrupt the learned behavior by coupling the the impulse with an unpleasant stimulus
3. Anti-androgens in men
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