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Flashcards in Psychosexual disorders Deck (14)
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1
Q

Sexual dysfunction

A

Regular lack of interest in or pain during sex or problems achieving lubrication/erection/orgasm

2
Q

Delayed Ejaculation

A

Marked delay
Infrequency/absence of ejac despite adequate sexual stimulation
Consider- Partner probs, relationship factors, psychiatric comorbidity, culture/religious

3
Q

Erectile DO

A

Marked difficulty obtaining erection until completion of sexual activity
Dec rigidity
Assoc= low SE, confidence

4
Q

Female orgasmic DO

A

Marked delay/infrequency of/ absence of orgasm

Reduced intensity of orgasms

5
Q

Female sexual interest/arousal DO

A

Lack of/reduced sexual interest/arousal= 3 of flwng
Dec interest in Sexual act
Dec sex/erotic thoughts/fantasies
Dec sex excitement dur sex activity
Unresponsiveness to partner’s attempts to initiate
Dec arousal to sex cues
Dec genital/non-genital sensations during sex act

6
Q

Genito-Pelvic Pain/Penetration DO

A

Difficulties w/ 1 or more:
Vaginal penetration
Pelvic pain during vag/penetration attempts
Fear/Anx about Vag/pelv in anticipation of penetration
Tension/tightening of pelvic floor during attempted penetration

7
Q

Male Hypoactive sex desire

A

Absence of sex thoughts/fantasies/desire for sex

8
Q

Premature ejac

A

Ejac occurring w/in 1 min following vag penetration

Or before wanted

9
Q

Substance/Med Induced Sex Dysfunction

A

Sx soon after substance use
Alcohol/opioids/S/H, anxiolytics
50% of antipsychotics

10
Q

Sex dysfunction facts

A

More common if abuse alcohol/drugs

Also from DM, neuro DO

11
Q

Psychological Causes of Sex dysfunction

A
Sexual ignorance
Sexual anxiety (perf issue)
Psych defenses against erotic feelings
Lack of communication
Physical factors
Drugs
MD, guilt
Psychosocial issues (trauma)
12
Q

Clinical Errors

A
Misinformation (oral sex means germs, simul org is must)
Over reaction (anal/bisex)
Value judgment (best posit)
Inappropriate tx (think better)
13
Q

Tx

A

Psychosocial- symptom focused, brief
Couple- superior to relax/desensitization
Sex Therapy- dec anx/restore confid

14
Q

Tx 2

A

Indiv/marital therapy (CBT)

Ind/couple relaxation