Flashcards in Sexual Dysfunction Deck (79)
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1
What are the four phases of sexual response?
1. Desire
2. Excitement
3. Orgasm
4. Resolution
2
What is the prevalence of sexual dysfunction between men and women?
38% of women
29% of men
3
True or false: multiple types of sexual dysfunction rarely coexists
False
4
What are the top four issues with female sexual dysfunction?
1. Lack of interest
2. Lubrication problems
3. Anorgasmia
4. Pain
5
What are the top four issues with male sexual dysfunction?
1. Premature ejaculation
2. ED
3. Lack of interest
4. Anorgasmia
6
What are the three general qualities for all sexual (and all psych) dysfunctions?
1. specific disorder dysfunction
2. Disturbance causes distress
3. Not d/t another diagnosis
7
What is the timeframe that must be had to diagnose sexual dysfunction?
6 months or longer
8
What are the three major categories of sexual dysfunction?
-sexual interest/arousal disorders
-Orgasm disorder
-Sexual pain disorder
9
What are the 6 criteria of female sexual arousal disorder? How many are needed to make a dx?
3 of:
-Sensations reduced
-Unresponsive to partner
-Pleasure reduced
-Erotic thoughts
-Response
-Interest reduced
(SUPER-I)
10
True or false: when women complain of lubrication issues, there is rarely an actual problem
True
11
What fraction of married women experience sexual disorders?
1/3
12
What is the definition of ED?
Marked difficulty in obtaining or maintaining an erection of sufficient rigidity during partnered sexual activity
13
What percent of the time is needed in order to diagnose ED?
More than 75% of the time
14
How can you prevent ED? (2)
-Continued sexual activity
-Reduce medical causes
15
What is the definition of orgasm disorders in females?
Persistent, or recurrent delay in, infrequency of, or absence of orgasm, or a markedly reduced intensity of orgasmic sensations
16
What percent of the time is needed to diagnose female orgasm disorder?
more than 75% of the time
17
What is the prevalence of female orgasm disorder?
30-40%
18
What is the treatment for female orgasm disorder? (3)
-Self-exploration
therapy
-Communication
19
What is the definition of premature ejactulation?
Persistent or recurrent pattern of ejaculation occurring during *partnered* sex within approximately 1 minute following vaginal penetration, and before the person wishes it
20
What is the prevalence of premature ejaculation (reported vs meet diagnostic criteria)?
20-30% report it
1-3% meet diagnosis
21
What is the treatment for premature orgasm disorder?
SSRIs and specific exercises
22
What are the mild, moderate, and severe criteria for premature ejaculation?
Mild: 30-60 secs
Moderate: 15-30 secs
Severe: less than 15 seconds
23
What percent of sexual contacts are needed to diagnose premature ejaculation disorder?
75-100%
24
What is the definition of inhibited orgasm for men?
Persistent or recurrent delay in, or absence of orgasm following a normal sexual excitement phase during sexual activity
25
What percent of sexual contacts are needed to diagnose inhibited orgasm?
More than 75% of the time
26
What are the meds that can cause inhibited orgasm?
-SSRIs
-HTN meds
27
What are the associated psych disorders with inhibited orgasm disorder?
-Closeness issues
-Guilt
-OCD
28
What are the 4 criteria for pain/penetration disorders?
1. Vaginal pain during intercourse
2. Marked vulvovaginal or pelvic pain during vaginal intecourse
3. Marked fear or anxiety about pelvic pain
4. Marked tensing or tightening of the pelvic floor muscles during attempted vaginal penetration
29
Does the pain with pelvic/penetration disorder occur before, during, or after intercourse?
Any
30
