Sexual Dysfunction Flashcards Preview

Psychiatry pro +1700 > Sexual Dysfunction > Flashcards

Flashcards in Sexual Dysfunction Deck (79)
Loading flashcards...
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

What is a predictive factor for pelvic pain/ penetration disorder?

Difficulty with tampon insertion