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59 Cards in this Set
- Front
- Back
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For whom is treatment with Viagra contraindicated?
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Persons taking organic nitrates
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Increases in what neurotransmitter have been associated with increased sexual desire in females?
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Dopamine
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What sex intercourse position helps to increase ejaculatory control?
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Female superior face-to-face
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Which psychoactive medication is associated with priapism?
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Trazadone (though rarely)
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What is the need and ability to be aware of, in touch with and accepting of our own bodies and others- especially the body of a sex partner called?
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Sensuality
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What is the ability and need to experience emotional closeness or nearness to another human being and have this feeling returned called?
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Sexual intimacy
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What is the development of a sense of who we are sexually, including a sense of maleness and femaleness?
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Sexual identity
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What is the use of sexuality to influence, control, or manipulate others?
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Sexualization
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What are 4 things that contribute to the etiology of sexual dysfunction?
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-Biogenic factors
-Psychogenic factors -Interpersonal dynamics -User error |
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What are 3 requirements for a sexual stimulus to be adequete?
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-Focus
-Intensity -duration |
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What are 5 steps in diagnosing a Sexual dysfunction disorder?
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1. Where in sex response cycle
2. Primary/secondary, lifelong or acuired 3. Global or context-specific 4. Persistent or recurrent 5. Is it caused by a medical condition or substance use |
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What does it mean to say a sexual dysfunction is primary or secondary?
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Primary - it never worked
Secondary - it used to work but now it doesn't |
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What does global vs context specific mean?
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Global = its always a problem
Context-specific = only a problem with certain people |
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What does Recurrent mean?
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Sometimes it works, sometimes it doesn't.
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What is a typical example of a recurrent sexual dysfunction?
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Performance anxiety
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What are the 5 main sexual dysfunction categories?
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-Problems with the sexual response cycle
-Sexual pain disorder -Medical problem related -Alcohol/recr. drug related -Not otherwise specified |
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4 components of the sex response cycle?
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-Desire
-Excitement -Orgasm -Resolution |
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What are 2 disorders of sexual dysfunction that occur in the desire stage of the response cycle?
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-Hypoactive desire
-Sex aversion |
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What are 2 disorders of sexual dysfunction that occur in the excitement stage of the response cycle?
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-Erectile dysfunction
-Sexual arousal disorder |
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What are 3 disorders of sexual dysfunction that occur in the orgasm stage of the response cycle?
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-Female orgasmic disorder
-Rapid ejaculation -Delayed ejaculation |
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What is the main disorder that will be seen in the resolution stage of the response cycle?
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Priapism
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What are 2 sexual pain disorders?
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-Dyspareunia
-Vaginismus |
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What is Vaginismus?
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The INVOLUNTARY constriction of the muscles of the outer 1/3 of the vaginal canal
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What is an Anhedonic erection?
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Spinal cord injury
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What can cause Hypoactive sexual desire? (6)
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-Chronic stress
-High serotonin (SSRI) -Opiates -Low testosterone -Depression -Diabetes |
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What are 3 causes of sex aversion?
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-Trauma
-Dyspareunia -Psychosis |
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And what are Hypoactive Desire and Sex Aversion both examples of?
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Dysfunctions of the Desire stage of the sex response cycle.
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What are the 2 disorders of the Arousal/Excitement stage?
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-Erectile dysfunction
-Female arousal Disorder |
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What are 5 causes of Female arousal disorder?
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-Antihistamines
-MAOIs -SSRIs -Decreased estrogen (lactation) -Thinning of vaginal tissue |
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What are 6 causes of Erectile dysfunction?
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-Anxiety
-Alcohol -Diabetes -Vascular disease -Decreased androgens -AntiHTN meds (some) |
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What disease of the orgasm stage affects women?
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Female anorgasmia
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What can cause female anorgasmia?
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-Inadequete stimulation
-Diabetes -Hypothyroidism -SSRIs/MAOIs/TCAs -Some anti-HTNs |
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What 2 disorders of orgasm affect males?
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-Rapid ejaculation
-Delayed ejaculation |
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What are 4 causes of Rapid ejaculation?
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-Inexperience
-Shorter nerve latency time -Distraction (bball scores) -Anxiety |
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What meds cause delayed ejaculation?
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Stimulants - cocaine, SSRIs, TCAs, Ecstasy, Anti-HTNs
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What else can cause delayed ejaculation?
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Spinal cord injury
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What is Anhedonic erection?
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When a spinal cord injury prevents ejaculation, even though erection can be achieved.
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What is dyspareunia?
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Painful sexual intercourse due to a medical or psychological cause
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What are 3 common causes of dyspareunia in females?
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-Endometriosis
-Episiotomy scarring -Vaginal infections |
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What can cause dyspareunia in males?
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-Hygiene
-Protatitis -Peyronie's disease |
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What does Vaginismus develop from?
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Trauma or dyspareunia
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What two hormones increase desire?
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Dopamine and testosterone
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What 4 hormones decrease desire?
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-Serotonin
-Prolactin -Cortisol -Progesterone |
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What are the 5 big medications commonly implicated in sexual disorders?
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-Antihypertensives
-Antipsychotics -Antidepressents -Narcotics -Alcohol |
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What are 4 treatment modalities for sexual dysfunction?
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-Sex therapy
-Medication -Devices -Surgery |
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What are 6 forms of sex therapy?
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-Brief PLISSIT model
-Psychotherapy w/ sex therapy -Behavioral therapy -Hypnosis -Dual sex therapy |
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What is the last ditch effort for sex therapy?
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Individual psychotherapy
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What is PLISSIT?
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Permission, Limited info, Specific suggestions, Intensive treatment
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What is PLISSIT meant to achieve?
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The least amount of effort possible
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What is an example of behavioral therapy?
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Desensitizing someone to touch by starting very gently and lightly.
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What are Kegel exercises?
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Tightening up the PC muscle by stopping the flow of urine
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What is sensate focus?
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Not allowing touch to stimulate or arouse, but just to desensitize
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What is stop start?
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Squeezing at the coronal ridge
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What is the best position for ejaculatory control and clitoral stimulation?
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Woman on top, face to face
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What is the best position for conception?
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Male on top, face to face
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What is a Paraphilia?
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An activity that is the sole means of sexual gratification for at least 6 months, is recurrent and intense, and extremely distressing.
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What are the diagnostic criteria of a Paraphilia?
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-Duration of 6 months at least
-REcurrent/intense -Extremely distressing -Causes interpersonal difficulties/unable to carry out social roles -Acted on urge |
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What is Sexual compulsivity?
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Persistent and recurrent impulse to engage in sexual activity
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What are the diagnostic criteria for sexual compulsivity?
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-Patient CAN'T CONTROL impulse
-Increasing freq over time -Deprivation causes distress -Behavior continues despite dire consequences |
