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11 Cards in this Set

  • Front
  • Back
What factors play a role in female sexual arousal?
Generally stimuli, may have SOME spontaneous desire, but it's mostly stimuli.

Before becoming aroused, woman hang out in a sexual neutrality zone.
Desire Phase Dysfunction:
Definition
Causes
Lack of interest in sex (hypoactive sexual desire disorder--could have hx of rape) or aversion disorder

Causes:
Relationship Based
Depression
Drugs (SSRI!)
Vaginismus:
Definition
Involuntary spasms of the muscular outer third of the vagina
Dyspareunia:
Definition
Superficial vs Deep
Def: Painful intercourse

Superficial: introital abnormalities or vaginitis

Deep: pelvic pathology (endometriosis, infection)
Testosterone Therapy in Women:
Side Effects
Usually administered as a low dose by patch (some success demonstrated, i.e., increased desire), but not FDA approved

Use Transdermal Gel mostly

AEs:
Virilization, Alopecia
Low Voice, Hirsutism, Acne

If Oral testosterone, check LFTs
Eros device
Suction cup over clitoris to improve circulation and increase lubrication
Female Sexual Arousal Disorder:
Treatment (Gyn vs Psyc)
Gyn: treat atrophy, infection
Lubricate
Vibrators, foreplay, EROS

Psyc:
Warm bath, relaxation techniques
Pelvic Pain Syndrome:
Treatment
Vaginal dilators
Treat endometriosis, infection
Changes in sexual desire during pregnancy (by trimester).
1st trimester: decrease in frequency (morning sickness)

2nd trimester: increase in desire, responsiveness, often above prepregnant levels; higher sexual tension

3rd trimester: dec'd desire and frequency
When should sex during pregnancy be avoided?
Rupture of Amniotic Membrane
Undx'd vaginal bleeding
Hx premature labor
Risk Factors for Lesbians
Nulliparity
More obesity
More smoking (40-70% more)
Greater EtOH use
Dec'd OCP use
Lower rates of paps, mammograms, annual checkups