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11 Cards in this Set
- Front
- Back
What factors play a role in female sexual arousal?
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Generally stimuli, may have SOME spontaneous desire, but it's mostly stimuli.
Before becoming aroused, woman hang out in a sexual neutrality zone. |
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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!) |
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Vaginismus:
Definition |
Involuntary spasms of the muscular outer third of the vagina
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Dyspareunia:
Definition Superficial vs Deep |
Def: Painful intercourse
Superficial: introital abnormalities or vaginitis Deep: pelvic pathology (endometriosis, infection) |
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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 |
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Eros device
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Suction cup over clitoris to improve circulation and increase lubrication
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Female Sexual Arousal Disorder:
Treatment (Gyn vs Psyc) |
Gyn: treat atrophy, infection
Lubricate Vibrators, foreplay, EROS Psyc: Warm bath, relaxation techniques |
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Pelvic Pain Syndrome:
Treatment |
Vaginal dilators
Treat endometriosis, infection |
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Changes in sexual desire during pregnancy (by trimester).
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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 |
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When should sex during pregnancy be avoided?
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Rupture of Amniotic Membrane
Undx'd vaginal bleeding Hx premature labor |
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Risk Factors for Lesbians
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Nulliparity
More obesity More smoking (40-70% more) Greater EtOH use Dec'd OCP use Lower rates of paps, mammograms, annual checkups |