Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
18 Cards in this Set
- Front
- Back
|
Medicines impact sexual function
|
affects patient compliance
|
|
|
herbal products
|
important to illicit from history, lots of people use them
|
|
|
Thorough and Careful History
|
1. define the problem
2. check prescription drugs, herbal remidies, psych issues, medical problems, illegal drugs 3. **Marriage problems need to be treated first. then go to a more specific treatment |
|
|
Arousal Disorders in Females
|
1. often due to husband
2. woman is not stimulated properly 3. encourage woman to talk to her partner in sensitive way, guide them |
|
|
Freud
|
thought vaginal stimulation was most important.
He was wrong Clitoral is equally/more impt than vaginal stim |
|
|
Female Orgasm Disorders
|
1. Primary- has never had an orgasm before.
-most likely because of not having proper stimulation -can be fixed 2. Secondary- had an orgasm previously but cant now -can be phys or psych/emot or relationship problem |
|
|
Sexual Desire Disorders
|
1. Hyperactive sexuality- sex addiction, constantly seeking gratification. usually not seen
2. Hypoactive sexuality- mostly women. -Hormonal, depression, menopause -**Usually the enviroment |
|
|
Treatments
|
focus on the enviroment the individual is in. make things more inviting
sensate focus technique, start-stop, systematic desens |
|
|
Avoidance of sexual behavior
|
view that certain things are unclean
previous sexual assault |
|
|
Classical conditioning
|
Paraphilias may develop this way
uncondit/conditioned stimulus/response |
|
|
Pain disorders
|
1. men-almost always a physical problem/abnormality
2. Women- maybe physical, but OFTEN there is a psychological component |
|
|
Dyspareunia
|
pain during intercourse
they correlate sex with pain need to be reconditioned |
|
|
Interventions for Paraphilias
|
1. Aversion therapy
-works in theory/lab, but doesnt generalize very well 2. Hypnosis- not effective for paraphilias 3. Orgasmic reconditioning |
|
|
Orgasmic reconditioning
|
1. masterbate to paraphylic target
2. before orgasm, switch to normal picture/object 3. after orgasm, continue masterbating to paraphylic object- will cause pain |
|
|
Taking sexua history
|
1. establish its ok to talk about sex
2. evaluate sexual function 3. clarify misconceptions 4. identify sexual concerns and possible complications (ie-meds) |
|
|
Physician Behavior
|
1. be comfortable using common language
2. open ended questions. close ended questions only used for specifics 3. Non-judgemental 4. clarify ambiguous terms |
|
|
Areas to cover in interview
|
1. establish patient attitude toward sex
2. assess relationship factors 3. identify psychological aspects 4. ask about previous sexual experiences 5. ask what patient expects |
|
|
Areas of Conflict
|
1. teenage sexuality
-In alabama, age 14 has ability to make decisions 2. homosexuality 3. transgender- born into the wrong body 4. birth control- ie problems with ethical disagreements 5. be comfortable with sexual variations *If you dont know what to do, REFER OUT |
