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27 Cards in this Set

  • Front
  • Back
What is the first physiological signal of the excitement phase?
Vaginal Lubrication
What causes vaginal lubrication
Vasocongestion and vaginal epithelium combined.
increased blood flow to the internal and external genitals
vasocongestion
At waht stage of sexual arousal s the peak level of vasoconestion reached?
Plateau Phase
what physiological process change and how do they change during the pleatau phase?
bp, hr, and breathing rate increase
What happens to the clitoris during PP?
it gets bigger in size and diameter, and it hides under the clitoral hood
What happens to labia minora during PP?
it changes color
What happens to labia majora during PP?
it moves away from the midline.
What happens to the vaginal wall during PP?
it becomes dark purple
When the outer 1/3 of the vagina indicates that complete vasocongestion has occurred
orgasmic platform
What happens to uterus during PP?
it elevates
Diagnosis: Persistent or recurring partial or complete failure to attain or maintain lubrication- swelling response of sexual excitements until completion of the sexual act.
- Causes Distress
FSAD Female Sexual Arousal Disorder
Diagnosis: Reduced or absent vaginal lubrication/ sexual sensations.
- Subjective sexual excitement still occurs.
Genital Sexual Arousal Disorder
Diagnosis: Reduced or absent feelings of sexual excitement/ pleasure
- Vaginal lubrication or other responses still occur.
Subjective Sexual Arousal Disorder
What happens to hormones when you have FSAD?
low estrogen levels
How does SNS contributes to female sexual arousal.
moderate levels of SNS activation increase genital arousal in sexually functional women.
What were the results of the effect of exercise on arousal study?
Exercise significantly increased a woman's arousal.
What were results of the effect of ephedrine on arousal study?
Epehedrine Significantly increased arousal.
What did McCall and Meston discover that expectancy of sexual arousal did to real arousal?
The expectancy highly correlated with what the true arousal was.
What is the treatment for FSAD?
- review physical causes
- topical lubricants
- estrogen creams
What is the only FDA approved device fro women's sexual dysfunction?
EROS- clitoral therapy device.
What things could have affected the patients that just took a placebo? Waht cause placebo effect?
- motivation for treatment
- compliance with treatment
- awareness and expectations
- Practitioner characteristics
- enthusiastic attitude
- belief in treatment
- interpersonal skills
- time spent with patient
- amount of support given
placebo/treatment characteristics
- number and color of pills
- frequency of treatment
- well known "brand name"
- novelty
- route of administration
- setting of administration
How do expectancies impact sexual responding by neurobiological mechanisms.
-opioid release
- increase in testosterone?
- dopaminergic activation
when a placebo was taken women would have decreased pain
placebo effect cuased opioid release
dopamine neurons are activated when expected to be rewarded sexually
dopaminergic activation
expectation to improve would result in:
- decreased anxiety
- postive impact on parter-partner communication and interactions
- postive impact on partner's behavior toward patient