First Aid Psych 15-1 Sexual Disorders

Front 1

1. Stages of normal sexual response in men and women?

Back 1

1. Desire
2. Excitement
3. Plateau
4. Orgasm
5. Resolution

Front 2

2. Desire?

Back 2

a. The interest in sexual activity, often reflected by sexual fantasies

Front 3

3. Excitement?

Back 3

a. Begins w/either fantasy or physical contact.
b. It is characterized in men by erection and in women by vaginal lubrication, clitoral erection labial swelling, and elevation of the uterus in the pelvis (tenting).
c. Both men and women experience nipple erection and increased pulse and blood pressure.

Front 4

4. Plateau?

Back 4

a. Characterized in men by ↑ size of the testicles, tightening of the scrotal sac, and secretion of a few drops of seminal fluid.
b. Women experience contraction of the outer 1/3 of the vagina and enlargement of the upper 1/3 of the vagina.
c. Facial flushing and ↑ in pulse, blood pressure, and respiration occur in both men and women.

Front 5

5. Orgasm?

Back 5

a. Men ejaculate and women have contractions of the uterus and lower 1/3 of the vagina.

Front 6

6. Resolution?

Back 6

a. Muscles relax and cardiovascular state returns to baseline.
b. Men have a refractory period during which they cannot re-experience orgasm.
c. Women have little or no refractory period.

Front 7

7. Sexual changes w/aging?

Back 7

a. The desire for sexual activity does not usually change as people age.
b. However, men usually require more direct stimulation of genitals and more time to achieve orgasm.
c. The intensity of ejaculation usually ↓, and the length of refractory period ↑.

Front 8

8. Sexual changes after menopause?

Back 8

a. Women experience vaginal dryness and thinning due to ↓ levels of oestrogen.
b. These conditions can be treated w/hormone replacement therapy or vaginal creams.

Front 9

9. How do alcohol and marijuana affect sexual desire?

Back 9

a. They enhance sexual desire by suppressing inhibitions.
b. However, long-term alcohol use decreases sexual desire.

Front 10

10. Affect of Cocaine and amphetamines on sexual desire?

Back 10

a. Enhance libido by stimulating dopamine receptors.

Front 11

11. Affect of Narcotics on libido?

Back 11

a. Inhibit libido.

Front 12

12. Effect of decreases oestrogen levels after menopause?

Back 12

a. Causes vaginal dryness and thinning in women (without affecting desire).

Front 13

13. Affect of testosterone on libido?

Back 13

a. Promotes libido (desire) in both men and women.

Front 14

14. Affect of progesterone on libido?

Back 14

a. Progesterone inhibits libido in both men and women by blocking androgen receptors.
b. Found in oral contraceptives, hormone replacement therapy, and treatments for prostate cancer.

Front 15

15. Affect of Dopamine and Serotonin on Libido!?!?!

Back 15

a. Dopamine enhances libido
b. Serotonin Inhibits Sexual function.

Front 16

16. DSM criteria for Sexual Disorders?

Back 16

a. The disorder causes marked distress or interpersonal difficulty.
b. The dysfunction is not caused by substance use or a general medical condition.

Front 17

17. 2 Disorders of Desire?

Back 17

1. Hypoactive sexual desire disorder
2. Sexual Aversion Disorder

Front 18

18. Hypoactive sexual desire disorder?

Back 18

a. Absence of deficiency of sexual desire or fantasies (occurs in up to 20% of general population and is more common in women).

Front 19

19. Sexual Aversion Disorder?

Back 19

a. Avoidance of genital contact w/a sexual partner.

Front 20

20. 2 Disorders of Arousal (Excitement)?

Back 20

1. Male erectile disorder
2. Female sexual arousal disorder

Front 21

21. Male erectile disorder?

Back 21

a. Inability to attain an erection.
b. Commonly referred to as impotence.
c. May be primary (never had one) or secondary (acquired after previous ability to maintain erections).
d. Men who have erections in the morning, during masturbation, or w/other sexual partners usually have a psychological rather than physical etiology.

Front 22

22. Female sexual arousal disorder?

Back 22

a. Inability to maintain lubrication until completion of sex act (high prevalence- up to 33% of women).

Front 23

23. Disorders of orgasm?

Back 23

a. Both male and female orgasmic disorders may be either primary (never achieved orgasm) or secondary (acquired).
b. Causes may include relationship problems, guilt, stress, and so on.

Front 24

24. Female orgasmic disorder?

Back 24

a. Inability to have an orgasm after a normal excitement phase.
b. The estimated prevalence in women is 30%.

Front 25

25. Male orgasmic disorder?

Back 25

a. Achieves orgasm w/great difficulty, if at all.
b. Much lower incidence than impotence or premature ejaculation.
c. Estimated prevalence in men is 5%.

Front 26

26. Premature ejaculation?

Back 26

a. Before or immediately upon entering the vagina
b. High prevalence- up to 35% of all male sexual disorders.

Front 27

27. 2 Sexual Pain Disorders?

Back 27

1. Dyspareunia
2. Vaginismus

Front 28

28. Dyspareunia?

Back 28

a. Genital pain before, during, or after sexual intercourse.
b. Much higher incidence in women than men.
c. Often associated w/vaginismus.

Front 29

29. Vaginismus?

Back 29

a. Involuntary muscle contraction of the outer third of the vagina during insertion of penis objects (such as speculum or tampon).
b. ↑ incidence in higher socioeconomic groups and in women of strict religious upbringing.