(Iii-Psych) Sexual Disorders

Front 1

Example of disorders that occur during the resolution phase of sex:

Back 1

Postcoital dysphoria
Postcoial headache

Front 2

This disorder is defined by lack of sexual fantasies and lack of desire for sexual interactions

Back 2

Hypoactive sexual desire disorder

Note that 33% of women and 15% of men experience this

Front 3

Major comorbid Axis 1 disorder with sexual aversion disorder:

Back 3

Anorexia neosa

Front 4

Percentage of women experiencing sexual arousal disorder?

Back 4

20%

Front 5

Mechanism of action of viagra:

Back 5

Phosphodiesterase (type 5) inhibitor. Helps keep smooth muscle relaxed.

Front 6

Classes of medicines that can cause a decrease in vaginal lubrication:

Back 6

Antihistamines and anticholinergics

Front 7

Describe the role of cGMP in the erectile process:

Back 7

cGMP is made by guanylate cyclase and broken down by phosphodiesterase. cGMP relaxes smooth muscle. Nitric oxide increases the amount of cGMP

Front 8

What is the difference between vaginismus and dyspareunia?

Back 8

Dyspareunia is pain during sex for any reason. Vaginismus is a spasm and may be a cause of dyspareunia

Front 9

Organic causes of dyspareunia:

Back 9

Vaginitis
Endometriosis
Gland infection
Scars

Front 10

With which phase of sleep is penile tumescence associated?

Back 10

REM

Front 11

Common medical conditions that cause sexual dysfunction in females:

Back 11

Hypothyroidism

Diabetes mellitus

Primary hyperprolactinemia

Front 12

If patient is on MAOI and has sexual dysfunction, do you need to adjust the dosage?

Back 12

No. Sexual side effects typically go away after a few months

Front 13

TCA with the fewest sexual side effects:

Back 13

Desipramine

Front 14

This medication can potentially reverse the sexual side effects with SSRIs and SNRIs:

Back 14

Cyproheptaide and methylphenidate

Front 15

Two medicines to help with libido:

Back 15

Clomipramine and buproprion.

Hormone replacement may also help

Front 16

What class of medicine is cyproheptaide in?

Back 16

It is an antihistamine. However Diphenhydramine does not help treat sexual problme.s

Front 17

When would it be a good idea to use SSRIs to treat a sexual dysfunction?

Back 17

Since they delay ejaculation they may be useful in treating premature ejaculation.

Front 18

In which situations does testerone increase sexual function in men?

Back 18

Only if they are deficient in testosterone to begin with.

Front 19

Part of the brain that controls sexual function:

Back 19

Limbic system including hippocampus, mamillary bodies, and anterior thalamic nucei, and amygdala

Front 20

Does dopamine increase or decrease libido? What about serotonin?

Back 20

Dopamine increases libido while serotonin inhibits sexual function.