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68 Cards in this Set

  • Front
  • Back
central nervous system (CNS)
-brain has role in transducing stimuli
--somagenic stimulation:sights, sounds, smells, tastes, touch
--psychogenic stimultion: thoughts, emotions, memories, fantasies
--brain interprets stimuli as erotic:sexual responding is potentiated
--brain interprets stimuli as non-erotic:sexual responding inhibited
-brain has role in sexual responding
--specific areas (hypothalamus, brainstem) activiate or inhibit pelvic nerves
--hormones that influence sex response (testosterone,etc.) under control of brain
peripheral nervous system
-comprised of somatic and autonomic nervous systems
somatic nervous system
-sensory pthway from body carry touch info to brain
--genital:sensation arising from specialized receptors in skin (penis, clirotirs, etc) in pudendal nerve
--non-genital: sensations arising from touch receptors found throughout whole body surface (things, earlobes, lips)
-motor pathways control muscle contractions
--genital muscle group
-erection: ischiocavernosa, bulbosponsiosum muscles
-ejaculation: epididymis, vas deferns, ejaculatory duct, urethra
-orgasm: myotonia, rhythmic contractions in PC muscle, anus, vaginal introitus
--non-genital: muslce in face, hands, feet, buttocks, abdomen;grimacing, vocalizing, pelvic thrusting
autonomic nervous system (ANS)
-comprised of parasympathetic and sympathetic nervous systems
parasympathetic nervous system
-visceral branch
-genital branch
-lumbar spine center: involved in genital response triggered by input from brain (thoughts trigger genital response)
-sacral spine center: involved in genital response triggered by stimulation of genitals (reflexive, involuntary response)
visceral branch of PSNS
-visceral branch produced vegetal tone;controls internal organs
genital branch of PSNS
-genital branch produced genital tone (turned on); controls sensory input from genital to spinal cord and motor output increases blood flow to genital tissue
visceral PSNS tone
(vegging out)
genital PSNS tone
getting turned on
sympathetic nervous system SNS
-meeting physical and emotional emergencies
-fight or flight response
-active inhibition of blood flow to genitals
central nervous system (CNS)
-brain has role in transducing stimuli
--somagenic stimulation:sights, sounds, smells, tastes, touch
--psychogenic stimultion: thoughts, emotions, memories, fantasies
--brain interprets stimuli as erotic:sexual responding is potentiated
--brain interprets stimuli as non-erotic:sexual responding inhibited
-brain has role in sexual responding
--specific areas (hypothalamus, brainstem) activiate or inhibit pelvic nerves
--hormones that influence sex response (testosterone,etc.) under control of brain
peripheral nervous system
-comprised of somatic and autonomic nervous systems
somatic nervous system
-sensory pthway from body carry touch info to brain
--genital:sensation arising from specialized receptors in skin (penis, clirotirs, etc) in pudendal nerve
--non-genital: sensations arising from touch receptors found throughout whole body surface (things, earlobes, lips)
-motor pathways control muscle contractions
--genital muscle group
-erection: ischiocavernosa, bulbosponsiosum muscles
-ejaculation: epididymis, vas deferns, ejaculatory duct, urethra
-orgasm: myotonia, rhythmic contractions in PC muscle, anus, vaginal introitus
--non-genital: muslce in face, hands, feet, buttocks, abdomen;grimacing, vocalizing, pelvic thrusting
autonomic nervous system (ANS)
-comprised of parasympathetic and sympathetic nervous systems
parasympathetic nervous system
-visceral branch
-genital branch
-lumbar spine center: involved in genital response triggered by input from brain (thoughts trigger genital response)
-sacral spine center: involved in genital response triggered by stimulation of genitals (reflexive, involuntary response)
visceral branch of PSNS
-visceral branch produced vegetal tone;controls internal organs
genital branch of PSNS
-genital branch produced genital tone (turned on); controls sensory input from genital to spinal cord and motor output increases blood flow to genital tissue
visceral PSNS tone
(vegging out)
genital PSNS tone
getting turned on
sympathetic nervous system SNS
-meeting physical and emotional emergencies
-fight or flight response
-active inhibition of blood flow to genitals
central nervous system (CNS)
-brain has role in transducing stimuli
--somagenic stimulation:sights, sounds, smells, tastes, touch
--psychogenic stimultion: thoughts, emotions, memories, fantasies
--brain interprets stimuli as erotic:sexual responding is potentiated
--brain interprets stimuli as non-erotic:sexual responding inhibited
-brain has role in sexual responding
--specific areas (hypothalamus, brainstem) activiate or inhibit pelvic nerves
--hormones that influence sex response (testosterone,etc.) under control of brain
peripheral nervous system
-comprised of somatic and autonomic nervous systems
somatic nervous system
-sensory pthway from body carry touch info to brain
--genital:sensation arising from specialized receptors in skin (penis, clirotirs, etc) in pudendal nerve
--non-genital: sensations arising from touch receptors found throughout whole body surface (things, earlobes, lips)
-motor pathways control muscle contractions
--genital muscle group
-erection: ischiocavernosa, bulbosponsiosum muscles
-ejaculation: epididymis, vas deferns, ejaculatory duct, urethra
-orgasm: myotonia, rhythmic contractions in PC muscle, anus, vaginal introitus
--non-genital: muslce in face, hands, feet, buttocks, abdomen;grimacing, vocalizing, pelvic thrusting
autonomic nervous system (ANS)
-comprised of parasympathetic and sympathetic nervous systems
parasympathetic nervous system
-visceral branch
-genital branch
-lumbar spine center: involved in genital response triggered by input from brain (thoughts trigger genital response)
-sacral spine center: involved in genital response triggered by stimulation of genitals (reflexive, involuntary response)
visceral branch of PSNS
-visceral branch produced vegetal tone;controls internal organs
genital branch of PSNS
-genital branch produced genital tone (turned on); controls sensory input from genital to spinal cord and motor output increases blood flow to genital tissue
visceral PSNS tone
(vegging out)
genital PSNS tone
getting turned on
sympathetic nervous system SNS
-meeting physical and emotional emergencies
-fight or flight response
-active inhibition of blood flow to genitals
fight or flight response
response to fight or flee from attack
sensory pathway
--genital:sensation arising from specialized receptors in skin (penis, clirotirs, etc) in pudendal nerve
--non-genital: sensations arising from touch receptors found throughout whole body surface (things, earlobes, lips)
motor pathway
--genital muscle group
-erection: ischiocavernosa, bulbosponsiosum muscles
-ejaculation: epididymis, vas deferns, ejaculatory duct, urethra
-orgasm: myotonia, rhythmic contractions in PC muscle, anus, vaginal introitus
--non-genital: muslce in face, hands, feet, buttocks, abdomen;grimacing, vocalizing, pelvic thrusting
somatogenic stimulation
-sights sounds smells, tastes, touch (pressure, pain, temp)
psychogenic stimulations
-thoughts, emotions, memories, fantasies
organizing effects
-anatomical development: prenatal, pubertal
-reproduction-cycle vs. no cycle
-behavior: mounting vs. lordosis (mammals)
-identity: gender, orientation
activating effects
-libido: testosterone in both male and females
-orgasm: oxytocin
-lubrication: estradiol
-erection: nitric oxide, prostaglandins
vasocongestion
-arterial relaxation in pelvic area, increased blood flow
-venous constriction traps blood in pelvic tissue
pelvic venous constriction
-traps blood in pelvic tissue
pelvic venous dilation
-relaxation to pelvic region
-increased blood flow to region
engorgement, detumescence
female: lubrication of vaginal introitus, clitoral erection, labial thickening and lengthening, swollen feeling in genital area
male: hardening and changing of angle of penis, increasing size of penis
vaginal lubrication
extrusion of interstitial fluid through vaginal mucosal wall
uterine tenting
elevation of uterus up into abdominal cavity
vaginal ballooning
upper vagina expands, lengthens
sex flush
blushing response--in some individuals
orgasmic platform
swelling of clitoral bulbs, tissues in vaginal introitus form orgasmic platform
myotonia
sustained muscle tone
pre-ejaculate
-drops released before ejaculation
-alkaline
desire phase
biological drive
-being horny
-important for both roles
-adversely affected by health, diet, stress, disease, depression
-great individual and gender variance in awareness of drive
psychological motivation (sex wish)
-internal feeling states
-external stimuli (words, odors, body language)
-conscious expectations for sex expression
-social and cultural norms about sex frequency
-adversely affected by conditional emotional responses
-great individual and gender variation response-->greater in female than male
excitement phase
-psychogenic and somagenic sex stimulation
-genital PSNS tone
-appearance of vasocongestion in pelvic organs
-female
-engorgement
-clitoral swelling, nipple erection
-ballooning, tenting
-sex flush
male
-engorgement
-nipple erection
-sex flush
plateau phase
-maintain PSNS genital tone
-vasocongestion reaches maximum
-myotonia
-escalating BP, RR, pulse
female
-uterus doubles in size
-clitoris retracts under hood, max size of c. spongiosum
-vaginal muscle dilation
-orgasmic platform
-bulbourethral (Bartholin's) gland secretion
-color change in labia--imminent orgasm
male
-max enlargement
-cowpers gland secretion
-spermatic cord shortens-->elevation of testes to full extenet-->imminent orgasm
orgasmic phase
-switch to SNS tone--BP, RR, pulse peak
-rhythmic contractions in PC muscles
-waves of pleasurable sensations in pelvis--radiate to extremities
-release of oxytocin from pituitary triggers pleasurable sensations
female
-cervical os opens
-rhythmic contractions of vagina, uterus, anus, PC muscles
-release of fluid vie urethra (noticeable in only 1-5% of women)
-spasmodic skeletal muscle contractions
male
-emission:synchronized contraction of vas, prostate, ejac duct, release of sperm and semen in penile bulb, ejaculation
-orgasm-PC muscles contract
-skeletal muscles contract spastically
-ejaculate produced at puberty
-retrograde ejac into bladder possible
resolution phase
-return to PSNS tone
-reversal of vasocongestion and mytonia
-decrease BP, RR, and pulse
-lots of sweat
-multiple orgasm can occur
-refractory period
-engorgement extent determines speed of resolution
-resolution without orgasm occurs slower
female
-slower resolution--can have multiple orgasm
-some may experience refractory period
male
-first: detumescence of c. cavernosa=loss of erection
-second: detumescence of c. spongiosum=loss of enlargement
-spermatic cord lengthens, testes go to usual position
-multiple orgasm possible
-refractory period in some males function of age or expectations
resolution w/out orgasm
-chronic pelvic congestion
-slower in females than males
refractory period
PSNS reestablished and body becomes insensitive to further erotogenic stimulation
orgasm
female
-occur from stimulation from many (g spot, clitoris, vaginal, uterine)
-genital arousal response different types of stimulation (vaginal, clitoral, anal, nipple) one characteristic pattern
-different patterns of orgasm in different women
male
-ejac and orgasm not identical--ejac is not proof of orgasm
-different patterns of orgasm among men
effective stimulation to orgasm
-females: masturbation oral, manual sex, coitus
-male: masturbation, coitus, manual-oral
--low frequency of orgasm during coitus for many women
--low frequency of simultaneous orgasms in experienced couples
--faking orgasm occurs in females and males
chronic pelvic congestion
-result of resolution without orgasm
multiple orgasm
PSNS tone achieved and maintained return to excitement phase and additional orgasms occur
hypoactive sexual desire
-lack of sexual desire
-initiates few sex experiences
-erotophobia
physiological causes
-stress hormones inhibit desire
-hormone deficienes, imbalances
psychological causes
-stress
-depression, guilt, shame, self-blame
-anxiety, PTSD, eating disorders
-sexual victimization (rape)
-sex repressive development (religious)
-relationship/emotional intimacy issues
hyperactive sexual desire
-obsessive sexual thoughts and desires
-compulsive sex behavior--sex contact doesn't satisfy
-driven by avoidance of aversive internal emotional state (anxiety, loneliness)
psychological causes
-vandalized love maps: need to prove attractiveness/desirability
-childhood abandonment
-cope with low self-worth
-mental illness: OCD, depression
sex addiction
hyperactive sex drive
dyspareunia
painful coitus
-irritation, pain in pelvic organs
-most common in women
physiological causes:
-vaginal infections, STIs, supression of lubrication from meds (BC) or decreased estrogen
-scar tissue from delivery
-chronic cystitis, urethral prolapse
-prostaglandins in semen produce paiful uterine spas,
-clitoral hood adhesions, damage
-pelvic disorders
-abnormal vaginal anatomy
psychological causes
-anxiety, fear of coitus
-failure to develop lubricating response
-strict religion
-pregnancy fears
vaginismus
painful, involuntary, reflexive, clonic spasm of PC muscle, prevents penetration
physiological causes
-unkown
-psychological causes
-fear of coitus, pregnancy
-previous trauma
-sexual guilt
paradoxical response
-some females suffer become aroused from other types of stimulation besides coitus
anorgasmia
-inhibited female orgasm
-no known physiological causes
-psychological causes
--traumatic experiences
--strict religion
--lack of self-knowledge/shame of body
--society expectations: females stay non-sexual
--unconscious psychological conflict
-secondary to clinical depression
-secondary to hyperactive sexual desire
situational inhibited orgasm
-orgasm only during some activities
-considered normal, not dysfunction per se
causes
-fatigue
-dyspareunia
-drugs (alcohol, antidepressants, etc.)
-vaginal tissue damage
psychological causes
-poor communication with partner
-lack of sufficient stimulation
-partner conflict
-anxiety about performance
-lack of trust
-fear of pregnancy
-history of faking
-inexperience, ignorant or inconsiderate sex partner
global erectile dysfunction
-organic: no erection during sleep
-psycho: during sleep but not under sex circumstances
-mixed: organic exacerbated by psycho
physio causes:
-damage, malformation of penis
-hormone insufficiency, test disease, pituitary disease
-alcoholism
-medication use-->antidepressant, etc
-nerve damage
-diabetes
-nicotine use (vascular, circulatory disease)
psycho causes
-religion
-traumatic experience
-second to depression
-unconscious psycho conflict
transient, situational dysfunction
situational:
-erection in some situation but not others/doesn't maintain erection
transient: temporary, one time
physio causes
-fatigue
-alcohol, drugs, meds
-aging
psycho causes:
-partner conflict
-perfomrance anxiety
-distracted from stress
-insufficient stimulation
-no erection--avoid embarrassing situation
premature ejaculation
-no control of timing of ejac
-most common male problem
organic causes (rare)
-prostatitis, diseases on nervous system, some drugs
psycho causes:
-anxiety, guilt--unconscious desire to end
-poor learning exp--masturbation, quickie sex, etc
-low threshold for stimulation (lack of experience, desensitization)
-performance demands creates anxiety
-partner conflict
-males with anorgasmic partners--learn rapid response
inhibited male orgasm
-can't finish sex with ejac/orgasm
organic causes
-fatigue, diseases on nervous system, parkinson's, diabetes, drugs
psycho causes
-insufficient stimulation
-need to stay in control
-guilt
-anxiety
-insufficiently aroused before ejac