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14 Cards in this Set

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What is the difference btw sex and sexuallity?
Sex is the act of physical intimacy, often involving intercourse

Sexuality refers to the broader topic of physical, social and mental aspects of our self-awareness and attractiveness to others.

Sexuality is dependent on a mature life and ability for self-reflection and may change as we grow older.
in a pt w/ depression, what is the common tx? side effect of this?
SSRI

impotence
many older people maintain their sexual activity into what age?
80-90s
Does age effect sexual function?

If yes, describe how in females
Decreased vaginal Lubrication
Delay in arousal
Thinning of vaginal mucosa
Decreased vaginal length and tone
Loss of vulvar tissue
Decreased clitoral size
Decreased estrogen and testosterone levels
Does age effect sexual function?

If yes, describe how in men
Reduced semen volume
More penile stimulation needed to achieve and maintain erection
Weaker orgasm
More rapid penile detumenscence
Prolonged refractory period
Testosterone declines approx. 1% per year after age 30
There will almost for sure be a question about prostate cancer and the after effects...
possible impotence and no ejaculant on orgasm
what are some important social factors that can effect sexual performance? 3
Tobacco
EtOH abuse
Street Drugs
HTN pt comes in with hypertension and is having erectile dysfunction...what is likely the cause
metaprolol (B-Blocker)
Category A drugs
good study, works every time, super safe
PDE-5 drugs fall into what drug category?
Category A
What are category B drugs
therapy that haven't quite made it through double blind studies

clinical studies show it works though
If you have a pt who is depressed, and wants to have sex, what drug do you give them for their depression?

**
Buporpion
Category C drugs
Expert advice, we think they work, but haven't held up to confirmatory testing
Keep an open mind, be sensitive to your pts
this should be a pretty easy lecture as far as questions