Repro: Female Sexual Dysfunction

Front 1

Current sexual dysfunction theory flaws

Back 1

Androgcentric (male centered) and defined as sex is penetrative and over when male finishes. Wide range of sexual behaviors

Female sexual dysfunction is defined as inability to adjust to male sexuality

Flawed b/c 70% women cannot orgasm in normal intercourse

Also confines sex and desires to a relationship context and outflowing from that but there are many reasons to have sex

Most research treats sexual disorders as intercourse disorders

Front 2

3 Q's for Sexual disorders

Back 2

Duration
a) Primary - existed whole life
b) Secondary - developed

Context - Global vs situational

Frequency - Total (on all occasions) vs Partial (only on some occasions)

Front 3

4 Parts to female sexual response cycle

Back 3

Desire - drive to sex,thoughts, desires. can go away due to stressors

Excitement - Vasocongestion to sex organs

Orgasm - release of sexual tension

Resolution - everything returns to normal prearoused state. No female disorders in this stage

Men also have a refractory stage that women do not

Front 4

Types of Disorders for Females and usual presentation

Back 4

Desire Disorder - lack of sexual desire or aversion to behavior

Sexual Pain Disorders - painful intercourse, vaginismus

Sexual Arousal Disorders - Vasocongestion disorder, difficulty becoming lubricated

Orgasmic Disorders - difficulty orgasming

Front 5

Base Rates and Sex Differences in most common problems

Back 5

10% have a disorder at any given time, 66% at some point in life

Majority of female disorders (more than men overall) related to lack of orgasm or painful intercourse

Males usually climaxing to early or anxiety

Front 6

Sexual Desire Disorder, Problem with def, Causes

Back 6

Hypoactive sexual desire disorder - don't think about sex enough

Problem is what is normal

ONLY a problem when couple considers it a problem (ie don't match up)

Causes: social, pharmaceutical, hormonal, biological. Most unfairly focus on female

Front 7

Societal effect on sexual desire

Back 7

Currently females condemned if sexually active, males praised

Affects sexual desire

Front 8

Sense of Sharedness effect

Back 8

Esp. in women but both sexes need more than sex to feel good about relationship

Non-sexual hobbies enhance satisfaction

Good advice is to have 1 outdoor and 1 indoor hobby to share

Front 9

Conflict effect on sex drive

Back 9

Conflict between self, friends and family can all effect

Many roles of an individual and meeting expectation (sexual being vs mother)

Equitable division of household chores (does not mean equal just that both partners feel it is equitable)

Also lack of trust, respect or anger and poor communication with partner

Need to sift through to find dysfunction

It takes 5 good interactions to make up for 1 bad one

Front 10

Unsatisfying sex and female sexual dysfunction

Back 10

If needs not met, then less inclined to sexual behavior. Can include touching, cuddling, etc. MOST women do not orgasm through intercourse (vaginal orgasm).

In fact lack of female orgasm linked to marital dysatisfaction. Called hysteria and treatment was masturbation and why vibrator was invented

Front 11

Anorgasmic pt what is questions should ask

Back 11

Have you ever?
Is it just in some situations (ie. can't with partner, can't with masturbation, etc?)

Front 12

Painful intercourse causes, treatment

Back 12

Causes - vaginismus, penetrative disorder

Treatment - allow female control, dilators

Front 13

Sexual Arousal Disorders issue, Treatment

Back 13

Difficulty here is vasocongestion

There is no documentation about correllation between arousal and level of vasocongestion

Can be impaired due to lack of estrogen, diseases, or problem in relationship. Insufficient lubrication

Treatment - lubrication, more foreplay, regression of level of touching to regain excitement

Sensate focus

Front 14

Orgasm Disorders, Treatment

Back 14

Inability to reach orgasm, can be frustrating

Treatment - find body part really important to orgasm (clitoris or other), positions for citoral stimulation. Other body parts, toys, etc.