Sexual Dysfunction

Front 1

PLISSIT

Back 1

suggestions for easing sexual disfunction
P - Permission giving - normal to be in love with someone and find someone else attractive
L - Limited information (everyone has it, relax)
SS - specific suggestions (try new position)
IT - Intensive therapy (10% need sex therapy, PLSS doesn't work)

Front 2

Masters and johnson approach to sex therapy

Back 2

therapy in pairs, involved getting a surrogate partner, 4-5 hours per day for one week. counselors match gender of paitent.

Front 3

Spectatoring

Back 3

Performance anxiety in sex. sex becomes out of body critiquing experience. comparison to other men.

Front 4

types of physical dysfunction

Back 4

Neurological (spinal problems, no erection), vascular (decreased testosterone, decreased llibido, decreased estrogen, decreased lube), and vascular (pushing blood to pelvic region problems - vasocongestion, decrease erection, decrease vag lube)

Front 5

Hypoactive sexual desire

Back 5

low sex drive, 10-20% of me have a tumor of their pituitary gland, which means they screte prolactin decreasing sex desire. mostly cuased by psych issues.

Front 6

primary HSD

Back 6

always had low sex drive

Front 7

secondary HSD

Back 7

someone who didn't used to be this way

Front 8

types of sexual dysfunction in women

Back 8

1) an/inorgasmia
2)lack of lubrication
3) vaginismus
4)dysparenuria
5)endometriosis

Front 9

in/anorgasmia

Back 9

primary- never have been able to reach orgasm (10%)
secondary - used to be able to but not currently
tertiary (coital) - 30-45% inability to orgasm from sex
quarternary (situational)

Front 10

lack of lubrication cause

Back 10

low estrogen

Front 11

lack of lubrication cause and treatment

Back 11

low estrogen. treat by checking hormonal levels, if normal = psychosocial

Front 12

vaginismus

Back 12

outer perivaginal muscles cease shut therefore sex is impossible. treatment is therapy and dilators to keep vaginal passage open

Front 13

dysparenuria

Back 13

pain during sex. could be from STI, but majority of this is psychosocial

Front 14

endometriosis

Back 14

lining of uterus breaks off into fallopian tube and then into abdominal cavity, sometimes encapsulates an ovary. causes pain during intercourse. treatment is BC pills, getting pregnant, and laser therapy (clip off layer)

Front 15

sexual dysfunction types in men

Back 15

2 types. premature ejaculation and erectile dysfunction.

Front 16

premature ejaculation

Back 16

inability to control when you ejaculate. treatment is:
1)masterbation before you get to "cliff"
2) masters and johnson grabbing base of penis to associate pain with sex
3)moore and kotrla - blamed women. one partner has the "lets get this overwith attitude", or theres too mcuh foreplay or anxiety within female is felt by the man.

Front 17

primary ED

Back 17

may be able to get erection, but not able to maintain during sex to penetrate. usually cuased by physical/vascular problem but could be psychosocial

Front 18

secondary ED

Back 18

man was fine before but is now having problem. cause is usually an accident or bike damage cuasing decreased blood in area.

Front 19

treatments of ED

Back 19

1) papaverine - injection to chemical induce erection
2)alprostadil - pellet put into eye of penis
3) cialis/viagra - orignally for hypertension treatment
4)penile prosthetics - (semi rigid silicon rods, pneumatic penis pump, vaccuum pump)