Sexual & GI

Sexual & GI - Sexual & Gender Identity...

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1/14 I. Sexual Dysfunction The diagnosis for any sexual dysfunction requires: A specific sexual performance problem which causes significant distress or interpersonal difficulties and cannot be better explained by drug effects or another disorder. A. Human Sexual Response Masters & Johnson found that people go through five stages in a sexual encounter: Excitement – physiological arousal Plateau – steady excitement Orgasm Resolution – sense of well-being after orgasm Refractory – the period after orgasm until another orgasm is possible DSM breaks it into 4 stages Desire – or fantasizing about sex or wanting to have sex Excitement Orgasm Resolution Disorders may occur at one or more of these stages Kaplan suggested adding the appetitive stage , which involves an increase in sexual desire B. Sexual Dysfunctions
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2/14 “a disturbance in sexual desire & in the psychophysiological changes that characterize the sexual response cycle & cause marked distress & interpersonal difficulty.” Subtypes – Lifelong Acquired – that is after normal functioning Generalized Situational – specific to certain types of stim, situations, or partners Due to psychological factors Due to combined factors (e.g., medical or substance abuse) Sexual Desire Disorders Hypoactive sexual desire disorder - a serious deficiency in, or total lack of, sexual fantasy and desire Sexual aversion disorder - a general distaste in, or avoidance of, genital contact with a sexual partner Sexual Arousal Disorders Female sexual arousal disorder – inability to maintain adequate lubrication of the vagina to allow comfortable intercourse Male erectile disorder - a persistent or recurrent inability to attain or maintain an adequate erection Orgasmic Disorders Female orgasmic disorder - a failure or significant delay in achieving orgasm in a woman who is able to achieve normal sexual arousal
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3/14 Male orgasmic disorder - a failure or significant delay in achieving orgasm in a man who is able to achieve normal sexual arousal Premature ejaculation - an onset of orgasm in a male after limited sexual stimulation and typically before or shortly after penetration of his partner Sexual Pain Disorders Dyspareunia - the experience of genital pain during intercourse Vaginismus - a persistent and recurrent tightening of the muscle in the outer portion of the vagina in response to any penetration Prevalence of Sexual Dysfunction – very little data here – mostly due CAUSES OF SEXUAL DYSFUNCTION everyday hassles, anxiety, and anger significantly affect sexual desire in both men and women lab tests have shown that sexual aversion disorder is more likely to be psychological than physical physiological factors (such as drugs and diabetes) probably play a bigger role than psychological factors
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Sexual & GI - Sexual & Gender Identity...

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