SEXXXXXX - Chapter 15 Specific Sexual difficulties o Desire...

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Chapter 15 Specific Sexual difficulties o Desire phase difficulties Hypoactive sexual desire = lack of interest in sexual activity More common in women Can be in certain circumstances, or lifelong (rare) Can be related to homosexuality Dissatisfaction with Frequency of sexual activity Amount, type, timing of sex Sexual aversion disorder Symptoms = sweating, increased heart rate, dizziness, nausea, trembling, and diarrhea o Excitement-phase difficulties Female sexual arousal disorder Woman cant reach or maintain lubrication/swelling Can be biological factors, or feelings of apathy, anger, or fear Male erectile dysfunction = repeated lack of erections hard enough for P/V sex Impotence means “ without power” Over a period of 6-12 months Acquired- previously had erections with his partner(s) (much more common) Lifelong- never been able to maintain penetration May be organic or psychologically induced-fatigue, stress, alcohol, drugs, attending day long porno film festivals o Orgasm-phase difficulties Female orgasmic disorder Anorgasmia= absence of orgasm Usually unmarried, younger, less educated If a women can O in some way other than coitus, probably not a problem. Male orgasmic disorder The inability of a man to orgasm during sexual activity **your book says ejaculate-the word orgasm is better** Most men are able to O through masturbation or parter performing manual or oral stimulation Uncommon, only 8% of men experience it Premature ejaculation A man ejaculates too fast for his own or his partners enjoyment See lecture notes
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Faking orgasms Can lead to a vicious cycle—partner doesn’t know what o Dyspareunia (dis-puh-ROO-nee-uh) Pain/discomfort during intercourse More common in women Dyspareunia in men Foreskin too tight, smegma, Peyronie’s disease (pg. 447) Dyspareunia in women At least 60% experience pain—know causes of each type*** Page 447-448 o @ entrance or vagina walls o Deep pain Vaginismus o Strong, involuntary contractions of the muscles in the outer third of the vagina o Can be sexually responsive, and even O, with other stimulation o Can be a response to chronic painful intercourse religious taboos about sex, hostility or fear towards partner. Chapter 16: Sex Therapy and Sexual Enhancement Basics of Sexual Enhancement and Sex Therapy o Self-Awareness o Communication o o Masturbation with partner present Specific suggestions for women o Becoming orgasmic Learn effective stimulation through masturbation Try a vibrator, shower head, bathtub spigot o Experiencing orgasm with a partner Let her partner know what she likes Go at her pace, wait till she is ready See page 457 for steps** o Dealing with Vaginismus—pg. 460 ***KNOW THIS** Specific Suggestions for Men
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SEXXXXXX - Chapter 15 Specific Sexual difficulties o Desire...

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