Chapter 14 Sexual difficulties and solutions

Chapter 14 Sexual difficulties and solutions - Chapter 14...

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Chapter 14 Sexual difficulties and solutions Specific sexual difficulties Desire Phase Hypoactive Sexual Desire- lack of interest in sexual activity More common in women Can be circumstantial or lifelong (rare) Sexual Aversion Disorder- extreme and irrational fear of sexual activity Symptoms: sweating, increased heart rate, dizziness, nausea, diarrhea, as a result of fear Excitement Phase Female sexual arousal disorder Woman cannot reach/maintain proper levels of lubrication/swelling Can be biological factors, or freaings of apathy anger of fear Male erectile dysfunction Reapeated lack of erection hard enough for p/v sex Over period of 6-12 months Can be aquired Lifelong-never able to maintain penetration Can be psychologically induced-fatigue, stress, alcohol etc Orgasm Phase Female orgasmic disorder Anorgasmia-absence of orgasm Usually unmarried, younger, less educated If woman can have an orgasm some other way, then its not a problem Male orgasmic disorder The inability for a man to orgasm during sexual activity Most men are able to o thorough manual or oral stim. Uncommon 8% of men Premature Ejac Ejac too fast for his or his partners enjoyment Faking orgasm Can lead to a vicious cycle-partners doesn't know what works and what doenst Dyspareunia Pain discomfort during intercourse
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More common in women In men can be caused by too tight foreskin, smegma, Peryronies disease IN WOMEN: 60% can be caused by psychological factors two different areas can experience pain entrance or deep pain Vaginismus Strong involuntary contractions of the muscles in the outer third of the vag Can be sexually responsive, even O with other kinds of stim Can be a response to chronic painful intercourse, religious taboos about sex, hostility or fear towards partner Origin of sexually difficulties Physiological factors Chronic illness, cancer diabetes, MS Medication Cultural influences Negative learning, sexual double standard etc Sex therapy Sensate focus Specific suggestions for women/men Stop start technique Mechanical devices-pumps surgery Medical treatments-testosterone, Viagra Seeking professional advice What happens in therapy Selecting a therapist Pg. 404-406 Chapter 10 (skip 263-266) Know table 10.1 and 10.2***** It takes two- not just a woman's responsibility (BC) Choosing a BC method: Effectiveness Cost Safety-using a backup method Ease of use Potential side effects Can always have “outercourse” Hormone Based Contraceptives Oral “the pill” 4 basic types
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constant dose combo pill triphasic pill seasonale progestin only pill How they work: Combo: inhibits ovulation, changes cervical mucus, thins uterine lining Progestin only: alters cervical mucus, thins
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Chapter 14 Sexual difficulties and solutions - Chapter 14...

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