Sex notes - LECTURE5.20,5.25 Sexualdysfunctions...

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Sexual Disorders and Gender Identity Disorders LECTURE 5.20, 5.25 Sexual dysfunctions   problems of inhibited sexual desire, problems with sexual arousal, and/or problems with  sexual response (orgasm) - Relatively common in both males and females   31% of men and 43% of women at some point in  their life report having some type of sexual dysfunction - Sexual dysfunctions affect 1 or many of the phases of the human sexual response o Often times, people have co-morbidity of these dysfunctions, meaning that if they have one,  they’re more likely to have another - Phases of human sexual responses o Desire   the urge to have sex, sexual fantasies, and having sexual attraction to others o Excitement   marked by changes in the pelvic region, general physical arousal, increasing  heart rate, muscle tension, blood pressure, and rate of breathing In men, this leads to the erection of the penis In women it’s the swelling of the clitoris and labia as well as the lubrication of the vagina o Orgasm (response)   individual sexual pleasure peaks and sexual tension is released as the  muscles in the pelvic region contract or draw together rhythmically Men   this leads to ejaculation  Women   the contraction of the outer 3 rd  of the vaginal wall o Resolution   the end, everything goes back to its prior state - Disorders of Desire o Hypoactive sexual desire   little or no interest in sexual activities, either actual or fantasized  Lifetime rates   20-35% of women and 15% of men Most common complaint of couple-seeking sex therapy o Sexual Aversion disorder   avoidance of, and aversion to, sexual intercourse (finding it very  distasteful) Rare in men and somewhat more common in women, but rare on the whole o Causes of Sexual Desire Disorders Biological In both men and women, a high level of Prolactin, a low level of testosterone, and  either a high or a low level of estrogen can lead to low sex drive/sexual desire  disorders Psychological   people with hypo-active sexual disorder (little or no interest in sex) or  sexual aversion (avoiding sex and finding it very distasteful) have particular attitudes,  fears, or memories that contribute to their dysfunction (so they tend to have maladaptive  sexual attitudes, XX a belief that sex is immoral or that it’s dangerous) So they have certain ideas about sex that contribute to this disorder o Treatments Effectual awareness   much like cognitive behavioral therapy The patient visualizes sexual schemes in order to discover any feelings of anxiety or 
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