sexual_and_gender_identity_disorders-post

sexual_and_gender_identity_disorders-post - Sexual and...

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Sexual and Gender Identity Sexual and Gender Identity Disorders Disorders Dr. Nolan Zane Dr. Nolan Zane
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Sexual and Gender Identity Disorders Sexual dysfunctions : Problems of inhibited sexual desire, arousal, and response Gender-identity disorders : Incongruity or conflict between one’s anatomical sex and one’s psychological feeling of being male or female Paraphilias : Sexual urges and fantasies about situations, objects, or people not part of the usual arousal pattern leading to reciprocal and affectional sexual activity
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What Is “Normal” Sexual Behavior? Merck Manual’s process for judging if a behavior constitutes a sexual problem: Persistence/recurrence over long period of time Personal distress Negative effect on relationship with one’s sexual partner
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Sexual Desire Disorders Hypoactive sexual desire disorder : Little or no interest in sexual activities (actual or fantasized) Prevalence: 20-35% of women, 15% of men The most common complaint of couples seeking sex therapy Sexual aversion disorder : Avoidance of and aversion to sexual intercourse Role of interpersonal problems in sexual desire disorders
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Sexual Arousal Disorders (cont’d) Female sexual arousal disorder : Inability to attain or maintain physiological response and/or psychological arousal during sexual activity May be lifelong or acquired Often related to negative attitudes about sex or early sexual experiences Prevalence: Estimates vary from 10-50% of female population
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Orgasmic Disorders Female orgasmic disorder (inhibited female orgasm): Persistent delay or inability of woman to achieve orgasm with stimulation adequate in focus, intensity, and duration after entering excitement phase Wakefield: Disorder is rare (less than 1%); diagnosis should only be made if experiences conducive to eliciting orgasm do not elicit orgasm
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Etiology and treatment of sexual dysfunctions Biological factors and treatment Sex hormones – testosterone therapy for men and women now used.
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