or pelvic pain in anticipation of, during, or as a result of vaginal penetration; or tensing and tightening of the pelvic floor muscles during attempted vaginal penetration. Genito-pelvic pain/penetration disorder refers to four commonly comorbid symptom dimensions: difficulty in having intercourse, genito-pelvic pain, fear of pain or vaginal penetration, and tensing of the pelvic floor muscles. Marked difficulty in having vaginal intercourse or penetration can vary from total inability to experience vaginal penetration in any situation to the ability to easily experience penetration in one situation but not another. Other Disorders Lecture Notes Slides and Notes for ... 第 13 页 共 22 页 12/9/14, 3:30 PM
Peyronie's disease and priapism are two other disorders that are not mentioned in the DSM-5 because they are based on physical conditions. Peyronie's disease is the development of calcium deposits and fibrous tissues in the corpora cavernosa within the penis. This is caused by injury to the penis and is common in older men and quite painful. Medical treatments can alleviate the source of discomfort, and sometimes the condition disappears without treatment. There is also priapism, which are prolonged and painful erections. They can last from several hours to a few days, and is often caused by medications including antidepressants, erection medication, and excessive doses of penile injections to produce erections. This is also associated with sickle cell disease and leukemia. Physical Causes of Sexual Function Difficulties and Dissatisfaction Lecture Notes As discussed in Chapter 13, there are physical causes that can influence sexual functioning. These include illnesses or disturbances to our vascular, neurological, and endocrine systems, certain prescription drugs, pain from cancer, and chemotherapy and radiation treatment for cancer. For men and women, chronic diseases such as diabetes and heart disease are a factor, as Slides and Notes for ... 第 14 页 共 22 页 12/9/14, 3:30 PM
well as behaviors such as alcoholism, smoking, and drug use. Furthermore, homeostatic imbalances such as hormone deficiencies, injuries such as spinal cord injuries, and even neurological disorders can influence sexual functioning. Psychological Causes of Sexual Function Difficulties and Dissatisfaction Lecture Notes Sexual function difficulties may have their origin in any number of psychological causes ranging from immediate causes and conflict within self to a particular sexual relationship. The immediate causes of sexual function difficulties include fatigue, stress, ineffective sexual behavior, and sexual anxieties. Physical exhaustion and fatigue from the demands of daily life may lead to sexual apathy or disinterest. Long-term stress can also contribute to lowered sex drive and reduced responsiveness. Ignorance, ineffective sexual communication, and misinformation prevent partners from being effectively sexual with each other. Ineffective sexual stimulation is especially relevant in
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- Spring '08
- Human Sexuality, Sexual intercourse, Sexual arousal, sexual arousal disorder, Orgasm, hypoactive sexual desire disorder