o Vaginal dryness and tightness and discomfort if intercourse is attempted (APA, 2013) Male sexual desire disorder Male hypoactive sexual desire disorder: low or absent sexual desire o Factors such as age and sociocultural contexts accounted for in diagnosis (APA, 2013) Low sexual desire o Most common sexual function problem of US couples o 2nd most common in US couples: discrepancies in sexual desire (differing in sexual appetites) Hyperactive sexual desire disorder : high sexual desire o Not included in DSM for men or women Male erectile disorder: persistent or recurrent inability to attain or maintain an adequate erection until completion of sexual activity o Sexual anxiety, fear of failure, high performance standards, concerns about sexual performance, medical conditions or medications are often associated o Prevalence correlated w/ age and certain diseases o Very common worldwide; psychologically based Orgasmic disorders Female orgasmic disorder: persistent and recurrent absence of or delay in orgasm for women following normal sexual excitement o Women vary in the type or intensity of stimulation resulting in orgasm Delayed ejaculation : marked delay in or inability to achieve ejaculation despite adequate sexual stimulation o ‘Delay’ does not have precise boundaries (APA, 2013) Premature Ejaculation: persistent and recurrent ejaculation w/ minimal stimulation, before or shortly after penetration o 3 in 10 men reported in NHSLS Most common among young men o Most men w/ disorder ejaculate during self-masturbation longer than coitus No rapid orgasm category for women in DSM Genito-pelvic pain/penetration disorder (APA, 2013) o Persistent/recurrent difficulties with Vaginal penetration during intercourse Vulvovaginal or pelvic pain during vaginal intercourse Fear or anxiety in anticipation of or during vaginal penetration
Tensing or tightening of pelvic floor muscles during attempted vaginal penetration Peyronie's disease : development of calcium deposits and fibrous tissue in the penis o Caused by injury to penis; common in older men and quite painful Priapism : prolonged and painful erection o Last from several hours to few days o Caused by medications: antidepressants and excessive does of penile injections to produce erections Also sickle-cell disease and leukemia Physical causes of sexual function difficulties Men Diabetes Alcoholism Lumbar disc disease Multiple sclerosis Atherosclerosis Spinal cord injuries Prostate-cancer treatment Smoking Bicycle-induced sexual difficulties Diseases of the heart and circulatory system Women Diabetes and heart disease Hormone deficiencies and neurological disorders General poor health, extreme fatigue, drug use, and alcoholism Spinal cord injuries Multiple sclerosis Dyspareunia Weak pubococcygeus - Pelvic floor muscle surrounding the urethra and the vagina Endometriosis, ovarian, uterine tumors, and cysts Psychological causes of sexual function difficulties Immediate causes o Fatigue and stress
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- Spring '08
- Human Sexuality, partner, Sexual intercourse, Sexual arousal