Viewers feel defective o fictional portrayals of sex

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Viewers feel defective o Fictional portrayals of sex Organic Factors in the Development of Sexual Problems - Anything that can effect the body can effect sexuality - Effects of disease, disability, and drugs implicate sexual function e.g. cardiovascular disease - Restriction of blood flow to heart restrict blood flow to genitals o Erectile dysfunction in men with cardiovascular disease - Physicians tend to not warn women about sexual effects of cardiovascular disease The Role of Hormones - Play a role in more than sexual desire - Oversimplification of role of hormones by daytime talk shows/magazines - Pervasive idea that low libido is ause by low testosterone - Organic factors contributing to low desire: o 1. Hypothydroism – low thyroid levels o 2. Anemia – decrease in red blood cells o Should be ruled out when individual reports high fatigue in association with low desire - Physical factors of low sexual desire o Women who have recently given birth o Breastfeeding elevated prolactin leads to vaginal dryness, thus pain in penetrations, secondarily lead to reduction in desire Has arousal but dry, use lube till done o Young babies don’t sleep the night, parents too tired for sex
Neurological Disorders and Central Nervous System Injuries - Disorders, diseases, injuries that damage CNS affect sensation/movement - Diabetes o Effects sexuality as endocrine (hormonally) and later affects nervous system o Lead to peripheral neurapthy= effect sexual functioning by reducing blood flow to genitals/deterioration of nerve function o Routine to warn men about possible ED with diabetes but women not told about difficulties in lubrication/sensation Pattern of paying attention to organic factors inhibiting penetration Drug-Related Causes of Sexual Difficulties - Most common organic cause - 1970’s Masters and Johnson 90% of causes are psychogenic, 10% organic o 1980’s 20% organic due to prescription drugs for iatrogenic disorders - Advent of Viagra in 1990’s pharmaceutical industry argues ED is 90% organic and 10% psychogenic - Prevailing discourse about ED is dualistic, mind versus body NOT holistic/mind-body integration - Prescription drugs, over-the-counter medications, recreational drugs affect sexual functioning/response/desire - Medications with adverse impact psychiatric and those used to treat cardiovascular diseases, arthritis, high-cholesterol - Drugs for depression (SSRI’s and SNRI’s) also have negative impacts - Some effect arousal (Prozac), inhibit orgasm (paxil), desire (Effexor) - Most have non-specific effects /affect all aspects of sexuality - Recreational drugs used as aphrodisiac that depress CNS (alcohol, narcotics) effect desire o Truth is aphrodisiacs don’t exist and drugs/alcohol have negative effect on sexual abilities/interactions - Alcohol impairs judgment leads to sexualt assault - Long-term use of drugs chronic adverse effects on functioning/desire Hormonal Contraceptives - Some have adverse effects on sexual desire - Depo-Provera linked with low desire -

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