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Study Guide abnormal Exam 3 review

O psychological factors can contribute female

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o Psychological factors can contribute - Female orgasmic disorder o Orgasm is delayed or does not occur, despite a normal amount of appropriate stimulation o Need to rule out inadequate sexual stimulation o Approximately 5-24% of women may have adequate sexual desire and excitement but have this disorder - Male orgasmic disorder o Delay or absence of orgasm in men o Typically involves problems reaching orgasm with a partner even though the man can orgasm through masturbation o Prevalence less than 10% - Premature ejaculation o Orgasm and ejaculation that occur earlier than preferred o Usually before, immediately during, or shortly after penetration o The most common male sexual dysfunction - Dyspareunia o Recurrent or persistent genital pain associated with sexual intercourse o Up to 10-20% of women have this disorder o In women, it may be related to a physical condition, or insufficient lubrication - Vaginismus o In females, recurrent or persistent involuntary spasms of the musculature of the outer third of the vagina that interfere with sexual intercourse o Woman only avoids sexual activities that involve vaginal insertion, not all sexual activities Know how medical conditions or medications may influence sexual functioning - Disease or illness can produce sexual dysfunction directly o Prostate cancer, cervical cancer - Disease or illness can produce sexual dysfunction indirectly o Diabetes, circulation problems, fear of heart attack - Medications can interfere with sexual response: o SSRIs and antipsychotics o Beta-blockers - Normal aging can affect sexual functioning o Vaginal lubrication o Lower testosterone levels in men o Reduced penile rigidity o Longer refractory period Know the psychological/cultural factors that make sexual dysfunctions more likely Predisposition for sexual dysfunctions Beliefs, e.g. women believing women have less sexual interest as they grow older, men believing they must have sex twice a day Can lead to a self-fulfilling prophecy Sexual abuse
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Problematic preoccupations: Focusing attention on sex-related fears and worries Discomfort with body appearance Worrying about nonsexual matters Maintaining factor Once a problem occurs, anxiety about it happening again becomes a self- fulfilling prophecy, creating a sexual dysfunction What maintains a sexual dysfunction once a problem has occurred in sexual performance? Maintaining factor: Once a problem occurs, anxiety about it happening again becomes a self- fulfilling prophecy, creating a sexual dysfunction *****Know how sexual arousal is measured physiologically for men and women (penile plethysmograph and vaginal photoplethysmograph). (these were reviewed in lecture). Know the different components of treatment of sexual dysfunctions: Education, sensate
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o Psychological factors can contribute Female orgasmic...

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