Causes: drugs, medical conditions, clitoris is located further to the openings of the vagina, pelvic surgery, menopauseTreatment – direct stimulation of clitoris, encouragement of increase communication. Fake orgasmReasons: protect partners’ feelings, heightening own arousal, cope with feeling of being “abnormal”, wanting to bring sex to end. Problems associated with fake orgasm: Faking an orgasm can be a useful tool. But if you’re trying to get a long-term relationship with the person, then faking orgasms is setting you up for a lot of resentment. This also becomes unfair to your partner. HypersexualityRisks: “sex addiction” vs. compulsive sexual behavior – you don’t see the same type of withdrawal sex. Causes – sexual abuse/childhood trauma (very unsure). Addiction? hard topic. Not like cocaine or heroin withdrawal. When denied sex, person doesn’t go through same withdrawal method. Known to be similar as obsessive compulsive disorder.Compulsive sexual behavior – craving for sex ritualized search for sex (porn, prostitutes) sexual behavior guilt/despair after sexual behaviorTreatment – cognitive behavioral therapy, 12 step programs, SSRIs Hypoactive Sexual Desire Disorder: when low sexual desire interferes with living a full life.Cause: include hormones (declining testosterone), lack of attraction to partner, bereavement, illness, disability, depression, negative attitudes about sex.
Chapter 16: Sexually Transmitted InfectionsVenereal diseases STIs Syphilis 梅毒Columbus hypothesis: Columbus and his sailors brought syphilis (1490) to Europe from Americas. Syphilis was untreatable for hundreds of years after and spread throughout Europe before circling back to the Americas.Little sympathy: ppl were denied medical care and it was considered divine punishment for engaging in sexual promiscuity. Spread up through mid 20thcentury: men would use prostitutes as sexual outlets. 1 out of 22 AmericansAntibiotics in early 1900s allowed disease to be treated.Less common than in the past. How common are STIs in the US? 20 million new cases of STIs occur annuallyAmericans between the ages of 15 and 24 are diagnosed with nearly 50 percent of all newSTIs, even though they make up onlya quarter of the national population.Which STIs have the highest and lowest prevalence? Highest prevalence: Human Papillomavirus (HPV) with 79 millionLowest prevalence: Syphilis with 117,000梅毒Greatest incidence: HPV with 14 millionLowest incidence: Hepatitis B with 19,000肝炎Pubic lice 阴虱: scabies miteslive on human skin and are spread by sexual contact. "infestations" rather than "infections" can be quite burdensome if not treated immediately.Not life threatening. They lay eggs or nits which they glue onto hairs. Symptoms: Men: pubic area, armpit, chest. Women-eyelash, pubic hair.