Causes drugs medical conditions clitoris is located

 Causes: drugs, medical conditions, clitoris is located further to the openings of the
vagina, pelvic surgery, menopause
 Treatment – direct stimulation of clitoris, encouragement of increase communication.
 Fake orgasm
 Reasons: 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.
 Hypersexuality
 Risks: “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 behavior
 Treatment – 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 Infections
Venereal 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 20 th century: men would use prostitutes as sexual outlets. 1 out of
22 Americans
 Antibiotics 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 annually
 Americans between the ages of 15 and 24 are diagnosed with nearly 50 percent of all new
STIs, even though they make up only a quarter of the national population.
 Which STIs have the highest and lowest prevalence?
 Highest prevalence: Human Papillomavirus (HPV) with 79 million
 Lowest prevalence: Syphilis with 117,000 梅毒
 Greatest incidence: HPV with 14 million
 Lowest incidence: Hepatitis B with 19,000 肝炎
 Pubic lice 阴虱 : scabies mites live 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.