Sexual dysfunctions Notes

Contents

Osmosis High-Yield Notes

This Osmosis High-Yield Note provides an overview of Sexual dysfunctions essentials. All Osmosis Notes are clearly laid-out and contain striking images, tables, and diagrams to help visual learners understand complex topics quickly and efficiently. Find more information about Sexual dysfunctions by visiting the associated Learn Page.
NOTES NOTES SEXUAL DYSFUNCTION GENERALLY, WHAT IS IT? PATHOLOGY & CAUSES SIGNS & SYMPTOMS ▪ Sexual function disturbances, often causing distress ▪ May be lifelong/acquired, mild/moderate/ severe, generalized/situational ▪ Sexual dysfunction ▫ E.g. ↓/absent orgasmic function, altered libido ▪ Anxiety, distress Associated factors ▪ Medical diagnoses ▫ E.g. diabetes mellitus, thyroid dysfunction ▪ Relationship issues ▫ E.g. impaired interpersonal communication, intimate partner violence ▪ Cultural/religious factors ▫ E.g. negative attitudes/prohibitions regarding sexual activity ▪ Individual vulnerabilities ▫ E.g. history of abuse, psychiatric comorbidity—anxiety, depression, intrapsychic conflict, psychosocial stressors ▪ Partner issues ▫ E.g. mental, physical, sexual health issues DIAGNOSIS OTHER DIAGNOSTICS ▪ Based on specific sexual-disturbance presence ▫ Causing individual distress ▫ Not better explained/accounted for by another medical condition, non-sexual psychological disorder, interpersonal stress, substance TREATMENT MEDICATIONS ▪ See individual disorders PSYCHOTHERAPY ▪ See individual disorders OSMOSIS.ORG 739
FEMALE SEXUAL INTEREST/ AROUSAL DISORDER osms.it/female-arousal-disorder PATHOLOGY & CAUSES ▪ Disorder characterized by either absence or ↓ frequency/intensity of sexual/erotic activity or thoughts in biological females SIGNS & SYMPTOMS ▪ Self-reported ↓/absent sexual pleasure, genital/nongenital sensations, ↓ vaginal lubrication → anxiety/distress DIAGNOSIS OTHER DIAGNOSTICS ▪ Absence of/↓ frequency/intensity of at least three of following; persisting for ≥ six months → distress; not better explained by non-sexual factors ▫ Interest in sexual activity ▫ Sexual/erotic thoughts ▫ Sexual activity initiation; partner initiation receptivity ▫ Pleasure/excitement during ≥ 75% of sexual encounters ▫ Interest/arousal in sexual/erotic-cue settings ▫ Genital/non-genital sensation during ≥ 75% of sexual encounters TREATMENT MEDICATIONS ▪ Flibanserin, bupropion PSYCHOTHERAPY ▪ Cognitive-behavioral and/or psychosexual therapy GENITO-PELVIC PAIN AND/OR PENETRATION DISORDER osms.it/genito-pelvic-pain PATHOLOGY & CAUSES ▪ Disorder characterized by difficulty with intercourse due to vulvovaginal/pelvic pain, anticipatory fear of pain during penetration, pelvic floor muscle tension during penetration ▪ Penetration concerns may be related to vaginal intercourse/other situations 740 OSMOSIS.ORG (gynecological exams, tampon insertion) Associated factors ▪ Medical conditions ▫ E.g. anatomic anomalies, atrophic vaginitis, obstetric perineal injury (e.g. episiotomy) ▪ Sexually-transmitted disease history ▪ Vulvodynia (persistent idiopathic vulvar pain)
Chapter 102 Sexual Dysfunction ▪ Low estrogen levels SIGNS & SYMPTOMS ▪ Dyspareunia ▫ Pain described as superficial/deep; throbbing, shooting, burning ▪ Pelvic floor muscle guarding, reflexive spasms ▪ Avoidance of intimate sexual activity/ recommended gynecological exams ▪ Resulting anxiety/distress DIAGNOSIS OTHER DIAGNOSTICS ▪ Recurring one/more difficulties persisting for ≥ six months → distress, not better explained by non-sexual factors ▫ Vaginal penetration during intercourse ▫ Vulvovaginal/pelvic pain during intercourse/penetration attempts ▫ Fear/anxiety in anticipation of, during, after penetration ▫ Pelvic floor muscle tensing during penetration attempts TREATMENT PSYCHOTHERAPY ▪ Cognitive-behavioral and/or psychosexual therapy OTHER INTERVENTIONS ▪ Pelvic physical therapy ▪ Address underlying cause ▫ E.g. ospemifene for dyspareunia (vulvovaginal atrophy) MALE HYPOACTIVE SEXUAL DESIRE DISORDER osms.it/male-hypoactive-desire PATHOLOGY & CAUSES ▪ ↓/non-existent sexual desire, interest, arousal in biological males, persisting for ≥ six months → distress, not better explained by non-sexual factors Associated factors ▪ Medical conditions ▫ E.g. impaired erectile/ejaculatory function; diabetes mellitus; hyperprolactinemia; low testosterone levels ▪ Psychological/social conditions ▫ E.g. depression, stress, substance abuse SIGNS & SYMPTOMS ▪ Persistent, ↓/non-existent sexual desire, interest, arousal → anxiety/distress DIAGNOSIS OTHER DIAGNOSTICS ▪ Absence of/↓ frequency/intensity of sexual desire or sexual/erotic thoughts; persisting for ≥ six months → distress; not better explained by non-sexual factor OSMOSIS.ORG 741
TREATMENT MEDICATIONS ▪ Bupropion PSYCHOTHERAPY ▪ Cognitive-behavioral/psychosexual therapy ORGASMIC DYSFUNCTION osms.it/orgasmic-dysfunction PATHOLOGY & CAUSES ▪ Orgasmic sensation absence, infrequency, ↓ intensity, delay Female ▪ Female orgasmic disorder: difficulty experiencing normal orgasmic function Male ▪ Erectile dysfunction (ED): persistent inability to obtain/maintain erection ▪ Abnormal ejaculation (premature, delayed) Male ▪ ED: presence of one of following symptoms experienced during ≥ 75% of sexual activity; persisting for ≥ six months → distress; not better explained by nonsexual cause ▫ Difficulty obtaining erection ▫ Difficulty maintaining erection ▫ ↓ erectile rigidity ▪ Abnormal ejaculation ▫ Delayed ejaculation ▫ Ejaculation infrequency/absence ▫ Premature ejaculation SIGNS & SYMPTOMS ▪ Reported impaired orgasmic function during sexual activity ▪ Low self-esteem, ↓ sense of sexual self → depressed affect DIAGNOSIS OTHER DIAGNOSTICS Female ▪ Presence of one of following symptoms experienced during ≥ 75% of sexual activity; persisting for ≥ six months → distress; not better explained by nonsexual cause ▫ Orgasm delay, infrequency, absence (specify if orgasm never experienced) ▫ ↓ orgasmic intensity 742 OSMOSIS.ORG TREATMENT MEDICATIONS ▪ Sildenafil PSYCHOTHERAPY ▪ Cognitive-behavioral/psychosexual therapy

Osmosis High-Yield Notes

This Osmosis High-Yield Note provides an overview of Sexual dysfunctions essentials. All Osmosis Notes are clearly laid-out and contain striking images, tables, and diagrams to help visual learners understand complex topics quickly and efficiently. Find more information about Sexual dysfunctions by visiting the associated Learn Page.