HSCI lec 11 sex PROBLEMS

sexual problems fall into 4 main categories:

(also a 5th category can be important too)

1. Intrapsychic

2. Interpersonal/relaational

3. Cultural/psychosocial

4. Organic

5. quality of sexual/erotic contact

what is intrapsychic

impulse/idea etc arise in mind

common origins of intrapsychic sex problems and what it may lead to

early childhood, observe family (affection or no) (abusive?)

-performance anxiety

describe interpersonal/relational factors in sex problems

-conflict resolution (learned by observe parents)

-affair/jealousy/distrust

-dissapointed in sex

factors in Cultural/Psychosocial development of sex problems

religious/family teachings

education, media

explain diff types of family based teachings (cultural/psychosocial) that impact sex problems in future

-Kids can learn “implicitly'‘ (see no nudity = think should be avoided)

-Kids can learn “explicitly (kid get negative message abt touch urself = think sex is dirty/forbidden)

-Parent avoid direct reference to genitals (down there, privates) suggest forbidden zone

-Parent avoid teaching where babies come from

what are examples of “organic” factors in development of sexual problems

-effects of disease/drug/disability can affect sexual function (ex. cardiovascular disease can be erectile dysfunction in males or affect arousal/lubrication in females

3 organic factor that contribute to low desire, then 3 other issues after childbirth

3 organic factors: hypothyroidism, amenia, diabetes

-after childbirth: low iron, uninterupted sleep, elevated prolactin levels (from breastfeed cause vag dryness)

what are 2 examples of organic neurological disorder/nervous system injuries causing sex problems

-nervous system damage (spinal cord injury, multiple sclerosis)

-diabetes reduce blood flow to genitals (nerve damage) and eventually detoriate nerve function (can cause erectile dysfunction/lube problems)

what are the most common organic cause of sexual difficulties

drug-related

what two hormonal contraceptives have effect on desire/arousal

Depo-Provera (medroxyprogesterone)

Diane (cyproterone acetate) for acne (prevent ovulation too)

most common sexual dysfunction affecting men

premature ejeculation

6 types of sexual difficulties (categorize men n women)

Sexual interest/arousal disorder (in men its Hypoactive sexual desire disorder & erectile disorder)

Orgasmic disorder (in men its Premature or delayed ejaculation)

in women only: genito-pelvic pain/penetration disorder

treatment for desire/arousal problems

NO DRUG FOR MEN

for women (pre-menopause): Addyi (flibanserin)

the most common problem among couples who seek sex therapy is:

Sexual Desire Discrepancy (type of desire/arousal problem)

-one partner has more desire than other

-partner may percieve other as no libido, other partner may percieve other as sex addict

common factors/reason for arousal problems in women?

-breastfeeding

-lack of estrogen post-menopause

-drugs

what are 3 types of lubricants? which are safe to use with latex condoms and sex toys

Water based (safe) (dont last as long)

Silicone based (safe-condoms, but break down toys)

Oil based (NOT safe with latex condoms (only polyurethane or nitrile))

is erectile disorder more about difficult to get or maintain erection

tends to be about maintaining

organic vs other causes for erectile disorder

-caused by interference with blood flow to penis

organic: cardiovascular disease, diabetes, medication

other: personal conflict, communication problems, stress, history of sex abuse, not attracted

what inhibitor cause vasodilation of corpora cavernose (to treat erectile disorder)

Phosphodiesterase-5 (PDE, erectogenic drug) inhibitor

phospho - diester - ase - 5 (only works if person atleast a lil aroused)

whats the diagnosis of premature ejaculation like