[ Psychiatric ] Eating & Sexual Disorders 4

Sexual response cycle: Phase with the greatest difference in length between men & women

Resolution: Greatest difference in length between men & women.

Sexual response cycle: Refractory period differences in the resolution phase

Men have a resting (refractory) period after orgasm when restimulation is not possible, whereas women are less likely to have a refractory period.

Sexual dysfunction: Minimum duration diagnostic criteria

Persist for ≥ 6 months.

Erectile dysfunction: Most common status and prevalence by age

MC diagnosed male sexual dysfunction, with prevalence of 5% at age 40 and 15% at age 70.

Erectile dysfunction: Common underlying causes

DM, vascular disease, depression, SSRIs, propranolol, alcohol, performance anxiety.

Erectile dysfunction: Initial step in management

Treat underlying cause.

Erectile dysfunction: Mechanism of Sildenafil citrate (Viagra)

↑ cGMP concentration (vasodilator), PDE-5 inhibitor → erection persists.

Priapism: Diagnostic definition and duration

Persistent, painful erection lasting >4 hours.

Premature ejaculation: Prevalence and epidemiology

Probably the MC male sexual dysfunction, with prevalence up to 30%.

Premature ejaculation: Diagnostic time frame criterion

Ejaculation occurs within approximately 1 minute of penetration, before the individual wishes.

Premature ejaculation: Management strategies

Behavioral techniques: squeeze technique, SSRIs (especially dapoxetine), Topical anesthetics