Sexual Dysfunction, Gender Dysphoria, and Paraphilias PSYCH EXAM

phases of sexual response cycle

phase 1 desire, phase 2 excitement, phase 3 orgasm, phase 4 resolution

phase 1 and disorders included?

desire which is biologically motivated, male hypoactive sexual desire disorder, female sexual interest/ arousal disorder, genito-pelvic pain/penetration disorder

phase 2 and disorders included?

excitement, period of time during which sexual tension continues to increase, characterized by penile erection or vaginal lubrication, erectile disorder genito-pelvic pain/penetration disorder

phase 3 and disorders included?

orgasm, only attained at high levels of sexual tension, sexual tension is a combo of mental activity and erotic stimulation, female orgasmic disorder, delayed ejaculation, premature ejaculation

phase 4?

resolution, sexual tension subsides to baseline assuming that sexual stimulation ceases, either afterglow, or uncomfortably emotionally exposed

sexual dysfunction

A disturbance in the desire, excitement, or orgasm phases of the sexual response cycle or pain during sexual penetration 

classes of sexual dysfunctions (7)

male hypoactive sexual desire disorder, female sexual interest/arousal disorder, erectile disorder, female orgasmic disorder, delayed ejaculation, premature ejaculation, genito pelvic pain penetration disorder

sexual desire disorder female sexual interest/ arousal disorder

Emotional distress caused by absent or reduced interest in sexual fantasies, sexual activity, pleasure and arousal, symptoms must be present for at least 6 months 

sexual desire disorder female sexual interest/ arousal disorder treatment

ADDYI (flibanserin) medication used to increase sexual interest and arousal, bremelanotide (Vyleesi) CBT, couple therapy

male hypoactive sexual desire disorder

Deficiency or absence of sexual fantasies or desire for sexual activity, symptoms must be present for a minimum of 6 months  

male hypoactive sexual desire disorder treatment

transdermal testosterone, antidepressants, CBT

sexual excitement disorder erectile disorder

Difficulty obtaining and maintaining an erection sufficient for sexual activity, Must occur on 75% of sexual occasions, Must occur for at least 6 months

sexual excitement disorder erectile disorder treatment

penile injections, surgery, testosterone therapy, penile implant, sildenafil (Viagra)

female orgasmic disorder

Also called inhibited female orgasms or anorgasmia, Recurrent or persistent inhibition of female orgasm after a normal sexual excitement phase, Must occur for at least 6 months, during most sexual encounters  

female orgasmic disorder treatment

PDE-5 inhibitors, Cialis (tadalafil) (works for females), Sildenafil (Viagra), Buspirone (Wellbutrin), estrogen therapy

delayed ejaculation disorder

Formerly referred to as male orgasmic disorder, inhibited orgasm, retarded ejaculation, Male achieves ejaculation only with great difficulty, Symptoms persist for at least 6 months  

delayed ejaculation disorder treatment

Systematic desensitization, masturbation therapy, testosterone injections, Viagra (sildenafil), cabergoline (promotes dopamine levels), buspirone (for anxiety)

premature ejaculation

Male persistently or recurrently achieves orgasms and ejaculation before he wishes to, Symptoms must be present for at least 6 months  

premature ejaculation treatment

SSRI Paxil, start stop technique, topical anesthesia (lidocaine), condoms  

Genito- pelvic pain/ penetration disorder

Discomfort or pain that interferes with penetration during sexual activity, May also be elicited during normal gynecological examinations, Fear of recurrence compounds the problem by increasing anxiety and muscle tension 

Genito- pelvic pain/ penetration disorder treatment

Osphena (ospemifene) for vaginal dryness, anti anxiety meds, Water based lubricants (most used)  

gender dysphoria

feelings of unease about maleness or femaleness, Due to incongruence between expressed (beliefs) and assigned (inborn) gender, Not considered a disorder unless there's social negativity is experienced  

gender dysphoria treatment

In adolescents: used to delay puberty to allow more time for exploration, In adults: used to alter their chemistry toward the preferred gender (hormone therapy), SSRIs, surgical sexual reassignment surgery

paraphilic disorders

Acts or sexual stimuli that are outside of what society considers normal, but are required for some individuals to experience desire, arousal, and orgasm, Symptoms last at least 6 months

paraphilic disorders treatment

CBT, group therapy, antiandrogens, drugs that either reduce the body's production of androgens (male sex hormones) or block the effects of androgens on target tissues, chemical castration, serotonergic antidepressants

exhibitionistic disorder

Intentional display of genitals in a public, What arouses them is the surprise factor they cause, mostly in men

fetishistic disorder

Sexual focus on objects intimately associated with the human body, The objects are random like socks, underwear, feet, more in males

frotteuristic disorder

Rubbing or touching a nonconsenting person, This takes place in buses, metro, concerts, The gratification is because the victim is unaware  

pedophillic disorder

Predominant or exclusive sexual interest toward prepubescent children 13 or younger, Common is repeated infractions (they WILL do it again), Have unstoppable urge, and will place themselves in a setting with children, most will attempt suicide or have SI

sexual sadism disorder

Sexual satisfaction from the physical or psychological suffering of the victim 

sexual masochism disorder

Sexual satisfaction by being humiliated, beaten, bound, or otherwise made to suffer 

transvestic disorder

Sexual satisfaction by dressing in the clothing of the opposite gender

voyeuristic disorder

Seeking sexual arousal through viewing, always secretly, other people in intimate situations, Will use cameras, drones to spy on other people