Human Sexuality Exam 3 Notes

Embryo

first 8 weeks of pregnancy the baby is called a

Fetus

after 8 weeks the baby in utero is called

HCG

Pregnancy tests detect the presence of ___

Maternal Mortality

Death of a women while pregnant or within 42 days postpartum

length of gestation, structural abnormalities, Down Syndrome

Ultrasound scan can detect what 3 main things

Aminocentesis

after 15 weeks, insert needle into abdomen and into the amniotic sac to take 1oz of fluid that contains fetal cells an d send to lab for testing (can detect XX vs XY)

Chorionic Viilus Sampling (CVS)

10-12 weeks, Identify chromosomal abnormalities by a sample of chorian/membrane surrounding fetus, obtained with a catheder

Miscarriage

spontaneous abortion and loss of fetus before 20 weeks

Primary Infertility

never conceived even though wants to and has tried for a year with regular sex

Secondary Infertility

women who have previously concieved but now unable to after 12 months of actively trying

Pregnancy Wastage

woman able to concieve but unable to make it to live birth

IVF

embryo created and transfered into the uterus

GIFT

place sperm and egg into fallopian tubes and hope for fertilization

ZIFT

implant Zygote into fallopian tubes

ICSI

sperm injected into egg and if fertilized the embryo is then transfferred to the uterus

Lamaze Method

12 hours of classes during the last trimester to aid in birth, includes education about childbirth, timed breathing, pain control, focus, and support

Primigravida

birth to first child

Multigravida

given birth before

Stage 1 of birth

amniotic sac ruptures, uterus contracts, effacement, dialation of cervix to 10cm, baby getting into birthing position

Stage 2 of birth

Expulsive, from 10cm to birth, baby moves down birth canal

nostril suction, umbilical clamp 1&2 inches from belly button, clean of placental matter

Steps once baby is delivered

3rd stage of birth

about 5 minutes after delivery, the placenta is expelled and stitches placed

4th stage of birth

1-4 hours post birth, uterus contract and shrinks, bleeding of the blood vessels of cervix

Effacement

cervix flattens and elongates

Episiotomy

cutting area between vagina and anus to prevent unintentional tear

C-Section

accounts for 1/3 of births

Peripartum Depression

depression begining 4 months into pregnancy

Zygote

when egg is initially fertilized, divides repeatedly while moving through fallopian tubes

Blastocyst

hollow ball of cells- implants in uterus 5-6 days after fertilized

1st day of last menstrual period

gestational age is calculated how

Teratogen

substances interfering with normal fetus development, leads to disabilities

8 weeks, 12 months

Sex after birth generally resumes after ___ weeks, and goes back to normal after ___ months

Maternal Morbidity

any pregnancy or delivery complication that can have a ST or LT consequence for a womens health

Sexual Disorder

causes significant disturbance in ability of sex

Self-awareness, Communication, Trauma not addressed, positive role model, Consent, Therapy if needed

6 components of sexual competence

Sexual Dysfunction

group of disorders that interfere with ability to respond or experience sexual pleassure

Medicalization of sexual dysfunction

emphasizes Sexual dysfunctions have a medical or biological basis rather than emotional or relationship cause

Aquired Dysfunction

person is currently experiencing but hasnt always experienced dysfunction

Primary Dysfunction

Lifelong, person has and always will expereince dysfunction

Situational Dysfunction

dysfunction occurs with one partner or in one situation only

Generalized Dysfunction

dysfunction occurs with all partners, in all contexts and settings

Organic Factors

interfere with physiological and anatomical mechanisms in sexual desire, arousal, or orgasm- Neuro, Bio, Psyc, Age, Weight, Drugs

Sociocultural Factors

restrictive upbringing (sex is dirty), emphasis on intercourse as sexual act and orgasm as an event necessary for satisfaction

Psychological Factors

Child Sexual Assault, Anxiety, Fear, Guilt, Depression, Low Self-esteem, Sex orientation concerns, stress, negative view of genitals, spectatoring

Spectatoring

overthinking and overanalyzing ones performance during sex

Relationship Factors

unsatisfied, no communication, relationship problems, performance pressure

Cognitive Factors

positive association between mindfulness and absence of sexual dysfunction, inadequate sex education, beliefs

Sexual Destiny

Belief couples naturally have good sexual relationship that is not the result of working on their relationship and sex life

Sexual Growth

good sexual relationships result from partners working on their relationship

Desire or Arousal problems, orgasm problems, pain related issues

3 types of dysfunctions

reduce expectations, satisfy another way (masturbation), increase participation

3 ways to overcome sexual desire discrepency

Female Interest/Arousal Disorder

no or reduced- sexual interest, thoughts, initiation, excitement during sex, in reponse to erotic cues, genital sensations

Male Hypoactive Desire Disorder

Deficiency of sex fantacies, thoughts, desire to sex that cause personal distress

Premature Ejaculation

persistent/recurrent pattern of ejaculation during partnered sex (within 1-2 minutes of penetration or befpre one wishes)

Erectile Disorder

persistent or recurrent inability to attain/maintain hardness until completion of sex with adequate hardness, common at 40

Kegal Excercises, oral therapy, penile injection, suppositories, implants, vaccume pump, increase self esteem

how to help an erectile dysfuntion

Female Orgasmic Disorder

persistent/recurrent difficulty/delay/absence of orgasm

Delayed Ejaculation

absence/infrequency/delayed ejaculation

GPPD- Genito Pelvic Pain Disorder

recurrent difficulties accomplishing vaginal penetration attempts, due to fear and anxiety surrounding attempts, tense pelvic floor muscles during vaginal penetration that are involuntary

Vaginismis

recurrent or persistent involuntary spasm of musculature outer third of vagina that interferes with vaginal penetration- pain protection

Therapy, Kegal Excercises, systematic desensitization, dialator insertion, examination

how to help vaginismis

Dyspareunia

recurrent or persistent genital pain associated with intercourse or attempts at sex intercourse

Women- lack of estrogen, Men- lesions

male and female reasoning for Dyspareunia

AASECT

establish guidelines for sex therapist certification, lower agreement of treament

Cognitive Behavioral Sex Therapy

negative thoughts and attitudes about sex inteference with sexual interest/ pleasure/ performance,

Mindfulness Based Therapy

pay attention to thoughts, feelings, and sensations occuring in the moment without judgement (Buddhist Meditation)

PLISSIT model approach

permission, limited info, specific instructions, intensive therapy

Sensate Focus

reconditioning by teaching relaxation and pleassure instead of anxiety

Orgasmic Imperitive

belief orgasm is point of sex and making that the point

Communicate like and dislikes of sex

dont think you need to achieve something everytime you have sex

Take care of yourself physically and psychologically

Tips to avoid sex difficulties

Vulvodynia

burning, stinging, irritation, pain of vulva for 3 months without lesions

Urethritis

inflammation of the urethra

Identity, Nurture, Nature, Negation, Uncertainty

5 origins of kinky desires

Nudism

enjoying being clothes-free and the companionship of others who share the value

choking and hair pulling

most common behaviors for sough sex

Paraphilia

overdependence on a culturally acceptable or unusual stimulis for sexual arousal and satisfaction

Paraphilic Disorders

involve causeing harm or risk of harm to self or others

Coersive/Victimizing

Exploiting people

Noncoersive/Nonvictimizing

not trying to push people and there being no victim

recurrent, intense, sexually arousing fantacies, sexual urges/behaviors

paraphilia elements

Voyeageristic Disorder (peeping)

recurrent, intense urge to look at unsuspecting people who are naked, undressing, or engaging in sexual behavior, Most common, victim must be 18

Exhisbitionistic Disorder

intense, recurrent sexual urge often accompanied by sexually arousing fantasies, to expose ones genitals to a stranger, individual acted on the urges with unsuspecting person or urges.fantasies caused significant distress

Frotteuristic Disorder

recurrent, intense sexual urges, accompanied by fantasies of touching or rubbing against consenting person, individual acted on urges or if urges/fantasies cause significant distress

Bondage and Discipline, Dominance and Submission, Sadomasochism

3 parts of BDSM

Masochism

sexual arousal from suffering pain physical or psychological

Sadism

sexual urges or fantacies involving inflicting pain physical or psychological

Pedophilic

sexual arousal in reference to child, most hated and feared group, victims are pre-pubesent, perpetrators often experienced childhood sexual abuse, are heterosexual married men, and of a biological or social origin

Prevention or the Forward-Focused Model

Primary Treatment of a pedophilic

Hebephilia

sexual attraction to mid-puberty children, more common

Fetishism

pattern of deriving sexual arousal from actual or fantasized inanimate objects or nongenital bosy parts

Substance Fetishism

material itself is the fetish, leather belt or shoe or cloth

Form Fetishism

certain object in particular, any type of shoes

Transvestic

recurrent sexual urges or fantacies of cross dressing

Transvestic Fetish

sexual arousal by dressing as gender of other sex

nepiophilia

sexual arousal from infants or toddlers

Ephebophilia

sexual arousal from post pubesent until 18

Psychoanalytic Theory

paraphilias are symptoms of unresolved subconsious conflict

Feminist Theory

idea that paraphilias are as expression of aggression and status, higher in men

Learning Theory

idea that paraphilia are learned by classical and operant conditioning

Biological Theory

idea people are wired to respond erotically to atypical stimuli