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Sexual dysfunction is defined as a disturbance in what?
The sexual response cycle causing distress or interpersonal difficulty.
What is the minimum duration required to diagnose sexual dysfunction?
At least 6 months.
Male hypoactive sexual desire disorder is characterized by what?
Decreased sexual thoughts and reduced desire causing distress.
Female sexual interest/arousal disorder includes which feature?
Decreased lubrication and genital sensation.
Which disorder combines desire and arousal dysfunction in females?
Female sexual interest/arousal disorder.
Erectile dysfunction is defined as what?
Persistent inability to attain or maintain an erection for sexual activity.
Which feature suggests psychogenic erectile dysfunction?
Presence of spontaneous morning erections.
Which feature suggests organic erectile dysfunction?
Gradual onset with absence of morning erections.
Which of the following is a major risk factor for erectile dysfunction?
Diabetes mellitus.
Which medication class is commonly associated with erectile dysfunction?
SSRIs.
What is the first-line pharmacologic treatment for erectile dysfunction?
PDE5 inhibitors (e.g., sildenafil).
Female orgasmic disorder is defined as what?
Delay, infrequency, or absence of orgasm after normal arousal.
Delayed ejaculation is characterized by what?
Significant delay or inability to ejaculate despite stimulation.
Premature ejaculation is defined as ejaculation occurring when?
Within approximately 1 minute of penetration and before desired.
Which behavioral technique is used for premature ejaculation?
Squeeze or start-stop technique.
Genito-penetration disorder includes which feature?
Pain during intercourse (dyspareunia).
What is vaginismus?
Involuntary tensing of pelvic floor muscles preventing penetration.
Which psychological factor is commonly associated with this disorder?
Fear or anxiety about pain.
Which endocrine condition is associated with sexual dysfunction?
Diabetes mellitus.
Which neurologic condition may cause sexual dysfunction?
Multiple sclerosis.
How do antipsychotics cause sexual dysfunction?
By increasing prolactin levels.
What sexual side effect is commonly caused by SSRIs?
Delayed orgasm or decreased libido.
Paraphilic disorder requires what two key criteria?
Acting on urges or experiencing distress/impairment.
What is the minimum duration for paraphilic disorder diagnosis?
At least 6 months.
What distinguishes paraphilia from normal variation?
Presence of distress, impairment, or harm to others.
Exhibitionistic disorder involves what behavior?
Exposing genitals to an unsuspecting person.
Fetishistic disorder involves focus on what?
Nonliving objects or non-genital body parts.
Frotteuristic disorder typically occurs in what setting?
Crowded places (e.g., public transport).
Pedophilic disorder requires what age criteria?
≥16 years old and at least 5 years older than the child.
Which paraphilia involves sexual arousal from suffering oneself?
Sexual masochism.
Which paraphilia involves arousal from harming others?
Sexual sadism.
Voyeurism involves what behavior?
Observing unsuspecting individuals naked or engaged in sexual activity.
Transvestism refers to what?
Sexual arousal from cross-dressing.
Telephone scatologia refers to what behavior?
Making obscene phone calls for sexual arousal.
Necrophilia involves what?
Sexual arousal from corpses.
Partialism refers to what?
Exclusive sexual focus on a specific body part.
Zoophilia involves what?
Sexual arousal from animals.
Coprophilia involves what?
Sexual arousal involving feces.
Urophilia involves what?
Sexual arousal involving urine.
Klismaphilia refers to what?
Sexual arousal from enemas.
Hypoxyphilia involves what mechanism?
Sexual arousal through oxygen deprivation.
Which factor is associated with poor prognosis in paraphilic disorders?
Early onset and high frequency.
Which factor is associated with better prognosis?
Engagement in normal sexual relationships.
What is the main psychological mechanism in paraphilias?
Conditioned learning and reinforcement of fantasies.
What is the main psychotherapy for paraphilic disorders?
Cognitive Behavioral Therapy (CBT).
What is the purpose of antiandrogens?
Reduce testosterone and libido.
Which medication class may reduce compulsive sexual behavior?
SSRIs.
What is sensate focus therapy used for?
Reducing performance anxiety and improving intimacy.
What is directed masturbation used for?
Female orgasmic disorder.
Is sex addiction a DSM-5 diagnosis?
No.
What characterizes sex addiction?
Compulsive sexual behavior with inability to stop despite distress.
What commonly precipitates compulsive sexual behavior?
Stress, anger, or depression.