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biological sexual response
libido
arousal (increase HR)
genital congestion
orgasm
positive sexual behaviors
being present
comfort/boundaries
emotional connection
consensual
adaptive sexual expression
consent
mutually satisfying
not harmful (psycho/physical)
in a private space
maladaptive sexual expression
coercion
public indecency
pedophilia
adolescent considerations
puberty (physical/emotional)
identity vs role confusion (exploration)
adult considerations
communicate in intimate relationships
informed decisions about sexual health
children risk factors
abuse
lack of education
adolescent risk factors
hormonal flood
underdeveloped prefrontal cortex
lack of education/experience
older adult risk factors
decreased hormones
individual risk factors
illness/injury
medications (SSRI, antidepressants)
education
subjective sexual assessment
*what pt is telling you
medical history
medications
pain/concerns with genitalia
lifestyle
objective sexual assessment
physical development (tanner staging)
genital assessment