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for female what does the external genitalia include?
mons pubic, labia majora, labia minora, clitoris, and perineum
for female what does internal genitalia include?
ovaries, fallopian tubes, uterus, and vagina
what is the primary female reproductive organ?
ovaries
what are the female sex hormones?
estrogen and progesterone
what does estrogen do?
regulates female reproductive system
what does estrogen produced in?
produced mainly in the ovaries and crucial to maturation of eggs
what does estrogen maintain and promote?
maintains bone health and promotes development of secondary female sex characteristic
what does progesterone work with?
estrogen to control the ovarian menstrual cycle
what is the hormone of pregnancy?
progesterone
what is usually the first sign of puberty?
breast development
what promotes the size of breast?
estrogen
what is the main function of breasts?
lactation
what is menstruation?
when the body prepares for a fertilized ovum but then sheds the lining of the uterus if fertilization does not occur
what is a typical menstruation cycle?
28 days
what is menarche?
first menstrual period
what is menopause?
cessation of menstrual activity
describe the follicular phase?
day 4-14. one mature ovum is produced
describe ovulation?
occurs on day 14. ovum leaves the follicle and enters the fallopian tube
describe the luteal phase?
day 15-28. uterus prepares for a fertilized ovum
in males what is the external genitalia?
teste, epididymis, scrotum, and penis
what is the primary male reproductive organ?
testes
for males what is the internal genitalia?
seminal vesicles, prostate gland, Cowper gland
what does testosterone effect?
affects nervous and skeletal tissue, bone marrow, skin, hair, and sex organs, affect on voice. anabolic effect on skeletal muscle
what is breast tissue like in males?
similar to female breast tissue until puberty
what is gynecomastia?
benign proliferation of male breast glandular tissue
behavior for sexual behavior?
adaptive vs maladaptive
what is the criteria for adaptive sexual behavior?
-between two consenting adults
-mutually satisfying for both partners
-not psychologically or physically harmful
-no force or coercion
-conducted in private
what is biological sex?
sex assigned at birth. chromosomal sexual development
what is gender identity?
inner sense that they are male, female, or nonbinary
what is gender expression?
outward presentation of gender
what is sexual orientation?
romantic, emotional, or sexual attraction to other people
health disparities within LGBT population?
more likely to commit suicide, more likely to be homeless, less likely to have health insurance. highest rates of tobacco, alcohol, and other drug use
what are some age related changes in sexual function?
medications and metabolic disorders may impact sexual function. older adults may be concerned that sexual activity will place stress on the heart. loss of a spouse or partner
what to asses during a sexual assessment?
sexual history, reproductive history, and better model!
what is the BETTER model?
Bringing up the topic, explaining, telling, timing, educate about treatment-related sexual side effects, recording
what to do to prevent STIs?
use of barrier method with each sexual encounter, have regular checkups, avoid douching, avoid sexual activity while bring treated for an STI
what is erectile dysfunction?
the inability of a male to attain or maintain an erection
what is premature ejaculation?
consistently reaches ejaculation or orgasm before or shortly after beginning sexual intercourse
what is delayed ejaculation?
inability to ejaculate in the expected timeframe
what is inhibited sexual desire?
inhibition in sexual arousal
what is dyspareunia?
painful sexual intercourse
what is vaginismus?
vaginal opening is constricted to not allow penetration
what is vulvodynia?
chronic vulvar discomfort burning or stinging sensation. makes sexual intercourse difficult
what is sexual harassment?
unwelcome behavior that is based on a person's sex or gender. quid pro quo harassment. hostile work environment
what to do when responding to sexual harassment to clients?
be self aware. confront, be assertive, not aggressive. set limits. enforce the stated limits. report to supervisor
what to do when responding to sexual harassment to colleagues?
confront the behavior if safe to do so, document this. document the date, time, and type of behavior. consult a supervisor. if the harassment continues file a grievances with administration. consult legal counsel if needed