Sexual Disorder + Gender Diversity

Sexual functioning

what happens in body during sexual activity

Gender identity

individual’s perception of themselves as male, female, other gender, or no gender

gender roles

societal expectations of how males and females should behave

refractory stage

post orgasm, not sexually responsive

sexual desire

urge/inclination to engage in sexual activity

Excitement phase

psychological arousal experience/pleasure and physiological changes

plateau phase

period in between arousal and orgasm

excitement high but stable

resolution

deep relaxation following orgasm

man loses erection, woman’s orgasmic platform subsides

Sexual dysfunction

problems experiencing sexual arousal

must occur the majority of the time for at least 6mo

sexual dysfunction

causes significant distress/impairment

not due to another issue

substance/medication induced sexual dysfunction

caused by substance/medication

Male hypoactive sexual desire disorder

little desire for sex, absent sexual thoughts

common in older men, causes poor wellbeing

lifelong MHSDD

disturbance has always been present

acquired MHSDD

used to enjoy sex but has lost interest

Female sexual interest/arousal disorder

recurrent inability to maintain/attain swelling-lubrication response of sexual excitement

absent/reduced interest in sexual thoughts

women with FSIAD

have decreased initiation/receptiveness, decreased excitement/pleasure

no genital/non-gential response

Erectile Dysfunciton

recurrent inability to attain/maintain erection until completion of sexual activity

common, has significant impact on quality of life

Lifetime ED

never able to acquire erection

Acquired ED

can’t sustain erection anymore

risk factors for ED

age, smoker, obesity, prostate surgery, penile trauma

Female orgasmic disorder

marked decrease intensity/absence of orgasm

may be due to anatomy

more common in postmenopausal women