we aren’t biologically drive, we construct ourselves based on the info we take in from our environment
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performative theory of gender
\ gender is not fixed, it's our actions. Gender boundaries are transmitted through culture, gender roles define our gender identity (not expressions of identity)
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Alice Dregger
Hermaphrodites and the Medical Intervention of Sex; investigates unethical medical treatment of intersex, studies social constraints of being intersex
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Nancy Chodorow
\ feminist; women connect sex with intimacy and value; men are more goal, pleasure and performance oriented, women have weak heterosexuality, sexuality emerges in development
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Adrienne Rich
feminist; social pressures create gender-divided het order, het as extension of natural order, lesbianism means making a commitment to women
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Catherine MacKinnon
\ sexuality as product of men’s power, to control, sexuality defines women as het and as mothers, sexual liberation involves life that reflects needs and desires; drafted legislation w/ Dworkin to allow people to sue porn for gender discrimination
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script theory of sexuality
sexuality is learned, we are taught sexual scripts, sexuality is a product of labeling
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Weeks
essentialism and constructionist theories of sexuality
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performance perspective
our behavioral performances define who we are
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metrosexual
men who identify as masculine and heterosexual and embrace stereotyped female/feminine behaviors
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gender is a process
day to day interactions reinforce gender as opposites
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gender is stratified
men have more status and power
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gender is structured
gender divides work and economic production
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sexology
sexuality is core of being human, driving force, sexual instinct is heterosexual
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Marxism
economy shapes sexual culture, anything that interferes with production is bad, workers avoid indulgence, sexuality disruptive, procreative sex only acceptable, sex to sell
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online romances
present ideal, not fictitious self, evolve through initial idealization phase, enhancer but not substitute
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model penal code of 1962
decriminalized adult consensual behavior
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hyde amendment
cut off funds for abortion and required parent notification
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Miller v. California
defined obscenity
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Skinner v. Oklahoma
no sterilization of criminals
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Eisenstadt v. Baired
contraceptives for unmarried
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Roth v. US
sex speech that appeals to prurient interests is obscene
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Memoirs of Women of Pleasure v. Mass
narrowed obscenity
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Baehr v. Lewin
Hawaii court decision that said that keeping gays and lesbians away from marriage is gender discrimination
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normal gay
pop-culture defined gay as only being acceptable if gender conventional, sex is linked to intimacy and love, Protestant work values, and national pride
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Puritans
sex as positive part of het marriage
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Victorians
sexual instinct is heterosexual, only marriage can control it, women responsibility to control men’s
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infant sexuality
reflexive, capacity for sexual response, sexual behavior is normal, engage in self-pleasuring but no ejaculation
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childhood sexuality
masturbation at 2-3
sex play at 4-7 (often same sex)
marriage script 5-7
gendered play 8-9
interest in body changes 10-11
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gonadoptropins
pituitary hormones that stimulate activity to gonads and increase around 9-10 years old
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first ejaculation
13 years old
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first sperm
14 years old
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growth spurt
sex hormones
growth hormone
insulin-like growth factor 1
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miscegenation
sex between different races
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swinging
exchanging of marital partners
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**acquired sexual disorder**
specific time
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**generalized type**
all partners
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situational type
specific situations or partnersper
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performance standards
expectancies for sexual functioning set by social, cultural and personal experiences
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sexual dysfunctions
must cause personal distress, feelings and history are critical in diagnosis
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hypoactive sexual desire disorder (HSDD)
loss of sexual attraction or interest
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desire discrepancy
sexual partners have discrepancies in preferences
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persistent genital arousal disorder (PGAD)
spontaneous, intrusive and unwanted genital arousal (usually women)
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male coital anorgasmia
difficulty in intercourse
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partner anorgasmia
difficulty with partner manual or oral stimulation
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male erectile disorder
difficulty achieving and maintaining erection for 3 months, treated w viagra, levitra, cialis (lasts 36 hrs)
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priapris
erection does not subside
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female sexual arousal disorder
can be subjective or genital
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vaginismus
involuntary constriction of outer vaginal muscles, tension makes sex impossible or painful, causes dyspareunia
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dyspareunia
pain that is experienced persistently during sex, can have it without vaginismus, men can have it
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genito-pelvic pain/penetration disorder
pain with partial vaginal entry, during intercourse and after
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vestibulodynia
small area at entrance of vag that causes severe pain
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causes of pelvic pain
jarring ovaries, stretching of uterine ligaments, endometriosis
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graduated cylinders
used for vaginismus
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premature ejaculation
too rapid for his/partner’s sexual enjoyment, can be treated with SSRIs
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female orgasmic disorder
inability to reach orgasm or difficulty reaching it through any form of stim, causes distress
M+J, gets at distraction/anxiety, begins nongenital (hugging/holding/massage), gets couple to focus on feeling
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squeeze technique
premature ejaculation treatment
stimulate nerve on underside of penis, squeezing it causes a refractory period
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kegel exercises
pelvic muscle strengthening for pubococcygeal muscle, increases ability to experience orgasm
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stop-start technique
\ treatment for premature ejac - stimulate penis until orgasm and then stop until sensation goes away
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neoplasm
new cell
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cervical intraepithelial neoplasia (CIN)
precancer and early
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invasive cancer of the cervix (ICC)
advanced and dangerous, can be caused by HPV, very curable
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uterine cancer
4th most common, rising because of obesity
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ovarian cancer
most deadly rep cancer for women, mainly develops in older women
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breast cancer
can be inherited, risk factors being over 55, obesity (adipose tissue produces estrogen), radiation, early menarche, breast density, no birth/birth after 30, drugs
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mammography
does not diagnose
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testicular cancer
young men, remove to cure, very curable
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endometrial hyperplasia
excessive proliferation of cells in **endometrium** or inner lining of uterus
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fibroid tumors
benign on or in uterus
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polycystic ovary syndrome
noncancerous cysts, can be caused by elevated androgens, can cause infertility, irregular periods, pelvic pain
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epididymitis
inflammation, caused by infection (chlamydia)
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chlamydia
bacterial
most common bacterial, hard to clear, asymptomatic, high rates in south, vaginal or anal sex, oral sex can get throat, infants blind or pneumonia, treated w antibiotics
women 2 types - pelvic inflammatory disease and trachoma
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pelvic inflammatory disease
chlamydia
uterus and pelvis, bacteria from cervix goes into uterus and fallopian tubes
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trachoma
chlamydia
conjunctivitis
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gonorrhea
inflamed mucous membrane, bigger cell, south, inflammation of vagina, anus, throat, urethra; inflammation and infection, treated w dual antibiotics
\ men show symptoms, treated with antibiotic
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gonococcal urethritis
urination painful
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gonococcal ophthalmia
infection of eye
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gonococcal cervicitis
inflamed cervix, can scar or abcess
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nongonococcal urethritis (NGU)
inflamed urethral tube, common in males, treated with antibiotic, similar to gonorrhea
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syphilis
spiral shaped, bloodborne, treated with antibiotic
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primary syphilis
**shanker** (sore) at site of infection - penis for men, first stage - body rash, infection, swollen glands in groin
primary and recurrent, blistering at site, inflamed nerves, more transmissible w active symptoms
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primary herpes
treated with antiviral; outbreak with things that suppress immune system, prodromal periods
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HPV
genital warts, linked to cervical and genital cancer, treated with gardasil ONLY STI WITH VACCINE
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HIV
retrovirus, transmitted with contact to blood-derived fluids, anal highest risk, vaginal accounts for most infections, trajectory is 10-12 years before sickness, untreated causes AIDS, treatable, one pill a day, treatment to prevent infection, not curable
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primary HIV
huge viral load
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viral hepatitis
liver function, hep B most common, jaundiced skin, vaccines for A and B, C more serious