SFL 375 Final

True or False? Erections, Vaginal Lubrication, and Orgasm are completely voluntary.

False; they are semi-voluntary

1.Which of the following is the most common male sexual disorder? 

  A. Low Desire

  B. Erectile Disorder (ED)

  C. Premature ejaculation (PE)

  D. Painful Intercourse

  E.  Sexual Fetishes

Premature Ejaculation

Which of the following is the most common female sexual disorder?

  A. Low Desire

  B. Sexual Arousal Disorder

  C. Anorgasmia

  D. Painful Intercourse

  E.  Sexual Fetishes

Low desire

True or False? When the diagnosis of a disorder includes levels of distress about the problem the percentage of disorders decreases by an order of 10.

True

True or False? If ED is present early in marriage it can lead to all of the other common sexual disorders.

False; it related to premature ejaculation

True or False? From the chapter in SWIM on Harmonious Sexual Passion, it would be accurate to say that the largest percentage of couples had a sexual passion style where both partners were highest on harmonious sexual passion.

False

True or False? According to the chapter in SWIM on Harmonious Sexual Passion, most couples struggle to develop and sustain healthy sexual passion in marriage.

True

From the article by Leonhardt on the Pursuit of Harmony, which statement is not accurate:

  A. Individuals with higher sexual desire were more likely to develop optimal passion.

  B. Individuals with no childhood abuse were more likely to develop optimal passion.

  C. Individuals with high impulsivity and shyness were more likely to develop optimal passion.

  D. Individuals with high secure attachment were more likely to develop optimal passion

Individuals with high impulsivity and shyness were more likely to develop optimal passion.

From the article by Leonhardt on the Pursuit of Harmony, the findings on sexual abuse suggest that:

  A. Sexual abuse for women was more influential on passion than physical abuse for women.

  B. For men both physical and sexual abuse were equality significant on passion.

  C. Men who were sexually abused had higher associations with both obsessive and inhibited passion.

  D. Childhood sexual abuse had not significant associations in the model.

  E. Both A & C.

  F. Both B & D.

Both A & C

From the Leonhardt article on the Pursuit of Harmony, the findings on personality suggest that:

  A. Impulsivity was associated with higher obsessive sexual passion.

  B. Men’s shyness was related to lower levels of harmonious passion.

  C. Impulsivity was associated with higher inhibited passion.

  D. All of the above.

All of the above.

True or False? Letting God decide when or if you will have babies is a good way to approach birth control.

False

True or False? The pill is the most common form of birth control.

True

True or False?  IUDs are preferred by many women because they don’t contain chemicals.

False; they do have hormones

Which of the following is an advantage of the POP over the combination birth control pill?

 A. It is more effective than the combination pill

 B. It can be taken whenever a person remembers

 C. It is safe during lactation

 D. It creates predictable menstrual cycles.

It is safe during lactation

True or False? The introduction of reliable birth control has not had a dramatic effect on the sexual practices of most people.

False; it has been one of the biggest contributors to sexual practice changes

From the article on sexuality during pregnancy by Brtnicka which of the following is not accurate:

  a. Most couples have some sexual problems after   child-birth.

  b. During the first trimester women experience   less pleasure during sex than before they were   pregnant.

  c. Most couples engage in intercourse at least until   the seventh month of pregnancy.

  d. Almost no couples are afraid of hurting the   fetus during sex.

Almost no couples are afraid of hurting the   fetus during sex.

True or False? Sexual activities and pleasure during pregnancy are associated with higher relationship quality after childbirth.

True

True or False? The main predictor of dyspareunia after childbirth is the size of the baby at delivery.

False; it was tramatic birth

True or False: Breastfeeding is linked to lower levels of sexual activity and desire for females?

True

True or False: Compared to before pregnancy, sexual activity is lower during the first year after childbirth?

True

What age range is genital prime?

Genital Prime:18-30

What age range is sexual prime?

Sexual Prime 45-60

The percentages of men and women with a sexual dysfunction as documented by Rosen would be:
A. 34% of men and 25% of women
B. 20% of men and 30% of women
C. 13% of men and 23% of women
D. 31% of men and 43% of women

D. 31% of men and 43% of women

True/False. According to the article on sexual dysfunction, it would be accurate to say that the most pervasive problem for men and women is low sexual desire.

False

True/False. Historically, one of the reasons that there are such high percentages of people with a sexual dysfunction is because the diagnosis of a disorder does not usually include the level of distress reported by partners.

True

True/False. Another problem with the sexual dysfunction literature is that usually women are used as the standard to which men are compared.

False

According to the lecture on sexuality and aging, which of the following contain the three common challenges couples must cope with to keep their sexuality vibrant?
A. Children, Jobs, and Weight
B. Monotony, Creativity, and Children
C. Changing Bodies, Monotony, Busy Lifestyles
D. Busy Lifestyles, Hormones, and Menopause

C. Changing Bodies, Monotony, Busy Lifestyles

True/False. According to the lectures, only a few couples reach middle age and find that they have struggled to keep their sexuality satisfying for some period of time.

False

Which of the following contain common changes in your bodies as you age that may complicate sexuality that were discussed in class.
A. Menopause, hormone replacement therapy side effects, fad diets
B. Lower levels of testosterone, increases in lubrication, menopause
C. Lower levels of testosterone, prostate problems, increased vaginal dryness.
D. Weight gain, menopause, hair loss.

C. Lower levels of testosterone, prostate problems, increased vaginal dryness.

True/False. Despite the challenges of aging most couples who maintain their health enjoy satisfying sexuality well into later life.

True

True/False. According to the lecture, many couples in our faith don't focus enough attention on their children so that by the time their children are teenagers they are acting out and causing parents to have marital conflict that interferes with their sexuality.

False

What predicts marital passion styles? (The Graph)

Body Image
Instability
Commitment
Marital Satisfaction (Is the highest by far)

What predicts marital passion styles? (The Graph)
What are the different colors of passion?

Red - Harmonious
Blue - Obsessive
Green - Inhibited
Purple - Inhibited/Obsessive

Couple Passion Styles Graph
What is the most common to least common?

Mixed low passion
Female Inhibited, Male Obsessive
Both harmonious
Both Inhibited
Both Obsessive

Triadic Model of Passion chart
What are the different origins and predictors of passions?

Culture and family (attitudes towards a particular passion)
FOO (Attachment, body image, trauma)
Peer and romantic relationships

What are the five main types of birth control?

1. Short-Acting Hormonal 2. Long-Acting Hormonal 3. Barrier Methods 4. Fertility Awareness-Based Methods (FABM) 5. Sterilization

What is FABM (Fertility Awareness-Based Methods)?

Methods that track fertility to avoid sex during ovulation. Avoid unprotected sex during fertile days.

How long do the egg and sperm live?

Egg: ~2 days, Sperm: Up to 5 days.

What is the LDS Church stance on birth control?

Birth control decisions are up to the married couple. Elective abortion as birth control is against church teachings.

Can God be a form of birth control?

No—God gives agency and will not control human choices like a puppet.

What are examples of short-acting hormonal methods?

The pill (combination and POP), the patch, the ring, and the injection.

How effective is the combination birth control pill?

Typical use: 92%, Perfect use: 99%. Must be taken at the same time daily.

What is the POP (Progestin-Only Pill)?

no estrogen, safer for women with cancer, cardiovascular issues, diabetes. Must be taken at the same time daily.

What are disadvantages of the POP?

Less effective than combination pill, timing is crucial, can interact with other drugs, and may cause irregular menstruation.

What is the vaginal ring?

Releases estrogen & progestin, worn inside vagina for 3 weeks, removed for menstruation, 91% effective

What is the patch?

Releases estrogen & progestin, worn weekly for 3 weeks, off 1 week for period, 91% effective.

What is the birth control injection?

Shot given every 3 months, 94% effective, can cause bone density loss, weight gain, irregular bleeding.

What are examples of long-acting hormonal methods?

IUDs (hormonal and copper), implant.

What is the hormonal IUD?

Releases progestin, thickens cervical mucus, stops ovulation. 99% effective.

What is the copper IUD (Paragard)?

Non-hormonal, repels sperm and may prevent ovulation, 99% effective. Can cause heavier periods and spotting.

What are disadvantages of IUDs?

Painful insertion, spotting, cramping, rarely may fall out, hormonal IUD: potential ovarian cysts, mood effects.

What is the birth control implant?

Thin rod in upper arm, releases progestin, thickens mucus, 99% effective.

What are examples of barrier methods?

Condoms, diaphragms, sponges, cervical caps.

How effective are condoms?

Typical use: 82%, Perfect use: 98%.

What are pros of condoms?

Easy to use, prevent STIs, some couples prefer sensation or timing control.

What are disadvantages of other barrier methods?

Must be used every time, less effective than condoms, risk of irritation or UTIs.

How effective is FABM?

Up to 90% effective with consistent use, less effective with irregular cycles or inconsistency.

What are the main FABM methods?

Standard Days Method, Cervical Mucus Method (Two-Day), Basal Body Temperature, Symptothermal Method, Marquette Method (electronic monitor).

What is the Marquette Method?

Uses a monitor to detect hormone levels in urine, confirms fertile days.

What are the two types of sterilization?

Vasectomy (male), Tubal ligation (female).

What is a vasectomy?

Nearly 100% effective, outpatient procedure, reversible, but only successful <50% of the time.

What is tubal ligation?

Nearly 100% effective, more invasive than vasectomy, less likely to be reversible.

How much does progesterone increase during pregnancy?

Increases 10x compared to pre-conception levels.

How much estrogen is produced during pregnancy?

One day of pregnancy = estrogen produced over 3 years when not pregnant.

What does adrenaline do during pregnancy?

Helps expel the baby during labor.

What are the roles of oxytocin?

• Uterine contractions
• Breastfeeding
• Bonding with infant and spouse

What does prolactin do?

• Supports breastfeeding
• Decreases sex hormone production

What is testosterone's role during pregnancy?

Encourages investment in family and bonding.

How does ovulation change during pregnancy?

Estrogen and progesterone cycles stop, so ovulation does not occur.

How does sexual interest vary during pregnancy?

• Interest may increase or decrease depending on trimester and individual.
• Sexuality can take on a more transcendent purpose.

What are motivations for sex during pregnancy?

• Keeps the relationship fun and connected
• Deepens emotional and physical bonding
• Prepares the body for childbirth.

Is sex during pregnancy safe?

Yes, unless advised otherwise by a doctor.

What are some risks that may make sex unsafe during pregnancy?

• Bleeding
• Placenta previa
• Premature cervical dilation
• History of premature delivery or multiples
• Water has broken.

What are benefits of sex during pregnancy?

• Strengthens pelvic muscles and uterus
• Kegels and orgasms help prep for childbirth
• Deepens bond between partners
• Aids transition into parenthood
• Low chance of infection due to plugged cervix and amniotic sac.

How does sexuality change in the 1st trimester?

• Nausea
• Fatigue
• Decreased sexual interest.

How does sexuality change in the 2nd trimester?

• Increased interest
• Heightened sensitivity
• More sensual and satisfying.

How does sexuality change in the 3rd trimester?

• Fatigue
• Physical discomfort
• Need to adapt and explore new positions.

How does blood volume change in pregnancy and what effect does it have?

Blood volume increases by 50%, enhancing sensitivity in the pelvic region.

What changes can enhance sexual pleasure during pregnancy?

• Swollen vulva
• More sensitive clitoris
• Intense orgasms
• Increased lubrication
• Larger, more sensitive breasts.

What are common sexual challenges during pregnancy?

• Mood swings
• Discomfort
• Decreased libido
• Anxiety about body image or harming the baby.

What role does communication play in pregnancy sexuality?

Communication and attunement are key to maintaining intimacy.

What sexual strategies are helpful during pregnancy?

• Sensual massages
• Sexual touch
• Oral sex
• Nipple massage for breastfeeding prep.

Which positions may be more comfortable during pregnancy?

• Missionary (with pillows)
• Woman-on-top
• Spooning
• Rear-entry
• Side-by-side.

When can the baby begin to respond to touch?

After the 5th month of pregnancy.

What is the recovery period for sex after birth?

• 6–8 weeks minimum
• Full recovery from tears, c-sections, etc., can take months.

Why should you do Kegels after birth?

To rebuild pelvic floor strength and improve sexual function.

Is breastfeeding an effective birth control method?

No — it is not a reliable form of contraception.

What factors can affect intimacy after birth?

• Baby becomes a "radar" for intimacy
• Body image concerns
• Physical recovery
• Need for sleep, healthy diet, and self-care.

What are three major challenges to keeping sexual relationships vibrant with age?

Monotony

Changes in bodies

Busy lifestyles.

What is monotony in sexual relationships and how does it affect couples?

Repetition over time can lead to routine and loss of meaning, especially as desire decreases with age.

What breaks the routine in long-term relationships?

Being spurred to action — change routines, techniques, settings, or attitudes.

What two core elements help couples maintain sexual passion?

Creativity

Positive illusions about partner's body/sexuality.

What are some creative ways to maintain sexual intimacy?

Try new techniques/positions

Change settings

Shift mindset

Use same creativity used in hobbies like exercise, prayer, etc.

How does weight gain affect sexual functioning?

Extra body fat contributes to cardiovascular disease, diabetes, etc., which all negatively impact sexuality.

How much body fat does the average adult gain per year after age 25?

1–2 lbs per year without active prevention.

How significant are midlife hormonal changes?

As significant as puberty for both men and women.

What are the key features of menopause?

Begins between 35–55, ends by ~52

Lasts 1–3 years (sometimes 7–10)

Estrogen/progesterone drop below half previous levels.

How does testosterone change in midlife?

Decreases for both men and women; proportionally higher in women due to drop in other hormones.

Common sexual issues in older women?

Changes in libido (up/down)

Vaginal dryness and dyspareunia.

Common sexual issues in older men?

Decreased testosterone

Erectile dysfunction

Prostate issues.