ED/Gender Dysphoria

What is the definition of dyspareunia?

Difficult or painful intercourse.

What are some common causes of dyspareunia?

STIs, infections, UTIs, endometriosis, fibroids, childbirth injury, history of abuse.

Define altered libido.

Decrease in sexual desire.

What factors can affect libido in women?

Loss of partner and decrease in estrogen levels.

What factors are associated with decreased libido in men?

Decrease in testosterone, smoking, obesity, cardiovascular disease, and poor health.

What does erectile dysfunction refer to?

Inability to achieve or maintain an erect penis.

List some psychological causes of erectile dysfunction.

Anxiety, fatigue, depression, negative body image, trust issues.

What are some organic causes of erectile dysfunction?

Cardiovascular disease, diabetes, hormonal imbalances, neurological conditions.

What is the importance of nitric oxide in penile erection?

It activates cGMP, leading to smooth muscle relaxation and increased blood flow.

What is the nocturnal penile tumescence test?

Monitors erections during sleep; normal is 3-5 erections lasting 10-15 minutes.

What is a first-line medication for treating erectile dysfunction?

Phosphodiesterase Type 5 inhibitors like Sildenafil (Viagra).

What are some side effects of PDE-5 inhibitors?

Headache, flushing, dyspepsia, diarrhea, nasal congestion.

What lifestyle changes can assist in managing erectile dysfunction?

Quit smoking, exercise, avoid drugs and alcohol.

What is a penile implant?

A surgically implanted device to help achieve an erection.

Define gender dysphoria.

Distress when an individual's gender identity does not match their assigned sex at birth.

What is the difference between gender identity and gender nonconformity?

Gender identity is how a person feels about their gender; gender nonconformity does not necessarily imply dysphoria.

What are some clinical manifestations of gender dysphoria?

Increased risk of eating disorders, depression, anxiety, and social isolation.

What types of treatment are available for gender dysphoria?

Surgical options, hormone therapy, and supportive behavioral therapy.

What is the goal of behavioral therapy for individuals with gender dysphoria?

To explore gender concerns and reduce feelings of guilt about gender identity.

What is the main function of the penis?

To provide sexual pleasure, facilitate reproduction, and expel urine.

What does penile hypersensitivity refer to?

Increased sensitivity of the penis, which can cause discomfort during sexual activity.

What is the role of testosterone in male sexual health?

Testosterone is crucial for libido, erectile function, and overall sexual health in men.

What psychological factors can improve sexual performance?

Confidence, good communication with partners, and positive body image.

What is Peyronie's disease?

A condition characterized by the development of fibrous scar tissue in the penis, causing curved and painful erections.

What is the average age for the onset of erectile dysfunction?

Erectile dysfunction can begin as early as age 40, but prevalence increases with age.

How does smoking affect erectile function?

Smoking can lead to vascular disease, which impairs blood flow and can cause erectile dysfunction.

What are some common misconceptions about erectile dysfunction?

That it only affects older men, and that it is purely a psychological issue.

What is the impact of obesity on sexual health?

Obesity can lead to decreased testosterone levels, erectile dysfunction, and reduced libido.

How can stress affect sexual desire?

Chronic stress can lead to hormonal changes that decrease libido and increase anxiety around sexual performance.

What is the definition of premature ejaculation?

Premature ejaculation is the occurrence of ejaculation with minimal sexual stimulation before, on, or shortly after penetration.

What are some common causes of premature ejaculation?

Anxiety, stress, hormonal levels, and relationship issues can contribute to premature ejaculation.

Define sexual dysfunction.

Sexual dysfunction refers to a problem that prevents an individual or couple from experiencing satisfaction from sexual activity.

What is the role of estrogen in female sexual health?

Estrogen helps maintain the vaginal lining and lubrication, important for sexual arousal and response.

What is the difference between primary and secondary erectile dysfunction?

Primary erectile dysfunction is a lifelong inability to achieve erection, while secondary is acquired after the individual has previously experienced satisfactory erections.

What is anorgasmia?

Anorgasmia is the persistent difficulty in achieving orgasm after ample sexual stimulation.

What psychological factors can exacerbate sexual dysfunction?

Anxiety, depression, performance pressure, and unresolved trauma can worsen sexual dysfunction.

How does diabetes affect sexual function?

Diabetes can lead to vascular and nerve damage, resulting in erectile dysfunction and decreased libido.

What is the term for low testosterone levels in men?

Hypogonadism refers to low testosterone levels, which can affect libido and erectile function.

Name a common treatment for dyspareunia.

Lubricants and vaginal moisturizers are commonly used to treat dyspareunia.

What is the impact of antidepressants on sexual function?

Antidepressants can lead to sexual side effects, including decreased libido and difficulty achieving orgasm.

Describe the effect of aging on male sexual health.

Aging can lead to decreased testosterone, reduced libido, and increased incidence of erectile dysfunction.

What is the connection between anxiety and sexual performance?

Anxiety can create performance pressure, leading to erectile dysfunction or premature ejaculation.

How does communication affect sexual relationships?

Good communication can enhance intimacy and resolve sexual issues, improving overall sexual satisfaction.

What is the importance of regular medical check-ups for sexual health?

Regular check-ups can help detect conditions like diabetes or cardiovascular disease that impact sexual health.

What is dyspareunia?

Difficult or painful intercourse.

What are some treatments for erectile dysfunction?

Medications, lifestyle changes, and penile implants.

What psychological issues can contribute to sexual dysfunction?

Anxiety, depression, and performance pressure.

What is the average age for men to experience erectile dysfunction?

Around 40, with increased prevalence as age rises.

What role does estrogen play in women's sexual health?

Maintains vaginal lining and lubrication.

What is the impact of obesity on male sexual health?

Can lead to decreased testosterone levels and erectile dysfunction.

What is sexual arousal disorder?

Persistent difficulty in becoming sexually aroused.

What is the primary function of testosterone in men?

Crucial for libido, erectile function, and overall sexual health.

How can chronic stress impact sexual desire?

It may decrease libido due to hormonal changes.

What is anorgasmia?

Persistent difficulty achieving orgasm after proper stimulation.