- Summary of sexual disorders in men
- Male Hypoactive Sexual Desire Disorder
- Erectile Disorder
- Marked difficulty in obtaining erection during sexual activity
- Mainting an erection
- Decrease in rigidity
- Factors affecting:
- Physical markers: age, smoking, drugs, etc
- Social/cultural: "erotophobia": learned negative attitudes towards sexuality, + religion + poor interpersonal relationship
- Psychological: episode related to stress
- Treatment:
- Surgical options : blow up dick
- Medicine: viagra
- Sex counselling: education and relaxation
- Delayed Ejaculation (can't come OR anorgasmia)
- Marked delay in ejaculation, Infrequency or absecne of ejaculation on 75% on more of occasions
- Causes:
- Physical (like neurological diseases)
- Psychogenic
- Ethological factors: less knwolesdged about high levels of sexual arousal, absence or inhibition (due to performance aniexty and selective attention) of sexual arousal
- Treatments
- Aim: increase and focus on sexual arousal
- Clear goals, prohibition to ejaculate during intercourse, masturbation training
- Premature Ejaculation
- Ejaculation within 1 minute and before the individual wishes it
- Average: 5.4 min after penetration
- Treatement? possible side effect from pharmacological treatment
- Antidepressants
- Dapoxetine
- Local anesthetic cream
- Sex therapy: interventions and techniques
- Discuss goals and do exercises
- Others Specified Sexual Dysfunctions
- Sexual aversion: averision and or avoidance of almost all genital sexual contact
- Hyperactive Sexual Desire
- Unspecified Sexual Dysfunction
- Body Dysmorphic Disorder
- Diagnosis
- DSM V criteria
- Must cause distress, to the individual or their sexual partner
- must occur over 75% of the time
- Lifelong vs acquired
- Generalised vs situational
- Physical examination and lab tests
- Life style
- Hormonal inbalance
- Individual's history (anamnesis)
- Psychiatric co-morbidity
- Negative sexual expereinces
- Intrest in sexual stimuli
- Relational factors
- Treatment options
- Testosterone supplements
- Sex Counselling
- Life style changes: loss weight and exercise
- Brea the pattern of avoidance behaviour (look for positive sexual cues)
- Cognitive restructuring (rational emotive therapy)
Couple therapy: such as open conversations bout sex
- Combination
- Different Cases
- Case 1 john
- Minimum amount of testosterone is needed in order to functionvc sexually
- Make the system ready for sexual activty
- Produced in the leydig cells of testes and is regulated by the pituitary gland
- Diagnosis
- Normal levels of testosterone and weight
- Just autistic