CFS 388 1st Edition Lecture 10Outline of Last Lecture I. Gender and SexualityII. Guest SpeakersOutline of Current Lecture I. Causes of sexual dysfunctionsII. What are sexual dysfunctions?III. Categorizing sexual dysfunctionsIV. Sexual desire disordersV. Sexual arousal disordersVI. Orgasm disordersVII. Pain disordersCurrent LectureI. Causes of Sexual Dysfunctionsa. What makes good sex/alleviates possible sexual dysfunctions?i. Emotional intimacy with partnerii. Feeling sexually capable in relation to performanceiii. Trusting your partneriv. Being arousingv. Physically and mentally alertvi. Positivity about situationb. If one or more of these is absent, it could be the cause of a sexual dysfunctionc. Sexual dysfunctions can have physical, emotional, or relational causesII. What Are Sexual Dysfunctions?a. Persistent & recurrentb. Must cause distress or interpersonal difficultyc. Not the result of another medical or physical problemIII. Categorizing Sexual Dysfunctionsa. Primary or secondaryi. Have to do with timeii. Primary conditions have ALWAYS existed for the person; often have physical causeiii. Secondary conditions arise at some point during life; often have emotional or relational causeThese notes represent a detailed interpretation of the professor’s lecture. GradeBuddy is best used as a supplement to your own notes, not as a substitute.b. Situational or globali. Have to do with contextii. Situational conditions only arise in certain situations; often have emotional or relational causeiii. Global conditions arise in every situation; often have physical causec. Sexual dysfunction can occur at any point in the cycle (orgasm, desire, climax, etc.)IV. Sexual Desire Disordersa. Hypoactive sexual desirei. Persistent and recurring inhibition of sexual desireii. Also called Inhibited Sexual Desire (ISD)b. Sexual aversioni. A phobic or irrational fear of sexual activity that leads to an avoidance of sexual situationsc. Low desirei. Lack of sexual desireii. Can be caused by…1. Anxieties2. Depression/stress3. Hormonal changes4. Interpersonal conflict5. Traumatic relationship separation in past6. Coping mechanismV. Sexual Arousal Disordersa. Male erectile disorderi. Persistent difficulty achieving or maintaining an erection sufficient to allow completion of sexual activityii. Almost always due to…1. Unrealistic expectations2. Lack of arousal3. Absence of proper conditions4. Anxiety generated by need for erection5. Performance anxiety6. Fear/failure/fear cyclea. Sexual dysfunction is experiencedb. Person develops fear of failing sexuallyc. Anxiety interrupts sexual arousal during next sexual experienced. Cycle repeatsb. Female sexual arousal disorderi. Persistent difficulty becoming sexually excited or sufficiently lubricated in response to sexual stimulationVI. Orgasm Disordersa. Inhibited female orgasm (anorgasmia)i. Persistent or recurrent delay in, or absence of, orgasm following sexual excitementb. Premature ejaculationi. Reaching orgasm too quicklyii. Causes:1. Age (younger men ejaculate faster)2. Frequency (if you have sex more often, ejaculation takes longer)3. Novelty (a routine position/situation means lasting longer)c. Ejaculatory incompetencei. The inability to ejaculate in the vagina regardless of the effectiveness of the stimulationii. Usually a relational issueVII. Pain Disordersa. Dyspareuniai. Recurrent or persistent genital pain before, during or after sexii. Can occur in men or womenb. Vaginismusi. Painful involuntary muscular spasms of the vagina when penetration is