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Sexual Disorders- A disturbance in the desire, excitement, or orgasm phases of the sexual response cycle or pain during sexual intercourse- Sexual dysfunctions are more common in women than in men, (Shafer, 2008). - Types o Sexual desire disorders Hypoactive sexual desire disorder Sexual aversion disordero Sexual arousal disorders Female sexual arousal disorder Male erectile disorder (erectile dysfunction, impotence)o Orgasm disorders Female orgasmic disorder (inhibited female orgasm or anorgasmia) Male orgasmic disorder (inhibited orgasm or retarded ejaculation)o Sexual pain disorders Dyspareunia Vaginismuso Sexual dysfunction due to a general medical conditiono Substance-induced sexual dysfunctiono Sexual dysfunction not otherwise specified- Antidepressants and antipsychotics commonly affect 3 phases of normal sexual response cycleo Sexual interest (libido)o Physiological arousal (including lubrication in women and erection in men)o Orgasm- Other meds that induce sexual dysfunctiono Cardiovascular drugs—Low libido, impotence, anorgasmiao GI—Low libido, impotenceo Hormones—Low libido, impotenceo Sedatives (alcohol!!) impotence/loss of inhibitiono Antimanic drugs—Low libido, impotenceo Anticonvulscents-Low libido, impotence priapism- Sexual disorderso EITHER gender dysphoria OR parahillic disorderso Gender Transsexualism: a person wishes to change his or her anatomical sexual characteristics to those of the opposite sex Hermaphroditism (intersexuality): person born with both ovarian and testicular reproductive tissue Uncommon in children Males are more commono Paraphilia Recurrent, intense sexually arousing fantasies, sexual urges, or behaviors that involve: Must have symptoms for 6 months Preference for the use of a nonhuman object Sexual activity involving suffering or humiliation of self or others Repetitive sexual activity with children or other nonconsenting adults. - Exhibitionism: intentional display of the genitals in a public place- Fetishism: requires a material object to be present in order to be sexually satisfied (red heels)- Frotteurism: touching, rubbing against, or fondling another person to obtain sexual excitement (crowded elevator)- Pedophilia: sexual activity with a prepubescent child (generally 13 yearsor younger)o The perpetrator must be at least 16 old and at least 5 years older than the victim- Voyeurism – viewing of other people in intimate situations- Transvestic fetishism – sexual satisfaction achieved by dressing in the clothing of the opposite gender- Sexual sadism – sexual satisfaction from the physical or psychological suffering or humiliation of the victim- Sexual masochism – sexual satisfaction by being humiliated, beaten, bound, or otherwise made to suffer- Paraphilia not otherwise specifiedo Telephone, video, sextingo Necrophilia- dead bodieso Partialism- specific body parto Zoophilia- animalso Urophilia- urineo Hypoxyphilia- restricting oxygen- Assessmento Explain purpose of the interview **o Discuss confidentialityo Questions proceed from least intrusive to more intrusiveo Use medically correct


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UT NURS 3630 - Sexual Disorders

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