Sexual disorders Sexual disorders Sexual performance biopsycosocial approach
Sexual disorders
Sexual disorders • Sexual performance biopsycosocial approach • It requires • Intact local structures • Adequate vascular supply • Adequate peripheral nervous system • Adequate hormonal modulation • Functioning connection with central nervous system
Sexual disorders Systems: • gender identity gender role • sexual preference acts and status • sexual drive and responsiveness
Sexual disorders System disturbances • gender identity disorders transexualism • preference disorders objects cloths behaviors compulsion, shame guilt issues of harm to others • Note homosexuality
Sexual disorders • Etiology • Dynamic • Behavioral
Sexual disorders • sexual dysfunctions • disorders of drive or desire low rarely high • b- stimulation response cycle arousal and response arousal male impotence female failure of lubrication response male premature ejaculation failure of ejaculation female unorgasmia
Sexual disorders • Prevalence • Etiology 1 - psychogenic 90% • relationship problems; conflicts • Communication problems • Ignorance • Stress • mental illness 2 - organic drugs • Note vajinismus, dysparunia • Frigidity anxiety
Sexual disorders • Management • Assessment partners investigations • Modern sex therapy include education encourage communication behavioral techniques graduated exposure Master and Johnson, sensate focus Start stops squeeze Drugs papaverine Seldinafile Vacuum tube
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