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Lecture 9

HSCI 120 Lecture 9: Chapter 16 + 18

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Simon Fraser University
Health Sciences
HSCI 120
Lauren Currie

HSCI 120 - Lecture Notes Chapter 16 + 18 Chapter 16: Sexual Dysfunctions - Sexual problems fall into four main categories: - Intrapsychic • Importance of early childhood based on early family interactions (i.e. how parents showed affection) • Parental silence about sex can send a signal to children that sex is taboo and this may make it difficult to talk about as an adult • More discomfort with sexual abuse/assault in childhood; affects trust, creates shame - Interpersonal/relational • Conflict resolution is key difficulty in communicating productively - Cultural/psychological • Ways of teaching societies’ sexual values (i.e. religion, family, schooling, media) - Organic • Cardiovascular disease and its treatments (medications for blood pressure, etc.) can affect sexual arousal and response - Can announce itself as ED for men • Hormones • Low iron, elevated prolactin levels from breastfeeding, interrupted sleep • Damage to nervous system (i.e. MS, spinal cord injuries) can affect sexual functioning and response Difficulties in Men - Erectile dysfunction: - Difficulties either generalized or particular - Diverse causes - disease, stress, drugs, etc. - PDE-5 inhibitors (like Viagra) may help but do not replace subjective arousal - Rapid ejaculation: - Most common difficulty in men - Most current definitions of “how fast is too fast” focus on felt distress by both partners over lack of pleasure - Feelings of guilt and shame because of letting down a partner - Many prefer manual or oral stimulation - Delayed ejaculation: - Most underreported sexual dysfunction in men - Secondary DE → may be cause by antidepressants or antipsychotic drugs - Primary DE tends to be organic - Idiosyncratic masturbation style → different environment may cause difficulty - May be erect, but may have lower levels of arousal that interfere with orgasm - Dyspareunia - pain during intercourse - Causes may include STIs, non-cancerous/cancerous diseases of the prostate or testes, and Peyronie’s disease - Treatment is to treat underlying disease Difficulties in Women - Female sexual arousal disorder: - Lack of arousal → can lead to lack of lubrication - Causes include lack of attraction to partner, stress, fear of pregnancy or STIs, does not know/cannot ask for sti
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