HSCI 120 Lecture Notes - Lecture 9: Pelvic Pain, Spasm, Hypoactive Sexual Desire Disorder

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Sexual problems fall into four main categories: Interpersonal/relational: con ict resolution is key dif culty 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. Diverse causes - disease, stress, drugs, etc. Pde-5 inhibitors (like viagra) may help but do not replace subjective arousal. Most current de nitions 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. Secondary de may be cause by antidepressants or antipsychotic drugs. Idiosyncratic masturbation style different environment may cause dif culty.

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