Chapter 13 Sexual Dysfunctions

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University of Guelph
Family Relations and Human Development
FRHD 2100
Tuuli Kukkonen

Chapter 13 Sexual Dysfunctions:  Sexual dysfunctions” persistent or recurrent difficulties in becoming sexually aroused or reaching orgasm o People with this may avoid sexual opportunities, out of fear o Think sex will be frustrating or painful o May even experience guilt, shame, frustration, depression, anxiety Types of Sexual Dysfunctions  Classification based on American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM) 1. Sexual desire disorders o lack of interest in sex or aversion to sexual content o More common among women than men o Most common diagnosed sexual disorder o Sexual-Aversion disorder  Some find sex aversive and completely avoid genital contact  History of erectile problems or history of sex trauma can cause this 2. Sexual arousal disorders o Characterized by not being able to get an erection or insufficient vaginal lubrication for women o Male erectile disorder  Persistent difficulty getting or maintaing an erection sufficient to all the man to engage in or complete intercourse (a.k.a erectile dysfunction)  Performance anxiety: anxiety concerning one’s ability to perform behaviours, especially ones that may be evaluated by other people o Female sexual arousal disorder  Problem becoming sexually excited or lubricated  Sometimes lifelong 3. Orgasmic Disorders o Not reaching orgasm (mainly women), or reaching orgasm too quickly (mainly men) o Female orgasmic disorder  Unable/ difficulty reaching orgasm  Anorgasmic: never having reached orgasm  Study at waterloo  93% of women need direct clitoral simulation  49% of women say it takes a long time to have orgasm o Male Orgasmic Disorder  A.k.a delayed ejaculation, retarded ejaculation, ejaculatory incompetence  Most cases, it is only in sex  Can be physical problems (e.g M.S or nerve damage) o Rapid Ejaculation  Ejaculation occurs with minimal sexual stimulation and before man desires it  Men report sex usually last around 8 minutes, men tried to delay timing of ejaculation at least half of sex experiences 4. Sexual pain disorders  Dyspareunla o Painful intercourse, mostly for women o location of pain can vary  Vaginismus o Characterized by involuntary contraction of muscles surrounding the vaginal barrel, preventing penile penetration or rendering o Some cannot handle penetration from any object  Vulvodynia o Gynaecological condition, characterized by vulva pain, chronic burning sensation, irritation and soreness  Seen as life long or acquired  Generalized dysfunctions: occur in all situations  Situational dysfunctions: only in some situations (e.g. in sex, but not masturbation) Origins of sexual dysfuctions: 1. Biological a. Testosterone deficiency, thyroid over activity or under activity, and temporal lobe epilepsy b. Women may have low sex drive if adrenal glad is removed c. Hypogondism: an endocrine disorder that reduces output of testosterone d. Medical conditions: i. Heart disease
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