PSYB32H3 Chapter Notes - Chapter 14: Sexually Transmitted Infection, Sexual Addiction, Relationship Counseling

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2 Nov 2015
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As many as two thirds of erectile problems have some biological basis, usually in combination with psychological factors. Somatic factors usually interact with psychological factors to produce and maintain erectile difficulties. Pain disorders associated with sex are now listed in the dsm 5 as genito pelvic pain/penetration disorder. There are 4 symptoms, any one of which can warrant a diagnosis if linked with impairment or distress: persistent or recurrent difficulties with vaginal penetration during intercourse. Persistent or recurrent pain during sexual intercourse or during penetration attempts; this is called dyspareunia. Dyspareunia is linked with alternations of all aspects of the sexual response cycle, including lower sexual desire, lower arousal, and greater dissatisfaction, resulting in less sexual intercourse and strained interpersonal relationships: symptom is marked fear or anxiety about vulvovaginal or pelvic pain, symptom is marked by involuntary spasms of the outer third of the vagina to a degree that makes intercourse impossible; this is called vaginismus.

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