PSY 3122 Lecture Notes - Lecture 21: Sexual Dysfunction, Anorgasmia, Cgmp-Specific Phosphodiesterase Type 5

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Most current de nitions of how fast is too fast focus on felt distress by both partners over lack of suf cient pleasure. Dsm-5 labels a man a premature ejaculator if he ejaculates within a 60 seconds of penetration, 75% of the time. Most men with de can orgasm alone, but have trouble ejaculating through penetrative sex. Secondary de may be caused by anti-depressants or anti-psychotic drugs. Penis may be erect, but person may have low arousal, which interferes with being able to have an orgasm. Men who use pde-5 inhibitors (viagra) can be sex when not particularly excited and cases of de have decreased. Lack of arousal which may generate other symptoms (ex: lack of lubrication) Causes include lack of attraction to partner, stress, fear of pregnancy of stis. Includes woman lying on back a being pleasured by partner. Receiver must have no responsibility to reciprocate at this stage.

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