HLTH 251 Lecture Notes - Lecture 15: Sildenafil, Endometriosis, Episiotomy

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Difficulty obtaining and/or sustaining erection in almost or all circumstances. Fewer than 10% of men under age 40, 30% of men in their 60"s. Most common challenge among men who seek therapy. Lack of response (or awareness of response) to stimulation. Most common complaint (24% of canadian men report) How are we defining and measuring success? . Canadian average from intromission to ejaculation is 8 minutes (7% or men = 1 minute, 8% of men report delayed or retarded ejaculation in the last 12 months. Note: women who orgasm quickly are not considered dysfunctional. Absence of orgasm (primary, secondary, or situational most common) 10% of world"s women never orgasm; 21% of canadian women report seldom. Once gained ability to orgasm is not often lost outside situational factors. Involuntary contraction of muscles around the outer third of the vagina upon attempted penetration. Responds well to relaxation techniques and gradual insertion of dilators. 15% of women and 3% of men report.

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