HLWL 1109 Chapter Notes - Chapter 14: Persistent Genital Arousal Disorder, Hypoactive Sexual Desire Disorder, Erection

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Chapter 14: challenges to sexual functioning: challenges to sexual functioning. Psychological factors: unconscious fears, ongoing stress, anxiety, depression, guilt, anger, fear of intimacy, dependency, abandonment and concern over loss of control. Anxiety plays important role in developing and maintaining sexual dysfunctions. Performance fears, distractions, shifts in attention may interfere with ability to respond sexually. Psychotropic medications and birth control pills can affect certain aspects of sexual functioning. Lifelong sexual dysfunction vs acquired sexual dysfunction. Situational sexual dysfunction: problem that occurs during certain sexual activities or with certain partners. Generalized sexual dysfunction: problem that occurs in every situation. Partner factors, relationship factors, individual vulnerability factors, cultural or religious factors, medical factors. Hormonal replacements and genital surgery can affect sexual desire and functioning. Eros clitoral therapy device: creates a gentle suction o the clitoris and genital area which triggers responses in the vaginal nerves. Flibanserin increases neurotransmitters associated with sexual excitement. Vasoactive agents: medication that causes dilation of blood vessels.

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