-
feelings
Women motivated to seek treatment for concerns about sexual ___
-
performance
Men typically motivated to seek treatment for problems with sexual ___
-
situational
Some secondary sexual disorders (not lifelong) are ___
-
SSRIs
___ may be effective in treating premature ejaculation
-
Sensate - Focus
a form of sex therapy that involves graduated touching exercises.
-
- Lack of interest in sex
- Inability to experience orgasm
- Problems with physiological arousal
(lubrication)
- Pain during sex
The leading sexual problems for women are ___
-
- Premature ejaculation
- anxiety about performance
- a lack of interest in sex
The leading sexual problems for men are ___
-
Stop - Start
Sensate - Focus
Premature ejaculation can be treated with sex therapy, using the ___ procedure or the ___ technique
-
- Neurological damage
- Use of anti-hypertensive drugs
- Tranquilizers
- Antidepressants
- A life event (i.e. heart attack, relationship crisis)
Delayed or absent ejaculation can be caused by ___
-
dyspareunia
painful coitus (aka: ___) is uncommon in men - only about 3% - but common among young women.
-
ED - Erectile Dysfunction (aka: Impotence)
recurrent inability to achieve an adequate penile erection or to maintain it through the course of the desired sexual behavior
-
organic / psychological
Great majority of cases of ED are ___ in nature; although ___ factors may play a role
-
Primary Disorder
a disorder that has always existed (is not preceded by any period of healthy function
-
Secondary Disorder
a disorder that follows some period of healthy function (it has NOT always existed)
-
Situational Disorder
a disorder that appears only in certain circumstances
-
smoking
alcohol
obesity
medical conditions
trauma
drugs
stress
anxiety
depression
cardiovascular disease
aging
The major contributing factors of ED
-
Viagra
___ works by increasing responsiveness of the erectile tissue to nitric oxide.
-
Prostaglandin E1
a hormone that is injected into the penis to produce an erection
-
erectile tissue / penile nerves
Prostaglandin E1 is for men with functional ___ but the ___ are damaged
-
penis / urethra
Prostaglandin E1 can be injected into the ___ or the ___, but it's costly and inconvenient
-
erectile tissue
a Vacuum Constriction system creates a partial vacuum around the penis, thus drawing blood into the ___
-
- vaginal lubrication
- engorgement of vaginal walls
- clitoral erection
- Female Sexual Arousal Disorder is the failure of early processes of arousal, i.e.
- -
- -
- -
-
Eros Clitoral Therapy Device
The FDA has approved a device, the ___, to increase sexual function for women.
-
Vaginismus
Vaginal spasms (aka ___) is a nonorganic cause of female sexual arousal disorder and may make intercourse impossible.
May be a defense mechanism - anticipation of pain?
Also considered to be psychological
-
10-15%
___-___% of women have never experienced orgasm
-
2/3
___/___ of women don't experience orgasm regularly during coitus
-
organic
No ___ causes have been found for why difficulty in reaching orgasm is so common among women
-
Hypersexuality
excessive sexual behavior that results from a medical or organic cause
- considered pathological
-
Compulsive Sexual Behavior
Obsessive-Compulsive Sexual Disorder
Sexologists commonly refer to sex addiction as ____ or ___
-
Selective Serotonin Reuptake Inhibitors (SSRIs)
___ are most commonly used as treatment for sex addiction
-
Hypoactive Sexual Desire Disorder
a lack of interest in sex
- not considered an issue unless it causes distress or interferes with one's sexual relationships
-
1/3 and 1/6
___/___ of women and ___/___ of men ages 18-59 years of age report a lack of interest in sex
-
testosterone
Hypoactive Sexual Desire Disorder in men can be treated with ___
-
- estrogen/androgen
- sex
Hypoactive Sexual Desire Disorder in women can be treated with ___/___ treatment and ___ therapy, which may restore sexual desire in women
-
1/22
___/___ Americans in the early 20th Century had STDs
-
syphilis
The history of AIDs had mimicked that of ___, in that people infected with this STD were discriminated against
-
19 million
___ million new STD infections occur in the USA each year
-
25
50% of all sexually active Americans acquire an STD by age ___
-
Pubic Lice ("crabs")
insects in pubic hair that gorge on human blood
-
nits
Pubic Lice lay eggs (___) and glue them onto hairs near their base
-
itching / damage
The "disease" part of pubic lice is the ___ caused by the insects and ___ caused by scratching
Treated with OTC insecticidal lotions/shampoos
-
Scabies
infestation with mites that burrow beneath the skin
- caused by female mites that digs tunnels in skin and lay eggs every few days
-
2
3-8
The female mites that cause scabies hide in their tunnels for about ___ months, laying eggs every few days that hatch after about ___-___ days. The "babies" return to the surface, mate, and burrow into the skin to repeat the cycle.
-
permethrin lotion
Scabies infestation causes severe itching that can be treated with topical application of ___.
-
spirochete
Syphilis is caused by infection with ___, spread by contact, nearly always sexually.
-
Painless sore / Spirochetes
chancre
asymptomatic
death
penicillin
Factors of Syphilis
___ sore that exudes a fluid loaded with ___.
These penetrate the skin and multiply, producing a ___ in the newly infected person.
Symptoms are sometimes ___, making it difficult to diagnose
Left untreated, Syphilis progresses and eventually causes ___
Syphilis can be cured with ___
-
a chancre
Primary Syphilis is the first stage of syphilis and marked by the occurrence of ____
-
a painless rash and fever
Secondary Syphilis is the second stage of syphilis and is marked by ___
-
multiple organ damage: the heart, CNS, and skeleton are affected
Tertiary syphilis is the third stage of syphilis and is marked by ___
one is no longer considered a host (unless pregnant)
rare (only about 15%) among people who go untreated
-
bacterium
2-10
Gonorrhea ("clap"/"drip") is cause by infection with a ___
Symptoms appear within ___-___ days
-
cervix
The initial site of infection of Gonorrhea in women is ___
-
Gonorrhea
consists of a yellow or bloody discharge from the vagina or discharge of a thick pus from the urethra (in men)
-
virus-like
genital contact
Chlamydia is caused by a ___ bacterium and is spread by
-
infertility
cervix
Infection in the reproductive tract can cause ___.
Chlamydia infects the ___
-
Chlamydia
Symptoms of ___ include a watery discharge and a pain during urination
-
azithromycin
Chlamydia can be cured with ___
-
Pelvic Inflammatory Disease (PID)
an infection of the female reproductive tract, often caused by sexually transmitted organisms
-
bacterial vaginosis
a condition in which the normal microorganisms of the vagina are replaced by other species
-
rises
When a woman is infected with bacterial vaginosis, the pH of the vaginal secretions ___ (becoming less acidic i.e. more basic)
-
lower
5 min.
Urethritis is a bacterial infection of the ___ urinary tract . . . can be caused by a variety of organisms
urinating within ___ minutes after sex can prevent it.
-
Herpes Simplex 1 (HSV-1)
oral herpes in the form of fever blisters or cold sores on the lips or inside the mouth
-
Herpes Simplex 2 (HSV-2)
associated more commonly with genital herpes
-
Acyclovir
___ in topical ointment or oral tablets can shorten the outbreak period
-
Human Papillomavirus (HPV)
causes genital warts, which are the principle cause of cervical cancer
-
50-70%
men
6 and 11/16 and 18
___-___% of sexually active men and women acquire HPV
___ are a host
Genital warts are most frequently caused by HPV types ___ and ___. The more dangerous of the types (those that cause cervical cancer) are ___ and ___
-
- liquid nitrogen
- podophyllin
Warts can be removed by surgery, freezing with ___, or the application of ___
-
Gardasil
vaccine for HPV type 6, 11,16 and 18
-
DNA/ no specific / vaccine
jaundice, fever, and swelling of the liver
6%
Hepatitis B is a small ___ virus. There is ___ treatment; but there is a ___
Symptoms include ___
___% of people have chronic Hepatitis B
-
AIDs
bodily fluids
___ is caused by human immunodeficiency virus which exists in the ___ of an infected person
-
STDs
___ not transmissible between humans and animals
-
retrovirus
HIV is considered a ___, because once inside the host cell it is transcribed from RNA into DNA
-
blood cells and lymph nodes
CD4 Lymphocytes
HIV attacks the ___ and ___. Its main targets are the ___, the type of white blood cell that make up an important part of the immune system.
-
HIV antibodies
HIV-negative
During the initial part of HIV infection, there are no symptoms, and the infected person has not produced significant levels of antibodies to the virus.
Because the usual HIV test that detects the presence of ___ will give a negative reading during the initial stage, the initially infected person is considered ___
-
7-25k
200
A healthy person has ___ CD4 lymphocytes /microliter.
A person considered to have AIDs has less than ___ CD4 lymphocytes/microliter
-
attachment
membrane
cell
Antiretroviral Drugs
Entry Inhibitors prevent ___ of the virus to the host cell's outer ___ and thus its passage into the ___
-
copying
Antiretroviral Drugs
Reverse Transcriptase inhibitors block the ___ of the viral RNA into DNA
-
insertion
genome
Antiretroviral Drugs
Integrase Inhibitors block the ___ of the DNA (transcribed from RNA) into the host cell's own ___
-
cutting
viral proteins
function
Antiretroviral Drugs
Protease Inhibitors block the ___ of newly synthesized ___ into the shorter lengths that are required for ___
-
seroconversion
the change from negative to positive on an antibody test, such as occurs 6 weeks - 6 months after HIV infection
-
Highly Active Antiretroviral Therapy (HAART)
"drug cocktails" - main reason why death rates due to HIV/AIDs have been reduced
-
disease complications
viral replication cycle
combination therapy
HIV therapies are directed at ___ and the ___
Treatment involves ___ therapy (HAART)
-
Pearly Penile Papules
little bumps around the head of the penis are natural and harmless growths
-
blocked mucus gland
A round swelling on the labia is more likely to be caused by a ___ than any kind of STD
-
16-19
Women greatly outnumber men as the victims of rape -
most victims are between the ages of ___-___
-
declining
The number of reported rapes are ___ in numbers
-
20-25%
College women have increased from ___% to ___% chance of experiencing completed or attempted rape
-
20%
___% of college rapes involve additional injuries
-
cold-to-hot empathy gap
as people become aroused they become more strongly motivated to consummate their desire and pay less attention to moral issues such as consideration for the interests of a partner
-
on campuses
The cold-to-hot empathy gap may contribute to date rape ___(where?)
-
alcohol
The number one date rape drug
-
2/3
___/___ of college women who experience sexual assault report that the perpetrator was drinking at the time of the attack
-
get medical attention
The first step to getting help (after a sexual attack) is to ___
-
Exposure Therapy
a form of psychotherapy for victims of rape or abuse in which they are encouraged to recall the traumatic event in a safe enviroment
-
Rape Shield Laws
1970s
Laws that protect rape victims, for example, by limiting the introduction of evidence about their prior sexual behavior
Began in ___
-
50%
___% of all men arrested for rape are convicted
-
evolutionary adaptation
social influences
Theories as to why men rape women include ___ and ___.
-
Cognitive-behavioral therapy
___ programs in a group setting seem to reduce recidivism, but the effect is small - only about 6%
-
adolescents who are beginning to date
Rape prevention programs are geared towards ___.
Lasting effects have not been observed.
-
Sexual Harassment
unwanted sexual behavior in the workplace or in other structured environments
-
quid pro quo harassment
unwelcome sexual advances accompanied by promises or threats
-
hostile-environment harassment
sexual harassment involving a pattern of conduct that creates an intimidating work environment
-
childhood
puberty
The experience of sexual harassment begins in ___ and accelerates at
-
1980
illegal sex discrimination
In ____, the U.S. Equal Employment Opportunity Commission (EEOC) declared that sexual harassment constitutes ___
-
Intimate Partner Stalking
stalking of a current or former spouse or other intimate partner
-
Delusional Stalking
stalking by an unrealistic belief that the victim is in love with, or could be persuaded to fall in love with, the stalker
-
Grudge Stalking
the stalker pursues the victim to seek revenge for some actual or imaginary injury - usually nonsexual
-
erotomania
The delusional belief that a sexually desired but unattainable person is actually in love with oneself
-
delusional
___ stalkers are often socially inept persons with few intimate relationships, or they be mentally ill
-
Grudge
___ stalking is not usually sexual and commonly targets co-workers, employers, administrators, etc...
-
4
1
An estimated ___ in 1000 women and ___ in 1000 men are affected by intimate partner violence
-
Tension - Building
Violent Phase
Reconciliation Phase
Three phase cycle of intimate partner violence
-
sexual jealousy
evolutionary inheritance
Evolutionary psychologists see ___ as the main motivator of intimate partner violence
- They also suggest that the desire to assert control is part of a man's ___
-
perpetrators
victims
Feminist theory asserts that boys are socialized to be ___, and women are socialized to be ___.
-
The cycle of violence theory
theory stating that men batter their wives because they saw their fathers batter their mothers
-
social isolation
economic dependence
lack of self-esteem
religion - divorce/separation is a sin
fear that children will suffer
Victims often stay with their partners because of
-
Hustler
a male prostitute
-
Sex Worker
anyone who engages in prostitution, pornography, or other sex-related occupation
-
Protestant Reformation
___ tried to eradicate prostitution because of STDs
-
gonorrhea
WWI
Epidemics of ___ during ___ drove prostitution underground
-
1960s
oral contraception
sexual morality
decline
The sexual revolution in ___, development of ___, and a change in ___ resulted in increased willingness of unmarried women to engage in sex - which led to a ___ in prostitution.
-
streetwalkers
lowest-ranking and lowest paid prostitute
-
escort services
the main form of prostitution in the United States
-
1973
decriminalization
In ___, Margo St. James founded COYOTE
The present goal is the ___ of prostitution
-
decriminalization
the elimination of laws that outlaw something
-
International Labor Organization
___ supports decriminalization of prostitution
-
Coalition Against Trafficking in Women
____ supports worldwide criminalization of everyone connected with prostitution - but not the prostitutes themselves
-
Prostitution by minors (12-18)
Involuntary Prostitution
Transnational Trafficking of Prostitutes
Three aspects of worldwide prostitution that are of particular concern
-
Pornography
people or behaviors that are intended to be sexually arousing
-
Erotica
"sexual" works that are considered to have literary or artistic merit
-
Sexually Explicit Material
all inclusive term for arousing material
-
Miller v. California
1973
first amendment
states
In ___, the U.S. Supreme Court ruled in the case of ___ v. ___
- No broad, ___ protection for pornography, and ___ may restrict pornographic work under certain conditions
-
1950s
Glossy magazines became available in the ___
-
1953
Hugh Hefner founded Playboy in ___
-
1960s
Since the ___, new technologies have resulted in new kinds of pornography
-
minors
Only pornography involving ___ is illegal and actively supressed
-
Japan
___ is the world leader in the production of underage pornography
-
Entry Inhibitors
___ inhibitors prevent the attachment of the virus to the host cell's outer membrane and thus its passage into the cell
-
Reverse Transcriptase
___ inhibitors block the copying of the viral RNA into DNA
-
Integrase
___ inhibitors block the insertion of the DNA (transcribed from viral RNA) into the host cell's own genome
-
Protease
___ inhibitors block the cutting of newly synthesized viral proteins into the shorter lengths that are required for function
-
- does not eradicate virus from the body
- resistance to multiple drugs can develop
- usefulness limited due to side effects
Current antiretroviral therapy has several shortcomings:
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