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4. SEXUAL HEALTH. 4. “ When I speak of erotic, I speak of it as an assertion of the lifeforce of women; of that creative energy empowered, the knowledge and use of which we are now reclaiming in our language, our history, our dancing, our loving, our work, our lives. - Audre Lorde -. 4.
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4 SEXUAL HEALTH
4 “ When I speak of erotic, I speak of it as an assertion of the lifeforce of women; of that creative energy empowered, the knowledge and use of which we are now reclaiming in our language, our history, our dancing, our loving, our work, our lives. - Audre Lorde -
4 PERSPECTIVES ON SEXUAL HEALTH & SEXUALITY CULTURAL AND RELIGIOUS DIMENSIONS • Sexual behavior is defined by cultural values… • Normative sex roles • Acceptable types of sexual activity • Sanctions/prohibitions on sexual behavior • Premarital sex • Sexual restraint for females • Same-sex relationships • Contraception
4 ECONOMIC DIMENSIONS • Daughter in marriage = dowry • Sexual aggression = power and economic dynamics • Commercial sex industry/prostitution LEGAL DIMENSIONS • Fornication • Sodomy • Same-sex partners • Marriage, annulment, separation, divorce, child custody, support
4 4 POLITICAL DIMENSIONS • Sex education in schools • Abstinence-only programs • Abstinence-plus programs
4 SEX RESEARCH WELL-KNOWN STUDIES • Kinsey Report (1948 and 1953) • Factors affecting sexual behavior in males/females • Masters and Johnson (1966) • Sexual response cycle phases • Redbook Survey (1977) • Sexual behavior and attitudes of American women • Hite Report (1976) • Sexual practices of American women • Blumstein and Schwartz (1983)
4 SEX & GENDER GENDER IDENTITY • Gender: • The economic, social, and cultural attributes and opportunities associated with male or female Sex: • An individual’s biological status as male or female Gender Identity: • An individual’s personal subjective sense of being male or female
4 Homologous Sex Structures
4 GENDER ROLES • Gender Role • the public expression of one’s gender identity, as well as cultural expectations of male and female behaviors • masculine vs. feminine Socialization • the process whereby society conveys behavioral expectations to the individual Androgyny • Having characteristics of both sexes
4 TRANSGENDER • Transgender • Umbrella term for anyone whose behaviors, thoughts, or traits differ from those traditionally ascribed to the person’s sex Transsexual • A person whose gender identity is opposite to her or his biological sex • A gender identity disorder (GID) Transvestitism • Behavior of a person who dresses like the opposite sex
4 SEXUAL ORIENTATION • TERMS: • Sexual Orientation • Homosexual • Heterosexual • Bisexual ISSUES: • Profiling • Discrimination in medical care
4 BIOLOGICAL BASIS OF SEXUAL HEALTH FEMALE ANATOMY & PHYSIOLOGY A: EXTERNAL STRUCTURES B: INTERNAL STRUCTURES
4 EXTERNAL FEMALE SEXUAL ANATOMY
4 INTERNAL FEMALE SEXUAL ANATOMY
4 THE MENSTRUAL CYCLE
4 Common Problems Related With Menstruation • Dysmenorrhea • Premenstrual Syndrome (PMS) • Premenstrual Dysphoric Disorder (PMDD) • Amenorrhea
4 PHYSICAL HEALTH & THE GYNECOLOGICAL EXAM • Exam Steps: • Medical history • General physical examination • Breast examination & pelvic examination • Pelvic Examination • Phase I = external examination • Phase II = use of speculum • Phase III = bimanual examination
4 SEXUAL AROUSAL AND SEXUAL RESPONSE MASTERS AND JOHNSON: Sexual Response Cycle • 4 Phases • Excitement • Plateau • Orgasm • Resolution
4 FORMS OF SEXUAL EXPRESSION • Masturbation • At age 15 • 33% girls • 58% boys • College students • 45-56% women • 77-93% men • Cunnilingus • Fellatio
4 SEXUAL DYSFUNCTION • PREVALENCE: • According to the U.S. National Health and Social Life Survey, 43% of women suffer from sexual dysfunction • TYPES: • Hypoactive sexual desire disorder (HSDD) • Dyspareunia • Vaginismus • TREATMEMT: • Sex Therapy
4 SEXUALITY THROUGH THE LIFE SPAN • A: CHILDHOOD • Self-genital stimulation • Engage in play that may be viewed as sexual in nature • Curious about secondary sex characteristics
4 • B:ADOLESCENCE • Puberty • Menarche • Secondary sex characteristics • Hair growth, breast budding, vaginal walls thicken, uterus enlarges, vaginal pH increases in acidity • First intercourse average = 17.4 years
4 • C: YOUNG to MIDDLE ADULTHOOD • Marriage at later date • in the number of women who never marry • Placing career goals before marriage • emphasis on advanced education • in the number of women who no longer depend on marriage to ensure economic stability
4 • D: OLDER ADULTHOOD • Climacteric • Menopause • Vaginal dryness and thinning, delayed lubrication, hot flashes • Decline in frequency and intensity of sexual activity • Quality vs. quantity of sexual expression
4 SEXUAL VIOLENCE AS A PUBLIC HEALTH PROBLEM TYPES OF SEXUAL VIOLENCE • Sexual Assault and Rape • Female Genital Mutilation • Forced Sterilization • Trafficking
4 INFORMED DECISION-MAKING • Gynecological check-up • Understanding personal feelings, thoughts about sexual well-being • Understanding the medical language associated with sexual health • Understanding responsible sexual behavior • Understanding “myth” vs. “fact” • Communication between parents and children • Knowledge of health care resources