1 / 25

MEDICAL SEXOLOGY

MEDICAL SEXOLOGY. doc.MUDr.Alexandra Žourková,CSc. Dept. of Psychiatry, Masaryk University, Brno. BASED ON EDUCATION IN. - GYNECOLOGY - PSYCHIATRY - ENDOCRINOLOGY - UROLOGY. SEXOLOGICAL EXAMINATION. - SEXUAL HISTORY - CURRENT FUNCTIONING

oria
Download Presentation

MEDICAL SEXOLOGY

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. MEDICAL SEXOLOGY doc.MUDr.Alexandra Žourková,CSc. Dept. of Psychiatry, Masaryk University, Brno

  2. BASED ON EDUCATION IN - GYNECOLOGY - PSYCHIATRY - ENDOCRINOLOGY - UROLOGY

  3. SEXOLOGICAL EXAMINATION - SEXUAL HISTORY - CURRENT FUNCTIONING - SOMATIC EXAMINATION - PLETHYSMOGRAPHY

  4. SEXUAL RESPONSE CYCLE D E S I R E • FANTASIES ABOUT SEXUAL ACTIVITY AND THE DESIRE TO HAVE SEXUAL ACTIVITY E X C I T E M E N T • PSYCHOLOGICAL AND/OR PHYSICAL STIMULATION • ERECTION OF THE PENIS • LUBRICATION IN THE VAGINA

  5. SEXUAL RESPONSE CYCLE O R G A S M • INVOLUNTARY CONTRACTIONS (URETHRA, MUSCLES OF THE PENIS,LOWER THIRD OF THE VAGINA … • EMOTIONS R E S O L U T I O N • A SUBJECTIVE SENSE OF WELL-BEING

  6. DSM-IV SEXUAL DISORDERS RELATED TO A SEXUAL RESPONSE PHASE SEXUAL DISORDER PHASE OF SEXUAL RESPONSE CYCLE DESIRE - HYPOACTIVE SEXUAL DESIRE DISORDER - SEXUAL AVERSION DISORDER

  7. DSM-IV SEXUAL DISORDERS RELATED TO A SEXUAL RESPONSE PHASE PHASE OF SEXUAL RESPONSE CYCLE SEXUAL DISORDER EXCITEMENT - FEMALE SEXUAL AROUSALDISORDER - MALE ERECTILE DISORDER

  8. DSM-IV SEXUAL DISORDERS RELATED TO A SEXUAL RESPONSE PHASE SEXUAL DISORDER PHASE OF SEXUAL RESPONSE CYCLE ORGASM - FEMALE ORGASMIC DISORDER - MALE ORGASMIC DISORDER - PREMATURE EJACULATION

  9. TYPES OF SEXUAL DYSFUNCTIONS MALE T Y P E D E F I N I T I O N • IMPOTENCE • (MALE ERECTILE • DISORDER) • - LIFELONG • SECONDARY IMPAIRMENT OF PENILE ERECTION THAT IS RECCURENT AND PERSISTENT NEVER POTENT WITH A PARTNER POTENT IN PAST BUT SUBSEQUENTLY DEVELOPMENT ERECTILE DISORDER

  10. TYPES OF SEXUAL DYSFUNCTIONS MALE T Y P E D E F I N I T I O N PREMATURE EJACULATION INABILITY TO EXPERT VOLUNTARY CONTROL OVER THE EJACULATORY REFLECT

  11. TYPES OF SEXUAL DYSFUNCTIONS MALE T Y P E D E F I N I T I O N INHIBITION OF THE EJACULATORY REFLEX NEVER EJACULATED WITH PARTNER EJACULATED NORMALY IN THE PAST BUT SUBSEQUENTLY DEVELOPED THIS DIFFICULTY • MALE ORGASMIC • DISORDER • LIFELONG • ACQUIRED

  12. TYPES OF SEXUAL DYSFUNCTIONS FEMALE T Y P E D E F I N I T I O N FEMALE SEXUAL AROUSAL DISORDER INABILITY TO DERIVE EROTIC PLEASURE FROM SEXUAL STIMULATION

  13. TYPES OF SEXUAL DYSFUNCTIONS FEMALE T Y P E D E F I N I T I O N ORGASMIC DISORDER - LIFELONG - ACQUIRED SPECIFIC DIFFICULTY IN REACHING ORGASM NEVER EXPERIENCED ORGASM BY ANY MEANS OF STIMULATION EXPERIENCED ORGASM BUT SUBSEQUENTLY DEVELOPMENTS THIS DIFFICULTY

  14. TYPES OF SEXUAL DYSFUNCTIONS FEMALE T Y P E D E F I N I T I O N VAGINISM DYSPAREUNIA IMPENETRABILITY OF THE VAGINA BECAUSE OF INVOLUNTARY SPASM OF THE VAGINAL MUSCLES PAIN ON INTERCOURSE

  15. P A R A P H I L I A S COMPONENT OF SEXUAL MOTIVATION SEXUAL DEVIATION SEXUAL IDENTIFICATION GENDER IDENTITY SEXUAL ORIENTATION SEXUAL BEHAVIOR TRANSSEXUALISM PEDOPHILIA FETHISISM TRANSVESTIC FETHISISM EXHIBITIONISM VOYERISM, SADISM MASOCHISM

  16. TYPES OF SEXUAL DEVIATIONS T Y P E D E F I N I T I O N • PERSISTENT SENSE • OF DISCOMFORT ABOUT ONE`S ANATOMICAL SEX • AND STRONG DESIRE TO CHANGE ONE`S GENITALS AND SECONDARY SEX CHARACTERISTICS GENDER IDENTITY DISORDER (TRANSSEXUALISM)

  17. TYPES OF SEXUAL DEVIATIONS T Y P E D E F I N I T I O N TRANSVESTIC FETHISISM DRESING IN CLOTHES APPROPRIATE TO THE OPPOSITE SEX FOR PURPOSES OF AROUSAL

  18. TYPES OF SEXUAL DEVIATIONS T Y P E D E F I N I T I O N FETHISISM PEDOPHILIA • USE OF A NONHUMAN OBJECTS AS THE PREFERRED METHOD TO ACHIEVE SEXUAL EXCITEMENT • HAVING SEXUAL CONTACT WITH PREPUBERTAL CHILDREN AS THE PREFERRED MEANS TO ACHIEVE SEXUAL EXCITEMENT

  19. TYPES OF SEXUAL DEVIATIONS T Y P E D E F I N I T I O N • EXPOSURE OF THE GENITALS IN PUBLIC TO UNSUSPECTING STRANGERS TO ACHIEVE SEXUAL EXCITIMENT • REPEATEDLY LOOKING AT UNSUSPECTING PEOPLE WHO ARE DISROBING OR ENGANGING IN SEXUAL ACTIVITY EXHIBITIONISM VOYEURISM

  20. TYPES OF SEXUAL DEVIATIONS T Y P E D E F I N I T I O N SEXUAL MASOCHISM SEXUAL SADISM • OBTAINING SEXUAL GRATIFICATION TROUGH EXPERIENCING MENTAL SUFFERING OR BODILY PAIN • INFLICTING PHYSICAL OR PSYCHOLOGICAL PAIN ON ANOTHER TO ACHIEVE SEXUAL EXCITEMENT

  21. TREATMENT OF PARAPHILIAS 1. P S Y C H O T H E R A P Y • TO HELP PATIENTS IDENTIFY THE FEELINGS AND PHANTASIES THAT PROMPT DEVIANT SEXUAL BEHAVIOR • TO FIND MORE ACCEPTABLE MEANS OF OBTAINING SEXUAL GRATIFICATION

  22. TREATMENT OF PARAPHILIAS 2. BIOLOGICAL THERAPY A – R E V E R S I B L E • HORMONAL (CYPROTERON ACETATE – ANDROCUR MEDROXYPROGESTERONACETATE – DEPO – PROVERA

  23. TREATMENT OF PARAPHILIAS 2. BIOLOGICAL THERAPY A – R E V E R S I B L E • NEUROLEPTICS (DEPOT FORMS) • THYMOPROPHYLACTIS (LITHIUM, CARBAMAZEPINE) • SSRI (EXPERIMENTAL)

  24. TREATMENT OF PARAPHILIAS 2. BIOLOGICAL THERAPY B – IRREVERSIBLE - SURGICAL • CASTRATION • STEREOTACTIC NEUROSURGERY (ONLY ON REQUEST AND INFORMAL CONSENT)

  25. References : • Waldinger R.J.: Psychiatry for medical students, Washington, DC : American Psychiatric Press, 1997 • Kaplan HI, Sadock BJ, Grebb JA.: Kaplan and Sadock´s synopsis of psychiatry, Baltimore: Williams and Wilkins, 1997

More Related