SEXUAL DISORDERS

NOTES ABOUT SEXUAL DISORDERS
(Excerpts from NURSE’S NOTES: Reviewer’s Edition)

Maritess Manalang-Quinto, RN, MAN(c)
Nurse Educator/Nurse Instructor/Resource Speaker
Reviewer V for Local and International Nurse Licensure Examinations
Certified Foreign Graduate Nurse
Registered Nurse, Vermont State, USA
Registered Nurse, Republic of the Philippines

SEXUAL DISORDERS

nDisorders related to a particular phase of the sexual response cycle
nMay occur to any individual of any age, race or culture.

FACTORS AFFECTING SEXUALITY
Sexual Identity
Gender Identity
Sexual Orientation
Sexual Behavior

STAGES OF SEXUAL RESPONSES
Excitement
Plateau
Orgasm
Resolution

DSM-IV OF SEXUAL DISORDERS(Diagnostic and Statistical Manual IV)

Sexual Dysfunctions
Paraphilias
Gender Identity Disorder

SEXUAL DYSFUNCTIONS
nDisorders that involve a disturbance in the processes that characterize the sexual response cycle or the presence of pain during sexual intercourse

TYPES OF SEXUAL DISORDERS: Sexual Dysfunctions
Sexual Desire Disorder
qHypoactive Sexual Desire Disorder.
ndecreased sexual fantasy and decreased or absent
qSexual Aversion Disorder.
nActively avoids and has a persistent or recurrent extreme aversion to genital sexual contact with a sexual partner

Sexual Arousal Disorder
qFemale Sexual Arousal Disorder.
n(-) Swelling of the external genitalia and vaginal lubrication
qMale Erectile Disorder.
nUnable to maintain an erection throughout sexual activity

Orgasmic Disorder
qFemale Orgasmic Disorder.
nsignificant delay or total absence of orgasm
qMale Orgasmic Disorder.
nWhen a male experiences significant delay or total absence of orgasm following sexual activity
qPremature Ejaculation.
nEven with minimal sexual stimulation, a male client experiences orgasm and ejaculation on a persistent basis.

Sexual Pain Disorder
qDyspareunia.
nGenital pain that accompanies sexual intercourse.
qVaginismus
nhas spasms of the vaginal muscles
qPriapism
nRare condition of prolonged and painful erection

PARAPHILIAS
socially prohibited or unacceptable fantasies, urges or behaviors to human or non human objects

Exhibitionism
qgenital self-exposure to an unsuspecting stranger, which sometimes involves masturbation.
Fetishism
quse of inanimate objects (such as shoes, underwear or any other object).
Frotteurism
qtouching and rubbing against a person who doesn't consent to this behavior.
Pedophilia
qAffects children 13 years old and below
Sexual Masochism
qbehaviors concerning real acts of being beaten, bound, humiliated or otherwise made to suffer.
Sexual Sadism
qbehaviors concerning real acts of causing physical or psychological torment or otherwise humiliating another.
Transvestic Fetishism
qhas intense sexual desires, fantasies or behavior concerning cross-dressing.
Voyeurism
qthe act of watching an unsuspecting person who is naked, disrobing or having sex.
GENDER IDENTITY DISORDER(Transexualism)
nPersistent discomfort with one’s assigned gender and a feeling that is inappropriate or inaccurate

CARE AND MANAGEMENT: Assessment
Sexual History
Biological Assessment
Psychological Assessment
Social Assessment
CARE AND MANAGEMENT: Planning and Implementation
The nurse/caregiver should:
Accept the client as a person in emotional pain
Avoid punitive remarks or responses
Protect the individual from others
Set limits on the individual’s sexual acting out

Medication Management:
qAntiandrogen Therapy
qHormonal Replacement
qSildefanil Citrate (Viagra)
qSSRI


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