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Sexual Dysfunction Verified and Updated Questions and Answers (100% Correct Answers)

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Sexual Dysfunction Verified and Updated Questions and Answers (100% Correct Answers)

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Sexual Dysfunction Verified and Updated
Questions and Answers (100% Correct
Answers)
What is Sexual Dysfunction?
Answer: • Decreased sexual desire or libido,


• Diminished arousal,


• Decreased frequency of intercourse, or


• an undesirable delay in or inability to achieve orgasm


• some include amenorrhea or galactorrhea


_____ % of women and ____% of men reported SD
Answer: 40% of women and 30% of men reported SD


Rates of Sexual Dysfunction in Transgender Persons
Answer: • Most frequent sexual dysfunctions experienced by transgender women
and transgender men were:


• difficulties initiating & seeking sexual contact (26% and 32%, respectively)


• difficulties achieving orgasm (29% and 15%, respectively).


• "Compared with trans women after hormone treatment and non-genital surgery,
trans women after vaginoplasty less often experienced arousal difficulties, sexual
aversion, and low sexual desire."


• "Compared with trans men without medical treatment, trans men after a
phalloplasty experienced sexual aversion and low sexual desire less often."


As severity of depressive symptoms increase so do
Answer: rates of sexual dysfunction


Which neurotransmitters (when INCREASED at the synapse) IMPAIR sexual function?
Answer: • Serotonin is the most negative influence

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• Specifically 5HT-1A and 5HT-2A


Human Sexual Response - Sexual Desire
Answer: • Negative influence - 5HT


• Stimulation of 5HT 2A receptors in Mesocortical pleasure centers


• Serotonin receptors in the genitalia


• Reduction of Dopamine activity


• Result — Apathy and decreased Libido


Neurotransmitters that increase sexual desire:
Answer: dopamine, testosterone, estrogen


Neurotransmitters that increase sexual function:
Answer: norepinephrine (orgasm), nitric oxide (arousal), acetylcholine (arousal)


Neurotransmitter that decreases sexual function:
Answer: serotonin


Neurotransmitter that decreases sexual desire:
Answer: prolactin


Which antipsychotics are most likely to IMPAIR sexual function?
Answer: Risperidone, olanzapine


Which antipsychotics are least likely to IMPAIR sexual function?
Answer: Aripiprazole, quetiapine, ziprasidone


Weight gain concerns & mirtazapine
Answer: • Higher risk than other antidepressants


• Lower risk than many atypicals and mood stabilizers


Antipsychotics & Prolactin
Answer: • Hyperprolactinemia & 5HT actions may increase SD


• Prolactin inhibits testosterone

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