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Sexual Dysfunction Detailed Presentation

The document discusses sexual dysfunction, defining it as cognitive, affective, or behavioral issues that hinder satisfactory sexual activity. It classifies sexual dysfunction into four categories: sexual desire disorders, sexual arousal disorders, orgasmic disorders, and sexual pain disorders, and outlines various causes including medical, psychological, and interpersonal factors. The document emphasizes the importance of nursing management and early intervention in addressing sexual dysfunction.

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Sneha Swain
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2 views

Sexual Dysfunction Detailed Presentation

The document discusses sexual dysfunction, defining it as cognitive, affective, or behavioral issues that hinder satisfactory sexual activity. It classifies sexual dysfunction into four categories: sexual desire disorders, sexual arousal disorders, orgasmic disorders, and sexual pain disorders, and outlines various causes including medical, psychological, and interpersonal factors. The document emphasizes the importance of nursing management and early intervention in addressing sexual dysfunction.

Uploaded by

Sneha Swain
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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Sexual Dysfunction:

Understanding, Classification &


Management
Introduction
• Sexuality is influenced by relationships, life
circumstances, and culture.
• Normal sexuality is hard to define, but
abnormal sexuality is easier to identify.
• Humans have historically depicted diverse
sexual behaviors.
Meaning of Sexual Dysfunction
• Cognitive, affective, or behavioral issues that
hinder satisfactory sexual activity.
• Involves disturbances in the sexual response
cycle or pain-related issues.
• Can affect both individuals and couples in
achieving sexual satisfaction.
Cause
Classification
• 1) Sexual Desire Disorders:
• - Hypoactive Sexual Desire Disorder
• - Sexual Aversion Disorder
• 2) Sexual Arousal Disorders:
• - Female Sexual Arousal Disorder
• - Male Erectile Disorder
• 3) Orgasmic Disorders:
• - Female Orgasmic Disorder
• - Male Orgasmic Disorder
• - Premature Ejaculation
• 4) Sexual Pain Disorders:
• - Vaginismus
• - Dyspareunia
Classification
• Lack or loss of sexual desire
• Sexual aversion and lack of enjoyment
• Failure of genital response
• Orgasmic dysfunction
• Premature ejaculation
• Non-organic vaginismus & dyspareunia
• Excessive sexual drive
• Unspecified sexual dysfunction
Sexual Desire Disorders
• Hypoactive Sexual Desire Disorder:
Low or absent sexual fantasies and
desire for sex.
More common in women than men.

• Sexual Aversion Disorder:


• Extreme aversion to genital contact
with a partner.
Associated with anxiety, fear, or disgust.
Sexual Arousal Disorders
• Female Sexual Arousal Disorder:
Failure to attain or maintain sexual
desire.

• Male Erectile Disorder:


Inability to attain or maintain an
erection.
Primary: Never achieved erection.
Secondary: Previously had but now has
difficulties.
Orgasmic Disorders
• Female Orgasmic Disorder:
Delay or absence of orgasm despite adequate
stimulation.
• Male Orgasmic Disorder:
Persistent difficulty in achieving orgasm during
intercourse.
• Premature Ejaculation:
• Ejaculation with minimal stimulation before or
soon after penetration.
Sexual Pain Disorders
• Dyspareunia: Persistent genital pain before,
during, or after intercourse.
• Vaginismus: Involuntary spasm of vaginal
muscles preventing penetration.
Sexual Dysfunction due to Medical
Conditions
• Neurological: Multiple sclerosis, neuropathy.
• Endocrine: Diabetes mellitus, thyroid
dysfunction.
• Vascular: Atherosclerosis.
• Genitourinary: Testicular disease, urethral or
vaginal infections.
• Substance-induced: Alcohol, amphetamines,
opioids, antidepressants, etc.
Psychological Causes of Sexual
Dysfunction
• Stress and anxiety from work or family
responsibilities.
• Fear of sexual performance failure.
• Depression and unresolved sexual orientation
issues.
• Body image concerns and past traumatic
experiences.
Physical Causes of Sexual
Dysfunction
• Diabetes, heart disease, liver and kidney
disorders.
• Pelvic surgery, injury, neurological disorders.
• Medication side effects and hormonal
imbalances.
• Substance abuse (alcohol, drugs).
Interpersonal & Socio-Cultural
Factors
• Relationship conflicts and lack of partner
communication.
• Partner's sexual performance and lack of
privacy.
• Lack of sexual education, cultural and
religious conflicts.
• Societal taboos and misinformation.
Incidence
Biological Treatments
• Pharmacotherapy:
• - Sildenafil (Viagra), Alprostadil for erectile
dysfunction.
• - Antianxiety and dopaminergic agents to
enhance libido.
• Hormone Therapy:
• - Androgens for increased sex drive,
antiandrogens for compulsive behavior.
• Mechanical Treatments:
• - Vacuum pumps, clitoral stimulation devices
(EROS).
Psychological & Behavioral
Therapies
• Dual Sex Therapy:
- Both partners treated together (Masters &
Johnson approach).
• Hypnotherapy:
- Helps reduce performance anxiety.
• Behavior :
- Systematic desensitization, assertiveness training.
• Group Therapy:
- Helps address interpersonal issues.
Specific Therapy Techniques
• Vaginismus: Gradual dilation exercises.
• Premature Ejaculation:
• Squeeze Technique: Pressing the penile ridge to
delay ejaculation.
• Stop-Start Technique: Stopping stimulation
before ejaculation.
• Erectile Dysfunction: Masturbation techniques
to assess function.
• Female Orgasmic Disorder: Guided
masturbation and vibrator use.
Nursing Management
• Assess sexual history, client's perception of the
problem.
• Review medication side effects impacting
sexual health.
• Provide educational counseling on sexual
functioning.
• Promote open discussions to reduce stigma.
• Refer to specialists when necessary.
Conclusion
• Nurses play a vital role in prevention and
management.
• Early intervention can help manage or prevent
dysfunction.
• Encouraging communication and coping
strategies improves overall well-being.

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