Sexual Function Difficulties Goals To explore sexual “dysfunction” and sexual dissatisfaction To discuss treatment approaches for sexual issues
Sexual Functioning: What Can Go Wrong? Sexual dysfunction or dissatisfaction? Reconceptualizing sexuality The Working Group for a New View of Women’s Sexual Problems National Health and Social Life Survey National Survey of Sexual Health and Behavior
How Do We Break Down Definitions? Factors that encompass sexuality and sexual functioning (National Institutes of Health) “Sexuality is a complex interplay of multiple facets, including anatomical, physiological, psychological, developmental, cultural, and relational factors.” DSM Categories
What are the DSM V Categories? 1. Delayed ejaculation 2. Erectile disorder 3. Female orgasmic disorder 4. Female sexual interest/arousal disorder 5. Genito-pelvic pain/penetration disorder 6. Male hypoactive sexual desire disorder 7. Premature ejaculation 8. Substance/medication-induced sexual dysfunction
What Are Some Societal Myths About Sex?
What Are Some Physical and Psychological Issues Associated With Sexual Functioning? Illness Communication Structural issues Priapism Phimosis/Paraphimosis Peyronie’s Disease
What Are Some Treatments for Sexual Issues? Who conducts therapy? Michigan Surrogate Partners What treatments are out there? Cognitive-behavioral tx Sensate focus PLISSIT Exploration Medications Medical devices