Deck 14: Sexual Dysfunctions

Question 1

If a sexual dysfunction is caused by a major depressive disorder, then:

A) Only the major depressive disorder would be diagnosed.
B) Both the sexual dysfunction and MDD are diagnosed.
C) Only the sexual dysfunction is diagnosed.
D) The diagnosis is sexual dysfunction due to depression.

Answer 1

Only the major depressive disorder would be diagnosed.

Question 2

The inability to experience ejaculation due to a lack of adequate stimulation or excitement is consistent with which diagnosis?

A) Delayed ejaculation.
B) Premature ejaculation.
C) Hypoactive ejaculation.
D) None of the above.

Answer 2

None of the above.

Question 3

All of the following are true of erectile disorder EXCEPT:

A) It must occur in >75% of partnered sexual activity.
B) It is almost always a lifelong condition (rather than the acquired type).
C) Aging increases the risk of this disorder.
D) It involves difficulty obtaining or maintaining an erection during sexual activity.

Answer 3

It is almost always a lifelong condition (rather than the acquired type).

Question 4

Which of the following can contribute to a reduction in the intensity or experience of an orgasm?

A) Relationship conflict.
B) Religious and cultural messages.
C) Antidepressants (SSRIs).
D) All of the above.

Question 5

For women, the reduced intensity, marked delay, or absence of orgasm are characteristics of:

A) Female sexual interest disorder.
B) Female sexual arousal disorder.
C) Female orgasmic disorder.
D) None of the above.

Question 6

For women, the ability to have an orgasm is most often related to receiving adequate stimulation.

Question 7

The vast majority of women (>80%) who report an inability to achieve orgasm report being distressed about it.

Question 8

While lack of sexual thoughts or fantasies, no sexual desire, and overall lack of interest in sex are experienced by many young women, these interests and desires increase with age.

Question 9

All of the following are true regarding genito-pelvic pain/penetration disorder EXCEPT:

A) It combines dyspareunia (genital pain associated with penetration) and vaginismus (involuntary vaginal contractions that interfere with intercourse) into one disorder.
B) It may be a conditioned response to previous pain related to sex.
C) It is diagnosed when these experiences are due to a medical cause.
D) These problems persist for at least 6 months and cause significant distress.

Question 10

In the DSM-5, lack of sexual/erotic thoughts or fantasies and lack of desire for sexual activity in men is called:

A) Male sexual interest disorder.
B) Male hypersexual interest disorder.
C) Low libido disorder.
D) Male hypoactive sexual desire disorder.

Question 11

Premature (early) ejaculation is defined in the DSM-5 as ejaculation occurring within 5 minutes of vaginal penetration and before the person wants it to happen.

Question 12

Treatment for sexual dysfunctions that arise in the context or a relationship will generally involve all of the following EXCEPT:

A) Conducting most of the treatment with each person separately.
B) Teaching each member of the couple how to give their partner a nonsexual massage or focusing on the partner's pleasure rather than one's own.
C) Improving communication and clarifying expectations with the couple.
D) Teaching the couple to enjoy the pleasure of the moment rather than "spectatoring" or judging one's performance.