Question 1

Mary is convinced she has a sexual pain disorder.What must her doctor rule out before confirming this diagnosis?

Accepted Answer

Before confirming a sexual pain disorder diagnosis, the doctor must rule out any potential medical causes of the pain. Other factors, such as relationship issues or different types of sexual dysfunctions, may be considered but medical causes must be ruled out first.

Question 2

Which of the following sexual disorders are gender specific?

Accepted Answer

Vaginismus is a female sexual disorder characterized by involuntary muscle spasms of the vagina that make sexual intercourse painful or impossible. Premature ejaculation is a male sexual disorder characterized by the inability to control ejaculation, which occurs too quickly after sexual stimulation.

Question 3

Oliver can ejaculate while masturbating but not with his partner.What disorder does he likely have?

Accepted Answer

Male orgasmic disorder is characterized by difficulty or inability to reach orgasm and ejaculate during sexual activity with a partner, while being able to do so during masturbation or other non-partner sexual activity. This is consistent with Oliver's situation as he can ejaculate while masturbating but not with his partner.

Question 4

Sandra and Jim have been happily married for several years.Sandra reports that she reaches orgasm from intercourse only about half of the time and she wonders if something is "wrong" with her.What should Sandra do?

Accepted Answer

It is important for Sandra to understand that it is normal for women to not always reach orgasm from intercourse alone. Women require more clitoral stimulation to reach orgasm, and intercourse often does not provide enough stimulation. As long as Sandra is enjoying sex and feels satisfied with her sexual experiences, there is no need for her to seek medical or psychological treatment.

Question 5

Mario has erectile dysfunction.Which of the following are medical conditions that could be causing Mario's erectile dysfunction?

Accepted Answer

Erectile dysfunction can be caused by various medical conditions such as vascular disease (which affects blood flow), diabetes (which can damage nerves and blood vessels), and depression (which can affect libido and overall sexual function). Arthritis is not typically associated with erectile dysfunction. Therefore, among the given options, only choice B includes medical conditions that are commonly associated with erectile dysfunction.

Question 6

Which of the following medications cause some degree of sexual dysfunction in approximately 75 percent of individuals taking them?

Accepted Answer

SSRIs (selective serotonin reuptake inhibitors) are known to cause sexual dysfunction in approximately 75 percent of individuals taking them. This can include decreased sex drive, difficulty achieving orgasm, and erectile dysfunction. Other medications may also cause sexual dysfunction, but not to the same degree as SSRIs.

Question 7

Which type of sexual pain is related to pelvic muscle tension?

Accepted Answer

Vaginismus is a condition involving involuntary muscle spasms in the pelvic floor muscles, leading to pain during intercourse.

Question 8

What is the most common of all the male sexual dysfunctions?

Accepted Answer

Premature ejaculation is the most common male sexual dysfunction, affecting a significant number of men at some point in their lives.

Question 9

One reason that it is difficult to provide a precise diagnosis of premature ejaculation is that the concept of "too soon" varies across individuals.What does the textbook suggest that the more important psychological determinant of this complaint may be?

Accepted Answer

The textbook suggests that the more important psychological determinant of premature ejaculation may be a perception of lack of control over orgasm. This means that individuals may feel they are unable to delay ejaculation and that it is happening too soon, leading to distress and frustration.

Question 10

Dr.Muntz studies sexual behaviour.She gathers much or her data from questionnaires.Why does she use this method?

Accepted Answer

Individuals may feel more comfortable revealing personal information on a questionnaire than in an interview, as they can remain anonymous. This could help Dr. Muntz gather more accurate data on sexual behaviour.

Question 11

Approximately what percentage of women report significant difficulty reaching orgasm?

Accepted Answer

According to research, approximately 25 percent of women report significant difficulty reaching orgasm.

Question 12

How can chronic illness indirectly affect sexual functioning?

Accepted Answer

The answer of How can chronic illness indirectly affect sexual...

Question 13

Ben went to his doctor complaining of erectile dysfunction.A subsequent sleep study found that Ben does not have penile erections while sleeping.Which of the following can be concluded by Ben's doctor

Accepted Answer

The absence of nocturnal erections suggests that Ben's erectile dysfunction is not due to psychological factors like performance anxiety, which typically do not affect nocturnal erections.

Question 14

Both Alex and Phyllis are seeing clinicians for the assessment and treatment of sexual arousal disorders.How is it likely is it that their sexual responsivity will be assessed?

Accepted Answer

Both Alex and Phyllis are seeking assessment and treatment for sexual arousal disorders, and it is likely that their sexual responsivity will be assessed through multiple methods. Psychophysiological measurements such as penile plethysmography or vaginal photoplethysmography may be used to provide objective data, while subjective self-reports and interviews with their partners may also be gathered. Using a combination of methods can provide a more comprehensive understanding of their sexual functioning. Therefore, option C is the best choice.

Question 15

Frank is upset because he thinks he may have more than one sexual dysfunction and he thinks that this makes his case very unusual.How is Frank's doctor likely to respond to Frank's concern?

Accepted Answer

It is true that sexual dysfunctions often co-occur and seldom present in isolation. This is because sexual difficulties can have multiple causes (e.g., psychological, physiological, medication-related), and these causes can sometimes overlap or exacerbate one another. Therefore, it is not unusual for a person to report multiple sexual problems. Frank's doctor is likely to reassure him that this is a common experience and that it does not necessarily mean that his case is more severe or difficult to treat.

Question 16

In diagnosing orgasm disorder in women,why is it necessary to determine whether the woman "never or almost never" reaches orgasm?

Accepted Answer

It is important to determine if a woman "never or almost never" reaches orgasm because it is estimated that only 50 percent of women regularly experience orgasm from intercourse. Knowing this information can aid in diagnosing an orgasm disorder.

Question 17

What is a major biological contribution to the development of sexual dysfunctions?

Accepted Answer

The answer of What is a major biological contribution to...

Question 18

Basson and Brotto (2004)suggest that the current definition of female arousal disorder focuses too much on "genital events," and not enough on subjective arousal.What is the essence of their argument?

Accepted Answer

The answer of Basson and Brotto (2004)suggest that the current...

Question 19

How are psychophysiological assessments of sexual dysfunction generally conducted?

Accepted Answer

Psychophysiological assessments of sexual dysfunction are generally conducted by using a device such as a penile plethysmograph or a vaginal photoplethysmograph to measure a patient's physical arousal while exposed to an erotic video or audio tape. This allows for a more objective assessment of sexual functioning than simply relying on patient self-reporting.

Question 20

Tom is having difficulties with his sex life because he climaxes as soon as he enters his partner.Sometimes he climaxes even before he enters his partner.What is Tom experiencing?

Accepted Answer

Tom is experiencing premature ejaculation, which is when a man experiences ejaculation too quickly or too soon during sexual activity. This can occur before penetration, during penetration, or shortly after penetration.

Quiz 10: Sexual Dysfunctions,Paraphilic Disorders,and Gender Dysphoria