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Orgasmic Disorders Powerpoint

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  • 1. Orgasmic Disorders
  • 2. Definition
    • Male orgasmic disorder-a.k.a MOD- (formerly called inhibited male orgasm) persistent or recurrent delay in, or absence of, orgasm following a normal sexual excitement phase during sexual activity that the clinician, taking into account the person’s age, judges to be adequate in focus, intensity, and duration.
  • 3. Definition (continued)
    • Female orgasmic disorder –a.k.a FOD-(formerly inhibited female orgasm) Persistent or recurrent delay in, or absence of, orgasm following a normal sexual excitement phase. Women exhibit wide variability in the type or intensity of stimulation that triggers orgasm. The diagnosis of Female Orgasmic Disorder should be based on the clinician's judgment that the woman's orgasmic capacity is less than would be reasonable for her age, sexual experience, and the adequacy of sexual stimulation she receives.
  • 4. Causes (MOD)
    • Cause for MOD can be physiological, but it is usually psychological
    • Physiological causes:
      • Hypogonadism; testes do not produce enough testosterone
      • Thyroid disorders (both too much and too little)
      • Pituitary Conditions
      • Diseases that affect the nervous system
      • Surgery affection the prostate and other pelvic organs
  • 5. Causes (MOD, cont.)
      • Diseases of the penis.
      • Substance abuse, including alcohol
      • Certain medications; the phenothiazines, trifluoperazine, & certain medications used to treat high blood pressure
  • 6. Causes (MOD, cont.)
    • Psychological causes can be “intrinsic”, due to basic internal factors, or “extrinsic”, due to external or environmental factors
    • Psychological (intrinsic):
      • Depression
      • Feelings of guilt, anger, fear, low self-esteem, and anxiety
      • Fear of getting partner pregnant or of contracting a STD or HIV
  • 7. Causes (MOD, cont.)
    • Psychological (extrinsic):
      • Living under conditions that cause stress
      • Unsatisfactory relationship with sexual partner
      • Traumatic sexual encounters; sexual abuse, rape
      • Having been raised in an atmosphere of strict sexual taboos
  • 8. Causes (FOD)
    • Can be due to either psychological factors or as a combination of both psycho and physiological; but cannot be due to physiological factors alone
    • Generalized FOD: happens with different partners in many different settings
    • Situational FOD: happens only with specific partners or under particular circumstances
  • 9. Physiological Causes
    • Damage to the blood vessels of the pelciv region
    • Spinal cord lesions or damage to the nerves in the pelvic area
    • Side effects of medications (antipsychotics, antidepressants, narcotics or illicit substance abuse
    • Removal of the clitoris (a.k.a female genital mutilation)
  • 10. Psychological Causes
    • Past sexual abuse, rape, incest, or other traumatic sexual experience
    • Emotional abuse
    • Fear of becoming pregnant
    • Fear of rejection by partner
    • Fear of loss of control during orgasm
    • Self-image problems
    • Relationship problems with partner
    • Life stresses, such as financial worries, job loss, or divorce
    • Guilt about sex or sexual pleasure
    • Religious or cultural beliefs about sex
    • Other mental health disorders such as major depression
  • 11. Symptoms (MOD)
    • Persistent or recurrent delay in, or absence of, orgasm following a normal sexual excitement phase during sexual activity that the clinician judges to be adequate. The affected man’s age is considered, as well.
      • Must cause the man “distress or interpersonal difficulty”
  • 12. Symptoms (FOD)
    • Pretty much the exact same thing as MOD
  • 13. Prevalence (MOD)
    • Rarest kind of male dysfunction
    • Epidemiological studies have found prevalence rates varying from 0% to 10%, with results from most studies clustering near the lower end of this range
      • Most because of some side-affect of a medication
  • 14. Prevalence (FOD)
    • Around 24% of women cannot achieve orgasm (including both situational and generalized)
      • Married women have less difficulty
  • 15. Treatment (MOD)
    • If it’s an external problem – get rid of it.
    • Psychotherapy will be suggested
      • Usually requires the support of the sexual partner in improving both the psychological as well as the physical aspects of the problem
      • A step-wise program may be helpful
  • 16. Treatment (FOD)
    • Psychotherapy is used; as well as sex-therapy
    • There are also trials going on to investigate the effect of sildenafil (Viagra) on women’s sexual response
    • Also – couples therapy! Guided sexual exercised with your partner
  • 17. Prevention
    • Unfortunately, there is no definite way to prevent obtaining an orgasmic disorder
      • Sorry 
  • 18. Credits~
    • http://www.health.am/sex/more/female_sexual_dysfunction_treatment/
    • http://www.health.am/sex/more/treatment_of_male_orgasmic_disorder/

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