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Teachback; chapter 8
Teachback; chapter 8
Teachback; chapter 8
Teachback; chapter 8
Teachback; chapter 8
Teachback; chapter 8
Teachback; chapter 8
Teachback; chapter 8
Teachback; chapter 8
Teachback; chapter 8
Teachback; chapter 8
Teachback; chapter 8
Teachback; chapter 8
Teachback; chapter 8
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Teachback; chapter 8

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  • 1. Our Bodies, Ourselves; Chapter 8 Sexual Challenges Cortney Desplaines Women’s Health Issues 23 September 2013
  • 2. VariationsinDesire •It is important to remember that there is no right amount of sexual desire. •It is normal to sometimes want a great deal of sexual activity and sometimes be uninterested. •Fluctuation in sexual desire is true for many women. •Some women experience a lack of desire and an inability to get aroused or have an orgasm. • These are long lasting problems and can cause stress which can have negative effects on a woman’s health. • Medical research on these problems is crucial.
  • 3. Thequestionoffemalesexualdysfunction &thesearchforafemaleViagra •Pharmaceutical companies and medical researchers are searching for a medication that will enhance a woman’s sexual desire. •This research is important for women who’s sexual desire may be impacted negatively by a physiological problem that could use medical attention. •We need to keep in mind that in order to increase profit drug companies will do what they can to sell this drug. •Women mustn’t forget that there is no amount of sexual desire that is considered “normal.” •Women must keep in mind that there may be other factors influencing a low libido.
  • 4. Testosterone:UsesandConcerns •Testosterone treatments may be offered to women who mention to their health care provider that they are experience a lack of sexual desire. •Testosterone supplements for women have not been approved by the FDA, but doctors can prescribe these treatments legally for women in the US. •Because these treatments aren’t approved for US use, doctors must guess at the right dosage when prescribing testosterone for women. •Doctors may prescribe an ultralow dose of AndroGel or Testim, commercially available testosterone gels for men.
  • 5. TestosteroneContinued •They also may prescribe methyltestosterone capsules to be taken orally, but this is not recommended because of negative effects on lipid levels and the liver. •Because measuring a woman’s sexual desire is so difficult the evidence supporting use of testosterone is limited. •Women must be sure to get their blood tested for low testosterone levels before beginning treatment. •There are many negative side effects of being treated with testosterone. Some are increased acne, increased facial hair, and decreased scalp hair.
  • 6. PainfulIntercourse/Penetration •Intercourse that is desired by both partners typically should not be painful for either party. •If penetration is painful, it is important for women to find out what is causing the pain. •Gynecologists can help determine whether or not the reason for painful penetration is physical and they can give advice on treatments and practices that will make intercourse more comfortable. •Open communication with your partner is important through times such as these, and there are plenty of alternatives while women are seeking help.
  • 7. InsufficientLubrication •In most women, the vaginal walls usually respond to arousal that produces a liquid that moistens the vagina making penetration easier. For some women, however, there is not enough. •Women can give themselves more time to become better lubricated for a more comfortable experience. •Lower levels of estrogen can also cause insufficient lubrication. Hormone therapy can help. • Low levels of estrogen can be caused by perimenopause and menopause.
  • 8. LocalInfection&Irritation •Some vaginal infections like yeast infections can be present and the friction of penetration can cause the infection to flare up causing painful intercourse. •The vaginal walls may also become irritated due to birth control foam, cream, or jelly. When the vaginal walls are irritated, intercourse may become uncomfortable. Latex allergies due to use of condoms can also cause irritation. •Local infections can usually be treated with antibiotics and irritation can be avoided by using alternatives to whatever may be irritating the area.
  • 9. TightnessintheVaginalEntrance •In some situations a man with a large penis and a woman with a small vagina may have a hard time having sexual intercourse. •Vaginismus, a strong, involuntary tightening of the vaginal muscles, a spasm of the outer third of the vagina, can cause difficulty with penetration. • These spasms and tightening are not fully understood by researchers. • They can happen with any consensual penetration including digital penetration, penile, and penetration with an object.
  • 10. PainDeepinthePelvis •Pelvic pain can happen with deep thrusts of penetration. •This pain can be caused by tears and lesions to the ligaments that support the uterus. • This can be caused by a variety of reasons • Mismanaged childbirth • Improperly performed abortion • Pelvic surgery • Rape • Excessively rough penetration during sex • Infections of the cervix, uterus, and tubes • Pelvic Inflammatory Disease • Endometriosis • Cysts or tumors on the ovaries • Shortened vagina • Tilted pelvis
  • 11. Vulvodynia •Vulvodynia is a term that describes any and all chronic vulvar pain. •It takes time to determine why the pain exists and how to best address it. •Localized pain can also be called vestibulodynia. It is marked by a sharp sensation in and around the opening of the vagina. •Reducing or eliminating the pain is possible with some practices. • Pelvic floor physical therapy • Hormonal Creams • Low dose tricyclic antidepressants • Surgery is a last resort
  • 12. Effectsofmedicationsandhormones onsexuality •Medications can effect sexual desire and the ability and intensity of orgasms. •Women should keep in mind that when they begin and over the counter or prescription medication that their sexual functioning may change. If this does happen, they should realize that there could be a connection. Depending on the severity of the change they should seek help if needed. •Hormones like estrogen, progesterone, and testosterone are hormones that effect a woman’s sexual desire and functioning. •These hormones and sexual changes might not necessarily be a problem. •If a hormonal change leads to a drop in desire or sexual pleasure a women may become dissatisfied and is able to explore her other options. •Hormone changes can also come with a woman’s menstrual cycle, taking the pill, or other medications, pregnancy, nursing, perimenopause/menopause, and oophorectomy.
  • 13. Quote that “jumped out” • “Some disabilities also make us more susceptible to depression by causing changes in brain chemistry and hormone and activity levels, causing us to withdraw from sexual activities. These feelings can be made even worse by the medications prescribed.” • I was surprised by this quote because I never thought of medications making things worse for people. When thinking of medications I think of a person getting better. I never thought of medications making a person worse.
  • 14. Discussion Question • Something that struck me in this chapter was that many of the disorders that cause women to have uncomfortable sex are highly misunderstood by practitioners. If you were in this situation yourself would you become frustrated at not knowing why you are so uncomfortable during sex?

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