The document outlines various sexual disorders, including gender identity disorders, paraphilias, and sexual dysfunctions. It discusses specific conditions such as transsexualism, homosexuality, and different types of paraphilias, providing treatment options and nursing interventions for affected individuals. Additionally, it emphasizes the importance of a supportive and non-judgmental approach by healthcare providers in managing these disorders.

1. Sexual Disorders
Ms . Puspasana Yumnam
M.Sc in Psychiatric Nursing

2. Classification
• Gender Identity disorder
• Psychological and behavioral disorders associated with sexual
development and maturation
• Disorder of sexual preference (paraphilias)
• Sexual dysfunction

3. Gender Identity disorder
• In these disorder , the sense of one’s masculinity or femininity
is disturbed.
• TRANSSEXUALISM: In this, there is a persistent and significant
sense of discomfort regarding one’s anatomic sex and a feeling
that it is inappropriate to one’s perceived gender.
• The person will be preoccupied with wish to get rid of one’s
genitals and secondary sexual characteristics of the other sex.
• Treatment: counseling / Sex reassignment surgery (SRS)
• GENDER IDENTITY DISORDER OF CHILDHOOD:
• This is a disorder similar to transsexualism , with a very early
age of onset.

4. • DUAL ROLE TRANSVESTISM :
• Characterized by wearing clothes of the opposite sex in order
to enjoy the temporary experience of membership of the
opposite sex but without any desire for permanent sex
change.

5. • INTERSEXUALITY:
• The patient have gross anatomical or physiological features of
the other sex
• Pseudohermaphorditism
• Turner’s syndrome

6. Psychologicaland Behavioral
DisordersAssociatedwith sexual
Developmentand maturation
• HOMOSEXUALITY:
• In this , sexual relationships are maintained between persons
of the same sex.
• Female homosexuals are called Lesbians and male
homosexuals are called gay .

7. Disorders of Sexual Preference
or Paraphilias
• In Paraphilias , sexual arousal occurs persistently and
significantly in response to objects, which are not a part of
normal sexual arousal .
• FETISHISM : Sexual arousal occurs with a non-living object
which is usually intimately associated with the human body .
Eg . Bras, underpants, gloves ,shoes etc
• TRANSVESTISM: Sexual arousal occurs by wearing clothes of
the opposite sex.
• SEXUAL SADISM: The person is sexually aroused by physical or
psychological humiliation , suffering or injury of the sexual
partner.
• SEXUAL MASOCHISM: The person is sexually aroused by
physical or psychological humiliation , suffering or injury
inflicted on self by others

8. • EXHIBITIONISM: the person is sexually aroused by exposure of
one’s genitalia to on unsuspecting stranger.
• VOYEURISM : persistent or recurrent tendency to observe
unsuspecting persons naked .
• FROTTEURISM: persistent or recurrent involvement in the act
of touching and rubbing against on unsuspecting , non –
consenting person.
• PEDOPHILIA: persistent or recurrent involvement of an adult
in sexual activity with prepubertal children.
• ZOOPHILIA : involving in sexual activity with animals .

9. Sexual Dysfunction
• Sexual dysfunction is a significant disturbance in the sexual
response cycle, which is not due to an underlying organic
cause
• FRIGIDITY: Absence of desire for sexual activity
• IMPOTENCE: Inability to have or sustain penile erection till the
completion of satisfactory sexual activity
• PREMATURE EJACULATION : Ejaculation before the
completion of satisfactory sexual activity for both partners
• NON-ORGANIC VAGINISMUS : involuntary spasm of lower
1/3 of vagina , interfering with coitus
• NON- ORGANIC DYSPAREUNIA : pain in the genital area
during coitus.
• TREATMENT : psychoanalysis, Hypnosis, Group psychotherapy
, Behavior therapy.

10. Nursing Intervention
• Assess patient’s sexual history and previous level of
satisfaction in sexual relationships.
• Assess for any medications which might be affecting libido.
• Both the patient and his/her partners may need additional
assistance if problems in sexual relationship are severe or
remain unresolved
• Refer for additional counseling or sex therapy if required.
• In all cases , an accepting and non judgmental attitude on the
part of the nurse is highly essential for successful resolution
of these problem

11. Bibiliography
• R Sreevani ‘s A Guide to Mental Health & Psychiatric Nursing;
Jaypee Publication , 4th EDITION