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SEXUAL
SELF
Human Sexual Behavior
Human sexual behavior is defined as
any activity—solitary, between two
persons, or in a group—that induces
sexual arousal (Gebhard, RH. 2017).
There are two major factors that
determine human sexual behavior:
The inherited sexual
response patterns that have
evolved as a means of
ensuring reproduction and
that become part of each
individual’s genetic
inheritance
The degree of restraint or other
types of influence exerted on the
individual by society in the
expression of his sexuality.
Types of Behavior
Types of Behavior
Self-gratification means self-stimulation that leads to sexual
arousal and generally, sexual climax. Usually, most self
gratification takes place in private as an end in itself but can
also be done in a sociosexual relationship. Majority of males
and females have fantasies of some sociosexual activity while
they gratify themselves.
1. Solitary
Behavior
Types of Behavior
Self-gratification means self-stimulation that leads to sexual
arousal and generally, sexual climax. Usually, most self
gratification takes place in private as an end in itself but can
also be done in a sociosexual relationship. Majority of males
and females have fantasies of some sociosexual activity while
they gratify themselves.
Heterosexual behavior is the greatest amount of sociosexual
behavior that occurs between only one male and one female. It
usually begins in childhood and maybe motivated by curiosity, such
as showing or examining genitalia. There is varying degree of sexual
impulse and responsiveness among children. Physical contact
involving necking or petting is considered as an ingredient of the
learning process and eventually of courtship and the selection of a
marriage partner.
1. Solitary
Behavior
2. Sociosexual
Behavior
Physiology
of Human
Sexual
Response
Excitement phase
-it is caused by increase in pulse and blood pressure;
a sudden rise in blood supply to the surface of the
body resulting in increased skin temperature, flushing,
and swelling of all distensible body parts (particularly
noticeable in the male reproductive structure and
female breasts), more rapid breathing, the secretion of
genital fluids, vaginal expansion, and a general
increase in muscle tension.
Plateau phase
-it is generally of brief duration. if
stimulation is continued, orgasm
usually occurs.
Sexual climax
-it is marked by a feeling of abrupt, intense pleasure,
a rapid increase in pulse rated and blood pressure,
and spasms of the pelvic muscles causing-
contractions of' the female reproductive organ and
ejaculation by the male. it is also characterized by
involuntary vocalizations.
Sexual climax may last for a few seconds (normally
not over ten), after which the individual enters the
resolution phase.
Resolution phase
-it is the last stage that refers to the return to anormal or
subnormal physiologic state. Males and females are
similar in their response sequence. Whereas males
return to normal even if stimulation continues, but
continued stimulation can produce additional orgasms in
females. Females are physically capable of repeated
orgasms without the Intervening “rest period” required by
males.
Nervous
System
Factors
The entire nervous system plays a significant role during sexual
response. The autonomic system is involved in controlling the
involuntary responses. In the presence of a stimulus capable
enough of initiating a sexual response, the efferent cerebrospinal
nerves transmit the sensory messages to the brain. The brain will
interpret the sensory message and dictate what will be the
immediate and appropriate response of the body. After
interpretation and integration of sensory input, the efferent
cerebrospinal nerves receive commands from the brain and send
them to the muscles; and the spinal cord serves as a great
transmission cable. The muscles contract in response to the signal
coming from the motor nerve fibers while glands secrete their
respective products. Hence, sexual response is dependent on the
activity of the nervous system.
The hypothalamus and the limbic system are the
parts of the brain believed to be responsible for
regulating the sexual response, but there is no
specialized ‘sex center" that has been located in the
human brain.
Apart from brain-controlled sexual responses there is
some reflex (i.e., not brain-controlled) sexual response.
This reflex is mediated by the lower spinal cord and
leads to erection and ejaculation for male, vaginal
discharges and lubrication for female when the genital
and perineal areas are stimulated
SEXUAL PROBLEMS
Sexual problems may be classified
as physiological, psychological,
and social in origin. Any given
problem may involve all three
categories:
Physiological problems
-are the least among the three categories.
Some common physiologic conditions that can
disturb sexual response include vaginal
infections, retroverted uteri, prostatitis, adrenal
tumors, diabetes, senile changes of the vagina
and cardiovascular problems.
Psychological problems
-comprise by far the largest category
They are usually caused by socially Induced
inhibitions, maladaptive attitudes, ignorance and
sexual myths held by society.
Premature emission of semen is a common
problem, especially for young males.
Erectile impotence is almost always of psychological
origin in males under 40; in older males, physical
causes are more often involved.
Ejaculatory impotence which results from the
inability to ejaculate in coitus, is uncommon and is usually
of psychogenic origin.
Vaginismus is a strong spasm of the pelvic
musculature constricting the female reproductive organ so
that penetration is painful or impossible.
Sexually
transmitted
diseases (STDs)
-Sexually transmitted diseases
(STDs) are Infections transmitted
from an Infected person to an
uninfected person through sexual
contact. STDs can be caused by
bacteria, viruses, or parasites.
-STDs can lead to long-term health
problems usually in women and
Infants.
-Among the health complications
that arise from STDs are pelvic
inflammatory disease, infertility,
tubal or ectopic pregnancy, cervical
cancer, and perinatal or congenital
infections in Infants born to infected
mothers.
Chlamydia
-is a common STD that can
cause infection among both
men and women. It can
cause permanent damage to
a woman's reproductive
system.
Gonorrhea
-is a common sexually
transmitted infection caused
by a type of bacteria. It
usually spreads through
vaginal, oral and anal sex.
Syphilis
-is an infection caused by bacteria.
Most often, it spreads through
sexual contact. The disease starts
as a sore that's often painless and
typically appears on the genitals,
rectum or mouth.
Chancroid
-is caused by infection with the
bacterium Haemophilus
ducreyi. Clinical manifestations
include genital ulcers and
inguinal lymphadenopathy or
buboes
Human
papillomavirus(HPV)
-is the most common sexually
transmitted infection
in the United States. Over 40 distinct
HPV types can infect the genital tract;
although most infections are
asymptomatic and appear to resolve
spontaneously within a few years, the
prevalence of genital infection with any
HPV type was 42.5% among United
States adults aged 18 to 59 years during
2013 to 2014.
Herpes simplex virus
(HSV)
-is among the most prevalent
of sexually- transmitted
infections. Although most
infections are subclinical,
clinical manifestations are
characterized by recurrent,
painful genital and/or anal
lesions.
Trichomonas vaginalis
-is a common sexually
transmitted protozoal infection
associated with adverse health
outcomes such as preterm
birth and symptomatic
vaginitis.
Natural
and
Artificial
Methods of Contraception
Natural
and
Artificial
Methods of Contraception
Natural Method
The natural family planning
methods do not involve any chemical
or foreign body introduction into the
human body.
a. Abstinence
This natural method involves refraining from
sexual intercourse and is the most effective
natural birth control method with ideally 0%
fail rate. it is considered to be the most
effective way to avoid. STIs (Sexually
Transmitted Infections). However, most
people find it difficult to comply with
abstinence, so only a few use this method.
B. Calendar Method
This method is also called as the
rhythm method. It entails withholding
from coitus during the days that the
woman is fertile. According to the
menstrual cycle. the woman is likely
to conceive three or four days before
and three or four days after ovulation.
C. Basal Body Temperature
The basal body temperature (BBT) indicates
the women’s temperature at rest. Before the
day of ovulation and during ovulation
BBT falls at 05°F; it increases to a full degree
because of progesterone and maintains its
level throughout the menstrual cycle. This
serves as the basis for the method.
D. Cervical Mucus Method
The change In the cervical mucus during
ovulation is the basis for this method.
During ovulation, the cervical mucus is
copious, thin, and watery.
E. SYmptothermal Method
The symptothermal method is basically a
combination of the BBT method and the cervical
mucus method. The woman records her
temperature every morning and also takes note of
changes in her cervical mucus.
F. Ovulation Detection
The ovulation detection method uses
an over-the-counter kit that
requires the urine sample of the
woman. The kit can predict ovulation
through the surge of luteinizing
hormone (LH) that happens 12 to 24
hours before ovulation.
G. Coitus Interruptus
Coitus Interruptus is one of the oldest methods
that prevents conception. A couple still goes on
with coitus but the man withdraw the moment he
ejaculates to emit the spermatozoa outside of the
female reproductive organ. A disadvantage of this
method is the pre ejaculation fluid that contains a
few spermatozoa that may cause fertilization.
Artificial Methods
A. Oral Contraceptives
Also known as the pill, oral
contraceptives contain
synthetic estrogen and
progesterone. Estrogen
suppresses the Follicle
Stimulating Hormone (FSH)
and LH to prevent ovulation.
B. Transdermal Patch
The transdermal patch
contains both estrogen and
progesterone. The woman
should apply one patch every
week for three weeks on the
following areas: upper outer
arm, upper torso, abdomen, or
buttocks.
c. Vaginal Ring
The vaginal ring releases a
combination of estrogen and
progesterone and it surrounds the
Cervix.
d. Subdermal implants
are two rod-like implants
inserted under the skin of the
female during her menses or on
the seventh day of her
menstruation to make sure that
she will not get pregnant.
e. Hormonal Injections
A hormonal injection contains
medroxyprogesterone, a
progesterone, and is usually
given once every 12 weeks
intramuscularly. The injection
causes changes in the
endometrium and cervical
mucus and can help prevent
ovulation.
f. Intrauterine Device
An Intra uterine device (IUD) is
a small, T-shaped object
containing progesterone that is
inserted into the uterus via the
female reproductive organ.
g. Chemical Barriers
Chemical barriers such as
spermicides, vaginal gels and
creams, and glycerin films are
used to cause the death of
sperms before they can enter
the cervix and to lower the pH
level of the female reproductive
organ so it will not become
conducive for the sperm.
h. Diaphragm
It is a circular, rubber disk that
fits the cervix and should be
placed before coitus. Diaphragm
works by inhibiting the entrance
of the sperm into the female
reproductive organ and it works
better when used together with a
spermicide.
I. Cervical Cap
The cervical cap is made of
soft rubber and fitted on the
rim of the cervix. It is shaped
like a thimble with a thin rim,
and could stay in place for not
more than 48 hours.
J. Male Condoms
The male condom is a latex or
synthetic rubber sheath that is
placed on the erect male
reproductive organ before
penetration into the female
reproductive organ to trap the
sperm during ejaculation.
K. Female Condoms
Female condoms are made
up of latex rubber sheaths that
are pre- lubricated with
spermicide.
L. Surgical Method
During vasectomy, a small
incision is made on each side
of the scrotum. The vas
deferens is then tied,
cauterized, cut, or plugged
to block the passage of the
sperm.
In women, tubal ligation is
performed after menstruation
and before ovulation.
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Understanding the selfSEXUAL SELF PPT..pdf

  • 2. Human Sexual Behavior Human sexual behavior is defined as any activity—solitary, between two persons, or in a group—that induces sexual arousal (Gebhard, RH. 2017). There are two major factors that determine human sexual behavior:
  • 3. The inherited sexual response patterns that have evolved as a means of ensuring reproduction and that become part of each individual’s genetic inheritance
  • 4. The degree of restraint or other types of influence exerted on the individual by society in the expression of his sexuality.
  • 6. Types of Behavior Self-gratification means self-stimulation that leads to sexual arousal and generally, sexual climax. Usually, most self gratification takes place in private as an end in itself but can also be done in a sociosexual relationship. Majority of males and females have fantasies of some sociosexual activity while they gratify themselves. 1. Solitary Behavior
  • 7. Types of Behavior Self-gratification means self-stimulation that leads to sexual arousal and generally, sexual climax. Usually, most self gratification takes place in private as an end in itself but can also be done in a sociosexual relationship. Majority of males and females have fantasies of some sociosexual activity while they gratify themselves. Heterosexual behavior is the greatest amount of sociosexual behavior that occurs between only one male and one female. It usually begins in childhood and maybe motivated by curiosity, such as showing or examining genitalia. There is varying degree of sexual impulse and responsiveness among children. Physical contact involving necking or petting is considered as an ingredient of the learning process and eventually of courtship and the selection of a marriage partner. 1. Solitary Behavior 2. Sociosexual Behavior
  • 9. Excitement phase -it is caused by increase in pulse and blood pressure; a sudden rise in blood supply to the surface of the body resulting in increased skin temperature, flushing, and swelling of all distensible body parts (particularly noticeable in the male reproductive structure and female breasts), more rapid breathing, the secretion of genital fluids, vaginal expansion, and a general increase in muscle tension.
  • 10. Plateau phase -it is generally of brief duration. if stimulation is continued, orgasm usually occurs.
  • 11. Sexual climax -it is marked by a feeling of abrupt, intense pleasure, a rapid increase in pulse rated and blood pressure, and spasms of the pelvic muscles causing- contractions of' the female reproductive organ and ejaculation by the male. it is also characterized by involuntary vocalizations. Sexual climax may last for a few seconds (normally not over ten), after which the individual enters the resolution phase.
  • 12. Resolution phase -it is the last stage that refers to the return to anormal or subnormal physiologic state. Males and females are similar in their response sequence. Whereas males return to normal even if stimulation continues, but continued stimulation can produce additional orgasms in females. Females are physically capable of repeated orgasms without the Intervening “rest period” required by males.
  • 14. The entire nervous system plays a significant role during sexual response. The autonomic system is involved in controlling the involuntary responses. In the presence of a stimulus capable enough of initiating a sexual response, the efferent cerebrospinal nerves transmit the sensory messages to the brain. The brain will interpret the sensory message and dictate what will be the immediate and appropriate response of the body. After interpretation and integration of sensory input, the efferent cerebrospinal nerves receive commands from the brain and send them to the muscles; and the spinal cord serves as a great transmission cable. The muscles contract in response to the signal coming from the motor nerve fibers while glands secrete their respective products. Hence, sexual response is dependent on the activity of the nervous system.
  • 15. The hypothalamus and the limbic system are the parts of the brain believed to be responsible for regulating the sexual response, but there is no specialized ‘sex center" that has been located in the human brain. Apart from brain-controlled sexual responses there is some reflex (i.e., not brain-controlled) sexual response. This reflex is mediated by the lower spinal cord and leads to erection and ejaculation for male, vaginal discharges and lubrication for female when the genital and perineal areas are stimulated
  • 17. Sexual problems may be classified as physiological, psychological, and social in origin. Any given problem may involve all three categories:
  • 18. Physiological problems -are the least among the three categories. Some common physiologic conditions that can disturb sexual response include vaginal infections, retroverted uteri, prostatitis, adrenal tumors, diabetes, senile changes of the vagina and cardiovascular problems.
  • 19. Psychological problems -comprise by far the largest category They are usually caused by socially Induced inhibitions, maladaptive attitudes, ignorance and sexual myths held by society. Premature emission of semen is a common problem, especially for young males. Erectile impotence is almost always of psychological origin in males under 40; in older males, physical causes are more often involved.
  • 20. Ejaculatory impotence which results from the inability to ejaculate in coitus, is uncommon and is usually of psychogenic origin. Vaginismus is a strong spasm of the pelvic musculature constricting the female reproductive organ so that penetration is painful or impossible.
  • 22. -Sexually transmitted diseases (STDs) are Infections transmitted from an Infected person to an uninfected person through sexual contact. STDs can be caused by bacteria, viruses, or parasites. -STDs can lead to long-term health problems usually in women and Infants. -Among the health complications that arise from STDs are pelvic inflammatory disease, infertility, tubal or ectopic pregnancy, cervical cancer, and perinatal or congenital infections in Infants born to infected mothers.
  • 23. Chlamydia -is a common STD that can cause infection among both men and women. It can cause permanent damage to a woman's reproductive system.
  • 24. Gonorrhea -is a common sexually transmitted infection caused by a type of bacteria. It usually spreads through vaginal, oral and anal sex.
  • 25. Syphilis -is an infection caused by bacteria. Most often, it spreads through sexual contact. The disease starts as a sore that's often painless and typically appears on the genitals, rectum or mouth.
  • 26. Chancroid -is caused by infection with the bacterium Haemophilus ducreyi. Clinical manifestations include genital ulcers and inguinal lymphadenopathy or buboes
  • 27. Human papillomavirus(HPV) -is the most common sexually transmitted infection in the United States. Over 40 distinct HPV types can infect the genital tract; although most infections are asymptomatic and appear to resolve spontaneously within a few years, the prevalence of genital infection with any HPV type was 42.5% among United States adults aged 18 to 59 years during 2013 to 2014.
  • 28. Herpes simplex virus (HSV) -is among the most prevalent of sexually- transmitted infections. Although most infections are subclinical, clinical manifestations are characterized by recurrent, painful genital and/or anal lesions.
  • 29. Trichomonas vaginalis -is a common sexually transmitted protozoal infection associated with adverse health outcomes such as preterm birth and symptomatic vaginitis.
  • 31. Natural and Artificial Methods of Contraception Natural Method The natural family planning methods do not involve any chemical or foreign body introduction into the human body.
  • 32. a. Abstinence This natural method involves refraining from sexual intercourse and is the most effective natural birth control method with ideally 0% fail rate. it is considered to be the most effective way to avoid. STIs (Sexually Transmitted Infections). However, most people find it difficult to comply with abstinence, so only a few use this method.
  • 33. B. Calendar Method This method is also called as the rhythm method. It entails withholding from coitus during the days that the woman is fertile. According to the menstrual cycle. the woman is likely to conceive three or four days before and three or four days after ovulation.
  • 34. C. Basal Body Temperature The basal body temperature (BBT) indicates the women’s temperature at rest. Before the day of ovulation and during ovulation BBT falls at 05°F; it increases to a full degree because of progesterone and maintains its level throughout the menstrual cycle. This serves as the basis for the method.
  • 35. D. Cervical Mucus Method The change In the cervical mucus during ovulation is the basis for this method. During ovulation, the cervical mucus is copious, thin, and watery.
  • 36. E. SYmptothermal Method The symptothermal method is basically a combination of the BBT method and the cervical mucus method. The woman records her temperature every morning and also takes note of changes in her cervical mucus.
  • 37. F. Ovulation Detection The ovulation detection method uses an over-the-counter kit that requires the urine sample of the woman. The kit can predict ovulation through the surge of luteinizing hormone (LH) that happens 12 to 24 hours before ovulation.
  • 38. G. Coitus Interruptus Coitus Interruptus is one of the oldest methods that prevents conception. A couple still goes on with coitus but the man withdraw the moment he ejaculates to emit the spermatozoa outside of the female reproductive organ. A disadvantage of this method is the pre ejaculation fluid that contains a few spermatozoa that may cause fertilization.
  • 40. A. Oral Contraceptives Also known as the pill, oral contraceptives contain synthetic estrogen and progesterone. Estrogen suppresses the Follicle Stimulating Hormone (FSH) and LH to prevent ovulation.
  • 41. B. Transdermal Patch The transdermal patch contains both estrogen and progesterone. The woman should apply one patch every week for three weeks on the following areas: upper outer arm, upper torso, abdomen, or buttocks.
  • 42. c. Vaginal Ring The vaginal ring releases a combination of estrogen and progesterone and it surrounds the Cervix.
  • 43. d. Subdermal implants are two rod-like implants inserted under the skin of the female during her menses or on the seventh day of her menstruation to make sure that she will not get pregnant.
  • 44. e. Hormonal Injections A hormonal injection contains medroxyprogesterone, a progesterone, and is usually given once every 12 weeks intramuscularly. The injection causes changes in the endometrium and cervical mucus and can help prevent ovulation.
  • 45. f. Intrauterine Device An Intra uterine device (IUD) is a small, T-shaped object containing progesterone that is inserted into the uterus via the female reproductive organ.
  • 46. g. Chemical Barriers Chemical barriers such as spermicides, vaginal gels and creams, and glycerin films are used to cause the death of sperms before they can enter the cervix and to lower the pH level of the female reproductive organ so it will not become conducive for the sperm.
  • 47. h. Diaphragm It is a circular, rubber disk that fits the cervix and should be placed before coitus. Diaphragm works by inhibiting the entrance of the sperm into the female reproductive organ and it works better when used together with a spermicide.
  • 48. I. Cervical Cap The cervical cap is made of soft rubber and fitted on the rim of the cervix. It is shaped like a thimble with a thin rim, and could stay in place for not more than 48 hours.
  • 49. J. Male Condoms The male condom is a latex or synthetic rubber sheath that is placed on the erect male reproductive organ before penetration into the female reproductive organ to trap the sperm during ejaculation.
  • 50. K. Female Condoms Female condoms are made up of latex rubber sheaths that are pre- lubricated with spermicide.
  • 51. L. Surgical Method During vasectomy, a small incision is made on each side of the scrotum. The vas deferens is then tied, cauterized, cut, or plugged to block the passage of the sperm. In women, tubal ligation is performed after menstruation and before ovulation.