Soc 152A Midterm 3 – Flashcards
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primary disorder
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lifelong
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secondary disorder
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appears after some period of normal function
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situational disorder
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appears in some circumstances but not in others
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premature ejaculation
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ejaculation that occurs before the man wants , causes of PE are not well understood, traditional view was that it results from learning, psychological theories more plausible (situational), biological (lifelong)
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Stop-Start Procedure
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technique involves alternating between stimulation/non stimulation, zilbergeld created it, stop phase: focusing on pleasure to his partner, start phase: focus on giving pleasure to himself, some males can learn stop/start quickly, others have strong habits for fast intense sex, and need longer to learn to overcome old habits, when you learn good voluntary control, you can learn advance techniques (pressure on the perineum)
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Squeeze-Tease Technique
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(Masters & Johnson): to slow sex reflex, starts with manual stimulation of the penis, squeeze slows down the time that it takes to O, Increase time that he can have sex, w/o ejaculating, to learn internal bodily feelings, and learn voluntary control over rate of input to the SR reflex, therapy takes place in series: manual stim, female on top, side by side, male on top position (most common sex position, last bc makes it hardest for males to control their ejaculation)
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Delayed Ejaculation
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difficulty/inability to achieve orgasm/ejaculation, fairly uncommon, may result from neurological damage, use of certain drugs, psych causes
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Erectile Dyfunction
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recurrent inability to achieve an adequate penile erection sufficient enough to accomplish a desired sexual behavior, very common as men age, ED can have physical/psychological causes, behavioral lifestyle, medical conditions, drugs, injuries, psychological factors, development issues
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Preventing ED
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simple measures can alleviate the problem: lifestyle change (quit smoking/lose weight), or viagra and similar drugs, locally applied drugs (prostaglandin E), devices and implants
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Vacuum constriction system
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creates a partial vacuum around the penis, thus drawing blood into the erectile tissue
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Penile Implants
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either permanent or inflatable
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Sex therapy
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reduce anxiety, sensate focus, efforts to resolve relationship problems, may be combined with drug treatment,
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Sex Pain is uncommon in men
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may be associated with infections/phimosis (problems with retracting the foreskin)
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Female Sexual Arousal Disorder
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overlapping term for insufficient psychological arousal in women, such as to make sex unpleasant or painful, involves insufficient genital respose, insufficient lubrication, erectile dysfunction (lack of clitoral erection),
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Persistent Genital arousal disorder
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frequent, unwanted, or near continuous physiological arousal (very rare)
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Dyspareunia
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pain during coitus, far more common in women, treatment depends on diagnosis (antibiotics, lubrication, prolonging foreplay, ect.)
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vaginismus
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inability to experience coitus due to spasm of muscles surrounding the outer vagina, pain/fear of pain, may make intercourse impossible
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Treatment for Vaginismus
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mix of psycho/sex therapy exercises, often has psychological causes, vaginal dilators (inserted into vagina while doing relaxation exercises)
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Difficulty in reaching orgasm
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psychotherapy/ directed masturbation may be helpful, may or may not have any obvious biological cause, clinician or therapist will suggest different strategies depending on the details of the problem
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hypersexuality
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excessive sexual desire, may take over ppls lives, often associated with paraphilia behaviors,
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sexual addiction
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idea that a person may be addicted to certain forms of sexual behavior similar to that of substance addiction, the term addiction is controversial, some prefer the term compulsive sexual behavior
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sex addiction treatment
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selective seratonin Reuptake inhibitor, class of compounds usually used as anti-depressants, can cause erectile dysfunction,
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hypoactive sexual desire disorder
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low or absent interest in sex, 1 in 3 women, 1 in 6 men lack any interest in sex, hormone treatment can restore sexual desire, psychological factors
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Non Coital Behaviors
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petting/fondling, foreplay/afterplay, necking, outercourse (dry humping), tribadism (rubbing the vulvas)
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Fellatio
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oral stimulation of the penis, may run the lips up and down the shaft or use the tongue to stimulate sensitive portions, good communication is key to avoid gagging
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Cunnilingus
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oral stimulation of the vulva, explore vulva with lips and tongue, for some women this is the only way in which they can regularly achieve orgasm
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69
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mutual oral sex in a head to genital fashion
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anilingus
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mouth anal contact
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man-above position
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traditional favorite, women lies on her back with her legs parted and the man places himself above her
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womens movement
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encouraged alternative positions, woman above, gives greater control, women may receive more erotic stimulation
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side-by-side
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relatively relaxed, prolongs sexual encounter
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rear entry coitus (doggy style)
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no direct stimulation of clitorus, but may be desireable for G spot Stimulation,
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Anal Sex
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penetration of the anus by the penis, not rare in hetero sex, usually necessary to go slowly/learn how to relax sphincter, as well as use lubricant.
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ideal duration
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of foreplay is the same for M and W, but the real duration is much shorter
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woman-woman sex
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marked by greater duration, greater variety of behaviors
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vibrators
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electrically powered device used to provide sexual stimulation
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dildos
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sex toys designed for penetration of the vagina or anus, strap on dildos are designed for sex between women, cleanliness is an important issue, use gently and with lube,
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kama sutra
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love guide, classic work on how to make love, indian written, explains various sex positions, more dominant role for women, describes working around where you are (aka a pool, table top, ect)
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the aka people
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example of a positive sex society, engage in sex about 3xs a week, seminal nurture, fetus needs repeated exposure to semen in order to go, attach no value to masturbation
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arthritis
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number one disability affecting sex (15% of the US population)
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Oral Sex Manners
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1. males should not push his partners head down, forcing anyone to do sex can lead to charges of sexual assault, do not thrust into partners mouth, when doing cunnlilingus, do not bite 2. talk about oral sex before you do it?: What are your values? , Value clarification, Oral can be a stepping stone to P/V, Are there std risks? Have you taken precautions? Tested? 3. be sensitive to questions of taste and odor? : If ejac in the mouth is adversive, place mouth to the side, Try a glass of water, a mint, tic-tac, life-saver, flavored sex lubricants, Flavored condoms solve the problem of spit or swallow, Don't say I wont kiss you after you've done that
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Dry Sex in Africa
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the aka tribe, women must have sex with their husbands whenever they please, they prefer no lubrication, women use tree bark, ect to keep their vaginas dry, which causes tears/rips that make them more susceptible to STI's,
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6 steps of Female Orgasm
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1. masturbation, using dildos/vibrators, 19% of women who do not masturbate achieve orgasm, while 36% of women who DO masturbate achieve orgasm during sex, 2. 3. 4. increased muscle tension 5. 6. internal monologue, woman talking to herself figuring out what she likes,
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persistent genital arousal disorder
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long lasting physiological arousal that is not accompanied by sexual arousal or pleasure
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sodomy
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obsolete term for oral sex
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coitus
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penetration by the penis into the vagina
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sensate focus
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term associated with a set of specific sexual exercises for couples, masters and johnson promoting self awareness as well as interpersonal awareness, focus on sense awareness rather than orgasm as the goal of sexual encounters, stage 1: just touching feeling of bodies excluding breasts and genitals, stage 2: introduce touching the breasts, no genitals, increase pressure of touch find out what they like stage 3: includes touching the genitals, may even lead to intercourse, ORGASM IS NOT THE FOCUS
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emergency contraception
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contraception used after unprotected sex, three common methods like plan b, ella, and IMD. they dont cause an abortion
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NY and Chicago study
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60% of students were sexually active, 10% had 3 or more partners in the past 6 months, in Chicago they did not give free condoms or bc, and it did not increase the sex, in New york they gave free condoms/bc, and there was no increase in sexual activity.
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ella
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equally effective for up to five days, best of hormonal versions, need a doctors prescription so its harder to get
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plan b one step
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less effective each day, available over the counter, prevents 95% of pregnancies if taken in first 24hours, 89% within 72 hours
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copper IUD
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can be inserted 5 days after unprotected sex, and you can leave it in,
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depo provera
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BC shot, lasts for three months, dont have to take a pill everyday, spontaneous, erotic sex, irreversible, comes with hormonal side effects, doesnt protect against stds, expensive, but reliable
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causes of dyspareunia in women
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painful intercourse, not enough arousal (low lubrication), overuse, malformations of genitals from birth, medications, developmental issues (psychological), injuries, diseases, recent delivery of a baby
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causes of dyspareunia in men
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psychological or physiological problems, injuries, drugs (prescribed medications) low lubrication, anxiety/stress, malformations, diseases (prostaisis)
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seven steps to pleasure
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1. look at body in private 2. feel body, touch body parts, non sexual parts 3. find parts that are arousing 4. continue stimulation to these arousing parts 5. continue arousal to orgasm find effective ways like putting vagina under warm water, 6. masturbate in front of your partner so he/she can see what you like 7. partner sex, allowing them to use what they observed
