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Test Desire and Arousal Disorders
Agenda
QUESTION 1: What characterizes male hypoactive sexual desire?
Occasional decrease in performance due to alcohol
Persistent absence or reduction of erotic thoughts and fantasies
Inability to maintain erection on a recurrent basis
Difference in desire with partner without personal discomfort
QUESTION 2: What factors should the practitioner evaluate to determine if reduced desire is a clinical problem?
Age and sociocultural context
Only the presence of financial problems
Hormone levels only
Exclusively the frequency of fantasies
3rd QUESTION: What external stressors can temporarily 'shut down' the desire system?
Inevitable hormonal changes
Economic or work problems
Lack of verbal communication with partner
Only cultural factors
4th QUESTION: What distinction is fundamental when assessing lack of sexual initiative?
Differentiating between erectile dysfunction and anorgasmia
Always check for infidelity
Distinguishing real low libido from discrepancy of desire with partner
Measuring testosterone levels only
QUESTION 5: If the patient has no interest in self-stimulation and suffers discomfort, what needs to be investigated?
The duration of previous sexual intercourse
Only history of substance use
Relationship with partner without biological evidence
Hormonal status and emotional health of the relationship
QUESTION 6: In women, how do desire and arousal problems often overlap?
As a lack of interest and absence of physical and mental response to erotic cues
As purely lubrication problems
As inability to reach orgasm
As a purely vascular disorder
QUESTION 7: In order to diagnose interest/ arousal disorder in women, what aspect is evaluated with respect to stimuli?
If the patient always avoids sexual partners
If the patient has a history of sexual abuse
If there is significant reduction of arousal to previously effective stimuli
If symptoms appear only in non-stressful contexts
8th QUESTION: How does performance anxiety act on erectile disorder?
Improves focus on pleasurable sensations
Produces immediate vascular damage
Is caused exclusively by guilt for infidelity
Diverts attention from pleasurable sensations and inhibits physical response
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