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Test Female Disorders and Pain
Agenda
1ST QUESTION: How is female orgasmic disorder defined?
Absence, delay or marked reduction in intensity of orgasm on most occasions
Intense pain during vaginal penetration
Persistent lack of sexual desire
Absent or significantly reduced orgasm on almost all occasions (75-100%) of sexual activity
2nd QUESTION: What differentiates primary from secondary orgasmic disorder?
The presence of pelvic pain during intercourse
Involuntary pelvic floor tightening
That the patient has never experienced an orgasm vs. having lost one at some time
Compulsory association with previous sexual trauma
3rd QUESTION: What should be considered when diagnosing anorgasmia with respect to sexual stimulation?
Only the duration of the relationship
If stimulation is adequate in focus, intensity and duration
Exclusively organic factors such as infections
Frequency of sexual intercourse
QUESTION 4: Why are many women misdiagnosed with anorgasmia?
Because the real problem may be ineffective stimulation technique or ignorance of your anatomy
Because there is always a previous sexual trauma
Because anorgasmia is always of organic origin
Because stimulation is never adequate
QUESTION 5: What unifies the diagnostic category of genito-pelvic pain and penetration disorder?
Only pain caused by infection
Lack of sexual desire
Vaginismus and dyspareunia in a single category that includes difficulty with penetration and fear of pain
Inability to have an orgasm
QUESTION 6: What is a physical mechanism that hinders penetration in genito-pelvic pain disorder?
Involuntary tightening of the pelvic floor muscles
An ever-present infection
Exclusively hormonal problems
Lack of general arousal
QUESTION 7: How can previous sexual trauma affect female sexual dysfunctions?
No relation to body memory
May condition defensive responses such as vaginal closure or pain activation
Always cause total absence of desire
It is irrelevant if the patient desires intercourse
8th QUESTION: What is a key principle in the therapeutic approach when there is a history of sexual trauma?
Directly exposing the patient to the traumatic situation
Immediately prioritize gradual penetration
Ignoring body memory and focusing on the partner
Work on safety first and disassociate current stimulus from past trauma
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