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Male Sexual Dysfunction

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Male Sexual Dysfunction
Male Sexual Response Cycle ,[object Object],[object Object],[object Object],[object Object],[object Object],Arousal Resolution Refractory Orgasm Plateau
Stage One - Arousal ,[object Object],[object Object],[object Object]
Stage Two - Plateau ,[object Object],[object Object],[object Object]
Stage Three - Orgasm ,[object Object],[object Object],[object Object]
Stage Four - Resolution ,[object Object],[object Object],[object Object]
Stage Five - Refractory Period ,[object Object],[object Object],[object Object],[object Object]
Prevalence of MSD ,[object Object]
Diagnostic Questions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Big Three in MSD ,[object Object],[object Object],[object Object],[object Object]
Phases in Disorder ,[object Object],[object Object],[object Object]
Desire Disorders ,[object Object],[object Object],[object Object]
Hyperactive Sexual Desire ,[object Object],[object Object],[object Object],[object Object],[object Object]
Hypoactive Sexual Desire Definition ,[object Object],[object Object],[object Object]
Hypoactive Sexual Desire Causes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hypoactive Sexual Desire Treatment ,[object Object],[object Object]
Hypoactive Sexual Desire Case Formulation Hormones: Testosterone / Estrogen History of sexual activity Aschematic Sexual Self View Few positive romantic relationships / sexual encounters Low Desire Protective: Partner Factors Hormone Supplements Cognitive Restructuring
Sexual Aversion Definition ,[object Object],[object Object],[object Object]
Sexual Aversion Causes ,[object Object],[object Object],[object Object],[object Object],[object Object]
Sexual Aversion Treatment ,[object Object],[object Object],[object Object],[object Object]
Sexual Aversion Disorder Case Formulation Negative Sexual Self-Schema Traumatic Event (e.g. rape) Sexual Anxiety / Fear Response Avoidance Low arousal / sexual satisfaction Cognitive Restructuring Relaxation Training Exposure
Arousal Disorders ,[object Object],[object Object]
Erectile Dysfunction Definition ,[object Object],[object Object],[object Object]
Erectile Dysfunction ,[object Object],[object Object],[object Object],[object Object]
Erectile Dysfunction Causes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Erectile Dysfunction May Disguise ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Erectile Dysfunction Treatments ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Center for Marital and Sexual Health (CMASH) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Erectile Dysfunction Case Formulation Organic Factors / Medication Side Effects Low Sexual Experience Anxiety Inhibited Parasympathetic Activity Low Arousal Dysfunctional Attentional Processes Protective Factors: Positive emotions, love Negative Expectations Medical Treatments Sensate Focus Psychoeducation Non-demand Pleasuring
Viagra (Sildenafil)
Viagra Side Effects ,[object Object],[object Object],[object Object],[object Object]
Viagra Contraindicators ,[object Object],[object Object],[object Object],[object Object],[object Object]
Conclusions on Erectile Dysfunction ,[object Object],[object Object],[object Object],[object Object],[object Object]
Erectile Dyspareunia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Ejaculatory Disorders ,[object Object],[object Object],[object Object],[object Object],[object Object]
Premature Ejaculation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Premature Ejaculation Definition ,[object Object],[object Object],[object Object]
Premature Ejaculation Causes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Premature Ejaculation Treatments ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Premature Ejaculation Case Formulation Low Sexual Experiences High Arousal Sensitivity History: Rewarding Speedy Circumstances Premature Ejaculation Anxiety Avoidance learned response Often disappears with age / experience Pause – squeeze Technique
Retarded Ejaculation Definition ,[object Object],[object Object],[object Object]
Retarded Ejaculation Considerations ,[object Object],[object Object],[object Object],[object Object],[object Object]
Retarded Ejaculation Causes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Retarded Ejaculation Treatments ,[object Object],[object Object],[object Object],[object Object],[object Object]
Retarded Ejaculation Case Formulation Medical Condition Desire / Arousal Deficits Negative Affect / Self-schema Low relationship satisfaction No Orgasm Anxiety Negative Expectations Cognitive Restructuring Relaxation Sensate Focus
Ejaculatory Incompetence Definition ,[object Object]
Ejaculatory Incompetence Causes ,[object Object],[object Object],[object Object],[object Object]
Ejaculatory Incompetence Treatments ,[object Object]
Retrograde Ejaculation Definition ,[object Object],[object Object]
Retrograde Ejaculation Causes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Retrograde Ejaculation Treatments ,[object Object],[object Object],[object Object],[object Object],[object Object]
Ejaculatory Dyspareunia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Conclusion ,[object Object],[object Object],[object Object],[object Object]

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Male Sexual Dysfunction

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  • 17. Hypoactive Sexual Desire Case Formulation Hormones: Testosterone / Estrogen History of sexual activity Aschematic Sexual Self View Few positive romantic relationships / sexual encounters Low Desire Protective: Partner Factors Hormone Supplements Cognitive Restructuring
  • 18.
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  • 21. Sexual Aversion Disorder Case Formulation Negative Sexual Self-Schema Traumatic Event (e.g. rape) Sexual Anxiety / Fear Response Avoidance Low arousal / sexual satisfaction Cognitive Restructuring Relaxation Training Exposure
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  • 29. Erectile Dysfunction Case Formulation Organic Factors / Medication Side Effects Low Sexual Experience Anxiety Inhibited Parasympathetic Activity Low Arousal Dysfunctional Attentional Processes Protective Factors: Positive emotions, love Negative Expectations Medical Treatments Sensate Focus Psychoeducation Non-demand Pleasuring
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  • 40. Premature Ejaculation Case Formulation Low Sexual Experiences High Arousal Sensitivity History: Rewarding Speedy Circumstances Premature Ejaculation Anxiety Avoidance learned response Often disappears with age / experience Pause – squeeze Technique
  • 41.
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  • 45. Retarded Ejaculation Case Formulation Medical Condition Desire / Arousal Deficits Negative Affect / Self-schema Low relationship satisfaction No Orgasm Anxiety Negative Expectations Cognitive Restructuring Relaxation Sensate Focus
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