Altered Sexuality and Sexual Dysfunction

Sexual Dysfunction
Sexuality includes feelings, attitudes and behaviors that are influenced biologically and culturally. Sexual health is important for a person’s wellbeing.

The components of sexual health
•    Accurate information about the physical, emotional and social aspects of sexuality.
•    A well developed identity, which includes the sexual self and awareness of attitudes and values surrounding sexuality.
•    The capacity for intimacy in relationship with others.
•    The self-esteem to make choices about sexual activities congruent with value system and beliefs.
•    The use of effective contraception when pregnancy is not sought.
•    Use of precautions against STDs – safe sex practices and selection of sexual partners.
•    Awareness of factors that may enhance or detract from the state of sexual wellbeing.

Sexual Dysfunction
Minor problems
•    Knowledge problems – lack of information or misinformation.
•    Relationship problems
•    Attitude problems – fear, guilt, sin

Major problems
•    Gender identity – hermaphroditism, transsexualism
•    Impotence
•    Pervasions – zoophelia, pedophelia
•    Homosexuality, Lesbianism

Common sexual problems during pregnancy and postpartum

•    Lack of sexual desire and avoidance of sex
•    Changes in sex drive (changes in sexual responsiveness)
•    Dyspareunia in pregnancy and postpartum
•    Male erectile dysfunction during pregnancy
•    Breast feeding and erotic response
•    Lack of arousal

Sexual Dysfunction : The state in which a client experiences a change in sexual health or sexual function is viewed as inadequate

Dyspareunia: Painful sexual intercourse

Impotence: Male sexual dysfunctions of inability to attain or maintain erection and have intercourse 25% of the attempts

Masturbation: Induction of sexual excitement to self through manipulation of genitals or other body part

Orgasm: Climax of sexual excitement

Vaso –congestion: Congestion of blood vessels

Erotic: Tending to arose sexual drive

Sex Avoidance: Abstinence from sexual intercourse

Change in sex drive: Alteration level of sexual responsiveness

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