Personality and Mood Disorders Q 65
The inability to maintain the physiologic requirements in sexual intercourse is:
A. Sexual Desire Disorder
B. Sexual Arousal Disorder
C. Orgasm Disorder
D. Sexual Pain Disorder
Correct Answer: B. Sexual Arousal Disorder
This describes sexual arousal disorder. Sexual arousal disorders involve a lack of response to sexual stimulation—mental or emotional (subjective), physical (such as swelling, tingling, or throbbing in the genital area or vaginal wetness), or both.
Option A: Sexual Desire Disorder refers to the persistent and recurrent lack of desire or willingness for sexual intercourse. Hypoactive sexual desire disorder (HSDD) and sexual aversion disorder (SAD) affect both men and women. HSDD in the DSM-IV-TR7 is defined as “persistently or recurrently deficient (or absent) sexual fantasies and desire for sexual activity. The judgment of deficiency or absence is made by the clinician, taking into account factors that affect sexual functioning, such as age and the context of the person’s life.” SAD is defined as “persistent or recurrent extreme aversion to, and avoidance of, all (or almost all) genital sexual contact with a sexual partner.”
Option C: Orgasm Disorder is the inability to complete the sexual response cycle because of the inability to achieve an orgasm. Orgasmic disorder is the lack of or delay in sexual climax (orgasm) even though sexual stimulation is sufficient and the woman is sexually aroused mentally and emotionally. Women may not have an orgasm if love-making ends too soon, there is not enough foreplay, or they are afraid of losing control or letting go.
Option D: Sexual Pain Disorder is characterized by genital pain before, during or after sexual intercourse. Sexual pain disorders, for which women commonly present to the primary care provider, may impair sexual and interpersonal functioning and emotional quality of life. Numerous anatomical, physiological, endocrine, and psychosocial mechanisms may cause or exacerbate coital pain, making diagnosis challenging; treatment may require an integration of medical, surgical, and physical therapy, as well as cognitive-behavioral interventions.