1. Human Reproductive Health NURS 330

2.  Contraception (Guest Lecture)  Review Mid-term  5/12/14 In-class Assignment  Mid-Quarter Grades  Lecture  Homework (5/19 – 5/26/14) ◦ 10 points ◦ Due Mon, 6/2/14  Quiz #2

3. DateAssignmentPossible Points 4/14/14In-Class #110 4/21/14Quiz #125 4/28/14In-Class #210 5/5/14Mid-term100 5/12/14In-Class #310 Total Possible Points (through 5/12/14) 155 5/19/14Quiz #225 6/2/14In-Class #410 5/9/14 - 6/2/14 Homework (due 6/2/14)10 6/9/14Final Exam200

4. Total Possible Points: 155 A- : 139.5 B- : 124 C- : 108.5 D- : 93 F : 92.845

5. 39 Students  Average: 78%  <70 : 8 students  70≥80: 9 students  80 >90: 13 students  ≥90: 9 students

6. “The integration of the physical, emotional, intellectual and social aspects of sexual being in ways that are positively enriching and that enhance personality, communication, and love. Every person has a right to receive sexual information and to consider sexual relationships for pleasure as well as for procreation. “-WHO

8. Testosterone ◦ “Male” hormone ◦ Found in small amounts in women ◦ Affects sexual response in men and women  Men – produced by the seminiferous tubules  Women - produced by the ovaries ◦ Increase energy, sex drive (libido), aggression, appetite, muscle mass Increases libido in both men and women

9. A person’s emotional and mental states also help determine whether that person experiences arousal FACT

10. Sexual Response Cycle

11.  Master’s and Johnson ◦ Proposed their four-stage model of human sexual response cycle  Stage I - Excitement  Stage II - Plateau  Stage III - Orgasm  Stage IV - Resolution

12. FEMALEMALE Transudation Vasocongestion Tenting Effect  HR, BP, RR Myotonia Penile Erection Vasocongestion Testis enlarge  HR, BP, RR Myotonia Response to stimuli RR – Respiratory Rate; BP – Blood Pressure; HR – Heart Rate

13. FEMALEMALE Orgasmic Platform  Tenting Effect Seminal Pool Erection is maintained ( if there is enough stimulation ) Cowper’s Gland secretes fluid

14. FEMALEMALE Muscle spasms Involuntary Collection of semen in the urethral bulb Ejaculatory Invariability -bulbocavernosus muscle Expulsion of semen

15. FEMALEMALE Return to non-aroused state Refractory Period

16.  Key difference ◦ Male has a refractory period ◦ There’s a potential for multiple orgasms in women  Controversies in understanding the female orgasm ◦ Freud  vaginal orgasm is true orgasm ◦ Master’s and Johnson  only one kind no matter how achieved

17.  The persistent impairment of the normal patterns of sexual interest or response. (WHO)  Four categories ◦ Sexual Desire Disorders ◦ Sexual Arousal Disorders ◦ Orgasmic Disorders ◦ Sexual Pain Disorders

18.  Hypoactive sexual desire disorder ◦ Persistent deficit in sexual fantasies and desire for sex  Sexual aversion disorder ◦ Extreme aversion to any form of sexual contact with a partner

19.  Female sexual arousal disorder ◦ Difficulties becoming sexually aroused ◦ Deficient vaginal lubrication  Male erectile disorder ◦ Recurrent problems in achieving or sustaining penile erection in a sexual situation ◦ Aka Impotence

20.  Female orgasmic disorder (anorgasmia) ◦ Recurrent problem with reaching orgasm despite adequate erotic stimulation  Male orgasmic disorder ◦ Delay or inability to reach orgasm during sexual activity  Premature ejaculation ◦ Persistent or recurrent ejaculation following minimal stimulation and before the person wishes it

21.  Dyspareunia ◦ Recurrent genital pain during sexual intercourse  Vaginismus ◦ Persistent involuntary spasms of vaginal muscles, which interfere with sexual intercourse

22. FemaleMale Sexual Aversion Disorder DyspareuniaDyspareunia (rare in men) VaginismusPremature Ejaculation Female Orgasmic DisorderMale Orgasmic Disorder Hypoactive Sexual Desire Disorder Female Sexual Arousal DisorderMale Erectile Disorder

23.  Physiological/Biological ◦ Medication and illicit drugs  Psychological/Emotional ◦ Anxiety ◦ Negative beliefs ◦ Sexual trauma  Interpersonal/Social ◦ Relationship problems  Environmental ◦ Cultural factors

24. Medical treatment of sexual dysfunctions Sex therapy

25.  What is a Rape Drug? A rape drug is one that is used in a drug- facilitated sexual assault.

26.  The most common rape drugs: ◦ Rohypnol ◦ GHB ◦ Ketamine  Odorless, colorless  Easily dissolved into drinks

27.  Drowsiness  Disorientation  Disinhibition  Amnesia