PsychoSexual Disorders

DR. EDWIN A. MENGUITO, FPPA

1. OVARIES
2. FALLOPIAN TUBE
3. UTERUS
4. VAGINA
FEMALE INTERNAL GENITALIA:
1. MONS PUBIS
2. LABIA MAJORA
3. LABIA MINORA
4. VESTIBULE
5. CLITORIS
FEMALE EXTERNAL GENITALIA:
1. VAS DEFERENS
2. SEMINAL VESICLE
3. EJACULATORY DUCTS
4. PROSTATE
MALE INTERNAL GENITALIA:
1. PART OF THE VAS DEFERENS
2. EPIDIDYMIS
3. TESTES
4. SCROTUM
5. PENIS
MALE EXTERNAL GENITALIA:
ERECTION PELVIC SPLANCHNIC NERVE
(PARASYMPATHETIC)

EJACULATION HYPOGASTRIC PLEXUS
(SYMPATHETIC)
INNERVATION
EXCITEMENT PHASE
(Several minutes to
hours)
PLATEAU PHASE
(30 sec- 3mins)
ORGASMIC PHASE
(3-15 sec)
RESOLUTION PHASE
(10-15 mins; if no orgasm-
1/2-1 day)
1. SKIN
No change. Sexual flush. Well developed flush. Flush disappear,
generalized
perspiration
2. PENIS
Erection within 10-30
seconds due to
vasoconstriction of
erectile tissue. Loss
of erection may
occur with
introduction of
asexual stimulus,
loud noise.
Increase in size of glans
and diameter of penile
shaft.
Ejaculation marked by
3-4 contractions at 0.8
sec of vas, seminal
vesicle, prostate and
urethra.
Erection, then partial
involution 5-10 sec and
full detumescence in
5-10 mins.
3.
SCROTUM
AND
TESTES
Tightening and lifting
of scrotal sac and
partial elevation of
the testes towards
the perineum.
50% increase in the size
of the testes due to
vasocongestion &
flattening of testes
against the perineum
signaling impending
ejaculation.
No change. Reduced back to
normal within 5-30
minutes after orgasm.
MALE SEXUAL RESPONSE CYCLE

MALE SEXUAL RESPONSE CYCLE
. EXCITEMENT PHASE
(Several minutes to
hours)
PLATEAU PHASE
(30 sec- 3mins)
ORGASMIC PHASE
(3-15 sec)
RESOLUTION PHASE
(10-15 mins; if no orgasm-
1/2-1 day)
4.
COWPERS
GLAND
No change. 2-3 drops of mucoid
fluid containing viable
sperm.
No change. No change.

5. OTHERS
Nipple erection. Semi-spastic
contraction of facial,
abdominal and
intercostal muscles.
Tachycardia
Tachypnea
BP increases by 20-
30 mmHg systolic
and 10-40 mmHg
diastolic.
Loss of voluntary
muscle control
Rhythmic rectal
contraction
PR as much as
180/min
BP increase by 40-
100 systolic and
20-50 diastolic
Ejaculatory spurt
12-20 inches at 18
years old
See page at 70 years
old.


Return to normal
state within 5-10 mins.

FEMALE SEXUAL RESPONSE CYCLE
EXCITEMENT
PHASE
PLATEAU PHASE ORGASMIC PHASE RESOLUTION
PHASE
1. SKIN
No change. Sexual flush. Flush at its peak. Flush disappear and
generalized
perspiration.


2. BREAST
Nipple erection. Flushed, increase in
size and areolar
enlargement.
Venous tree pattern
stand out sharply and
breast may quiver.
Return to normal in
hour or more.
3. CLITORIS
Enlargement of the
glans and shaft.





Shaft retracts deep
into swollen prepuce.
Intrapreputial
movement
synchronous with
thrusts.

No change
Shaft movement
continued thrust if
thrust is maintained.
Return to normal.

FEMALE SEXUAL RESPONSE CYCLE
EXCITEMENT
PHASE
PLATEAU PHASE ORGASMIC PHASE RESOLUTION
PHASE
4. LABIA
MAJORA
Nullipara: thinned
down, elevated
against perineum

Multipara: rapid
congestion and
edema, increase in
size 2-3 x
Nullipara: totally
disappear

Multipara: become
edematous , hanging
like folds of a heavy
curtain.
No change. Nullipara: increase to
normal size in 1-2 min
or less

Multipara: decrease to
normal size in 10-15
mins.
5. LABIA
MINORA
Change in color to
pink or red with
increase in size.
Change in color turning
to bright red to
burgundy red.
From proximal areas
contract with
contraction of lower
third.
Return to normal size
and color in 5 mins.

6.
BARTHOLINS
GLAND
No change. Secretes mucoid
substances for
lubricating the
vestibule.
No change. No change.


FEMALE SEXUAL RESPONSE CYCLE
EXCITEMENT
PHASE
PLATEAU PHASE ORGASMIC PHASE RESOLUTION
PHASE
7. VAGINA
Vaginal transudate
appearing 10-30
seconds after
onset of arousal.
For lubrication.
Color change to
patchy purple.



Copious transudate
continued to form
darkening of the
mucosa.
Transudate produces
maximum degree of
lubrication.
Transudate collects on
the floor of the upper
two third.

8. UPPER
THIRD
Dilates
convulsively as
uterus moves up,
fornices lengthen
rugae pattern.
Further ballooning
then wall relaxes in a
slowly manner.
Fully balloon out and
motionless.
Cervical descent in 3-4
mins.

FEMALE SEXUAL RESPONSE CYCLE
EXCITEMENT
PHASE
PLATEAU PHASE ORGASMIC PHASE RESOLUTION
PHASE
9. LOWER
THIRD
Dilatation of the
vaginal lumen to 1-
1 inches.
Congestion of
walls.
Maximum distention
contracts lumen of
lower third and upper
vagina to half or more,
its diameter in phase I.
Contraction around
penis allows thrusting
traction on clitoral
shaft via labia and
prepuce.


3-15 contractions of
lower third and
proximal labia minora
at interval.
Congestion disappear
in seconds.
10. UTERUS
Ascent with cervix
passively elevated.
Uterus contracts with
swelling of the cervix.
Contracting
throughout orgasm
strongest with
pregnancy and
masturbation.
Slowly return to
normal.


FEMALE SEXUAL RESPONSE CYCLE
EXCITEMENT
PHASE
PLATEAU PHASE ORGASMIC PHASE RESOLUTION
PHASE


11. OTHERS


Fourchette color
changes through
out the cycle as in
labia minora.


Perineal body is in
spasmic tightening
with involuntary
elevation of perineum.


Irregular spasm
continue.
There is rectal and
external urethral
sphincter contraction.





All relation cease
abruptly or within a
few seconds.
SCALE 0 Purely hormonal
SCALE I behavior with incidental homosexual
experience
SCALE II More than incidental but predominantly
homosexual
SCALE III Equally balanced sexual activity, both
homosexual and heterosexual
SCALE FOR SEXUAL BEHAVIOR
SCALE IV predominantly homosexual but retains
substantial heterosexual interest
SCALE V incidental heterosexual
SCALE VI Exclusively heterosexual
SCALE FOR SEXUAL BEHAVIOR
It is divided into:
1. Biological sex
2. Sexual identity
3. Gender identity
4. Sexual role behavior
Sexuality may be expressed in terms of
system

1. Sexual Dysfunctions
2. Gender-Identity Disorders
3. Paraphilias
Psychosexual Disorders

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