Behavioral Science
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Sexuality 55<br />
Which postmyocardial infarction<br />
patients can resume sexual activity?<br />
Which problem is common in<br />
diabetic men?<br />
What are the two main causes of<br />
erectile dysfunction in diabetics?<br />
What is the primary treatment for<br />
erectile dysfunction in diabetics?<br />
What effect does spinal cord<br />
dysfunction have on sexual<br />
functioning in men?<br />
What effect does pregnancy have on<br />
sexual functioning?<br />
During what time period prior to<br />
pregnancy should a woman<br />
cease sexual activity?<br />
Patients who can tolerate increases in<br />
heart rate from 110 to 130 bpm<br />
Erectile dysfunction<br />
1. Diabetic neuropathy<br />
2. Vascular changes<br />
Metabolic control monitored by<br />
hemoglobin A 1c level<br />
Decreased fertility<br />
Erectile dysfunction<br />
Orgasmic dysfunction<br />
Reduced testosterone levels<br />
Retrograde ejaculation into the bladder<br />
Decreased sex drive → most common.<br />
Increased sex drive and pelvic<br />
vasocongestion may occur.<br />
4 weeks before expected delivery<br />
EFFECTS OF DRUGS AND NEUROTRANSMITTERS ON SEXUALITY<br />
Decreased availability of which<br />
neurotransmitter(s) causes a decrease<br />
in erection?<br />
Increased availability of which<br />
neurotransmitter(s) causes a<br />
decrease in ejaculation and orgasm?<br />
Increased availability of which<br />
neurotransmitter(s) causes an increase<br />
in erection?<br />
Which drug(s) of abuse causes<br />
increased libido with acute use?<br />
Which drug(s) of abuse causes<br />
increased libido?<br />
Dopamine (eg, chlorpromazine,<br />
haloperidol)<br />
Norepinephrine β (eg, propranolol,<br />
metoprolol)<br />
Serotonin (eg, fluoxetine, sertraline,<br />
trazodone)<br />
Dopamine (eg, levodopa)<br />
Norepinephrine in α 2 in the periphery<br />
(eg, yohimbine)<br />
Alcohol<br />
Marijuana<br />
Amphetamines<br />
Cocaine
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