TAILIEUCHUNG - Chapter 049. Sexual Dysfunction (Part 7)

Physiology of the Female Sexual Response The female sexual response requires the presence of estrogens. A role for androgens is also likely but less well-established. In the CNS, estrogens and androgens work synergistically to enhance sexual arousal and response. A number of studies report enhanced libido in women during preovulatory phases of the menstrual cycle, suggesting that hormones involved in the ovulatory surge (., estrogens) increase desire. Sexual motivation is heavily influenced by context, including the environment and partner factors. Once sufficient sexual desire is reached, sexual arousal is mediated by the central and autonomic nervous systems. Cerebral sympathetic outflow is. | Chapter 049. Sexual Dysfunction Part 7 Physiology of the Female Sexual Response The female sexual response requires the presence of estrogens. A role for androgens is also likely but less well-established. In the CNS estrogens and androgens work synergistically to enhance sexual arousal and response. A number of studies report enhanced libido in women during preovulatory phases of the menstrual cycle suggesting that hormones involved in the ovulatory surge . estrogens increase desire. Sexual motivation is heavily influenced by context including the environment and partner factors. Once sufficient sexual desire is reached sexual arousal is mediated by the central and autonomic nervous systems. Cerebral sympathetic outflow is thought to increase desire while peripheral parasympathetic activity results in clitoral vasocongestion and vaginal secretion lubrication . The neurotransmitters for clitoral corporal engorgement are similar to those in the male with a prominent role for neural smooth muscle and endothelial released nitric oxide NO . A fine network of vaginal nerves and arterioles promote a vaginal transudate. The major transmitters of this complex vaginal response are not certain but roles for NO and vasointestinal polypeptide VIP are suspected. Investigators studying the normal female sexual response have challenged the long-held construct of a linear and unmitigated relationship between initial desire arousal vasocongestion lubrication and eventual orgasm. Caregivers should consider a paradigm of a positive emotional and physical outcome with one many or no orgasmic peak and release. Although there are the obvious anatomic differences as well as variation in the density of vascular and neural beds in males and females the primary effectors of sexual response are strikingly similar. Intact sensation is important for arousal. Thus reduced levels of sexual functioning are more common in women with peripheral neuropathies . diabetes . Vaginal lubrication is

• Y học thường thức
• Sexual Dysfunction
• bệnh học và điều trị
• bài giảng bệnh học
• tài liệu học ngành y
• Harrisons Internal Medicine
• Female sexual function
• Female sexual dysfunction
• Physical diagnosis
• Medical therapies
• Erectile dysfunction
• Surgical treatments
• BMC Women's Health
• Idiopathic cerebellar ataxia
• Sexual response
• Movements during sexual intercourse
• Sexual cycle desire
• Sexual activity
• Anonymous questionnaire
• Vulvovaginal atrophy
• Genitourinary syndrome of menopause
• Hormonal therapy
• BMC Cancer
• Psycho educational
• Fex Can intervention
• Fertility related distress
• ABC of sexual heath
• Sexual pain disorders
• Gender dysphoria
• Transgender health
• Psychosexual thrapy
• Textbook of Endocrinology
• Hormone action
• The evolutionary perspective
• Human sexual response cycle
• Physiologic mechanisms
• Physiology of physical sexual arousal
• Pregnant women
• Communication intervention
• Postpartum period
• Sexual Intervention model
• Rectal cancer
• Autonomic nerves
• Intraoperative monitoring
• Urinary dysfunction
• Fecal incontinence
• Preclinical Research
• Animal Models
• Sexual Medicine
• Physiology of Erection
• Luận án Tiến sĩ Y học
• Effectiveness of TD0014 hard pills
• Summary of new aspect of the thesis
• Male sexual dysfunction
• psychosexual nursing
• Psychosexual anxiety
• Altered sexual interest
• Psychosexual nursing skills
• psychosexual care
• Ambulatory gynecology
• Basic infertility evaluation
• Hormone replacement therapy
• Clinical genetics for the gynecologist
• Sexual minority health
• Breast cancer
• Cognitive behavioral therapy
• Internet based
• Prostate cancer
• Sexual health
• Resistance training
• Aerobic exercise
• Psychosexual support
• Cohort study
• Sexual function
• Young adults
• Anal cancer
• Anal squamous cell carcinoma
• Following definitive chemoradiation
• Bowel dysfunction
• Accelerated bone loss