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Index
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Maternal and Child Care
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Chapter 5
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Sexual health
level: Sexual health
Questions and Answers List
level questions: Sexual health
Question
Answer
is a multidimensional phenomenon that includes feelings, attitudes, and actions. It has both biologic and cultural components. It encompasses and gives direction to a person's physical, emotional, social, and intellectual responses throughout life.
Sexuality
_______ is unique to each individual; but ______ (i.e., how the body responds to sexual arousal) has common features
Sexual experience Sexual physiology
Sexual response cycle: occurs with physical and psychological stimulation that causes parasympathetic nerve stimulation which leads to arterial dilation and venous constriction in the genital area. In women, this vasocongestion causes the clitoris to increase in size and mucoid fluid to appear on vaginal walls as lubrication. The vagina widens in diameter and increases in length. The nipples become erect. In men, penile erection occurs, as well as scrotal thickening and elevation of the testes. In both sexes, there is an increase in heart and respiratory rates and blood pressure.
Excitement
Sexual response cycle: In the woman, the clitoris is drawn forward and retracts under the clitoral prepuce, the lower part of the vagina becomes extremely congested (formation of the orgasmic platform), and there is increased nipple elevation. In men, the vasocongestion leads to distention of the penis. Heart rate increases to 100 to 175 beats per minute and respiratory rate so approximately 40 respirations per minute
Plateau
Sexual response cycle: A vigorous contraction of muscles in the pelvic area expels or dissipates blood and fluid from the area of congestion. In women, the average number of contractions is 8 to 15 contractions at intervals of 1 every 0.8 seconds. In men, muscle contractions surrounding the seminal vessels and prostate project semen into the proximal urethra. Same time interval as in the woman, which force semen from the penis. As the shortest stage in the sexual response cycle, it is usually experienced as intense pleasure affecting the whole body, not just the pelvic area. It is also a highly personal experience: descriptions of it vary greatly from person to person.
Orgasm
Sexual response cycle: Is a 30-minute period during which the external and internal genital organs return to an unaroused state. For the male, a refractory period occurs during which further orgasm is impossible. Women do not go through this refractory period, so it is possible for women who are interested and properly stimulated to have additional orgasms immediately after the first.
Resolution