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Elvis

ISQs in PSYCHOSEXUAL MEDICINE (ii)

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11. 'Circular causation' is a communication style nurtured by couple therapy.

12. Premature ejaculation is easier to treat than delayed ejaculation.

13. Yohimbine is a post-synaptic alpha-2 adrenergic blocker.

14. Baldness is a side effect of testosterone replacement therapy.

15. Alprostadil is contraindicated in Sickle cell anaemia.

16. Penile rings must be removed within 30 mins of onset of erection or necrosis may ensue.

17. Imipramine and moclobemide may reduce libido.

18. One fifth of UK females have sex by the age of 16.

19. Autoerotic asphyxia is considered normal behaviour amongst eskimos.

20. Treatment guidelines for psychiatrists with regards transsexuals are the 'Harry Ramsden's Standards of care'.

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20) false  Harry Benjamin International Gender Dysphoria Association STANDARDS OF CARE :-*

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;)19 FALSE Orientals often strangle the throat to heighten sexual pleasure, as do the Yahgans in South America, and the Celts. Eskimo children play sexual games involving hanging and choking, and the Shoshone-Bannock Indian children play suffocating games .

The earliest medical publication of asphyxophilia is in 1856 by the French psychiatrist, DeBoismont. He reported 30% of men who died of hanging had associated erections or ejaculations.

READ A SAD STORY :'(

members.aol.com/bj022038/ - 10k

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13 true page 595 (ox. text book)

Before the introduction of seldanafil the main oral medication for male erectile dysfunction was yohimbine an alfa 2 adrenergic blocker

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15 true also C/I in multiple myeloma,leukaemia BNF Sept 2003 pg404

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17. True

Prevalance Sexual SE:

30% TCAs - libido, erection, ejac/orgasm

Clomiprimine used to treat prem ejac

40% MAOIs - like TCAs

Moclobemide less likely than older (4%)

60-70% SSRIs - libido, orgasm

fluoxetine

sertraline> fluvoxamine

paroxetine>citalopram

Li, CBMZ,Valp - minimal

Lower incidence sexual dysfunction

Bupropion

Mirtazapine

Moclobemide

Nefazadone

Reboxetine

If problems, try switch:

Thiordaz - haloperidol

Fluox - Moclobemide, Trazadone (Priapism!)

Imip - Desipramine, Maprotliline

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18. True

Puri and Hall

age 1st intercourse decreasing

F 21 to 17

M 20 to 17

Sex before 16 increasing over time

<1% report sex before 16 @ 55

vs

1 in 5 teens

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