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Sexual Dysfunction

Maiking It Work

 

Case Studies

These case studies are designed to be completed after you have studied the content in each module, but you can complete them at any time you feel ready. Case studies allow you to apply what you have learned in this course to real-world situations. 

Case Study #1:

A 38-year-old man comes for health services because over the last six months, he has been experiencing the occasional inability to become erect. His relationship is satisfying, and he usually enjoys the sexual aspect of his life. The man is concerned that the situation will worsen.

Is this a variation of normal function or a dysfunction?

If dysfunction, what is the condition?

What could be contributing factors to the man’s occasional inability to become erect?

Answer


Case Study #2:

A 28-year-old woman in a sexually exclusive relationship of one year wants to know if she is normal because she does not always have orgasm but enjoys sex with her partner and feels satisfied. Her friend told her that something is wrong if she does not have orgasm.

Is this a variation of normal or a dysfunction?

If dysfunction, what is the condition?

What information should you give this woman regarding the sexual response in women?

Answer


Case Study #3:

A 55-year-old woman wants to know why her partner, 10 years her senior, has lost desire for sex, because he is not always aroused as he used to be, in situations where he would be “ready to go.” Her partner enjoys sex but states that it just takes him longer to “get going.”

Is this a variation of normal or a dysfunction?

If dysfunction, what is the condition?

What could be contributing factors to the man’s diminished arousal?

Answer


Case Study #4:

A 49-year-old woman is concerned that her partner of the same age no longer initiates sexual intimacy. Her partner has been experiencing irregular menses and low energy for the past year. Nothing seems to stimulate her partner as it used to before. When the woman extends foreplay to give her partner more time to respond, she does not respond as before, and it is beginning to affect their relationship.

Is this a variation of normal or a dysfunction?

If dysfunction, what is the condition?

What could be contributing factors to the woman’s lack of sexual responsiveness?

Answer


Case Study #5:

An 18-year-old man has come to the clinic twice previously complaining of penile discharge. Both times the findings were negative for infection, and he seems evasive about the nature of the discharge. By talking to him, you are able to find out that he has recently had sex for the first time, and that during that encounter, he ejaculated almost immediately after penile-vaginal insertion. His girlfriend asked him “Is that it?” He believes there is something wrong with him and says he hoped the doctors would find the problem if he said he had a discharge.

Is this a variation of normal or a dysfunction?

If dysfunction, what is the condition?

What are the possible factors involved in this situation?

 

Answer


Case Study #6:

A frustrated and concerned man confides in you that every time he and his new wife attempt lovemaking, she becomes hysterical and writhes in pain when he attempts vaginal penetration. He does not want to force her, and they have successfully satisfied each other through mutual masturbation, but he thinks that something is wrong or that he is doing something wrong.

Is this a variation of normal or a dysfunction?

If dysfunction, what is the condition?

What could be contributing factors to the woman’s pain and inability to have penile-vaginal intercourse?

Answer

 

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