Index by Module and Section


1. Introduction: Sexuality in Health Services
What are “sexuality” and “sexual health”?
Why should health services focus on these issues?
How does a focus on sexuality meet clients’ needs?
How does a focus on sexuality improve health services?
2. Understanding Sexuality
Purpose of this module
Defining our terms
- Sex and gender
- Sexual orientation and sexual behavior
The sociocultural context
- Norms and values
Sexuality and women’s rights
Quiz
Making it work
Case studies
3. Sexual Anatomy and Physiology
Purpose of this module
Using the information in this module

Talking with clients about anatomy
Key sexual organs for both men and women
- The brain
- The skin
- The breasts
Genital anatomy
- External female genitals
- Internal female genitals
- Risk of diseases and infections
- External male genitals
- Internal male genitals
Physical conditions that affect sexual function
- Male circumcision
- Female genital cutting (FGC)
- Hysterectomy
- Mastectomy
- Prostate disease
Milestones in sexual and social development
- Sexual development through adolescence
- First sexual intercourse
- First childbirth
- Menopause/climacteric
Quiz
Making it work
Case studies
4. Sexual Response and Sexual Practices
Purpose of this module

Patterns of sexual response
The sexual response cycle
The stages of sexual response
- Desire
- Excitement
- Plateau
- Orgasm
- Resolution
Sexual response and aging
- Normal changes in response with age
Contraception and sexual function
The effect of diseases and drugs on sexual response
- Coronary artery disease
- Diabetes
- Renal failure
- Stroke
- Arthritis
- Prostate disease
- Psychological conditions
Sexual practices
- What people do...
- ...Where and with whom
Health implications of sexual practices
- Masturbation
- Vaginal penetration
- Oral-genital/oral-anal sex
- Anal penetration
Quiz
Making it work

Case studies
5. Sexual Dysfunction
Purpose of this module

What is “sexual dysfunction”?

Common sexual dysfunctions
- Inhibited sexual desire (ISD)
- Dyspareunia
- Vaginismus
- Anorgasmia
- Premature ejaculation (PE)
- Male orgasmic disorder
- Erectile dysfunction
Contributing factors
- Infertility
- Pregnancy
Special concerns about dysfunction among different population groups
- Adult women
- Adult men
- Adolescents
- Perimenopausal women
Quiz
Making it work
Case studies
6. Talking with Clients about Sexuality
Purpose of this module
Obstacles to incorporating a sexual health approach
Approaches to discussing sexuality
- Power dynamics in counseling
- Beginning a discussion
- Broaching the subject
- General questions
- Getting specific
- Offering information
Making the shift in services
- Importance of training

Quiz
Making it work

Conclusions

Case studies

 

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© 2007 EngenderHealth. This course was made possible through a grant from the Bill & Melinda Gates Foundation.