fabrilosu
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A 28-yea-old woman tells her gynaecologist that she has never had an orgasm during sexual intercourse. She reports that she has an active libido and masturbates to orgasm frequently. She reports that she and her partner are committed to each other and that they are affectionate. She says that when they are together she becomes aroused with engorgement of the mons pubis and lubrification, but whenever her partner tries to enter her vagina she feels disgusted and loses all the interest. Her vagina does not prevent entry and entry is not painful. She denies any other psychiatric or medical problems, however she acknowledges a history of childhood sexual abuse.<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />
The MOST LIKELY diagnosis is
Female orgasmic disorder Vaginismus Hypoactive sexual desire disorder Sexual aversion disorder Female sexual arousal disorder
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| fabrilosu
Forum Newbie
Topics: 8
Posts: 18
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I am sorry, copy 'n paste messed the options. They are:
a. Female orgasmic disorder
b. Vaginismus
c. Hypoactive sexual desire disorder
d. Sexual aversion disorder
e. Female sexual arousal disorder
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| Ancylostoma
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D, Personal experience Fab?
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| robin082006
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A
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| babydoc4usmle
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agree with Ancylostoma, should be D
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| robin082006
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D and C are the same
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The Key to Succeed is Patience.
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| babydoc4usmle
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but she is not hypoactive or has low libido
she has adverse reaction to penetration
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| virgola82
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This was a q from blueprints that I actually missed while testing
The right answer is D because the pt has desire and is physiologiclly able of arousal and orgasm; moreover there is neither pain nor contraction as it would be in vaginismus
Sexual aversion is of unclear etiology: many but not all patients report a childhood history of sexual abuse. Treatment is through couple's sex therapy
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