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Lesbian Sexual Response and Orgasm

This document discusses human sexuality, including biological and psychosocial aspects. It covers sexual identity (heterosexual, homosexual, bisexual, transgender), human sexual response cycles, and factors that influence sexuality. The document also addresses concepts of sexuality in the Philippines and assessing sexual health, including taking a sexual health history and potential nursing diagnoses.

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Sophia Rose
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0% found this document useful (0 votes)
13 views3 pages

Lesbian Sexual Response and Orgasm

This document discusses human sexuality, including biological and psychosocial aspects. It covers sexual identity (heterosexual, homosexual, bisexual, transgender), human sexual response cycles, and factors that influence sexuality. The document also addresses concepts of sexuality in the Philippines and assessing sexual health, including taking a sexual health history and potential nursing diagnoses.

Uploaded by

Sophia Rose
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

CREATED BY: SRDLS

Procreation: c. Gender-role Behavior –


gay/lesbians
 create, reproduce, multiply
 to produce others of its kind
Types of Sexual Identity:
 created by 2 living beings
1. Heterosexual – 10-12 year old is the
 voluntary and informed, not
recommended age of acquiring health
coerced or accidental
knowledge or safe sex practice
 activity of adults, done with privacy
- someone who is
and consent
attracted to persons of the opposite sex
Theories:
2. Homosexual – Man with Man/Woman
1. Theory of Evolution
with Woman
 simplistic to complex creatures
 caused by unusual level of Estrogen
 all life descended from a common
and Progesterone
ancestor
- Before Puberty: “different”, not
2. Story of Creation From the Book of
interested in the opposite sex
Genesis
- Adolescent: reason why “different”
or homosexual
Human Sexuality
- Young Adulthood: afraid of stigma;
 How people express themselves as
“come out”
sexual beings
 Nursing Responsibilities:
 Encompasses emotion, attitude,
- Be sensitive to needs and suicide
preferences, behaviors
- Provide additional counseling =
avoid STDs because there’s a higher
Aspects of Human Sexuality:
case of STDs in homosexuals
 Biological – reproduction, heredity,
*Being a Transgender is considered a
gender issue
mental disorder
 Emotional – bond between
3. Bisexual
individuals
4. Transexual
 Psychological – responses
 Socio-cultural – rules of behavior,
Sex Change Surgery
social norms
>Male to Female – doesn’t experience
orgasm; not capable of
Terms:
reproduction; not capable of
Sex
chromosomal structure
 Gender
 Coitus
Sexual Health
Sexuality
> According to WHO: Sexual Health is
 based from human character
the integration of Somatic/Physical,
 has three aspects
Emotional, Intellectual and Social
- Biologic Sex/Gender – XX/XY
aspects of sexual well-being in ways
- Gender/Sexual Identity
that are possibly enriching and that
a. Biologic Focus – extra
enhance personality,
hormones
communication and love.
b. Psychosocial Focus –
adult role models
CREATED BY: SRDLS

3 Basic Elements of Sexual Health  full distention


 Enjoy and Control – in accordance  HR = 100-175; RR = 40 bpm
w/ social and personal ethics 4. Orgasmic Phase
 Freedom from fear, shame, guilt,  3-10 seconds
false beliefs and other psychological  Muscle spasms (legs, stomach, arms)
factors  Muscle contractions
 Freedom from mental disorders 5. Resolution
 only happens in men
Sexual Maturity  further orgasm is impossible
- To form a stable relationship with the  refractory period
opposite sex which is physically and
emotionally satisfying Female
1. Desire
Factors Influencing Sexuality:  for sexual intimacy
 Developmental Level 2. Excitement
 Culture  erection of the clitoris and nipples
 Religious Values  mucoid fluid from Bartholin’s Glands
 Personal Ethics/Beliefs for lubrication
 Health Status  vagina begins to expand and
elongate
Human Sexual Responses:  labia changes in color
 The sexual experience is unique to  flushing
each individual 3. Plateau
 How the body responds to sexual   vital signs
arousal  clitoris is drawn forward
 “Orgasmic Platform”
D-E-P-O-R (Masters & Johnson, 1966) 4. Orgasmic Phase/Orgasm
 sense of pleasure
Male  rhythmic contractions
1. Desire/Libido  clitoral sex response
 onset of sexual arousal  female orgasm is not affected by
2. Excitement Phase aging
 begins with erotic feeling  Freud’s Types of Orgasm:
 physiological stimulations (sight, - Clitoral – masturbation; “sexual
sound, emotion, thought) immaturity”
- Vasocongestion -  blood - Vaginal – authentic orgasm
supply - Neurotic
- Mytonia -  muscle tension  Accd. Masters, 1998 – no physiologic
> scrotal thickening difference; adequate time for
>  vital signs foreplay = orgasm
> wet glans/lubricating droplets  G-Spot – inner 2/3
>  muscular contraction - halfway between pubic bone
> erection and cervix
3. Plateau - discovered by Grafenberg
CREATED BY: SRDLS

5. Resolution  includes sexual identity, sexuality,


 women have NO resolution sexual functions
 women are capable of multiple  possible related factors
orgasms - fear of pregnancy
2. Sexual Dysfunction
Male Female  unsatisfactory, unrewarding
 easily  more
aroused physiological Safer Sex Practice
 depend and  Be selective
less upon psychological  partners =  STD
ideal stimulation  No IV drug users; prostitutes
intercourse  depends a lot  inspect partner for any lesions
 no second more on the
abnormal drainage = no sex
orgasm proper mood
 condom
 capable of
several  void immediately
consecutive  no sexual AIDs
orgasms  alert sexual partners
with STD = no sex
Concepts of Sexuality in the Philippines:
1. Objections to foreplay before coitus
2. Sexual relations generally take place
at night
3. Embarrassed at being naked
4. Arousal: embracing, caressing, biting
(lyk wut?)
5. Wife is not supposed to ask for sex

Assessing Sexual Health


 Assessment/History-taking:
- Menstruation – regularity, amount
of menstrual flow
- Obstetrical/ Gynecological –
GPTPALM
- Reports of Discharges, pains,
presence of lumps, change in color,
size and shape of genital organ,
erectile dysfunction, failure to reach
orgasm
- Changes in Urinary Function
- Birth Control/ Medications Taken
- Sexual Practices

Positive Nursing Diagnosis:


1. Altered Sexuality Patterns

Common questions

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Males and females exhibit distinctive characteristics in their sexual response cycles. In males, the cycle includes Desire, Excitement, Plateau, Orgasmic, and Resolution phases, with the Resolution phase marking a period where further orgasm is impossible due to a refractory period. Females, on the other hand, do not have a Resolution phase and are capable of multiple orgasms. Males tend to be easily aroused, less dependent on ideal intercourse conditions, and cannot achieve a secondary orgasm immediately due to physiological constraints, whereas females are influenced more by psychological contexts, leading to possibly several consecutive orgasms. Factors such as physical and psychological stimulation, mood, and foreplay play significant roles in female arousal .

Cultural and religious values significantly shape individual perceptions and expressions of human sexuality. Culture provides a framework of social norms and rules of behavior regarding sexuality, often dictating acceptable expressions of sexual behavior, partner selection, and the timing and nature of sexual relations. For example, in some cultures, pre-marital sexual activities or discussions on such topics might be taboo, influencing individuals to express sexuality within a specific context. Religious beliefs often add a moral dimension, emphasizing notions of purity, chastity, or sanctity in sexual conduct, which may lead individuals to adhere to strict guidelines or abstain from sexual activity outside marriage. These cultural and religious influences interplay with personal ethics and beliefs, leading to diverse expressions of sexuality across different cultural contexts .

Individuals with diverse sexual identities face multiple socio-cultural challenges that can impede achieving sexual health. Stigma and discrimination are prevalent barriers, leading to social isolation and limited access to appropriate healthcare services. For example, homosexual individuals may face public stigma or internalized homophobia, causing distress or psychological issues that affect sexual well-being. Cultural norms often shape societal expectations, and deviations from these standards can result in marginalization. Additionally, misinformation or lack of sensitivity in healthcare settings may discourage individuals from seeking necessary care. Overcoming these challenges requires a holistic approach that includes public education, policy change, and cultural shifts alongside healthcare professional training to foster inclusive environments that support sexual health irrespective of identity .

Considering being transgender as a mental disorder has significant negative implications in the context of sexual identity. It can lead to stigmatization, discrimination, and psychological distress among transgender individuals, reinforcing societal barriers against acceptance and understanding. This perspective undermines the validity of transgender identities, potentially discouraging individuals from seeking necessary healthcare and education about sexual health. Such classification may hinder advocacy for transgender rights, contributing to mental health issues resulting from societal exclusion or misunderstanding. Shifting away from this view fosters a more inclusive and supportive environment, where diverse sexual identities are respected, and comprehensive care and policies are developed to support transgender individuals' well-being .

Procreation and sexual expression are distinct concepts although intertwined aspects of human sexuality. Procreation specifically pertains to the biological function of producing offspring, heavily anchored in biological systems and evolutionary theories like the Theory of Evolution. It emphasizes reproduction as a fundamental purpose derived from living beings, usually involving two partners. Sexual expression, on the other hand, encompasses a broader scope reflecting human emotions, attitudes, preferences, and behaviors—it's a complex interplay of biological, emotional, psychological, and socio-cultural factors. The Story of Creation may also reflect these distinctions highlighting purposeful and diverse expressions within human character. While procreation can be an outcome of sexual activities, sexual expression often encompasses broader realities like gender identities, sexual orientations, and personal fulfillment outside the confines of reproduction .

Health status profoundly influences sexuality and the formulation of sexual health strategies. Poor health, whether physical or psychological, can inhibit an individual's ability to engage in or enjoy sexual activities, potentially leading to sexual dysfunction. Chronic diseases or conditions such as cardiovascular issues, diabetes, or mental health disorders like depression can diminish libido, performance, and satisfaction. Health status informs sexual health strategies that aim at ensuring all individuals can achieve sexual well-being by integrating somatic, emotional, intellectual, and social aspects. Effective strategies recognize health disparities, promote education about safer sex practices, and emphasize individualized care, addressing both prevention and treatment to overcome disease-imposed or mental barriers affecting sexuality .

A person's developmental level is crucial in shaping their understanding and expression of sexuality. As individuals progress from childhood through adolescence to adulthood, their cognitive, emotional, and physical maturation influences how they perceive and express their sexual identity and preferences. For instance, adolescence is a developmental stage marked by heightened physical changes and hormonal activity, leading to a stronger exploration of sexual identity and experimentation. Younger individuals might lack the maturity or information necessary to make informed decisions about sexuality, whereas adults usually have a more nuanced understanding, shaped by experience and knowledge. Early educational interventions about safe practices and personal ethics during these developmental stages can play a vital role in promoting healthy sexual choices .

The WHO's definition of sexual health aligns with the concept of freedom from various psychological constraints by emphasizing a holistic integration of somatic, emotional, intellectual, and social aspects that enrich personality, communication, and love. This definition underscores enjoyment and control of sexuality consistent with personal and social ethics, and crucially, emphasizes freedom from fear, shame, guilt, false beliefs, and other psychological factors. These freedoms are critical for a positive perception of sexual health, allowing individuals to express their sexuality confidently and safely without the burden of societal stereotypes or internalized negatives about their sexual identities or practices .

Psychological aspects in human sexual responses significantly impact individual experiences through factors like desire, mood, previous experiences, and socio-cultural influences. These elements contribute to unique sexual experiences by determining one's arousal levels, enjoyment, and satisfaction. Psychological readiness and emotional bonding, pivotal in the desire phase, are often shaped by personal attitudes and relationships. During the sexual response cycle, psychological factors like stress, anxiety, or past traumas can influence the physical manifestations of arousal and satisfaction. Therefore, understanding and addressing these psychological elements are critical to ensuring fulfilling sexual experiences .

Healthcare professionals must navigate several ethical considerations when addressing the sexual health issues of homosexual patients. Sensitivity to the unique needs and potential stigmas faced by these individuals is paramount, necessitating an approach that prioritizes confidentiality, respect, and inclusivity. Professionals should actively work to eliminate biases or prejudices in treatment, ensuring care is unbiased and grounded in up-to-date medical practices. Providing comprehensive counseling to prevent sexually transmitted diseases, alongside focusing on biopsychosocial aspects, is essential in fostering trust and delivering effective care. Furthermore, healthcare settings should be conducive to open communication, enabling patients to discuss their concerns without fear of judgment .

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