Form of Sexual Abnormality Resulting From Abnormal Sexual Urges

Form of sexual abnormality resulting from abnormal sexual urges 1. Prostitutionÿ a form of sexual deviation with a pattern of sexual urges that is not natural and not integrated into the personality so that sexual relations are impersonal, without fast-paced affection and emotions and without female orgasm.  This event can occur in both men and women.  In men, prostitution is caused by the desire to seek variety in sex, just for fun and want to channel sexual needs  In women, this incident is caused by economic factors, disorganization family life and the presence of abnormal sexual desire 2. Adultery  Form of sexual relations between men and women who are not husband/wife.  Adultery in women only leads to sexual relations with other men after there is a very strong emotional relationship.  In men it is caused by a sense of fun or the urge to satisfy sex temporarily 3. Frigidity  The inability of a woman to experience sexual desire or orgasm during intercourse.  Frigidity is characterized by reduced or complete disinterest in sexual intercourse or not being able to experience orgasm during coitus (intimate relations).  Causes: abnormalities in the uterus/vagina, poor relationship with husband, feelings of anxiety, guilt or fear. 4. Impotence  A man's inability to experience sexual relations or intercourse or disability men in achieving or maintaining an erection.  Causesÿ psychological factors such as anxiety, fear, past bad experiences and wrong perceptions of sex 5. Premature ejaculation  A condition where there is premature discharge of sperm before the penis can perform penetration into the sexual canal or ejaculation occurs a few seconds after penetration.  Cause: lack of self-confidence and failure in building a husband and wife relationship. 6. Vaginismus  Events characterized by spasms in the form of tensing or hardening very painful in the vagina or the contractions are so strong that the penis is pinched and can't get out.  Causes of organic and psychological disorders (fear). 7. Dyspareunia  A condition characterized by difficulty in having sexual intercourse or painful feeling at coitus.  This event can occur when sperm comes out due to lack of vaginal fluids 8. Anorgasm  The condition of failure to reach climax during intercourse, usually in nature psychological, characterized by the release of sperm without experiencing a peak of satisfaction.  Cause: psychological factors or organic factors such as inability to penetrate to provide stimulation or a loose vagina 9. Difficulty of first coitus  Occurrences where there is difficulty in performing first coitus caused by lack of knowledge between partners, fear or inner anxiety having sex. Sexual response cycle 1. Joy stageÿ the initial stage in sexual response in women is characterized by lots of mucus in the vagina, the vaginal walls expand or thicken, increased sensitivity of the clitoris, tightening of the nipples and breast size increase.  In men it is characterized by tension or erection of the penis and thickening or elevation of the scrotum 2. Stability stage  At this stage the woman experiences retraction under the clitoris, there is a lot of mucus from it vagina and labia majora.  Men are characterized by an increase in the size of the glans penis and respiratory muscle pressure. 3. Orgasm stage (Peak)  The peak stage in the sexual cycle in women is marked by irregular contractions Involuntary movement of the uterus, rectal and sphincter, urethra and other muscles, hyperventilation occurs and increased heart rate.  Males are characterized by relaxation of the bladder sphincter, hyperventilation and increased heart rate. 4. Resolution stage (Appeasement)  Final stage in the sexual response cycle.  Women are characterized by gradual relaxation of the vaginal walls, changes in color of the labia majora, breathing, pulse, blood pressure & muscles gradually gradually returned to normal.  Menÿ decreased pulse and respiration and weakness of the penis Factors influencing sexual problems 1. There is no role model. 2. Disorders of body structure and function such as trauma, medication, pregnancy or genital anatomical abnormalities. 3. Lack of knowledge or wrong information about sexuality. 4. Physical abuse. 5. There is psychosexual deviation 6. Conflict over values 7. Loss of a partner due to separation or death Nursing problems in sexuality  Nursing problems that occur in sexual needs are sexual patterns and changes in sexual dysfunction.  Sexual healthÿ integrity of the somatic, emotional, intellectual and social aspects of sexual existence that can improve feelings of love, communication & personality  Sexual pattern ÿ a condition an individual experiences or is at risk of experiencing changes in sexual health  Sexual dysfunctionÿ a condition that a person experiences or is at risk of experiencing negative changes in sexual function, which are seen as valuable points and which are not adequate sexual function. Nursing Assessment  Assessment includes nursing history, physical examination and psychosocial assessment.  Nursing historyÿ history of diseases related to sexual problems such as Chronic diabetes, trauma to the genital organs, inflammation, disease of the genital organs (HIV aids, shipilis), spinal trauma  History of surgery such as leg amputation, mastectomy, hysterectomy (removal of the uterus), vaginal excision, orchidectomy (removal of testicles).  Womenÿ menstrual conditions, whether there are sexual problems such as rape trauma, background culture or beliefs in relationships, attitudes adopted in life as well sexual views Nursing diagnoses  Changes in sexual dysfunction and sexual patterns related to stress  Effects of acute or chronic disease  Change or loss of body parts.  Postpartum changes  Feelings of fear of pregnancy.  Sexually transmitted diseases  Neurological changes such as impotence.  Negative view of body changes (mastectomy)  Lack of knowledge about diseases caused by sexual intercourse.  Fear of the baby being deformed due to coitus  Excessive use of alcohol  Feelings of guilt  Traumatic experience  Fear of being unable to satisfy your partner  Pain due to insufficient vaginal discharge Objective  The patient is able to maintain or help the individual to achieve integrity sexual.  develop self-awareness of attitudes, beliefs and knowledge about sexual,  understand various accurate sexual information and education  Able to identify sexual problems  improves the patient's body image and self-esteem Intervention 1. Provide education and counseling about sexual needs and problems 2. Prevent social isolation 3. Reduces sexual urge 4. Improve the patient's self-image and self-esteem