24 Jan Women’s Health? Assignment Content: The Case of Michelle For this assignment, read the below case study and answer questions accordingly. Michelle is a 47-year old woman who has not bee
Women's Health
Assignment Content: The Case of Michelle
For this assignment, read the below case study and answer questions accordingly.
Michelle is a 47-year old woman who has not been to see any healthcare provider since the birth of her third child 6 years ago. She is considering making an appointment to discuss medical options for female sexual dysfunction. Based on this information, answerr the following questionns.
Each response is to be at minimum 150 words or more in length. Should you use outside scholarly articles to support your statements, do ensure to cite where you obtain the information from in APA format. Include your references in the Reference Section of this assignment (if necessary).
1: What are some questions her healthcare provider may ask her when she goes for an appointment?
2: Is there anything her healthcare provider could learn about her sexual dysfunction from a physical examm?
3: What are other external factors that could lead to a lack of vaginal lubrication?
4: Could Michelle’s age be a factor? If so, why?
5: Will be appropriate for Michelle's physician to ask her why she hasn't visited a doctor in over 6 years? Why or why not?
List APA formatted References (if necessary):
Supporting Videos:
External Article: Women's sexual health: Talking about your sexual needs
Required Text or E-Book: Alexander, L., LaRosa, J., Bader, H., & Garfield, S., Alexander,W. (2007). New Dimensions in Women’s Health, 7th ed. Sudbury, MA: Jones and Bartlett.ISBN# 978-1284088434
Chapter 4
Sexual Health
Homologous Sex Structures
Figure 4-2: External genital differentiation–male and female.
Definitions Intersex •A person who is born with sex chromosomes, external genitalia or internal reproductive organs not considered “standard” as male or female
Gender expression •The way a person acts to communicate gender within a given culture, such as clothing and interests
Androgyny •Having characteristics of both sexes, but appearing gender neutral
Definitions
Transgender • Umbrella term for anyone whose biological sex is
not aligned with the person’s sense of self or gender identity
Gender dysphoria • Psychological term used to describe a strong and
persistent cross-gender identification
Transitioning • Process in which transgender people work to
change their appearance and societal identity to match their gender identity
Class Discussion
• What are some of the challenges faced by transgender people? As individuals? In school? In social situations? In various public places?
• What are some possible solutions to these challenges?
Sexual Stereotypes: Discussion
• Women are undersexed and men are oversexed. • Women are inexperienced and men are experts. • Women are recipients and men are initiators. • Women are controllers and men are movers. • Women are nurturing and supportive, and men are
strong and unemotional. • Women are sensitive and men are insensitive. • Women are dependent and men are independent. • Women are passive and men are aggressive.
Sexual Orientation
Sexual orientation refers to one’s sexual and romantic attraction to other people, whether the attraction is to members of the opposite sex, the same sex, or both sexes.
• Opposite sex = heterosexual • Same sex = gay, lesbian, homosexual • Both sexes = bisexual
Issues • Homophobia • Profiling • Discrimination in medical care
External Female Sexual Anatomy
Figure 4-3
Internal Female Sexual Anatomy
Figure 4-5
Common Problems Related with Menstruation
• Dysmenorrhea – Painful menstrual flow
• Premenstrual syndrome (PMS) – Group of symptoms linked to menstrual cycle
• Premenstrual dysphoric disorder (PMDD) – Severe form of PMS
• Amenorrhea – Lack of menstrual flow
Physical Health and the Well- Woman Exam
Exam steps • Medical history • General physical examination
– Breast examination and pelvic examination • Pelvic examination
– Phase I = external examination – Phase II = use of speculum; collection of
specimens – Phase III = bimanual examination
Sexual Arousal and Sexual Response
Masters and Johnson: Female Sexual Response Cycle
Four Phases 1. Excitement 2. Plateau 3. Orgasm 4. Resolution
Figure 4-6
Forms of Sexual Expression
• Traditional heterosexual positions • Masturbation • Petting • Oral-genital stimulation (cunnilingus, fellatio) • Anal intercourse • Use of sex toys and accessories
Sexuality Through the Life Span
Childhood • Self-genital
stimulation • Engage in play that
may be viewed as sexual in nature
• Curious about secondary sex characteristics
© David Noble Photography/Alamy Images
Sexuality Through the Life Span
Adolescence • Puberty
– Secondary sex characteristics o Hair growth, breast budding, vaginal walls
thicken, uterus enlarges, vaginal pH increases in acidity
– Menarche o About 2 years after breasts start to develop and by
the age of 15
Sexuality Through the Life Span
Young to middle adulthood • Increasing number of single, sexually active adults • Marriage at later age • Increase in the number of women who never marry • Placing career goals and advanced education
before marriage • Increased divorce rate • Increase in cohabitating adults • Increase in the number of women who no longer
depend on marriage to ensure economic stability
Sexuality Through the Life Span
Older adulthood • Climacteric—physiological changes that occur
during period from female fertility to infertility • Menopause—cessation of menstruation
– Vaginal dryness and thinning, delayed lubrication, hot flashes
• Decline in frequency and intensity of sexual activity
• Quality vs. quantity of sexual expression
Sexual Dysfunction
• Prevalence – About 44% of U.S. women report sexual problems,
with low desire being the most commons sexual problem (38.7%).
• Historically called “frigidity” • Areas of dysfunction
– Sexual desire disorders – Sexual arousal disorders – Orgasmic disorders – Sexual pain disorders
Sex Research
Well-known studies
•Kinsey Report (1948 and 1953) – Factors affecting sexual behavior in males/females
•Masters and Johnson (1966) – Sexual response cycle phases
•Redbook Survey (1977) – Sexual behavior and attitudes of American women
•Hite Report (1976) – Sexual practices of American women
•Blumstein and Schwartz (1983) – Sexual and nonsexual components of relationships
•ABC Primetime Poll (2004) – Found most Americans were monogamous and happy about it
Class Discussion
How do definitions of terms like “virginity” or “premarital” complicate sexual health research?
© Ron Chapple Studios/Dreamstime.com
Types of sexual violence • Sexual assault and rape • Female genital mutilation (FGM) • Forced sterilization
Sexual Violence as a Public Health Problem
Informed Decision Making
• Gynecological checkup • Understanding personal feelings, thoughts
about sexual well-being • Understanding the medical language
associated with sexual health • Understanding responsible sexual behavior • Understanding myth vs. fact • Communication between parents and children • Knowledge of healthcare resources
- PowerPoint Presentation
- Homologous Sex Structures
- Definitions
- Slide 4
- Class Discussion
- Sexual Stereotypes: Discussion
- Sexual Orientation
- External Female Sexual Anatomy
- Internal Female Sexual Anatomy
- Common Problems Related with Menstruation
- Physical Health and the Well-Woman Exam
- Sexual Arousal and Sexual Response
- Forms of Sexual Expression
- Sexuality Through the Life Span
- Slide 15
- Slide 16
- Slide 17
- Sexual Dysfunction
- Sex Research
- Slide 20
- Sexual Violence as a Public Health Problem
- Informed Decision Making
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