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Procreation: c. Gender-role Behavior –

 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
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
- Before Puberty: “different”, not
2. Story of Creation From the Book of
interested in the opposite sex
- 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
4. Transexual
 Psychological – responses
 Socio-cultural – rules of behavior,
Sex Change Surgery
social norms
>Male to Female – doesn’t experience
orgasm; not capable of
reproduction; not capable of
chromosomal structure
 Gender
 Coitus
Sexual Health
> 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,
communication and love.
b. Psychosocial Focus –
adult role models

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
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

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 –
- Reports of Discharges, pains,
presence of lumps, change in color,
size and shape of genital organ,
erectile dysfunction, failure to reach
- Changes in Urinary Function
- Birth Control/ Medications Taken
- Sexual Practices

Positive Nursing Diagnosis:

1. Altered Sexuality Patterns