Assignment: Public Health And Sexuality

answer one of the discussion questions in well-developed paragraphs. Use citations from reputable sources (for example, our textbook). Grammar and spelling are taken into consideration when grading. Answer this question as if you are writing a mini paper, with a clear introduction, conclusion and supporting evidence. This an academic writing space for you to demonstrate that you have read the weekly chapters, understood the question. This should be 2-3 substantial paragraphs that reflect key ideas from the week. Include citations at the end from journal articles, our book, or other scholastic sources.

Pick Topic 1 or 2 for your discussion:

Topic 1

Describe the major obstacles to gay, lesbian, bisexual, and transgendered (GLBT) people in obtaining adequate health care.
- To help answer this question, be sure to read Chapter 13 from your textbook
- Please be thorough with your response and be sure to back up all information with reputable sources

Topic 2

Recognizing that all individuals are unique, what are some basic “conditions for good sex” developed by Zilbergeld?
- To help answer this question, be sure to read Chapter 14 in your textbook.
- Please be thorough with your response and be sure to back up all information with reputable sources.
Thanks,

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Sexual health – State of physical, emotional, mental and social well-being related to sexuality
Not merely the absence of disease, dysfunction or infirmity
Requires a woman to feel at ease with the sight, feel, and smell of her vulva
Be comfortable with and aware of her breasts
Requires a man to accept his body, including his genitals
Be aware of physical sensations such as lower back pain or a feeling of congestion in his bladder
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Eating Disorders

Behaviors and combinations that include compulsive overeating and compulsive overdieting
Traits
Low self-esteem
Perfectionism
Difficulty dealing with emotions
Unreasonable demands for self-control
Negative perceptions of self in relation to others
Fear of becoming fat
Lacks adequate skills for dealing with stress
Anorexia nervosa – Relentless pursuit of excessive thinness
Copyright 2016 © McGraw-Hill Education. Permission required for reproduction or display

Eating Disorders Assignment: Public Health And Sexuality

Bulimia – Uncontrolled, often secret, overeating (binge eating)
The person tries to counteract by purging—fasting, excessive exercising or dieting, or using laxatives or diuretics
Binge eating disorder – Similar to bulimia except that there is no purging, excessive exercise, or fasting
Treatment strategies – Comprehensive treatment plan that involves:
Medical care and monitoring
Psychosocial intervention
Nutritional counseling
Possible medication
Copyright 2016 © McGraw-Hill Education. Permission required for reproduction or display

Body Image and Its
Impact on Sexuality

Causes behind eating disorders are complex and interrelated
Genetic predisposition
Environmental triggers
Personal experience
Treatment is complex, prolonged, and multifaceted
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Anabolic Steroids:
A Dangerous Means to an End

Anabolic steroids – Synthetic version of the hormone testosterone
Used by bodybuilders and other athletes to enhance their strength and add bulk to their bodies
Adverse effects – Some irreversible
Sterility
Heart attacks
Strokes
Liver damage
Personality changes – The most common being pathological aggressiveness
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Alcohol and Sexuality

Alcohol use and sexuality
Belief that alcohol and sex go together reinforced by popular culture
Disinhibition – Phenomenon of activating behaviors that would normally be suppressed
Alcohol affects the ability of both men and women to become sexually aroused
Alcohol is associated with dangerous consequences such as unwanted sexual intercourse and sexual violence
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Drugs and Sexuality

Other drug use and sexuality
Aphrodisiacs – Substances that purport to increase sexual desire or improve sexual function
Most recreational drugs actually have the opposite effect
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Alcohol, Drugs, and Sexuality

Marijuana
Amyl nitrate – Also known as “poppers”
Cantharides – Referred to as ‘Spanish fly’
LSD and other psychedelic drugs
Cocaine
Ecstasy
Methamphetamine – Referred to as ‘crystal’ Assignment: Public Health And Sexuality
Sextasy – Ecstacy + Viagra
Copyright 2016 © McGraw-Hill Education. Permission required for reproduction or display

Figure 1: Most Commonly Cited Drugs Used by a Sample of 18–39 Year-Olds Who Reported Ever Using a Drug to Improve Sexual Functioning

Sexuality and Disability – Physical Limitations and Changing Expectations

Many people are subject to sexually limiting conditions owing to
Congenital conditions, appearing at birth, such as cerebral palsy and Down syndrome
Spine injuries
Vision and hearing impairment
Chronic illness
Diabetes – Characterized by an excess of sugar in the blood and urine, due to a deficiency of insulin, a protein hormone

Cardiovascular disease

Arthritis

Developmental disabilities
Copyright 2016 © McGraw-Hill Education. Permission required for reproduction or display

The Sexual Rights of
People With Disabilities

Sexual rights of persons with disabilities should be the same as those for persons without disabilities
Sexual expression
Privacy
Be informed about and have access to needed services
Choose one’s marital status
Whether to have or not have children
Make one’s own decisions and develop to one’s full potential
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Sexuality and Cancer

Types of tumors
Benign – Slow growing and remain localized
Malignant – Cancerous
Metastasis – Process by which the disease spreads from one part of the body to another, unrelated part
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Figure 13.3: Percentage of U.S. Women
Developing Breast Cancer Over 10-, 20-, and 30-Year Intervals, by Age

Women and Cancer

Most lumps and bumps are benign conditions
Uterine fibroids
Ovarian cysts
Fibroadenomas of the breast
Factors influencing risk of developing a solid tumor that invades breast tissue:
Age
Genetic makeup
Lifetime exposure to estrogen
Risk is higher when the biological relationship of the affected relative is closer
Copyright 2016 © McGraw-Hill Education. Permission required for reproduction or display

Women and Cancer

No epidemiological data exist indicating that lesbian women are at increased risk for breast cancers
Detection
Mammography screening
Additional tests like magnetic resonance imaging, or MRI
More frequent exams
Early detection an important part of preventive care
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Table 1: Screening Guidelines for the Early Detection of Breast Cancer: American Cancer Society and U.S. Preventative Services Task Force

Women and Cancer – Treatment

Some type of surgery to remove the primary tumorAssignment: Public Health And Sexuality
Finding out whether the cancer has spread to the lymph nodes under the arm
Restoring the breast’s appearance
Relieving symptoms of advanced cancer
Copyright 2016 © McGraw-Hill Education. Permission required for reproduction or display

Figure 2: Types of Surgical
Treatment for Breast Cancer

Common Breast Cancer Surgeries

The removal of only the breast lump and some normal tissue around it

The removal of more of the breast tissue than with a lumpectomy

Removal of the entire breast, but not the lymph nodes from under the arm or muscle tissue from beneath the breast

Removal of the entire breast and some of the lymph nodes under the arm

Removal of the entire breast, lymph nodes, and chest wall muscles under the breast

Lumpectomy
Partial (segmental) Mastectomy
Simple or Total Mastectomy
Modified Radical Mastectomy
Radical Mastectomy
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Women and Cancer

Sexual adjustment after treatment
Woman with breast cancer has worrisome concerns about her sexual identity and attractiveness
She may feel scarred and be fearful of rejection
Breast surgery or radiation does not physically decrease sexual desire in a woman
Breast reconstruction and breast implant surgery
Breast reconstruction of paramount interest to many women
May decrease feeling of pleasure from fondling the breast and nipple
May provide the woman with increased feelings of wholeness and attractiveness
Copyright 2016 © McGraw-Hill Education. Permission required for reproduction or display

Cervical Cancer and
Cervical Dysplasia

Cervical dysplasia – A condition of the cervical epithelium
Considered a precancerous condition
Cervical cancer – More advanced and dangerous malignancy
Invasive cancer of the cervix
Detection – Pap test Assignment: Public Health And Sexuality