难忘的亲密关系：应对痴呆症与性健康.pdf

1、Intimacy Unforgotten:Navigating Dementia and Sexual Well-beingKaylie Caswell,WHNP-BC,CSCI have no disclosuresLearning Objectives1.Participants will be able to identify physiologic changes that may affect sexual function and health.2.Participants will be able to identify how dementia can affect sexua

2、l health within the couple unit.3.Participants will be able to identify two activities for sexual connection.Who am I4Womens Health NP with SIU OB/Gyn for 10 yearsUniversity of Michigan -Sexuality Counseling and Education Tracts March 2018 March 2019AASECT Certified Sexuality Counselor September 202

3、0ISSWSH Fellow March 2022Offer a Sexual Pain&Vulvar Clinic and Sexuality Counseling Clinic at the Pelvic Wellness Center What is normal?Parts&FunctionSexual response is different,not worse.What are normal body changes?Female:Menopause:Estrogen production slows then stops,Testosterone levels decrease

4、The vagina can shorten and narrowDecreased blood flow and clitoral engorgementThe vaginal walls can become thinner and do not stretch very well.During arousal,slower lubrication and swellingDuring orgasm,strength of vaginal contractions decrease due to decreased strength of the pelvic floor musclesT

5、he NAMS 2020 GSM Position Statement Editorial Panel(2020).The 2020 genitourinary syndrome of menopause position statement of The North American Menopause Society.Menopause(New York,N.Y.),27(9),976992.https:/doi.org/10.1097/GME.0000000000001609Male:Testosterone levels declineAn erection is not as fir

6、m or as large as it once was(blood flow and smooth muscle relax)Increased tactile stimulation is needed for sexual arousalTakes longer to get an erectionNeed for direct stimulation of the penis to maintain an erectionMay take longer to ejaculate,ejaculation less forceful,decreased ejaculate volume E