DOCSLIB.ORG

Assessing Sexual Desire

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Assessing Sexual Desire HANDBOOK OF SEXUAL and GENDER IDENTITY Disorders HANDBOOK OF SEXUAL and GENDER IDENTITY Disorders Edited by DAVID L. ROWLAND LUCA INCROCCI John Wiley & Sons, Inc. This book is printed on acid-free paper. ➇ Copyright © 2008 by John Wiley & Sons, Inc. All rights reserved. Published by John Wiley & Sons, Inc., Hoboken, New Jersey. Published simultaneously in Canada. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, scanning, or otherwise, except as permitted under Section 107 or 108 of the 1976 United States Copyright Act, without either the prior written permission of the Publisher, or authorization through payment of the appropriate per-copy fee to the Copyright Clearance Center, Inc., 222 Rosewood Drive, Danvers, MA 01923, (978) 750-8400, fax (978) 646-8600, or on the web at www.copyright.com. Requests to the Publisher for permission should be addressed to the Permissions Department, John Wiley & Sons, Inc., 111 River Street, Hoboken, NJ 07030, (201) 748-6011, fax (201) 748-6008, or online at http://www.wiley.com/go/permissions. Limit of Liability/Disclaimer of Warranty: While the publisher and author have used their best efforts in preparing this book, they make no representations or warranties with respect to the accuracy or completeness of the contents of this book and specifically disclaim any implied warranties of merchantability or fitness for a particular purpose. No warranty may be created or extended by sales representatives or written sales materials. The advice and strategies contained herein may not be suitable for your situation. You should consult with a professional where appropriate. Neither the publisher nor author shall be liable for any loss of profit or any other commercial damages, including but not limited to special, incidental, consequential, or other damages. This publication is designed to provide accurate and authoritative information in regard to the subject matter covered. It is sold with the understanding that the publisher is not engaged in rendering professional services. If legal, accounting, medical, psychological or any other expert assistance is required, the services of a competent professional person should be sought. Designations used by companies to distinguish their products are often claimed as trademarks. In all instances where John Wiley & Sons, Inc. is aware of a claim, the product names appear in initial capital or all capital letters. Readers, however, should contact the appropriate companies for more complete information regarding trademarks and registration. For general information on our other products and services please contact our Customer Care Department within the United States at (800) 762-2974, outside the United States at (317) 572-3993 or fax (317) 572-4002. Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not be available in electronic books. For more information about Wiley products, visit our web site at www.wiley.com. Library of Congress Cataloging-in-Publication Data: Handbook of sexual and gender identity disorders : edited by David L. Rowland, Luca Incrocci. p. ; cm. Includes bibliographical references and index. ISBN 978-0-471-76738-1 (cloth : alk. paper) 1. Psychosexual disorders—Handbooks, manuals, etc. 2. Rowland, David (David L.) II. Incrocci, Luca. [DNLM: 1. Sexual and Gender Disorders—diagnosis. 2. Sexual and Gender Disorders—physiopathology. 3. Sexual and Gender Disorders—therapy. WM 611 H2361 2008] RC556.H356 2008 616.85′83—dc22 2007034474 Printed in the United States of America. 10987654321 To my ever-curious and always surprising daughter Clare, and to the friends, family, and colleagues who have supported and mentored me over the years. D. L. R. To my wife Nicole and my children Jonathan and Carlotta for their patience and support. L. I. CONTENTS Preface xvii Acknowledgments xix Contributors xxi PART I Sexual Dysfunctions 1 Chapter 1 Disorders of Male Sexual Desire 5 Geoffrey Ian Hackett Characterizing Sexual Desire and Its Components 6 Epidemiology 8 Physiology of Desire and Drive Disorders in Men 10 Clinical Evaluation of Desire Disorders 18 Management of Hypoactive Sexual Desire Disorder 20 Ethical Concerns 27 Summary and Conclusions 27 References 28 Chapter 2 Male Sexual Arousal Disorder 32 Ronald W. Lewis, Jiuhong Yuan, and Run Wang Definition of Erectile Dysfunction 33 Anatomy of the Penis 34 Physiology 38 Pathophysiology, Risk Factors, and Clinical Correlates of Erectile Dysfunction 41 Evaluation of the Patient with Erectile Dysfunction 50 Management Paradigms for Erectile Dysfunction 57 Summary and Conclusions 62 References 63 vii viii Contents Chapter 3 Premature Ejaculation 68 David L. Rowland and Chris G. McMahon Ejaculatory Response 69 Nomenclature, Definition, and Prevalence 71 Etiology of Premature Ejaculation 76 Assessment of Premature Ejaculation 82 Treatment of Premature Ejaculation 87 Summary and Conclusions 94 References 95 Chapter 4 Retarded and Inhibited Ejaculation 100 Michael A. Perelman and David L. Rowland Definition and Descriptive Characteristics 101 Prevalence 103 Etiology 104 Organogenic 105 Evaluation 110 Treatment 113 Summary and Conclusions 118 References 119 Chapter 5 Androgens and Endocrine Function in Aging Men: Effects on Sexual and General Health 122 Louis Gooren Sexuality and Aging in Men: An Introduction 122 Physiological Aspects of Male Aging 123 Correlations between Androgen and Symptoms of Male Aging 128 Impact of Androgens on Sexual Functioning with Age 131 Diagnosis: General Issues 133 Diagnosis of Late Onset Hypogonadism 138 Treatment of Late Onset Hypogonadism 140 Contents ix Integrated Treatment for Sexual Problems in Aging Men 148 Summary and Conclusions 148 References 149 Chapter 6 Problems with Sexual Interest and Desire in Women 154 Jacques van Lankveld Definitions and Classifications 155 Physiological Aspects of Female Sexual Arousal 158 Epidemiology and Risk Factors 163 Assessment and Measurements 169 Treatment 174 Summary and Conclusions 181 References 182 Chapter 7 Problems with Arousal and Orgasm in Women 188 Cindy M. Meston, Brooke N. Seal, and Lisa Dawn Hamilton Definitions and Epidemiology 188 Etiologic Factors 192 Psychological Factors, Sexual Arousal, and Orgasm 199 Assessment 203 Treatment 207 Summary and Conclusions 211 References 213 Chapter 8 Female Genital Pain and Its Treatment 220 Melissa A. Farmer, Tuuli Kukkonen, and Yitzchak M. Binik Definitions 222 Course, Development, and Prevalence of Pain 225 Risk Factors 226 x Contents Assessment 229 Treatment 238 Therapeutic Mechanisms and Strategies 243 Summary and Conclusions 245 References 246 Chapter 9 Menopause, Aging, and Sexual Response in Women 251 Lori A. Brotto and Mijal Luria What Is Menopause? 252 Hormonal Alterations with Menopause and Their Effects 254 Menopause and Sexuality 258 Age and Sexuality 262 Effects of Age versus Effects of Menopause 263 Physiological Aspects of Sexual Response in Menopausal Women 264 Mood Changes with Menopause 265 Cultural Aspects of Menopause and Sexuality 266 Classification, Diagnosis, and Treatment 267 Future Directions 277 Summary and Conclusions 278 References 279 Chapter 10 Disease and Sexuality 284 Luca Incrocci and Woet L. Gianotten Cancer and Sexual Function 284 Prostate Cancer 285 Hematological Cancer 291 Penile Cancer 293 Bladder Cancer 293 Rectal Cancer 294 Testicular Cancer 296 Gynecological Cancer 298 Breast Cancer 299 Broader Issues Surrounding Cancer and Sexuality 300 Contents xi Chronic Disease 303 Spinal Cord Injury 305 Spina Bifida 308 Stroke-Cerebrovascular Accident 309 Traumatic Brain Injury 311 Cerebral Palsy 312 Multiple Sclerosis 314 Parkinsons Disease 315 Diabetes Mellitus 316 Summary and Conclusions 318 Appendix I: Cancer and Noncancer Related Factors Influencing Sexual Function 319 Appendix II: Cancer Treatment and Its Effects on Sexual Functioning 320 References 321 PART II Gender Identity Disorders 325 Part Editor: Kenneth J. Zucker Chapter 11 Genetics of Sexual Development and Differentiation 329 Eric J. N. Vilain Defining Sex Determination 332 Genes of Sexual Differentiation 343 On the Topic of Genetics and Sex: Sexual Orientation 347 Summary and Conclusions 348 References 349 Chapter 12 Disorders of Sex Development and Atypical Sex Differentiation 354 Vickie Pasterski Typical Sexual Differentiation 355 Behavioral Effects of Gonadal Steroids 358 xii Contents Disorders of Sex Development 360 Clinical Management of Disorders of Sex Development 370 Summary and Conclusions 371 References 372 Chapter 13 Gender Identity Disorder in Children and Adolescents 376 Kenneth J. Zucker and Peggy T. Cohen-Kettenis Terminology 377 Children with Gender Identity Disorder 380 Diagnosis and Assessment 382 Associated Psychopathology 386 Developmental Trajectories 389 Therapeutics 393 Adolescents with Gender Identity Disorder 401 Diagnosis and Assessment 402 Associated Psychopathology 407 Developmental Trajectories 408 Treatment 409 Legal Issues 417 References 418 Chapter 14 Gender Identity Disorders in Adults: Diagnosis and Treatment 423 Anne A. Lawrence History 423 Terminology 424 Diagnostic Criteria 426 Transsexual Typology 429 Epidemiology 433 Clinical Presentation and Course 434 Associated Features 437 Diagnosis and Assessment of Gender Identity Disorders 439 Contents xiii Treatment 442 Results of Sex Reassignment 449 Treatment of Families of Persons with Gender Identity Disorders 450 Summary and Conclusions
Load more

Recommended publications
  • Grade 5 the Journey of an Egg
    Grade 5 The Journey of an Egg Learner Outcomes W-5.3 Identify the basic components of the human reproductive system, and describe the basic functions of the various components; e.g. fertilization, conception How To Use This lesson plan contains several activities to achieve the learner outcome above. You may choose to do some or all of the activities, based on the needs of your students and the time available. Some of the activities build on the ones that come before them, but all can be used alone. For a quick lesson, combine activities A, C, D and G. Classroom Activities & Timing A. Ground Rules (5-10 minutes) See also the B. Anatomy Vocabulary Matching Game (15-20 minutes) Differing Abilities C. Anatomy Diagrams (15-20 minutes) lesson plans on Puberty and D. The Egg’s Journey (20-30 minutes) Reproduction. E. Class Discussion (5-15 minutes) F. Eggs and Ovaries Kahoot! Quiz (15-20 minutes) G. Question Box (5-10 minutes) Required Materials POSTERS: Anatomy Definitions CARDS: Anatomy Vocabulary HANDOUT and ANSWER KEY: Reproductive System Diagrams HANDOUT: The Menstrual Cycle ©2020 2 Grade 5 The Journey of an Egg HANDOUT: The Egg’s Journey KAHOOT! QUIZ and ANSWER KEY: Eggs and Ovaries All the student handouts are also available in the Grade 5 Workbook. All the diagrams are also available as slides in Grade 5 Diagrams. Background Information for Teachers Inclusive Language Language is complex, evolving and powerful. In these lessons, inclusive language is used to be inclusive of all students, including those with diverse gender identities, gender expressions and sexual orientations.
    [Show full text]
  • Women's Menstrual Cycles
    1 Women’s Menstrual Cycles About once each month during her reproductive years, a woman has a few days when a bloody fluid leaves her womb and passes through her vagina and out of her body. This normal monthly bleeding is called menstruation, or a menstrual period. Because the same pattern happens each month, it is called the menstrual cycle. Most women bleed every 28 days. But some bleed as often as every 20 days or as seldom as every 45 days. Uterus (womb) A woman’s ovaries release an egg once a month. If it is Ovary fertilized she may become pregnant. If not, her monthly bleeding will happen. Vagina Menstruation is a normal part of women’s lives. Knowing how the menstrual cycle affects the body and the ways menstruation changes over a woman’s lifetime can let you know when you are pregnant, and help you detect and prevent health problems. Also, many family planning methods work best when women and men know more about the menstrual cycle (see Family Planning). 17 December 2015 NEW WHERE THERE IS NO DOCTOR: ADVANCE CHAPTERS 2 CHAPTER 24: WOMEN’S MENSTRUAL CYCLES Hormones and the menstrual cycle In women, the hormones estrogen and progesterone are produced mostly in the ovaries, and the amount of each one changes throughout the monthly cycle. During the first half of the cycle, the ovaries make mostly estrogen, which causes the lining of the womb to thicken with blood and tissue. The body makes the lining so a baby would have a soft nest to grow in if the woman became pregnant that month.
    [Show full text]
  • Variability in the Length of Menstrual Cycles Within and Between Women - a Review of the Evidence Key Points
    Variability in the Length of Menstrual Cycles Within and Between Women - A Review of the Evidence Key Points • Mean cycle length ranges from 27.3 to 30.1 days between ages 20 and 40 years, follicular phase length is 13-15 days, and luteal phase length is less variable and averages 13-14 days1-3 • Menstrual cycle lengths vary most widely just after menarche and just before menopause primarily as cycles are anovulatory 1 • Mean length of follicular phase declines with age3,11 while luteal phase remains constant to menopause8 • The variability in menstrual cycle length is attributable to follicular phase length1,11 Introduction Follicular and luteal phase lengths Menstrual cycles are the re-occurring physiological – variability of menstrual cycle changes that happen in women of reproductive age. Menstrual cycles are counted from the first day of attributable to follicular phase menstrual flow and last until the day before the next onset of menses. It is generally assumed that the menstrual cycle lasts for 28 days, and this assumption Key Points is typically applied when dating pregnancy. However, there is variability between and within women with regard to the length of the menstrual cycle throughout • Follicular phase length averages 1,11,12 life. A woman who experiences variations of less than 8 13-15 days days between her longest and shortest cycle is considered normal. Irregular cycles are generally • Luteal phase length averages defined as having 8 to 20 days variation in length of 13-14 days1-3 cycle, whereas over 21 days variation in total cycle length is considered very irregular.
    [Show full text]
  • Trends and Patterns in Menarche in the United States: 1995 Through 2013–2017 by Gladys M
    National Health Statistics Reports Number 146 September 10, 2020 Trends and Patterns in Menarche in the United States: 1995 through 2013–2017 By Gladys M. Martinez, Ph.D. Abstract older, have older friends, and be more likely to engage in negative behaviors Objective—This report presents national estimates of age at first menstrual period such as missing school, smoking, and for women aged 15–44 in the United States in 2013–2017 based on data from the drinking (8–11). The younger the age at National Survey of Family Growth (NSFG). Estimates for 2013–2017 are compared first menstrual period and first sexual with those from previous NSFG survey periods (1995, 2002, and 2006–2010). intercourse, the longer the interval Methods—Data for all survey periods analyzed are based on in-person interviews young women will potentially spend at with nationally representative samples of women in the household population aged risk of pregnancy. Differences in age at 15–44 in the United States. For the 2013–2017 survey period, interviews were menarche across population subgroups conducted with 10,590 female respondents aged 15–44. In 2015–2017, the age range may help explain differences in timing of the NSFG included women aged 15–49, but only those aged 15–44 were included of first sexual intercourse and timing of in this analysis. The response rate for the 2013–2017 NSFG was 67.4% for women. first births. The relationship between age Measures of menarche in this report include average age at first menstrual period, at menarche and the timing of first sexual probability of first menstrual period at each age, and the relationship between age at intercourse in the United States has menarche and age at first sexual intercourse.
    [Show full text]
  • Alcohol Intake Between Menarche and First Pregnancy: a Prospective Study of Breast Cancer Risk Ying Liu, Graham A
    DOI:10.1093/jnci/djt213JNCI Journal of the National Cancer Institute Advance Access© The Authorpublished 2013. Published August by Oxford 28, University 2013 Press. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. ARTICLE For commercial re-use, please contact [email protected]. Alcohol Intake Between Menarche and First Pregnancy: A Prospective Study of Breast Cancer Risk Ying Liu, Graham A. Colditz, Bernard Rosner, Catherine S. Berkey, Laura C. Collins, Stuart J. Schnitt, James L. Connolly, Wendy Y. Chen, Walter C. Willett, Rulla M. Tamimi Manuscript received March 13, 2013; revised July 2, 2013; accepted July 2, 2013. Correspondence to: Graham A. Colditz, MD, DrPH, Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, 660 S Euclid Ave, Campus Box 8100, St Louis, MO 63110 (e-mail: [email protected]). Background Adult alcohol consumption during the previous year is related to breast cancer risk. Breast tissue is particularly susceptible to carcinogens between menarche and first full-term pregnancy. No study has characterized the con- Downloaded from tribution of alcohol consumption during this interval to risks of proliferative benign breast disease (BBD) and breast cancer. Methods We used data from 91 005 parous women in the Nurses’ Health Study II who had no cancer history, completed questions on early alcohol consumption in 1989, and were followed through June 30, 2009, to analyze breast cancer risk.
    [Show full text]
  • Changes Before the Change1.06 MB
    Changes before the Change Perimenopausal bleeding Although some women may abruptly stop having periods leading up to the menopause, many will notice changes in patterns and irregular bleeding. Whilst this can be a natural phase in your life, it may be important to see your healthcare professional to rule out other health conditions if other worrying symptoms occur. For further information visit www.imsociety.org International Menopause Society, PO Box 751, Cornwall TR2 4WD Tel: +44 01726 884 221 Email: [email protected] Changes before the Change Perimenopausal bleeding What is menopause? Strictly defined, menopause is the last menstrual period. It defines the end of a woman’s reproductive years as her ovaries run out of eggs. Now the cells in the ovary are producing less and less hormones and menstruation eventually stops. What is perimenopause? On average, the perimenopause can last one to four years. It is the period of time preceding and just after the menopause itself. In industrialized countries, the median age of onset of the perimenopause is 47.5 years. However, this is highly variable. It is important to note that menopause itself occurs on average at age 51 and can occur between ages 45 to 55. Actually the time to one’s last menstrual period is defined as the perimenopausal transition. Often the transition can even last longer, five to seven years. What hormonal changes occur during the perimenopause? When a woman cycles, she produces two major hormones, Estrogen and Progesterone. Both of these hormones come from the cells surrounding the eggs. Estrogen is needed for the uterine lining to grow and Progesterone is produced when the egg is released at ovulation.
    [Show full text]
  • Link Between Body Fat and the Timing of Puberty
    SUPPLEMENT ARTICLE Link Between Body Fat and the Timing of Puberty Paul B. Kaplowitz, MD, PhD Department of Endocrinology, Children’s National Medical Center, Washington, DC The author has indicated he has no financial relationships relevant to this article to disclose. ABSTRACT Several recent studies suggest that the timing of the onset of puberty in girls has become earlier over the past 30 years, and there is strong evidence that the increasing rates of obesity in children over the same time period is a major factor. This article www.pediatrics.org/cgi/doi/10.1542/ reviews studies from the United States that examined the age of menarche and the peds.2007-1813F age of onset of breast development and pubic hair as a function of body mass index, doi:10.1542/peds.2007-1813F which is a good surrogate measure of body fat. These studies are nearly all cross- Key Words obesity, BMI, menarche, early puberty, sectional, so many questions remain unanswered. However, at least several studies leptin show that girls who have relatively higher body mass index are more likely to have Abbreviations earlier menses, as well as a relationship between body mass index and other mea- NHANES—National Health and Nutrition sures of pubertal onset. The evidence published to date suggests that obesity may be Examination Survey causally related to earlier puberty in girls rather than that earlier puberty causes an DEXA—dual-energy radiograph absorptiometry increase in body fat. In contrast, few studies have found a link between body fat and PROS—Pediatric Research in Office earlier puberty in boys.
    [Show full text]
  • Pdf/5050 Wave 3 Technical Report.Pdf
    Maturitas 122 (2019) 66–72 Contents lists available at ScienceDirect Maturitas journal homepage: www.elsevier.com/locate/maturitas Childhood experiences of parenting and age at menarche, age at menopause T and duration of reproductive lifespan: Evidence from the English Longitudinal Study of Ageing ⁎ Panayotes Demakakosa, , Nora Pashayanb, Georgios Chrousosc, Eleni Linara-Demakakoud, Gita D. Mishrae a Department of Epidemiology and Public Health, University College London, London, United Kingdom b Department of Applied Health Research, University College London, London, United Kingdom c First Department of Pediatrics, National and Kapodistrian University of Athens Medical School, Aghia Sophia Children’s Hospital, Athens, Greece d The London Women’s Clinic, London, United Kingdom e School of Public Health, The University of Queensland, Brisbane, Australia ARTICLE INFO ABSTRACT Keywords: Objectives: The parent-child relationship is critical for human development, yet little is known about its asso- Ageing ciation with offsprings’ reproductive health outside the context of abuse and neglect. We investigated whether Childhood childhood experiences of poor-quality parenting (characterized as decreased parental care and increased par- Cohort ental overprotection) are associated with women’s reproductive timing and lifespan. Life course Study design: Observational study of 2383 women aged 55–89 years in 2007 from the English Longitudinal Study Menarche of Ageing (ELSA). Multinomial logistic regression models were estimated. Menopause Parental overprotection Main outcome measures: Self-reported ages at menarche and menopause and duration of reproductive lifespan. Parental care Results: Increasing maternal and paternal overprotection were associated with later menarche (≥16 years) after Parenting adjustment for age and childhood socioeconomic position (relative risk ratio (RRR) 1.11, 95% CI 1.02–1.21 and Reproductive lifespan 1.11, 95% CI 1.01–1.21, respectively, per unit increase in the predictor).
    [Show full text]
  • Reproductive Cycles in Females
    MOJ Women’s Health Review Article Open Access Reproductive cycles in females Abstract Volume 2 Issue 2 - 2016 The reproductive system in females consists of the ovaries, uterine tubes, uterus, Heshmat SW Haroun vagina and external genitalia. Periodic changes occur, nearly every one month, in Faculty of Medicine, Cairo University, Egypt the ovary and uterus of a fertile female. The ovarian cycle consists of three phases: follicular (preovulatory) phase, ovulation, and luteal (postovulatory) phase, whereas Correspondence: Heshmat SW Haroun, Professor of the uterine cycle is divided into menstruation, proliferative (postmenstrual) phase Anatomy and Embryology, Faculty of Medicine, Cairo University, and secretory (premenstrual) phase. The secretory phase of the endometrium shows Egypt, Email [email protected] thick columnar epithelium, corkscrew endometrial glands and long spiral arteries; it is under the influence of progesterone secreted by the corpus luteum in the ovary, and is Received: June 30, 2016 | Published: July 21, 2016 an indicator that ovulation has occurred. Keywords: ovarian cycle, ovulation, menstrual cycle, menstruation, endometrial secretory phase Introduction lining and it contains the uterine glands. The myometrium is formed of many smooth muscle fibres arranged in different directions. The The fertile period of a female extends from the age of puberty perimetrium is the peritoneal covering of the uterus. (11-14years) to the age of menopause (40-45years). A fertile female exhibits two periodic cycles: the ovarian cycle, which occurs in The vagina the cortex of the ovary and the menstrual cycle that happens in the It is the birth and copulatory canal. Its anterior wall measures endometrium of the uterus.
    [Show full text]
  • Review Article Physiologic Course of Female Reproductive Function: a Molecular Look Into the Prologue of Life
    Hindawi Publishing Corporation Journal of Pregnancy Volume 2015, Article ID 715735, 21 pages http://dx.doi.org/10.1155/2015/715735 Review Article Physiologic Course of Female Reproductive Function: A Molecular Look into the Prologue of Life Joselyn Rojas, Mervin Chávez-Castillo, Luis Carlos Olivar, María Calvo, José Mejías, Milagros Rojas, Jessenia Morillo, and Valmore Bermúdez Endocrine-Metabolic Research Center, “Dr. Felix´ Gomez”,´ Faculty of Medicine, University of Zulia, Maracaibo 4004, Zulia, Venezuela Correspondence should be addressed to Joselyn Rojas; [email protected] Received 6 September 2015; Accepted 29 October 2015 Academic Editor: Sam Mesiano Copyright © 2015 Joselyn Rojas et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The genetic, endocrine, and metabolic mechanisms underlying female reproduction are numerous and sophisticated, displaying complex functional evolution throughout a woman’s lifetime. This vital course may be systematized in three subsequent stages: prenatal development of ovaries and germ cells up until in utero arrest of follicular growth and the ensuing interim suspension of gonadal function; onset of reproductive maturity through puberty, with reinitiation of both gonadal and adrenal activity; and adult functionality of the ovarian cycle which permits ovulation, a key event in female fertility, and dictates concurrent modifications in the endometrium and other ovarian hormone-sensitive tissues. Indeed, the ultimate goal of this physiologic progression is to achieve ovulation and offer an adequate environment for the installation of gestation, the consummation of female fertility. Strict regulation of these processes is important, as disruptions at any point in this evolution may equate a myriad of endocrine- metabolic disturbances for women and adverse consequences on offspring both during pregnancy and postpartum.
    [Show full text]
  • Menstruation. INSTITUTION Delaware State Dept
    DOCOMIT R250112 ID 096 151 52 Oil 053 AUTHOR Henderson, Paula TITLF Menstruation. INSTITUTION Delaware State Dept. of Public Instruction, Dover.; Del Mod System, Dover, Del. SPONS AGENCY National Science Foundation, Washington, D.C. REPORT NO NSF-Gil6703 PUB DATE 30 Jun 73 NOTE 9p. MIS PRICE MF-$0.75 HC$1.50 PLUS POSTAGE DESCRIPTORS *AutoinstructionAl Programs; Health Education; Human Body; Human Development; Instruction; *Instructional Materials; Physiology; Science Education; *Secondary School Science; Teacher Developed Materials; Units of Study (Subject Fields) IDENTIFIERS *Del Mod System ABSTRACT This autoinstructional program deals with the study of human develpment with emphasis on the female reproductive system. It is considered as part of a secondary school human anatomy and physiology course. Students shoule have a previous knowledge of the parts of the female reproductive organs or system. Behavioral objectives are suggested. The teacher's guide, script, and assessment task (multiple choice quiz) are included in the packet. Approximately 12 minutes is suggested as adequate time for the lesson.(ES) V gi OF 1114Nt401 lit 0L NI Al 414 10q.A11001604104110 NAIIONAt 100ititutt 00 OticAtION 0t 14 4.04 1 c . It. 1 4,1., A. 4 01. 1,144'1 4:.144 .A4i,11 .4 . 14 ' 4.4 '4 01,4` t .4 Nit .1 Au 1 41mil I'll 11 A,A' -4A II, 4.I. MENSTRUAT ION Prepared By Paula Henderson Science Teachert NEWARK SCHOOL DISTRICT June 30, 1973 Panted and diuleminated thulugh the oblice oi the Vet Mod Component Cookdinatok 4o4 the. State Oepatment oti Pubtic lutuctionJohn G. Townsend Voveh, Detdwau 19901 Pkepwation tho wnowtaph suppokted by the Nallona Sitience Foundation aunt No.
    [Show full text]
  • Ovulation-Menstruation-Conception”: Teacher’S Guide
    6th Puberty Session 2 “Ovulation-Menstruation-Conception”: Teacher’s Guide Chatham County Schools follows the NC Essential Standards. The NC Essential Standards outline the skills and knowledge that students should receive each year in school. The below standards represent the Interpersonal Communication and Relationships standards that students have covered by the completion of 6th grade. The knowledge encompassed by each standard builds yearly, so it is vital that students receive instruction aligning with the standards each year. This is session one of a two part lesson for 6th grade focusing on the Interpersonal Communications and Relationships Healthful Living North Carolina (NC) Essential Standards. This session focuses on 6.ICR.3.2, which focuses on understanding conception and menstruation. It is vital that students understand the concepts of puberty and the reproductive system prior to this lesson. Session One provides this foundation. Statement of Objectives By the end of today’s lesson students will be able to: 6.ICR.3: Understand the changes that occur during puberty and adolescence. o 6.ICR.3.2: Summarize the relationship between conception and the menstrual cycle. Time: 90 minutes Materials: Projector Slides (“6th Puberty Presentation_Day 2”) Teacher copy: "6th Grade Puberty Frequently Asked Questions” (separate document) Teacher copy: “6th Grade Puberty Difficult Questions” (teacher copy) (separate document) “Background Content for Facilitating Bowl and Spoon Activity” (pg 6) Items for Bowl and Spoon Activity” (pg
    [Show full text]