Mary Eleanor N.

Usis, MSN, RN
UNIVERSITY OF PERPETUAL HELP SYSTEM-DALTA Molino
College of Nursing
Development
• Reproductive
• Intrauterine
• Puberty/Pubertal

* Androgen
* Estrogen
 Secondary Sex Characteristics
(Girls)
• Growth spurt
• Increase in transverse diameter of the
pelvis
• Breast development
• Growth of pubic hair
• Onset of menstruation
• Growth of axillary hair
• Vaginal secretion
 Secondary Sex Characteristics
(Boys)
• Increase in weight
• Growth of testes
• Growth of face, axillary, and pubic hair
• Voice changes
• Penile growth
• Increase in Height
• Spermatogenesis
 Anatomy and Physiology of the
Reproductive System
• Male (External Structure)
 Anatomy and Physiology of the
Reproductive System
• Male (Internal Structure)
 Anatomy and Physiology of the
Reproductive System
• Female (External Structure)
 Anatomy and Physiology of the
Reproductive System
• Female (Internal Structure)
Male and Female sex organ
counterpart
Breast
 Pelvis
• A bony ring formed
by 4 united bones
> 2 innominate
(flaring hip)
> coccyx and
sacrum
Menstruation
Name of phase Average start day Average end day
assuming a 28-day
cycle

menstrual phase 1 4
(menstruation)

proliferative phase 5 13
(some sources
include
menstruation in this
phase)

ischemic phase 27 28
follicular phase 1 13
ovulatory phase 13 16
(ovulation)

luteal phase (also 16 28

known as secretory
phase)
 SEXUAL IDENTITY
Sexuality = includes feelings, attitude
and actions.

A. Biological Sex/Gender
B. Gender Identity/Sexual Identity
C. Gender Role
 Gender Role Orientation
INFANCY (0-1yrs old)
– Female and male babies are treated
differently by parents.

PRESCHOOL PERIOD
(3-6yrs old)
– Can distinguish between male and
females as early as age 2 years.
– Cultural expectations is absorbed.
– Sex role modeling
SCHOOL-AGE CHILD
(6-12yrs old)
– Starting to form a strong
impression of what a female or
male role should be.
– Immitation of adult roles as a way
of learning gender roles.
ADOLESCENT (12-
18yrs old)
– Establishing sense of identity
– Problem of final gender role
identification
– Peer group is very strong force
YOUNG ADULT (20-45 yrs
old)
* Choose the way they
will express their
sexuality along with
other life partner.

MIDDLE-AGE ADULT (45-

65yrs old)
– Midlife
– Sexuality has achieved a degree of stability
– Masculinity and femininity and comfortable
pattern of behavior have been established.

OLDER ADULT (65yrs old)

– Active sexual function of both male and
female is changing.
OLDER ADULT (65yrs old)
Active sexual function of both male and female is
changing.
The individual who
is physically
challenged

– Individuals who are physically challenged

have sexual desires and needs the same as
others.

DIFFICULTIES:
– Males with upper spinal cord injury
– Woman with spinal cord injury
– Colostomy
– People with chronic pain
– Individuals with urinary catheter
 Sexual response is unique to each
individual but sexual physiology has
common features.
 TYPES
(Sexual Response Cycle)
This is an area thought to be located
on the anterior vaginal wall about
two inches into the vagina. It is said
to be small and soft, becoming
larger and more apparent when
stimulated. Stimulation creates a
passing feeling of the need to
urinate, after which sexual pleasure
predominates.
1. Heterosexuality
• Sexual fulfillment with a member of the opposite
gender.
2. Homosexuality
• Sexual fulfillment with a member of his or her own
sex, termed as “gay” for men and “lesbian” for
woman.
3. Bisexuality
• Achieving sexual satisfaction from both
homosexual and heterosexual relationship.
• High risk for HIV and STI
4. Transsexuality
• Individual who feels as if he or she should be of the
opposite gender by cosmetic or sex change.
 Sexual Expression
1. Celibacy
• An abstinence from sexual activity
2. Masturbation
• A self-stimulation for erotic pleasure
• A mutually enjoyable activity for sexual
partners
3. Erotic Stimulation
• Use of visual materials
4. Fetishism
• A sexual arousal by the use of certain objects
or situation
5. Transvestism
• An individual who dresses to take on the role
of the opposite sex.
• It could be heterosexual, homosexual, or
bisexual.
6. Voyeurism
• Sexual arousal by looking at another’s
body.
7. Sadomasochism
• It involves inflicting pain (sadism) or
receiving pain (masochism) to achieve
sexual satisfaction.
8. Other type of Sexual Expression
1. Exhibitionism
2. Obscene phone calling
3. Pedophilia
4. Bestiality
 Primary sexual dysfunction
1.Erectile dysfunction (ED)

Impotence
inability to produce or maintain an
erection long enough for vaginal
penetration or partner satisfaction.

Drug of choice:
Sildenafil ( Viagra )
Prostaglandin Inj. (Alprostadil)
Testosterone Inj.
2. Premature Ejaculation
ejaculation before penile-vaginal contact
Drug of choice:
Serotonergic antidepressant
Counselling

3. Failure to achieve Orgasm or

decreased Sexual desire
treatment:
Counselling
perimenopause stage- administration of
estrogen and androgen
4. Vaginismus
involuntary contraction of the muscles at the
outlet of vagina when coitus is attempted.

5. Dyspareunia/ Vestibulitis
pain during coitus / can occur due to
endometriosis, vaginal infection, hormonal
changes (menopause).
Psychological
Treatment: aimed in the underlying cause
Dyspareunia
6. Inhibited sexual desire
lack of desire for sexual relations.
Treatment:
counselling
support of a caring sexual partner
relief of the tension causing the stress.
 Secondary
sexual
dysfunction
Factors:
chronic disease (peptic ulcers, COPD)
obesity
STD diseases

Intervention:
Encouraging open communication between
sexual partners.
Teenage sex, premarital sex, sexual
harassment, same sex marriage and
homosexuality.

“In any action you are about to make, there is a

corresponding obligation you will face. So, it is
better to think first before you do such action.”
 AGAIN, THESE
DISCUSSIONS ARE NOT
FOR YOU TO EXPERIENCE /
TRY IT…
GOD BLESS

THE END