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FON
First Year (Second Semester)
Group IV
 Resham Kalwar
 Paras Rathor
 Aleeza Asghar
 Sitara
 Saba
 Dua Gulshir
 Parvati
 Ayesha
 Shina
Assigned by: Madam Musarrat Fatima
11-Feb-2020
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CONCEPT OF SEXUALITY

 Review the Anatomy and physiology of the male and female reproductive
system
 Describe normal sexual pattern
 Relate sexuality to all stages of life cycle
 Identify factors that effect sexual functioning
 Describe common risks and alteration in sexuality
 Understand the nursing process as it relates to sexual functioning
MALE REPRODUCTION SYSTEM 3

1. Testes: It is small, solid, oval bodies which are packed with tightly coiled seminiferous
tubules and this tubules produce sperms.
2. Scrotum: It is provide low temperature to the sperms about (5◦c) and testes through
develop inside the abdomen but come to lie before birth in scrotum.
3. Epididymis: where sperms undergo complete development and become motile.
4. Urethra: It is a tube which comes form the bladder runs through and open at tip of
copulatory organ the penis.
5. Prostate gland: It is produce seminal fluid or simply the semen.
6. (a): This fluid provide the sperms with food and a medium to swim in.
7. (b): It also neutralizes the acidic medium of urethra caused by the passage of urine.
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FEMALE REPRODUCTION SYSTEM
1. Ovaries: The female gonads are a pair of oval, solid structure
the ovaries which are present in lower part of body cavity.
During ovulation one egg is released from the alternate
ovary.
2. Oviduct or Fallopian tube: It is tube through which an ovum
or egg passes from an ovary and fertilization occur inside the
oviduct.
3. Uterus: It is function which develop embryo and fetus.
4. Cervix and Vagina: At the bottom of uterus is a narrow
opening the cervix that leads into a muscular tube called
vagina which is used for the reception of sperms and delivery
of fetus.
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NORMAL SEXUAL PATTERN
There are no normal universal sexual behaviors satisfying or normal sexual
expression can be generally described as what ever behaviors give pleasure
and satisfaction to those adults involved without threat of correction or injury
to yourself or others
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Sexuality To All Stages Of Cycle
1. Birth to 12 years: The ability of the human body to experience a sexual response is
present before birth as evidenced by ultrasound male have erections several months
before birth. The continue experience erection after birth. Around age 9 or 10 the first
physical changes of puberty begin the development of breast buds in girls and growth of
pubic hair. As the adrenal glands mature they produce more testosterone and estradiol
which contributes to the first experience of sexual attraction to another person girls need
to be taught about menstruation (monthly bleedings) and related self care.
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Sexuality To All Stages Of Cycle
2. Adolescence: During early adolescence (12 to 13) primary and secondary sex
characteristics continue to develop necessitating more information about body changes. For
boys the testes and scrotum increase in size the skin over scrotum becomes darker, pubic
hair growth and axillary sweating begins. Development of the genitals to adult size takes
about 5 to 6 years. For girls the pelvis and hips broaden the breast tissue develops, public
hair grows axillary sweating begins vagina secretion become milky and change from an
alkaline to an acid PH.
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Dysmenorrhea

Painful menstruation is prevalent among adolescent females radiating to the

back and upper thighs, nausea, vomiting, diarrhea and headaches may occur
for a few hours. Up to 3 days dysmenorrhea result form powerful uterine
contraction which cause ischemia and in turn cramming pain.
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Factors that effect sexual functioning
Many factors influence a person’s sexuality. As family, culture, religion, personal expectations
and ethics:
1. Family
- Form earliest beginning, children observe thin parent and model themselves after these
role models.
- If parents are able to share affection with one another and other family members ,children
will most likely become adults who one able to give and receive affection.
- It parents seldom hug, hold hands or kiss each other, their children may become adults
who are very uncomfortable with romantic touch.
Some common sexual messages children get form 10

their families:
 Sex is dirty.
 Good girls do not do it.
 Sex should be fun for both women and men.
 Sexual thoughts and feelings are natural.
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Factors that effect sexual functioning
2. Culture
 Sexuality is regulated by the individual culture.
 For example: Culture influences the sexual nature of dress, rule
about marriage, expectation of role behavior and social
responsibilities and specific sex practices.
 Culture is so much a part of every day life that it is taken for granted.
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Factors that effect sexual functioning
3. Religion
- It is influences sexual expression. It provide guidelines for sexual
behavior and acceptable circumstances for the behavior and as well
as prohibited sexual behavior and the sexual rule.
- For example: Some religions view forms of sexual expression other
than male and female intercourse as unmatured and hold virginity
before marriage to be the role.
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Factors that effect sexual functioning
4. Personal expectation and ethics
- Although ethics is integral to religion, ethical thought and ethical
approaches to sexuality can be viewed separately from religion.
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Factors that effect sexual functioning
5. Medication
 Alcohol: moderate amounts: increased sexual functioning; chronic use
decreased sexual desire, orgasmic dysfunction and erectile dysfunction.
 Cocaine: increased intensity of sexual experience; with chronic use,
decreased sexual desire and sexual dysfunction.
 Narcotics: inhibited sexual desire and response.
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Common Risk Factors of Sexuality
Past and Current Factors
 Sociocultural Factors: Upbringing, cultural normal, expectations and religious
influence.
 Psychological Factors: Many include negative feelings such as depression
anxiety, self-image, history of sexual abuse or trauma.
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Common Risk Factors of Sexuality
Past and Current Factors
 Cognitive Factors: It is believed that mental and emotional aspects of sexual
well being. Cognitive perspective concerning the sexual aspect of ‘Self’and
refer to the individual self-perception as a sexual creature.
 Health Factors: It is interfere with people’s expression of sexuality. Physical
change brought on by illness and injury. Throughout your program of nursing
education you will learn about sexual side effect of a number of diseases
such as heart disease, diabetes, joint disease and mental disorder etc.
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Alternation in sexuality
1. Sexual Desire Disorder: For most of the people, sexual desire varies form
day to day as well as over the year. It both individuals in a relationship are
similarly uninterested in sex there really is no problem. The most common
cause of sexual aversion disorder is childhood sexual abuse or adult rape.
2. Sexual Arousal Disorder: In female sexual arousal disorder the lack of
vaginal lubrication causes discomfort or pain during sexual intercourse the
diagnosis of male when erectile disorder is usually made when the man
has erection problems during 25 or more of his sexual interaction.
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Alternation in sexuality
1. Sexual pain disorders: Both men and women can experience dyspareunia
pain during or immediately after intercourse.
2. Vaginismus: the involuntary spasm of the outer one third of the vaginal
muscles, making penetration of the vagina painful.
3. Vulvodynia: Is constant, unremitting burning that is localized to the vulva
with an acute onset.
4. Vestibulitis: cause severe pain only on touch or attempted vaginal entry.
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Problem with satisfaction

Same people experience sexual desire, arousal and organism and

yet feel dissatisfied with there sexual relationship dissatisfaction
problems may be more disturbing than other types of sexual
dysfunction.
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Nursing Process as it relate to sexual functioning:
1. ASSESSING:
 Sexuality functioning are aspect of health and well-being, they to be assessed clients are
often hesitant to introduce the topic of sex with the primary health care provides.
 The amount of and kind of data collected depend on the context of the assessment that is
client’s reason for seeking health care and how the client’s sexuality interacts with other
problems.
 Generally, the nurse conducts a sexual history on the following categories. Those
receiving care for pregnancy, infertility, contraception, or an STI Those whose illness or
therapy will affect sexual functioning (e.g client’s with diabetes gynecologic problems, or
heart disease). Those currently experiencing a sexual problem.
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Nursing Process as it relate to sexual functioning:
2. Diagnosing:
 The NANDA nursing diagnosing relating specifically to sexuality include:
Ineffective sexuality pattern & Sexual Dysfunction
 Examples of clinical applications of these diagnoses using NANDA, NIC and
NOC designation are shown in identifying.
 Deficient Knowledge (e.g. about conception, SITs, contraception or normal
sexual changes over the life span) related to misinformation and sexual
myths.
Pain related to inadequate vaginal lubrication or effects of genital surgery.
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Nursing Process as it relate to sexual functioning:
3. Planning:
 Overall goals to meet client’s sexual needs include the followings:
 Maintain, restore or improve sexual health, Increase Knowledge of sexuality
and sexual health, Prevent unwanted pregnancy.
 Examples: Of specific desired outcomes related to some of these goals are
provide in identifying nursing diagnoses. Outcome and interventions. Nursing
intervention to promote sexual health and function focus largely on the
nurse’s teaching role.
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Nursing Process as it relate to sexual functioning:
4. Implementing:
 The interventions the nurse selects are based on the data obtained from the
client and the identified nursing diagnosis.
(a): Many interventions are directed at providing information
about sexual health and counseling for altered sexual function.
 (b): Six basic skills to help client in the area of sexuality.
 (c): Acceptance of sexuality as an important area for nursing intervention and a
willingness to work with clients who express their sexuality in variety of ways.
 (d): Knowledge of sexual growth and development throughout the life cycle.
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References:
Erb,G.K.B (2000) Fundamental of Nursing: Concepts,
Process and Practice (5th Edition) Addision: Wesley
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