Disfungsi Seksual

Oleh :
IGN Pramesemara
Bagian Andrologi Dan Seksologi
Fakultas Kedokteran Universitas Udayana

8/31/19 PrAy4ever 1
 Pendahuluan
• Definisi = Ggn Proses Senggama pd Pria.
• Ketidaksempurnaan Keempat Fase Senggama
oleh Masters & Johnson (1970).
• Minimal Dialami dlm 3 Bln.
• Menyebabkan Ketidaknyamanan Kehidupan
Seksual  Efek Negatif pd Fisik & Psikis 
Menurunkan Kualitas Hidup.

8/31/19 PrAy4ever 2
 Klasifikasi-1
1. Gangguan Libido
i. Hipoaktif
ii. Aversi Seksual
2. Gangguan Ereksi
i. Disfungsi Ereksi
ii. Prolong Ereksi

8/31/19 PrAy4ever 3
 Klasifikasi-2
3. Gangguan Ejakulasi
i. Ejakulasi Prekoks
ii. Ejakulasi Retarded
iii. Ejakulasi Incompleta
iv. Ejakulasi Retrograde
v. Anejakulasionis
4. Gangguan Orgasme
i. Anorgasm

8/31/19 PrAy4ever 4
 Disfungsi Libido-1
1. Hypoactive Sexual Desire Disorder
– Persistently / Recurrently Low / Absent Sexual
Interest in & Desire for Sexual Activity.
– Little / No Sexual Fantasy.
– Causes Distress to the Individual / Relationship.
– Not Better Accounted for by Some Other Axis
Disorder / Medical Condition.
– Distinguished from Desire Discrepancy.

8/31/19 PrAy4ever 5
 Disfungsi Libido-2

2. Sexual Aversion Did You Know...

Disorder
 Young healthy women
– Extreme Aversion are as likely to have low
to All Genital sexual desire disorder as
Sexual Contact. older women.
 Desire most closely links
to mood and relationship
(rather than to
hormones)

8/31/19 PrAy4ever 6
 Sexual Desire Disorders

8/31/19 PrAy4ever 7
Persentase Perempuan Eropa Barat
dengan Dorongan Seksual yang
Rendah & Hipoaktif

8/31/19 PrAy4ever 8
 Hubungan antara Gangguan
Dorongan Seksual Tipe Hipoaktif
pada Perempuan Eropa Barat dengan
Status Perkawinan / Kepuasan Seksual

8/31/19 PrAy4ever 9
 Etiologi (Psikis & Fisik)
• Psikogenik, ex. Stress, Depresi dll.
• Genetik/Herediter, ex. Sindrom Klinefelter.
• Endokrin/Hormonal, ex. Hipogonadism,
Menstrual Cycle.
• Underlying Disease, ex. HT, DM dll.
• Ggn Neuro-Vaskulogenik.
• Kelainan Jaringan Penis.
• Gaya Hidup yg Buruk, ex. Merokok, Alkohol.
8/31/19 PrAy4ever 10
 Diagnosis
1. Anamnesis :
i. Individual ; IIEF, Adam Questionare.
ii. Berpasangan.
iii. Cross Check (Heteroanamnesa).
2. Pemeriksaan Fisik :
i. Kondisi Umum.
ii. Pemeriksaan Status Genitourinari.
3. Pemeriksaan Penunjang :
i. Fisik Spesifik ; Rigiscan, Rigidometri, Orchimetri.
ii. Laboratorium ; Rutin & Spesifik (Hormon).

8/31/19 PrAy4ever 11
 Penatalaksanaan
1. Konseling ; Behaviour & Sex Therapy.
2. Medikamentosa :
i. Oral : PDE-5 Inhibitors & Hormonal.
ii. Topical : Oinment, Krim, Susuk.
iii. Injeksi : Intracavernosa, Intrauretral.
3. Vacuum Constriction Devices.
4. Pembedahan ; Penile Prosthesis, Reconstruction
Surgery.
5. Gene Therapy (Stem Cell).
8/31/19 PrAy4ever 12
 Female Sexual Function Index-1

8/31/19 PrAy4ever 13
 Female Sexual Function Index-2

8/31/19 PrAy4ever 14
 Male Sexuality Questionares

8/31/19 PrAy4ever 15
 MATUR SUKSEMA

8/31/19 PrAy4ever 16