This document discusses human sexuality across the lifespan. It covers topics like the history of sexology as a field, key figures like Alfred Kinsey and Masters/Johnson, and how sexuality develops through different life stages from pre-puberty to adulthood and seniority. It also addresses issues like sexual dysfunction, stigma, and the evaluation and treatment of sexual problems from physical, hormonal, and psychological perspectives.

1. SEXOLOGY IN DIFFERENT LIFE
STAGES
JACQUES J. CAPELLO
G Y N E C O L O G Y - M E N O PA U S E - S E X U A L
MEDICINE

2. TERMINOLOGY
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3. • Before 1800 :
• Sex as in species
• Sex encounter as part of all of it
• Sex as differences between man and woman
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4. SEX AND LITERATURE
• 1799 : Sexual Intercourse
• 1803 : Sexual Function
• 1828 : Sexual Organs
• 1836 : Sexual Desire
• 1861 : Sexual Instinct
• 1863 : Sexual Impulse
• 1888 : Sexual Act
• 1911 : Sexual Immorality
• 1930 : Sex as enjoyment
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5. HISTORY
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6. Institut für
Seksuologie
Berlin
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7. ALFRED KINSEY
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8. KINSEY INSTITUTE
The mission of the Kinsey Institute is to promote
interdisciplinary research and scholarship in the fields
of human sexuality, gender, and reproduction. The
Institute was founded in 1947 by renowned sex
researcher Alfred Kinsey. Today, the Institute has two
components, an Indiana University research institute
and a not-for-profit corporation, which owns and
manages the Institute's research data and archives,
collections, and databases.
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9. WILLIAM MASTERS & VIRGINIA JOHNSON
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10. THE 4 PHASES
Excitement
Plateau
Orgasm
Resolution
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11. MASTERS & JOHNSON
• Sex(ual relation) is a human trait
• Sex is a socially accepted goal
• Sex has no age limits
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12. ROSEMARY BASSON
DESIRE
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13. LIFE STAGES IN SEXOLOGY
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14. THE FOUR STAGES
1. Pre-puberty
2. Puberty
3. Adolescence
4. Adulthood
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15. PRE-PUBERTY
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16. INTRA-UTERINE
GIRLS BOYS
• Intra-uterine swelling • Intra-uterine erections
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17. PRE-PUBERTY
Age Girls Boys
0 – 2 years Clitoral engorgement while Erection while nursing
nursing
Genital touching Genital touching (M)
Parental attitude
2 – 4 years Self stimulation
“doctor” playing ; investigating
“ Down there is dirty ; wash your hands”
4 – 6 years Questions about where babies come from
Discovering ‘the other body’
Parental attitude towards each other
Modesty ; shame ; ‘dirty jokes’
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18. PRE-PUBERTY
Age Girls Boys
School-age Sexual experimentation :” house ”;” hospital ”
Differences in same-sex ; opposite-sex
Testing the forbidden
6 -12 years 45% (He) 57% (He)
35% (Ho) 52% (Ho)
Play
Harm is done : Parental reactions
Age differences >
5
years
<
16
years
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19. PRE-PUBERTY
Children pursue the course of their psychosexual
development in blithe disregard of an expected
sexual latency .
Their only nod in the direction of the theoretical
expectations is that they have learned to play
according to adult rules .
They learn to fulfill the letter of the law , even as
they proceed secretly in their own ways .
(Gadpaille , 1974)
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20. PUBERTY
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21. (PRE-) PUBERTY
GIRLS BOYS
• Thelarche • “thelarche”
• Pubarche • Pubarche
• Menarche • Emissions
• Sexarche • Sexarche
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22. (PRE-) PUBERTY
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23. PUBERTY
• Masturbation
• The first kissing / fondling
• The first coitus
• STD conscience
• Birth control
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24. ADOLESCENCE
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25. CONSENSUS TO MARRIAGE
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26. ADOLESCENCE
• Fantasies more prominent in any sexual experience
• Need for own set of rules
• Need for identification with the group
• Need for sexual experience
• Need for sexual purity (virgin ; monogamous)
• Role playing
• Parental imitation
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27. ADOLESCENSE
• Masturbation
• The first coitus
• STD conscience
• Birth control
• Abortions
• Teenage pregnancies
• A homosexual experience ( game)
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28. ADULTHOOD
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29. ADULTHOOD
Age Women Men
20 – 30 years Start serious relationship
Longer single ; thus ‘single’ sex
‘Sexually ‘ experienced
Premarital sex permissible for both
Having sexual relationships is a ‘must’
Sexual identity being resolved
STD’s ; impersonal sex
30 – 40 years Marriage preferable to living together
Influence of pregnancy
Sex becomes dull ; extramarital sex
Divorce : ‘new’ single sex
New relationship : same old problems?
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30. ADULTHOOD
Age Women Men
40 – 50 years Emptying the nest Mid-life crisis ?
Re-finding oneself Sexual stimuli
Sexual Burnout
Re-inventing sex Sexual doubts
Younger partners
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31. SENIORITY
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32. SENIORITY
Age Women
Men
50+ years Menopause Andropause
Sexual active in the relationship
Coping with the sexual dysfunctions
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33. SEXUAL DYSFUNTIONS
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34. SEXUALITY AND STIGMA
Normal
Deviant Sexuality Dysfunction
Abusive
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35. SEXUALITY AND STIGMA
Sexual Medicine:
• Evaluation , out of the concept of medicine , of a
sexual problem in an individual with a physical ,
hormonal or psychological origin, and to treat this
problem that leads to
dysfunction of the sexuality of the individual.
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36. SEXUALITY AND STIGMA
1. Female Sexual Dysfunction
2. Male Sexual Dysfunction
3. Sexually Transmitted Diseases
4. Contraception
5. Homosexuality
6. Transsexuality/Transidentity/Transgender
7. Sexual (Dys)function in Cancerpatients
8. Sexual (Dys)function in disabled persons
9. Parafilia
10. Dysmorphia of the Sexual Organs
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37. SEXUALITY AND STIGMA
Physical Hormonal Psychological
Female Male Female Male Female Male
Trauma Estrogen Trauma (CSA!)
Partus Testosteron Relationship
Scar/OR Testosteron Prolactin Sexual History
Cancer DHEA-S
STD
DM
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38. SEXUALITY AND STIGMA
Psychological
International Classification of Diseases (Causes of Death) : ICD-10
Diagnostic and Statistical Manual of Mental Disorders : DSM-IV
• Female Sexual Disorders
HSDD
FOD
SAD
Dyspareunia
Vaginismus
• Male Sexual Disorders
MOD
ED
PE
SAD
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39. SEXUALITY AND STIGMA
Physical
• Sexually Transmitted Diseases
( Gonorrhoea , Syphylis , Chlamydia, HSV , HPV , HIV )
• Serology
• Scar tissue
( Tubal , vaginal , anal )
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40. SEXUALITY AND STIGMA
Psychological
International Classification of Diseases (Causes of Death) : ICD-10
Diagnostic and Statistical Manual of Mental Disorders : DSM-IV
• Female Sexual Disorders
HSDD
FOD
SAD
Dyspareunia
Vaginismus
• Male Sexual Disorders
MOD
ED
PE
SAD
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41. SEXUALITY IN THE LIFESPAN
• Sex(uality) starts intra-uterine
• Sex(uality) develops with life
• Sex(uality) is a human and socially accepted goal
• Sex(uality) has no age limits
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