Sexual dysfunction and paraphilias

Your progress

Saved on this device.

Target exams

Red flags

• Child at risk or disclosures of sexual contact with minors / child exploitation material — immediate child-protection reporting and multiagency action (jurisdiction-specific mandatory duties)
• Active suicidal ideation after forensic discovery, blackmail, or profound shame — same-day risk assessment and safety plan
• PDE5 inhibitor use with concurrent nitrates — contraindicated (hypotension/collapse risk); stop and seek urgent medical advice if used together
• Priapism after erectile treatments — urological emergency
• Coercive sexual behaviour with ongoing access to potential victims — risk management and public protection pathway, not outpatient delay
• Severe antipsychotic hyperprolactinaemia with hypogonadism or unexplained amenorrhoea/galactorrhoea — investigate and revise regimen if safe for psychosis control