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Types of sexual dysfunction in men and women-

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A good sex life is the key to a healthy relationship, a person’s overall well-being and happiness. But what is the mantra of the power of sexuality? It is the balance between desire, sensuality, pleasure and satisfaction. Any interference with these components can ruin your sex life and the villain in the story is known as venereal disease. Let’s know more about it.

What is sexual dysfunction?

Sexual dysfunction is a group of problems that interfere with a person’s engaging in sexual activities leading to dissatisfaction as well as personal and relationship problems. Its prevalence is not gender or age specific, rather it can be experienced by men and women of all ages, although the likelihood increases with age. Now, what affects sexual desire and satisfaction is the turbulent interrelationship between body, mind and emotions during the sexual response.

Many times it happens that a person is not in the mood to have sex. Is this normal or a problem?

When to treat a bad night’s experience as a problem?

It is completely normal sometimes to not be in the mood to share intimacy with your partner. It is only a matter of concern when it becomes a daily routine and starts ruining your sex life. Based on the scope of the sexual response affected, sexual dysfunction is mainly classified into four types as described below:

low libido disorder

sexual arousal disorder

aphthous diseases

sexual pain disorder

1. Low Libido Disorder

The first stage of any sexual act is the desire or imagination or idea to do so. Low or no desire to engage in sex that is experienced continuously or repeatedly over a long period of time causing personal discomfort is called low libido disorder. It may develop after a long period of normal sex life or may be always present. It can further be of two types:

Hypoactive sexual desire disorder: This is characterized by a persistent or recurrent absence or reduced desire to be intimate with a partner.

Sexual aversion disorder: This is characterized by a complete avoidance of sex that sours your relationship with your partner. Also, the mere possibility of intercourse can cause one to experience a panic attack.

Reason

In men, low libido can be caused by low levels of testosterone, while in women, it can be due to:

low levels of estrogen

menopause

breast feeding

Hormonal imbalance during childbirth

Other responsible factors common to both (men and women) may include:

Diseases like high blood pressure and diabetes Disease

Certain medicines, such as fluoxetine (antidepressant drugs)

stressful or traumatic past

relationship conflict

sexual barrier

Tiredness

fear of pregnancy

Ages

Depression

Worry

Treatment

The person may be advised to undergo the following:

psychotherapy

hormonal therapy

couple counseling

switch antidepressant medication

2. Sexual arousal disorder

Sexual arousal is something that fuels your erotic engines, in the absence of which intercourse can be difficult, painful and unprofitable. When a person experiences persistent lack or reduced sexual arousal or arousal (psychological, such as tingling or throbbing sensation in the genital or vaginal moisture, or penile erection etc.) in response to sexual stimuli such as kissing Emotional or physical arousal) or dancing, watching porn and touching the genitals etc.) is known as sexual arousal disorder. These include the inability to achieve an erection in men and swollen and lubricated genitals in women.

Reason

Most of the causes are similar to low libido disorder, eg, age, hormonal changes, depression, stress etc. Some other responsible reasons are as follows:

Vaginal thinning and dryness after menopause (atrophic vaginitis)

Vaginal infection (vaginitis) or bladder infection (cystitis)

nerve damage and blockage of blood vessels

Diseases like diabetes, multiple sclerosis, obesity, parkinson’s disease, high blood pressure etc.

Treatment

Some common measures that may be helpful are listed below:

Activities that increase trust and intimacy between sexual partners

Mutual cooperation in making the environment more conducive for intercourse

 discussing or knowing your partner’s sexual interests

Use of aphrodisiacs such as sildenafil or tadalafil (the drugs should only be taken in consultation with your doctor)

Treatment to restore hormonal imbalance

3. Aphrodisiacs

This type of sexual dysfunction occurs when a man either fails to achieve or delays sexual climax (orgasm), even when there is sufficient sexual arousal and there is sexual arousal’, for example, in men. delay in ejaculation; Or achieves orgasm too early, eg premature ejaculation. This can result in interpersonal distress, frustration, irritation and personal problems.

Causes

The main causes of orgasmic dysfunction are listed below:

Psychological, shyness, low self-esteem, religious and cultural beliefs, guilt, depression, stress

Personal issues, relationship conflicts, history of sexual abuse, physical trauma, gynecological surgeries

Diseases; diabetes, high blood pressure

Medications, fluoxetine (antidepressants)

Nerve damage, spinal cord injury

Treatment

Its treatment mainly depends on the cause. One may be required to:

Treat underlying diseases or damages

Change antidepressant medications

 Undergo sex therapy or cognitive behaviour therapy

Increase genital stimulation using sex toys or arousal oils or through other sexual activities during sexual intercourse or masturbation

Couple counselling

Hormonal therapy

4. Sexual Pain Disorder

Also, referred to as genito-pelvic pain or penetration disorder and is characterized by the pain associated with various phases of sex, such as arousal, penetration, and ejaculation. This type of conditions makes it difficult to enjoy sex rather make it more traumatic, increases interpersonal and sexual distress, reduces emotional quality of life.

Causes

The pain during sexual activities can arise due to the following cause:

Poor lubrication and tense vaginal muscles

Vaginismus or Involuntary vaginal muscle spasms

Neurological, urinary tract, or bowel disorders and infections, such as chronic prostatitis, chronic pelvic pain syndrome, genital herpes

Hormonal changes due to menopause

Psychological factors: fear, depression, anxiety

Nerve damage, spinal cord injury

Damage to the penis, peyronie’s disease

Medication side effects

Treatment

The strategy of treatment for sexual pain disorders is mainly cause oriented. The individual may be required to undergo:

Treatment for underlying diseases or damages

Changing the medications responsible for causing painful sexual experience

Undergo sex therapy or cognitive behaviour therapy

Hormonal therapy

Couple counselling

Vaginal relaxation exercises

Use of lubricants, different sexual postures

Don’t judge a book by its cover. If you are worried that your partner is trying to avoid sex talk or giving excuses when you approach for sex, then talk more compassionately to your partner instead of coming directly to a conclusion. May be your partner needs your help and support and is afraid of being judged for a problem more private and serious.

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