“ Sexual health is a state of complete physical, emotional, mental well-being associated with sexuality and not just the absence of disease or illness ” (WHO, World Health Organization).
The person may have alterations or disturbances in their sexual response cycle, resulting in sexual difficulties or dysfunctions that prevent them from having a satisfying and satisfying sex life, explains best sexologist in North Delhi, South Delhi, West Delhi.
The causes that may be the source or contribute to these difficulties may be organic, psychological or mixed. Physical and psychological health problems, medication use, smoking, affective or relational problems, lack of sexual experience and body knowledge, sexual trauma, as well as socio-economic and occupational factors may all negatively affect the response, says sexologist in North Delhi.
Sexual dysfunctions can be triggered by organic causes and often aggravated by their emotional repercussions.
Dysfunction can be primary if it coincides with the onset of sexual activity and secondary if it has been acquired over time. It can be generalized if it is present under any circumstances, or situational if it is present only under certain circumstances.
Consultation with a sexologist in South Delhi is an effective way to unlock fears and anxieties, allowing you to build positive attitudes toward sex. Education and information about the human sexual response are also very important and effective in resolving or diminishing the impact that some sexual difficulties have on the person. In some cases, therapeutic approaches may include the suggestion of certain exercises and specific techniques.
Male Sexual Dysfunctions
Many men are still very withdrawn in seeking medical help regarding sexual and reproductive problems they may have. But the sooner they assume they may need medical support and advice from the best sexologist in South Delhi, the more quality of life they earn. It is important to share so as not to suffer. Many of the dysfunctions are easily treatable.
The most common male sexual dysfunctions are:
|Wish||Hypoactive sexual desire disorder|
Hypoactive sexual desire disorder
“Persistent or recurrent absence or deficiency of fantasies and desire for sexual activity” (Source: DSM IV)
- May be associated with other sexual dysfunction in man or partner
- Emotional distancing and conflict in the couple have also been associated with this dysfunction, although it is difficult to see if it is the cause or consequence of this dysfunction.
- Psychiatric disorders (depression and anxiety disorders)
- Life Events, Grief and Other Losses
- General effects of a physical illness
- Specific physical disorders: Liver disease, Prolactin-secreting pituitary tumors, Testosterone deficiency (rare, although it is common in clinical practice for patients to associate their decreased desire with decreased testosterone, making it more difficult to recognize more likely causes such as loss of attraction). by partner)
- Iatrogeny: Antihypertensives, antidepressants, antipsychotics, anticonvulsants
Age is a factor that relates to the onset of erectile dysfunction. While younger individuals are more likely to develop erectile dysfunction of the psychological cause, older men usually develop erectile dysfunction of organic cause due to increased comorbidity with various risk factors.
Erectile dysfunction or sexual impotence is the persistent or recurrent inability to achieve or maintain an adequate erection until sexual activity is complete, causing marked discomfort or interpersonal difficulty.
Erectile dysfunction may be due to various causes, including organic, psychological or mixed.
The causes of erectile dysfunction can be very varied:
- Vascular diseases (arteriosclerosis, heart problems, hypertension, etc.)
- Neurological problems (nerve damage, multiple sclerosis, degenerative diseases, etc.)
- Hormonal problems (reduction in hormone production)
- Use of certain medications
- Psychological problems
- Execution Anxiety
- Fear of failure
- Low self-esteem
- Dissatisfaction / Marital Conflict
- Poor information/myths about sexuality
Since the causes of erectile dysfunction are diverse in nature, treatments may involve sexual counseling, drug therapy and in some cases surgery. Before making any decision, the best sexologist in West Delhi may start by giving some advice that may be beneficial to a man’s sexual health, such as exercise, careful diet, reduced alcohol or tobacco use, and longer rest.
Difficulty in controlling ejaculation, which in some cases may occur before, at or soon after penetration, limiting sexual satisfaction. It is one of the most common sexual dysfunctions, especially among younger people, however many shame in the face of this difficulty does not allow many men to seek treatment.
The causes are mainly psychological, related to anxiety and stress, but biological causes may be involved. It may also be associated with alcohol or drug use. Your treatment may include sex therapy, psychotherapy, and medication suggested by sexologist in North Delhi.
The complete absence of ejaculate being preserved the sensation of orgasm. Due to the lack of issuance phase, there is an expulsion phase.
Main Psychological Causes:
- Fear of causing a pregnancy
- Ejaculations out of coitus in the form of nocturnal pollutions on waking or during masturbation
Main Organic Causes:
- Multiple sclerosis
- Transverse myelitis
- Spinal cord injuries
- Drug and Surgical Iatrogeny
Total or partial absence of ejaculate emission due to insufficient closure of the internal urethral sphincter. The sperm passes from the posterior urethra into the bladder and remains orgasmic, explains the best sexologist in North Delhi.
The causes may be psychological, neurological and medication.
Also referred to as drooling ejaculation or partial ejaculatory incompetence (Kaplan, 1988), it consists of the decrease or absence of muscle contractions that project sperm (ejaculation without force).
- It occurs in men with spinal cord injuries below L1, such as paraplegic and para-paraic lesions in whom only the medullar secretory center remains active.
- Obstructive urologic cause: BPH, Urethral strictures, External sphincter hypotonia
Also called ejaculatory incompetence, it is due to the delay or specific inhibition of ejaculation mechanisms. It is involuntarily a very late ejaculation.
Relatively uncommon and prevalence does not exceed 5%, says sexologist in South Delhi.
Male orgasm inhibition
Persistent difficulty or inability to reach orgasm despite desire, arousal and stimulation. The man is unable to ejaculate with his partner, being able to ejaculate in masturbation or during sleep. Different from anejaculation because in this man can achieve orgasm, says the best sexologist in South Delhi.
Relatively rare and probably the dysfunction found less frequently in clinical practice.
Organic causes related to pharmacological iatrogenesis:
- Inadequate stimulation
- Fear (pregnancy, commitment)
- Performance Anxiety
- Prior sexual trauma
- Partner Hostility and Marital Problems
- Latent Homosexuality
Genital pain before, during or after intercourse. Occurs only about 1% in clinical specimens
- Genital infection
- There are no results of studies on the psychological treatment of this condition.
Female Sexual Dysfunctions
Hypoactive sexual desire
It consists of the decrease or total absence of sexual desire. The woman does not express interest in preliminary sexual or erotic activities and does not feel the desire to initiate sexual activity and may avoid intimate physical contact, says sexologist in West Delhi.
Hormonal changes, endocrinological disorders, taking certain medications or psychological factors such as depression or anxiety disorders can all contribute to decreased sexual desire.
It consists of the aversion of sexual contact with consequent avoidance of all or almost all genital sexual contact.
Negative attitudes towards sex, repressive sex education, history of violence/abuse, dyspareunia are some of the factors that may contribute to this difficulty, says the best sexologist in West Delhi.
Sexual arousal disorder
It is the difficulty in acquiring or maintaining a state of adequate sexual arousal until the consummation of sexual activity, often expressed by the absence or diminution of vaginal lubrication.
Endocrinological changes, for example in breastfeeding and menopause, may lead to decreased vaginal lubrication, as well as some chronic diseases such as diabetes, thyroid disease, certain medications or smoking.
Psychological factors such as anxiety, stress, and depression, as well as relational factors such as lack of adequate stimulation of the partner and poor communication, are some of the factors that may also contribute to this difficulty.
Orgasm disturbance is the persistent or recurrent difficulty or inability to reach orgasm after a normal phase of sexual arousal.
Some neurological diseases, hormonal changes, use of certain drugs, alcohol and drug use, age (young) and negative attitudes towards sexual activity are some of the factors that can negatively influence the orgasmic phase.
Persistent pain in the genital or pelvic area during sexual intercourse. Although pain is most often experienced during intercourse, it can also occur before or after intercourse.
Certain organic problems such as gynecological inflammation, relational factors, psychosexual conflicts, are some of the causes that can contribute to the woman’s pain in sexual intercourse.
Women’s difficulty tolerating penetration due to involuntary recurrent or persistent contraction of perineum muscles adjacent to the lower third of the vagina.
Maybe the origin of vaginismus organic factors or psychological and emotional factors that include:
- Lack of information and wrong or negative beliefs about sexuality (guilt, conservative education)
- Inexperience that can lead to fears or blockages and a conditioned response
- Previous experiences with pain.