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Sexual Health

Lifestyle Changes Can Improve Sexual Health

Lifestyle changes, such as quitting smoking, exercising more, and eating healthier foods, are sometimes recommended for people with sexual problems. But how much of an effect do these changes have? Scientists considered this issue in a recent study by the Journal of Sexual Medicine.

In particular, they looked at how six lifestyle factors – smoking, alcohol use, physical activity, diet, caffeine consumption and cannabis use – affected three sexual health outcomes – female sexual dysfunction, erectile dysfunction (ED) and premature ejaculation.

The female sexual dysfunction includes a wide range of sexual problems such as vaginal dryness, low desire and interest or pain during intercourse. It is estimated that 41% of pre-menopausal women worldwide have some degree of sexual dysfunction.

The researchers reviewed 89 medical studies related to lifestyle and sexual problems. Overall, the studies included almost 350,000 people worldwide. On average, participants were about 49 years old.

For women, physical activity was linked to a lower risk of sexual dysfunction. Following a healthy diet rich in fruits and vegetables seemed to help as well. But the researchers found no link between smoking, alcohol use and caffeine intake with women’s sexual health.

Men who smoked were more likely to have erectile dysfunction (ED). Heavier smokers tend to have more severe cases of erectile dysfunction. There was also an association with physical activity. Erectile dysfunction was more common in men who exercise less. Moderate alcohol consumption (an average of 8 drinks per week) was associated with a lower risk of ED, but high consumption (an average of 23 drinks per week) was not. Following a healthy diet seemed to be good for erections.

Changing lifestyle habits can improve overall health, which can have sexual benefits. For example, low testosterone and obesity can interfere with sexual function. But physical activity can increase testosterone levels and help people lose weight. Likewise, diabetes is associated with sexual problems, such as erectile dysfunction, in men and poor lubrication in women. But physical activity can lessen the effects of diabetes and, in turn, the sexual impact.

The authors noted that the effects on sexual health of diet, caffeine and cannabis were not as widely studied as other lifestyle factors, so their conclusions were “less robust”.

They added that there were fewer studies related to women’s sexual health and premature ejaculation and recommended additional studies in these areas.

top sexologist in Delhi

Sexual Dysfunction – A Silent Killer of Relationship

We call sexual dysfunctions the set of disorders in which psychological and / or physiological problems make it difficult for the person to enjoy their sexual activity as they would like. It is a disorder in some phase of the sexual response – excitement, plateau, orgasm, resolution.

Sexual dysfunctions are frequent and it is estimated that 40% of men and women can present them at some point in their lives. The most frequent among women is a lack of interest in sex and arousal problems, and premature ejaculation and impotence appear more frequently among men.

In the diagnosis and treatment of each dysfunction, the sexologist in Delhi analyzes whether the symptoms are primary or secondary, absolute or situational, or if the severity is total or partial.

The physical changes that occur in the four stages of sexual response (excitement, plateau, orgasm, and resolution) serve as the basis for analyzing at what stage sexual dysfunction occurs.

Thus, when the person is mentally and physically excited, the following physical changes appear:

In women:                                                                                                                                                  In men:

 

EXCITEMENT

 

EXCITEMENT

  • Vaginal lubrication
  • Penile erection
  • Clitoral erection
  • Scrotal size increases
  • Swollen lips
  • Increases the size of the testicles
 

PLATEAU

 

PLATEAU

  • Lip coloration
  • Cowper gland discharge
  • Vaginal tightening
  • Prostate gland contraction
  • Vaginal tightening
  • Prostate gland contraction
  • Elevation of the uterus and retraction of the clitoris
  • Terminal vesicle contractions
 

ORGASM

 

ORGASM

  • Contractions of the uterus
  • Ejaculation
  • Rhythmic contractions on the orgasmic platform
  • Contractions of the penis, urethra, and sphincter
  • Rectal sphincter contraction
  • Rectal sphincter contraction
 

RESOLUTION

 

RESOLUTION

  • The uterus and vagina return to their initial state
  • The penis and scrotum recover their initial state

We can classify the dysfunctions related to the sexual response cycle:

WOMEN MENS
  • Disorders of desire
  • Excess
    Deficit
  • Excess
    Deficit
  • Sexual arousal disorder
  • Lack of general excitement
  • Problem of starting an erection
    Problem of maintaining an erection
  • Orgasm disorder
  • Difficulty reaching orgasm
    Lack of orgasm
    Premature
    orgasm Delayed orgasm
  • Absence of ejaculation
    Premature ejaculation
    Delayed ejaculation
  • Sexual resolution disorder
  • Delayed resolution
  • Others
  • Dyspareunia
    Vaginismus
    Sexual phobias Socio- sexual
    anxiety
  • Dyspareunia
    Sexual phobias Sexual
    partner anxiety

 

Among the psychological causes of dysfunctions we find the following factors:

Predisposing factors:

  • Lack of information and sexual formation or inadequate information received.
  • Moral education devalues ​​sexual activity.
  • Insecurity in the psychosexual role.
  • Traumatic sexual experiences.

Precipitating factors:

  • Relationship problems (poor communication, fights, infidelity).
  • The appearance of a sporadic problem (excessive tiredness, alcohol, stressful work or family situation).
  • Organic special moments (after a heart attack, after childbirth, anxiety disorder or depression, etc.).

Maintenance factors:

  • Non-existent or inadequate sexual formation.
  • Anxiety associated with sexual interactions.
  • Inappropriate personal or partner performance in sexual relations.
  • General problems in the couple relationship.
  • Specific fears or phobias.

Physiological causes of dysfunctions:

Diseases or injuries: of the cardiovascular system, endocrine system, genitourinary tract, nervous system.

Effects of drugs: sedatives, antiandrogens, anticholinergics and antiadrenergics, psychotropic.

(The most frequent physical disorders are: diabetes, hypertension, hypogonadism, spinal disorders, etc .; at the drug level they are antihypertensive, antidepressant, alcohol, barbiturate, etc.).

Female sexual dysfunctions:

Hypoactive sexual desire (“sexual apathy”, “lack of sexual desire”, “lack of interest in sex”).
Lack of interest in sex, absence of fantasy, dreams or thoughts of sexual content, difficulty engaging in autoerotic or partner sexual activity.

Aversion to sex
Intense feelings of disgust, displeasure, repulsion or fear of situations of a sexual nature (concrete or thought). Sexual contact is usually avoided.

Sexual arousal disorder
Loss of arousal levels, physical and emotional disconnection from sexual intercourse. Inability to respond to caresses, sexual physiological responses are not experienced.

Orgasmic disorder
Difficulty reaching orgasm after an adequate level of arousal.
Dyspareunia
Pain during intercourse.

Vaginismus
Involuntary contraction of the outer third of the vagina upon penetration.

Sexual dysfunctions due to medical illnesses
Some illnesses can influence sexual functioning due to the physiological alterations they produce or the medication they require; These include: diabetes, arthritis, multiple sclerosis, spinal cord injury, thyroid, endometriosis, vaginal infections.

Substance-Induced Sexual Dysfunctions
The use of some drugs or drugs can affect sexual response.

Male sexual dysfunctions:

Impotence, erectile dysfunction:
Inability to obtain or maintain an erection sufficient to perform intercourse satisfactorily.

Premature ejaculation:
Inability to exercise voluntary control over the ejaculatory reflex.

Delayed ejaculation:
The man cannot ejaculate due to excessive involuntary control of the ejaculatory reflex.

Anorgasmia
There is no sensation of pleasure, but the semen does come out.

Dyspareunia
Pain during intercourse, which can be during or after sexual intercourse.

best sexologist in Delhi

False start in bed, or premature ejaculation

Premature ejaculation is defined as a disorder involving ejaculation in too fast time than the person interested wishes. According to the best sexologist in Delhi, problems affect even every third man and are most common in people who start sex life.

Dysfunction, which hinders sexual life and does not give satisfaction to both partners, can lead to the breakup of a relationship, depressive mood disorders, unwillingness to bond with someone and have sexual intercourse. In order to be able to assess the severity of the disorder, one had to look for some easy-to-assess parameter that would specifically classify the problem. This is how the term IELT (intravaginal ejaculation delay time) was created – this is the time measured from vaginal penetration to ejaculation. Time below fifteen seconds indicates a serious disorder, between fifteen seconds and one minute, means moderate, between one and two minutes mild.

Causes of premature orgasm

The causes of premature ejaculation are: rare sexual contact (this does not always have to worry – it often happens that the discharge of accumulated sexual tension after a long time manifests itself just as premature ejaculation), masturbation conditions, excessive sensitivity of the glans penis, narcissism or improper attitude to women, neurological disorders, traumatic sexual initiation experiences, urinary tract infections and others. So, as you can see, there are many reasons and often they have a very diverse basis.

Treatment of premature ejaculation

Sexologists in Delhi  Help should be sought from a sexologist doctor in Delhi, sometimes a psychological consultation is required. Pharmacological agents and dietary supplements are often used.

The basic drugs used in premature ejaculation treatment in Delhi include short-acting phosphodiesterase inhibitors. If the problem is caused by excessive sensory sensitivity of the penis glans, special anaesthetics are applied a few minutes before intercourse or specially designed condoms (you can use two condoms at the same time). There is also talk about the positive effects of specially developed masturbation methods – their disadvantage is that the effects come after a long time, and the technique itself requires the regularity and cooperation of both partners.

Sometimes psychotherapy, both individual and partner, is very effective.

There are a whole bunch of quite effective methods that will help fight the problem of premature ejaculation. So if the methods used on your own fail, you should not be afraid to contact a sexologist in Delhi who will examine the problem, find its cause and advise on an effective method of fighting. It is important to seek help quickly so that you do not fall into a vicious cycle of being unable to have intercourse, blaming yourself and giving up the pleasure that a successful partnership can give.

premature ejaculation

Premature ejaculation, what if it was in the head?

Why can some men delay ejaculation and others not? Premature ejaculation is still poorly understood today. Some sexologists in Delhi may preach that ejaculating quickly is a false problem, the fact remains that the sexuality of many couples is disturbed. Research would finally explain this phenomenon.

For some, premature ejaculation is a false problem, which women, emancipation requires, would be at the origin! Always more demanding, they would claim the right to pleasure and require men to know how to hold back. From there to make the fairer sex responsible for this sexual disorder, there is only one step … that some do not hesitate to take. Basically, if women knew how to content themselves with what is offered to them, there would no longer be an early ejaculator but only men who would ejaculate more or less quickly! … Fortunately, some sexologist in Delhi does not see it with this eye.

How is premature ejaculation defined?

We speak of premature ejaculation when the man cannot control his excitement and the time of ejaculation. There is no defined duration. It can occur before, during, or just after penetration. It is not a disease; the early ejaculator works very well sexually. About 30% of men face this problem on a regular basis.

A multifactorial origin

Men who are concerned with premature ejaculation have greater excitability than others. The origin of this problem is not very well known but premature ejaculation is considered to be multifactorial. For a long time, it was considered that the cause was partly psycho-behavioral. The stress, in particular, is often put forward in sexual problems, like the fear of failure.

But it can also be due to the consumption of certain drugs (cocaine, amphetamines) or more rarely to certain organic pathologies (too short foreskin, infection of the urethra or prostate …).

Premature ejaculation: the role of serotonin

The biological origin is also more and more put forward. It has been known for a few years that drugs usually used as antidepressants, the ” serotonin reuptake inhibitors ” make it possible to lengthen the delay in ejaculation in early ejaculators. But we did not know the mechanisms involved. 

It is now done; a team of Dutch researchers having demonstrated that specific serotonin receptors are involved. These receptors, located in the central nervous system, are less sensitive to serotonin in early ejaculators. This lower sensitivity does not allow the man to delay his ejaculation. Serotonin reuptake inhibitors cause a longer action of serotonin which helps to overcome their insufficiency.

Since April 2013, a first treatment, dapoxetine has received a marketing authorization (MA) in the treatment of premature ejaculation in men aged 18 to 64 years.

Premature ejaculation: research must continue

This discovery only sheds light on the mechanisms involved in triggering ejaculation. The veil is just lifted. Research on the neurobiology of human sexuality is still in its infancy. Similarly, studies on this sexual dysfunction are still questionable.

In 2001, an article surprised that no rigorous definition of this symptom was retained internationally. The criteria for inclusion in the studies are left to the discretion of the patient who calls himself a premature ejaculator, which discredits the conclusions of his clinical studies.

However, the methods of learning to control ejaculation have proven themselves. Their effectiveness, which varies greatly from one man to another, can be explained by the more or less pronounced sensitivity of these serotonin receptors.

Premature Ejaculation

7 Things That Can Cause Men Sexual Problems

Sometimes the sex life does not work as one would wish. It may be due to failing erection, illness, decreased desire or even pain at sex. Here we have listed seven things that can cause sexual problems in men.

Impotence

Impotence means that you cannot get an erection, or that you cannot maintain the erection long enough to perform satisfactory intercourse. The problem has many causes and becomes more common with increasing age (but sexual drive decreases less with age than ability does).

In addition, it is important to know that impotence (erectile dysfunction) can be an early sign of onset cardiovascular disease.

Premature ejaculation

Premature ejaculation is defined when, as one receives ejaculation, within one to two minutes after the commencement of intercourse and the problem should have lasted for at least six months. Rapid ejaculation can cause problems in society if the partner needs more time to self-orgasm.

Delayed ejaculation

Delayed ejaculation, retarded ejaculation or orgasmic disorder is not a very unusual problem. This is as common in the elderly as in younger men.

This may be because:

… man who you do not get enough mechanical stimulation, during a sexual intercourse

… you take some drugs that can affect

… you feel great demands about the sex life, which can cause mental blockages that make the pleasure and orgasm more difficult.

Testosterone deficiency

Testosterone deficiency is uncommon, but lack of testosterone can cause decreased sexual desire and ability/impotence as well as increased fatigue and lack of energy.

Peyronie’s disease (crooked or bent penis)

Do you have difficulties in having sexual intercourse because your penis is curved/crooked? you may have suffered from Peyronie’s disease.

If you have suffered from Peyronie’s disease, a hardening has formed in a swollen body of the penis, which in turn can lead to curvature and pain during erection. Penetration sex can, therefore, be difficult to perform – however, the condition is not dangerous.

Depression and sexual desire

Depression can affect the sexual desire, which in turn can not get an erection.

Antidepressant drugs can also adversely affect your appetite and ability to react – then it may be necessary to change your medication.

Benign Prostate Magnification (BPH)

As you get older, the prostate (a gland located around the urethra) can grow and push against the urethra – making it harder to urinate. An enlarged prostate does not increase the risk of prostate cancer.

Sexual life can also be adversely affected; Frequently forced urine penetration and maybe also incontinence reduce the interest in sexual activities. You may, therefore, more often or always, refrain from sexual intercourse because of their inconvenience. One consequence of this may also be that the erection ability is negatively affected.

sexual relations

HOW MUCH SHOULD WE HAVE SEXUAL RELATIONS?

The ideal frequency for sexual intercourse is a topic that in general worries men more than women, obsessed with maintaining their intimate sphere at levels that are considered “normal” according to the social context on which they are based.

“Normal” is a statistical concept that depends on the age of the couple and the years of marriage or cohabitation, as well as other factors, such as the situations that are going through at that time.

In general, relationships that begin to form have a frequency of 1 or 2 times (up to 3) per day. Then, the average drops to about 3 times per week. Gradually, once every 15 days and up to 1 time every 1 or 2 months.

Sexual and loving relationships release chemicals that neurotransmitters take care of synthesizing in the brain. These substances are called endorphins and, specifically, are dopamine, serotonin, and oxytocin.

Dopamine is a chemical in the central nervous system that activates 5 cell receptors, from D1 to D5. In this way, when one feels infatuation, excitement, the fullness of energy and the fact of seeing life as something magnificent take place.

Dopamine is closely linked to endorphin and adrenaline, so when it is low (you do not have sexual intercourse frequently), endorphins also go down and depression, sadness, and many other neuropsychological pathologies are activated.

But, as with recreational drugs, it is possible that some people begin to look for more frequent relationships in order to raise adrenaline levels so that at the same time, they raise dopamine production levels.

So, what frequency is desired to not fall into these states?

Sexologist in Delhi recommends focusing on the quality of sexual intercourse rather than the amount of them a week or month. The frequency of sexual relations is not more important than the degree of satisfaction that is achieved each time a meeting is held.

The frequency in sexual intercourse does not affect the potency or sexual vigor that an individual may have. Even so, if you don’t have the typical morning erection, you have to start worrying about impending erection problems that will have an impact on the future frequency of sexual intercourse.

Even if you suffer from premature ejaculation, it is useless to have frequent sexual intercourse, if you do not enjoy or do not enjoy the couple.