Monthly Archives: December 2019

Sexual-Activation

Sexual Activation Disorders

These disorders previously referred to as inhibited sexual activation are divided into:

1) Erectile dysfunction in men characterized by a recurring and persistent partial or complete inability to achieve or maintain an erection until sexual intercourse is completed;

2) Sexual activity disorder in women characterized by a recurring and persistent partial or complete inability to maintain sexual excitation accompanied by moistening and swelling of the genitalia until sexual intercourse is completed.

The diagnosis takes into account the focus, intensity, and duration of sexual activity in which the subject participates. If the stimulation is inadequate for focus, intensity or duration, the diagnosis should not be set. Below are the diagnostic criteria for activation disorders.

Diagnostic criteria for erectile dysfunction in men:

A. Or 1) or 2):

  1. Stable or actual partial or complete inability of a man to achieve or maintain an erection until the sexual intercourse is completed;
  2. stable or repetitive absence of a subjective sense of sexual arousal or satisfaction of a man during sexual activity,

B. Manifestation only during another Disorder of Axis 1 (non-sexual dysfunction) such as severe depression.

Diagnostic criteria for sexual activity disorder in women:

A. Or 1) or 2):

  1. Stable or actual partial or complete inability to maintain sexual excitement, accompanied by moistening and swelling of the genital organs, until sexual intercourse is completed;
  2. Persistent or repetitive absence of a subjective sense of sexual arousal or satisfaction of a woman during sexual activity.

B. Manifestation only during another Disorder of Axis 1 (non-sexual dysfunction), such as severe depression.

Women

sexual activation disorder

The prevalence of female sexual disorders is usually underestimated. Women who have dysfunction in the phase of excitation also usually have a violation of the orgasm phase. In one study conducted on relatively happy couples, it has been found that 33% of women have sexual arousal.

Female sexual inhibition is associated with many psychological factors. Psychological conflicts can be expressed through the inhibition of sexual arousal and orgasm. In some women, disorders of the phase of the violation are associated with dyspareunia or with a lack of desire.

Physiological studies of dysfunction have shown that a hormonal pattern can contribute to the reactivity of women who suffer from a function disorder in the excitation phase. Sexologist in Delhi found that women with normal reactivity are particularly prone to sexual intercourse before menstruation. Women with dysfunction usually experience most sexual anxiety immediately after menstruation or during ovulation. Changes in levels of testosterone, estrogen, prolactin, and thyroxin also affect anxiety disorder in women.

Men

Erectile-Dysfunction

An erection disorder in men is also called erectile dysfunction or impotence. In the case of primary impotence, a person can never achieve an erection sufficient for the introduction of the penis into the vagina. With secondary impotence, a person successfully reaches an erection that is sufficient for sexual intercourse, in some periods of his sexual life, whereas at another time he can not do this. In selective impotence, a man can, under certain circumstances, commit intercourse, and in others, he does not; for example, a function may be normal when dealing with a prostitute, but with a spouse, there is impotence.

Secondary impotence is observed in 10 – 20% of all men. Sexologist doctor in Delhi often heard these complaints from his patients. Among all men treated for sexual dysfunction, more than 50% is referred to as impotence as the main complaint. Primary impotence is a rare disorder that occurs in 1% of men up to 35 years of age. With age, the number of cases of impotence increases. Among adults of young age, it occurs in 8% of the population. Sex specialist in Delhi notes that, at the age of 80, 75% of men are impotent. Sex doctor in Delhi notes that the fear of impotence is felt by all men over 40, which, according to researchers, reflects the male fear of the loss of libido with age. However, age varies in different ways on the sexual function of different people; more important than age in itself for normal sexual function, the presence of a sexual partner.

Etiologically, impotence may be due to organic factors, psychological factors, or a combination of both. Many studies are devoted to the analysis of the ratio of psychological and organic impotence. Some sexologists in Delhi report that the frequency of organic impotence among patients undergoing treatment in a hospital is 75-85%. Others believe that these same patients have not been adequately psychologically tested and argue that more than 90% of patients suffer from impotence, which is caused psychologically. Below are listed the organic causes of impotence or diseases that cause erectile dysfunction:

  • Infectious or parasitic diseases – elephantiasis, epidemic mumps;
  • Cardiovascular diseases – atherosclerosis, aneurysm of the aorta, heart failure;
  • Kidney and urological diseases – Peyronie’s disease, chronic renal insufficiency, hydrocele or varicocele;
  • Liver disease – cirrhosis (usually associated with alcoholism);
  • Lung disease – respiratory failure; genetic diseases – Kline-Felter syndrome, congenital or structural violation of the penis;
  • Disorders related to nutrition – malnutrition, lack of vitamins; endocrine disorders-diabetes mellitus,
  • Dysfunction of the pituitary-adrenal axis – testicle, acromegaly, Addison’s disease, chromosomal FOBN adenoma, neoplasia of the adrenal glands, myxedema, hypertension rheodism;
  • Neurological diseases – multiple sclerosis, transverse myelitis, tremorous paralysis, epilepsy of the frontal lobe, diseases of the spinal cord, central nervous system tumors, amyotrophic lateral sclerosis, peripheral nervous system disease, general paresis, spinal cord dysfunction;
  • Pharmacological effects – alcohol and other substances that cause addiction (heroin, methadone, morphine, cocaine, phenamine, barbiturates), intended for the treatment of drugs (psychotropic substances, antihypertensive, extra genes, antiandrogens);
  • Poisoning – lead, herbicides;
  • Surgical operations – perineal prostatectomy, abdominal-perineal colonectomy, sympathectomy (often prevents ejaculation), aortic ankle-joint anastomosis, radical cystectomy, retroperitoneal lymphadenectomy;
  • Mixed diseases – radiation therapy, pelvic fracture, every serious systemic disease or exhausting condition. antiandrogens);

Side effects of drugs may interfere with sexual function in a variety of ways, both in men and in women. Castration (ovarian or testicle removal) does not always lead to sexual dysfunction depending on the subject. Erection may occur after castration. Reflex arc, excited by stimulation of the internal surfaces of the thighs, acts through the sacral part of the spinal cord to the centers of erection, which causes this phenomenon.

The best sexologist in Delhi described one type of impotence as the result of an inability to reconcile with the feeling of affection or desire for the same woman. Such men can only have sexual intercourse with a woman who is believed to be humiliated. Other factors that can lead to impotence are a punitive superstitious, inability to believe, a feeling that the partner does not meet his desire or that he is not desirable for the partner.

Obesity And Sex Life

The obesity morbid (BMI> 25) is currently considered a chronic disease, among other reasons for the significant risks involved associated with severe illness such as cardiovascular disease, diabetes, and some cancers. And in relation to sex life is no less.

The loss of sexual desire is one of the most obvious consequences in both sexes since there is a hormonal imbalance: women produce more estrogen and men more estrogen and less testosterone. Excess estrogen in women causes significant alterations of the menstrual cycle and a high risk of suffering polycystic ovary syndrome, which increases the chances of losing fertility.

In men, in addition, oligospermia is frequent, that is, they produce less sperm and of poor quality, which also leads to infertility.

The problems that obesity generates in the blood supply due to the accumulation of fat in the arteries means that not enough blood reaches the penis and the clitoris, which can cause erectile dysfunction in men and difficulties in reaching orgasm in women. Stress and low self-esteem also contribute to the loss of sexual desire.

obesity and sex life
Recent studies have shown that men and women with obesity have less sexual intercourse, use less contraceptive methods and also have a greater number of unwanted pregnancies than women with normal weight or overweight.

The alterations that obesity causes in sexual life can be reversible, although with a unique conditioner: to put in the hands of a specialist sexologist in Delhi and to lose weight.

During-Pregnancy

Sex During Pregnancy

One of the great myths is that the practice of sex during pregnancy can be dangerous for the baby and there are many women who completely eliminate sexual relations from the moment they confirm that they are pregnant. However, sex during pregnancy is only a risk in very specific cases:

  • When there is a history of spontaneous abortion or premature birth.
  • If there is bleeding or vaginal discharge.
  • If there is a loss of amniotic fluid or placenta previa.
  • If you have a sexually transmitted disease.

With regard to the so-called risk pregnancies, it will be the gynecologist who must determine whether or not to have sexual relations.

Another myth related to sex during pregnancy is that its practice can harm the baby. The first thing to know is that it is protected by the mother’s abdomen and by the amniotic fluid bag. However, it will be necessary to adapt the way in which sexual relations are carried out as the pregnancy progresses, although not in order to avoid the baby suffering, but so that they are comfortable and both members of the couple can fully enjoy themselves.

sex during pregnancy
Despite the false myths, it is true that pregnancy conditions the sexual life of the couple in some way. In some women, sexual desire comes and goes during pregnancy. In the first trimester, for example, the symptoms of pregnancy can inhibit the desire to have sex. But the symptoms usually disappear in the second trimester and normalcy can be regained insofar as the growth of the fetus, and with it of the belly, will condition the movements and postures. In addition, during pregnancy increases the blood volume of the woman and most of the blood flow is directed to the pelvic area, so it is likely that she reaches orgasm more easily and even more intensely.

In the third quarter, there may again be a loss of interest in sex by women, although they are usually transitory situations. The practice of sex will impose the need to look for comfortable positions for women, given the growth of their abdomen. Sexologist in Delhi suggests the best, in this case, are those in which the woman is on top, in which the man is placed on the back of the woman or on which it rests on the hands and knees. Even so, do not forget that sexual intercourse can be equally successful without the need for penetration: there are many ways to enjoy sex.

In any case, the practice of sex during pregnancy should be based on good communication between the couple, seeking understanding and mutual satisfaction of the needs of the other. The complicity that is obtained in this way will make both enjoy equally.