Whether we consider sex to be an important part of our lives or not, if dysfunction becomes part of our sexual world, it can have profound and destructive effects for many of us. Sexual dysfunction can affect both men and women and women at any age although the likelihood of us being affected increases with age.
We can define sexual dysfunction as a disruption of one or more of the phases of the sexual response cycle. The phases are as follows:-
Although we are aware that the incidence of sexual dysfunction is relatively common, there are many people who find it a difficult subject to discuss but on the whole, sexual dysfunction is largely treatable and your doctor will very likely be able to offer help.
There are a number of conditions which can contribute to sexual dysfunction in men. The most well known is erectile dysfunction whereby the individual is unable to achieve or maintain an erection long enough to allow sexual intercourse to take place.
There are many causes and contributory causes of ED which include:-
The physical underlying conditions can be treated and so subsequently will help alleviate the ED. In addition, there is another class of drugs known as PDE inhibitors which cause an increase of blood flow to the penis which when accompanied by arousal will enable an erection to occur; this class of drugs includes Viagra and Cialis.
In the case of the psychological issues, drugs may be used, antidepressants for instance but alongside this we may consider counselling and other lifestyle changes such as meditation, taking regular exercise and changing to a healthier, more nutritious lifestyle.
This condition occurs when ejaculation occurs in the male either before penetration can occur or very shortly after penetration
There are a variety of possible causes:-
We can address some of these issues with a direct investigation into prostate and thyroid issues and antidepressants and therapy for the psychological issues but there are some specific drug therapies that we can consider:-
This is an SSRI drug that has been licenced in the UK specifically for treating premature ejaculation. It can be taken as required, 1 - 3 hours before sex but only once a day
This is the group of PDE inhibitors mentioned in the treatment for erectile dysfunction and they can also be used in the treatment of PE
Loss of libido can be attributed to a range of things and it may surface at particular times of life. For instance, during pregnancy, after childbirth and in times of stress. However, there are a number of physical and psychological factors which may contribute to this issue:-
This is also known as dyspareunia and actually refers to pain in the vagina experienced during sex. The muscles in the vagina actually go into spasm making sexual intercourse painful or even impossible. It may be associated with a woman’s belief that intercourse is ‘wrong’ or even past sexual trauma or vaginal injury. In addition, the skin condition called Lichen Sclerosis can cause reduced elasticity and thinning of the skin which in turn can mean that intercourse can result in skin ‘tears’.
Treatment can involve counselling, using vaginal dilators and treating any skin conditions that may be involved.
During menopause we experience drops in levels of oestrogen which in turn can lead to vaginal dryness.
The treatment for this is to use lubricating cream or ointment
FGM is the deliberate cutting, changing or injuring the female genital region. Obviously this is likely to lead to reduced sexual desire and a lack of pleasurable sensation in addition to experiencing difficult and painful sex.
If this is a problem, do not hesitate to seek medical attention from your GP.
More can be done to help with sexual dysfunction than many people may realise from sex therapy and lifestyle changes to drug intervention. To seek advice, contact your GP
What is sexual dysfunction https://www.healthline.com/health/what-sexual-dysfunction
Female sexual dysfunction https://www.webmd.com/women/guide/sexual-dysfunction-women#1
Sex, Sexuality & Sexual Disorders https://psychcentral.com/sex/
Premature ejaculation https://www.nhs.uk/conditions/ejaculation-problems/
Female sexual problems https://www.nhs.uk/live-well/sexual-health/female-sexual-problems/
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Sildenafil, Tadalafil, Vardenafil
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