Introduction

  • The mantra of "Staying young" or "Delaying Aging" is to stay "Sexually Active"
  • About 20 - 25% of middle aged men and women suffer from one or the other form of Sexual dysfunction.
  • Because most of the people are reluctant to talk about their sexual problems, the issue gets unnoticed.
  • The Sexual Dysfunction can be a marker of underlying Medical, Endocrinological, Psychological and Social problem.
  • Sexual Deprivation to the spouse/partner because of ones Sexual Dysfunction leads to complications in the partner.
  • Erectile Dysfunction should not considered to be a normal part of aging process.
  • Causes Of Sexual Dysfunction

    • Hormonal Imbalances.
    • Neurotransmitters defects.
    • Addictions (Smoking)
    • Stress
    • Life Style
    • Medicines
    • Psychologic
    • Neurogenic
    • Vasculogenic
    • Mood disorders
    • PCOD
    • Diabetes Mellitus
    • Obesity
    • Not attracted towards the partner
    • Sexual Exclusivity (Monogamy)
    • Socioeconomic (Small houses having big families)
    • Religious/ Cultural/ Social taboos
    • Fear of Pregnancy
    • No Sex education
    • No knowledge of foreplay
    • Monotonous Sexual activity
    • Imperfect partner (in term of partner not bothered about sexual satisfaction of other partner)
    • Forced Sex
    • Premature ejaculation in male partner
    • Trauma, Insults in early age.
    • Usually attitude of male partners to see female partners as sex objects brings Sexual problems in the female partner.
  • Management Of Sexual Dysfunction

    • Classify the Sexual Dysfunction (Libido, Arousal, Erection, Penetration, Ejaculation, Orgasm)
    • Detailed Discussion about interpersonal relationship issues
    • Identify the risk factors
    • Elimination of risk factors
    • Identification and treatment of underlying medical conditions causing Sexual dysfunction
    • Investigation for Hormonal imbalances, Nutritional deficiency etc.
    • Imaging for Erectile dysfunction (Penile Doppler etc)
    • Hormonal and nutritional manipulation
    • Stress reduction
    • Sleep management
    • Motivation
    • Medical and Surgical management for Erectile dysfunction
    • Medical and psychological management or arousal and orgasmic disorders
    • Couple counselling is of utmost importance
    • Education about Foreplay and use of non - genital organs for sexual pleasure.

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