All about sexual health

Concept of sexual health

What is sexuality?

Sexuality refers to a fundamental dimension of human personality, which includes sex, gender, gender identity, gender identity, sexual orientation, sexual desire, emotional connection/love, and procreation, experienced or expressed in thoughts, fantasies, desires, beliefs, traits, values, activities, practices, roles, and relationships. Sexuality is the product of the interaction of biological, psychological, economic, social, cultural, moral, religious, and spiritual factors. While sexuality can include all of these aspects, not all of these dimensions have to be tested or expressed. In short, though, our sexuality is experienced and expressed by who we are, what we feel, think, and do.

What is sexual health?

Sexual health is a state of physical, mental, and social welfare associated with sexuality. It requires a positive and respectful approach to sexuality and sexual relations, as well as access to pleasure and safe sexual experiences free of coercion, discrimination, and violence.

What is ED?

A sexual problem, or sexual disorder, refers to a problem that occurs during any stage of the sexual response cycle that prevents one or both spouses from feeling fulfilled after sexual activity. The sexual response cycle includes four phases: arousal, steadiness (settlement), orgasm, and relaxation (regression).

While analysis shows that sexual dysfunction is a common disorder (43% of women and 31% of men report some point of the problem), it’s the topic that many people hesitate to talk about. Fortunately, most cases of ED are treatable. It is important to share your concerns with your spouse and doctor.

What are the causes of sexual problems?

Sexual dysfunction may be caused by a physical or psychological problem.

  • Physical causes: Many physical conditions can cause problems with sexual function. These conditions include diabetes, cardiovascular (blood vessel) disease, neurological disease, hormonal imbalances, chronic diseases such as kidney or liver failure, alcoholism and drug misuse. In addition, the side effects of some medications, including some antidepressants, can affect sexual desire and function.
  • Psychological causes: These cover work-related anxiety and stress, concerns concerning sexual performance, marital or relationship problems, anxiety, blame, and the effects of past sexual trauma.

Who is affected by sexual problems?

Both men and women are touched by sexual problems. It can occur in adults of all ages, and among those who can have these problems are the elderly; It is related to poor health with age.

How can sexual problems affect men?

The common sexual problems in men are ejaculation disorders, erectile dysfunction, and low sexual desire.

What are ejaculation disorders?

There are different types of these disorders, and they include the following:

  • Premature ejaculation – refers to ejaculation that occurs before or immediately after penetration.
  • Suppressed or delayed ejaculation – when ejaculation is slow to occur.
  • Reverse ejaculation – occurs when, during an orgasm, the ejaculate is pushed inward into the bladder rather than through the urethra, through the end of the male reproductive organ.

In some cases, premature ejaculation and suppressed ejaculation are caused by poor sexual attraction, past trauma, and psychological factors including a strict religious background that cause a person to view sex as sinful, and premature ejaculation, the most common type of sexual disorder, is usually caused by panic. Regarding the quality of performance during sex, some medications, such as antidepressants, may affect ejaculation.

Retrograde ejaculation is common in men with diabetes and those with diabetic neuropathy (nerve damage). This is caused by problems with the nerves in the bladder and bladder neck, allowing semen to flow backward into the bladder. In other men, reverse ejaculation occurs after operations on the bladder neck or prostate, or after certain operations in the abdomen. Furthermore, some medications, especially those used to treat mood disorders, may cause problems with ejaculation. This usually does not require treatment unless it affects fertility.

What is erectile dysfunction?

Erectile dysfunction is defined as the inability to get or maintain an erection appropriately for sexual encounter. Among the causes of erectile dysfunction are diseases that affect blood flow, such as atherosclerosis, neurological diseases, psychological factors such as stress, depression, anxiety about performance (panic about the ability to perform sexually), and injuries to the male reproductive organ. Having a chronic disease, taking certain medications, and having a disease called Peyronie’s disease (scar tissue in the male reproductive organ) can also cause erectile dysfunction.

What is a lack of sexual desire?

Apathy, or loss of libido, refers to a lack of desire or interest in sexual activity. Decreased arousal may be caused by physical or psychological factors, and it may be associated with low testosterone levels. A lack of desire may also result from psychological problems such as anxiety and depression, medical diseases such as diabetes and high blood pressure, certain medications such as antidepressants, and problems in the marital relationship.

How are sexual problems diagnosed in men?

To diagnose sexual problems in men, a doctor begins with a complete history of symptoms. Your doctor may order other tests to identify any medical problems that may be contributing to the disorder. Your doctor may refer you to other doctors, such as a urologist, an endocrinologist (a specialist in matters related to hormones), a neurologist (a specialist in the nervous system), sex therapists, and other counselors.

What tests are used to evaluate sexual problems?

Several tests can be used to assess the cause and degree of sexual problems in men.

These tests include:

  • Blood tests – These tests are done to assess hormone levels.
  • Vascular evaluation – This includes evaluating blood flow to the male reproductive organ. A blockage in the blood vessel that supplies blood to the penis may contribute to erectile dysfunction.
  • Sensory tests – Particularly useful in evaluating the effects of diabetic neuropathy (nerve damage), sensory tests measure the strength of nerve impulses in a specific area of ​​the body.
  • Nocturnal erection measurement and hardness test – This test is used to monitor erections that occur naturally during sleep. This test can help determine whether a man’s erection problems are due to physical or psychological causes.

How is the treatment of erectile dysfunction in men?

Many cases of male erectile dysfunction can be fixed by treating the underlying physical or psychological problems. Treatment strategies can include:

  • Medical treatment – This treatment involves treating any physical problem that may be contributing to a man’s erectile dysfunction.
  • Medications – Medications such as phosphodiesterase type 5 inhibitors can help improve sexual function in men by improving blood flow to the penis.
  • Hormones – Men with low testosterone levels may benefit from hormonal supplements (testosterone replacement therapy).
  • Psychotherapy – Therapy with the help of a psychotherapist can help a person discuss feelings of anxiety, fear, or guilt that may be concerning sexual function.
  • Mechanical aids – aids such as vacuum devices and penile prosthetic surgery can help men with erectile dysfunction.
  • Education and Communication – Education about sex and sexual practices and responses can help a man succeed anxiety about his sexual performance. Opening up a conversation with your partner about your needs and concerns also helps to overcome many of the barriers to having a healthy sex life.

How does gynecomastia affect women?

The most common erectile dysfunction problems in women include:

  • Low sexual desire. This includes decreased sexual desire or decreased interest in sex. Many factors can contribute to a lack of desire, including hormonal changes, medical conditions, treatments (eg cancer, chemotherapy), depression, pregnancy, stress, and fatigue; Boredom with repetitive sex routines may also contribute to a lack of enthusiasm for sex, as may lifestyle factors such as occupation and childcare.
  • Inability to get excited. For women, the inability to achieve physical arousal during sexual activity usually includes insufficient lubrication of the vagina. The inability to reach excitement can also be related to anxiety or insufficient excitement. Furthermore, researchers are researching how blood flow problems affecting the vagina and clitoris may contribute to arousal problems.
  • Dyspareunia; Means not reaching the sexual climax (orgasm). It may occur due to lack of sexual desire in women, shortage of experience, lack of knowledge, or psychological factors such as guilt or anxiety, sexual trauma or previous sexual abuse, and other factors that contribute to dyspareunia include insufficient arousal, and some medications, and chronic diseases.
  • Pain during intercourse. Pain during intercourse may be caused by several problems, including endometriosis, pelvic masses, ovarian cysts, vaginitis, poor hydration, scar tissue from surgery, or a sexually transmitted infection. There is a condition called involuntary vaginismus which is a painful, involuntary contraction of the muscles surrounding the entrance to the vagina. This condition may occur in women who fear penetration will be painful, and it may stem from a fear of sex or from past trauma or traumatic experience.

How is gynecological dystrophy diagnosed?

To diagnose erectile dysfunction in women, a doctor may begin with a physical examination and a thorough evaluation of symptoms. Your doctor may do a pelvic exam to assess the health of your reproductive organs, a Pap test to identify changes in cervical cells (to look for pre-cancerous and pre-cancerous conditions), and your doctor may order other tests to identify any medical problems that may be contributing to sexual dysfunction.

Assessing your attitudes about sex, as well as other factors that may contribute to sexual dysfunction (such as anxiety, fear, trauma/past sexual abuse, relationship problems, alcohol or drug abuse) will help the doctor understand the underlying cause of the problem and make appropriate recommendations for treatment.

How is the treatment of erectile dysfunction in women?

The ideal approach to treating female sexual dysfunction involves the combined effort of the woman and trained physicians and therapists. Most types of sexual problems can be treated by treating the underlying physical or psychological problems.

Other treatment strategies focus on the following:

  • Provide education. Education about human anatomy, sexual function, and the normal changes associated with aging, as well as sexual behaviors and responses, may help a woman overcome anxiety about sexual function and sexual performance.
  • improve arousal. This may include the use of erotic materials (videos or books) and changes in sexual routine.
  • Provide distraction techniques. Erotic or non-erotic fantasies, exercise with sexual encounters, music, videos, or television can be used to increase relaxation and relieve anxiety.
  • Behaviors that do not involve intercourse. Behaviors other than intercourse (an exciting physical activity that does not involve intercourse), such as sensual massage, can be used to promote comfort and increase communication between partners.
  • Reduce pain. Using sexual positions that help the woman control the depth of penetration can help relieve some of the pain. Also, using vaginal lubricants can help reduce the pain caused by friction, and enjoying a warm shower before intercourse can help increase relaxation.

Can sexual problems be treated?

The success of treating sexual problems depends on the underlying cause. This is good for disorders related to a treatable or reversible physical condition, and minor imbalances related to stress, fear or anxiety can be successfully treated with counseling, education, and improved communication between spouses.

Can sexual problems be prevented?

Since sexual problems cannot be prevented, acting with the underlying causes of sexual dysfunction may help to properly understand and deal with the problem when it occurs. There are some steps you can take to maintain a good sexual function:

  • Follow the treatment plan your doctor gives you for any medical condition.
  • Reduce the rate of alcohol use.
  • Quit smoking.
  • Deal with any emotional or psychological issues such as stress, depression, and anxiety. Get treatment when needed.
  • Increase communication with your spouse

When should I contact a doctor about a sexual problem?

Many men and women experience sexual problems from time to time. However, when problems persist, they can cause distress to the spouses and have a negative impact on their relationship. If you have persistent problems with sexual function, see your doctor for evaluation and treatment.