Dr. S.K. Jain Burlington Clinic Pvt Ltd
Types of Sexual Dysfunction
Dr Saransh Jain
Sexual dysfunction affects up to 43 percent of women and 31 percent of men to varying extent and is of several types.
Some examples of male sexual dysfunction include erectile dysfunction, orgasm/ejaculation disorders, and priapism or painful erections. Female sexual problems include loss of interest in sex, difficulty reaching orgasm, negative thoughts during sex, and vaginal dryness and tightness causing painful intercourse.
Types of sexual dysfunction are:
- Sexual desire disorders
- Arousal disorders
- Orgasm disorders
- Sexual pain disorders
Sexual Desire Disorders
These are problems that involve a lack or absence of sexual drive, also referred to as a low libido. The lack of desire may apply in general or towards the current partner. The disorder may have always been present or may develop after a period of sexual function being normal.
Low levels of the female hormone estrogen and the male hormone testosterone can lead to a decrease in sexual desire. Testosterone maintains sexual drive in addition to sperm production, muscle and bone development and male pattern hair growth.
Precipitating factors include increasing age, pregnancy, depression, anxiety, and the use of certain medications such as selective serotonin re-uptake inhibitors. Relationship conflicts, and physical illness such as diabetes or hypertension are other contributors.
Sexual Arousal Disorders
Previously, terms used to describe a sexual arousal disorder have included “frigidity” in the case of women and “impotence” in the case of men but these terms are generally not currently used. Impotence is now described as erectile dysfunction and a number of terms exist to describe frigidity. These individuals may have an aversion to or tendency to avoid sexual contact with a partner. Males may find they can only maintain a partial erection or they may be unable to obtain one at all. Affected males may also find they gain no pleasure or excitement from sexual activity.
Erectile dysfunction refers to being unable to maintain an erection for intercourse, and may affect about 50 percent of males in America after the age of 40 years.
The causes of erectile dysfunction include:
- Hardening of the arteries or other vascular diseases
- Neurological disorders
- Psychological factors such as stress, conflicts between partners, depression and performance anxiety
- Penile trauma
- Chronic disease such as diabetes mellitus or hypertension
- Alcoholism, smoking, obesity and a sedentary lifestyle
Among affected females, the vagina may fail to become lubricated prior to intercourse.
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