Wednesday, March 12, 2008
Sexual Dysfunction
Overview sexual dysfunction refers to the process of sexual intercourse of a segment or a few obstacles, satisfied with the result, could not have sexual intercourse necessary for the physiological response and the lack of excitement. Common male sexual dysfunction is impotence, premature ejaculation and ejaculation problems. Common female sexual dysfunction and lack of sexual Lok vaginismus. Cause pathogenesis one. Physical disease : such as diabetes, kidney dysfunction, spinal cord lesions, pelvic inflammatory disease, such as wasting disease. 2. Mental illness : If mania, depression, anxiety neurosis. 3. Psychological factors : anxiety, such as more consideration. 4. Affect sexual function drugs : alcohol, hormones, and other antipsychotics. 5. The age factor. Differential diagnosis (1) loss of libido (sexual hypoactivity) mainly for sexual activities is not easy to launch or to a lack of interest in sexual activity, but not necessarily free of sexual excitement or pleasure. Upon inquiry, history and comprehensive investigation body can distinguish between organic loss of libido or lack of, or because of the heart. (2) sexual obnoxious (sexual Lok deficiency) (asexuality) means psychologically do not like or obnoxious sexual intercourse. The extent sufficient to stimulate a strong, positive, if not avoided, normal intercourse has also aroused a strong anxiety, discomfort or pain, the whole process of sexual intercourse music to speak of clones. Such is the situation of psychogenic nature. (3) loss of genital reaction (reproductive organs reaction los e) intercourse female genital glands secreting some certain amount of liquid lubricant. This lack of lubrication secretory response genital said the loss is often secondary to the lack of sexual interest. Sexual intercourse is likely to cause the anxiety or spouses in sexual intercourse before the start of the "prelude" inadequate, can be found in menopause or endocrine disease. (4) sexual dysfunction peak (orgastic dysfunction) men in sexual intercourse without firing Gnome or significantly delayed ejaculation, music is difficult to reach sexual climax. Women in the absence of sexual intercourse upsurge music experience. Such a scenario is still the impulse intercourse both emotionally, but also entered the peak period, subjective also be given a certain degree of sexual pleasure, but I will not reach sexual climax music stage. Le upsurge in sexual dysfunction can be divided into cardiac causes sexual and physical sexual. Cardiogenic of others in addition to the lack of climax, most are nervous, anxious and tired, psychological treatment can be improved. Body for sexual climax no lack of the above. (5) premature ejaculation (premature vaginal) intercourse for male ejaculation shortage Jimmy control, which the two sides do not want to end sexual intercourse before ejaculation, so both sides will not euphoric. In serious cases, the penis into the vagina before or erectile yet on ejaculation. For the vast majority of premature ejaculation due to the heart and balanitis or inflammation of the foreskin, urethritis, Prostatitis may affect the reflectivity of the spinal cord centers, and caused premature ejaculation. (6) vaginismus (vaginismus) female vaginal intercourse outside terminal 1 / 3 and perineal muscle fat Health uneasy cramps, so that the penis or inserted into difficulties pain. More common in cardiac disease, pelvic and genitals can cause the disease. (7) pain during intercourse (dyspareunia) intercourse cause genital pain. Most cardiac disease, genital scarring and pelvic lesions could create. (8) sexuality hyperparathyroidism (hypergonadism) patients on the day enrapture sexual impulse, endless demand sexual intercourse, such as the demand is not met, then continued to masturbate, with this deep sense of anguish. (9) impotence (erectile disorder) not intercourse penis erection. erection or inability, or erectile not sustainable, so the penis can not be inserted into the vagina, , or if it can be inserted into the vagina prior to ejaculation in the seizure of soft down. Despite the masturbation, sleep or sexual intercourse with other erectile can. Impotence can be divided into cardiac and sexual body, the distinction between the two : ① psychogenic impotence generally have more aggressive. CARICOM is the result of multiple slow development, gradually worsened, and finally totally erectile; ② body for sexual impotence generally associated with loss of libido, sexual impotence heart is not necessarily a loss of libido; ③ psychogenic impotence. REM sleep at night and wake up in morning may have spontaneous penile erection, and sexual impotence - erectile this will disappear; ④ psychogenic impotence were intermittent general situation or sexual, physical sexual conjunction wilt under any circumstances showed impotence.
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