The media tends to present séx as easy, good and spontáneous, implying that we all should always be in the mood for it. If only séx were that simple!
The issues of intimácy are of interest and concern to both men and women...
Many knowledgeable doctors now recognise the interrelationship between séx, séxuality and level of health, vitality and function of their patients’ lives. Many doctors now realise that séxual satisfaction is an indicator of overall health and are now including the area of séxuality in patients’ medical histories.
Doctors now evaluate patients with a view to not only help them with their presenting complaints, but to also look for opportunities to enhance and improve their séx life at the same time. Many patients, both male and female, are, however, uncomfortable with giving the details of this very personal area of their life. They may often just answer ‘Fine,’ ‘OK’ and ‘No problem’ when confronted with the séxual part of the medical questionnaire, even when all is not well with their séx life.
The overall attitude of secrecy, shame and uncertainty about the role of séxuality in overall health can be well summarised by a recent letter received by a physician”
“I am 52 years of age and so is my husband. It is about our séx life. It just seems like it’s gone. Is that normal for our age or can we be low on certain vitamins? Is there something we can get to boost our séx drive? We always had a good séx life and now it is totally gone.”
Participating in séxual activities is a good indicator of overall vitality. Loss of interest in séx is a very negative sign for a person’s good health and longevity. Blockages in séxual energy will often manifest as deterioration in general health or mental state.
As reflected in the e-mail, there is a general myth that séxual energy wanes and disappears with age. The e-mailer and her husband are only 52 years old, yet she wonders whether a séx life that is “just gone” might be normal for that age.
Well, it’s not normal for that age, or any other age for that matter. Continuing to have good health involves continuing to have a séx drive. Many things can sabotage a normal and enjoyable séx life. If you and your partner are experiencing problems with séx, you are not alone. Recent studies reveal that nearly 40 to 90 per cent of women of all ages report having séxual problems.
Many women experience séxual difficulties at some point in their lives. During menopause, as many as half of all women, or even more, may experience séxual dysfunction. Séxual function is no exception. At age 60, for example, one’s sexuál needs, patterns and performance may not be the same as they were when one was half that age.
What are female séxual problems?
There are a variety of séxual problems that women experience, either alone or with a partner. The term “séx” is not limited to just intercourse, and can also refer to a variety of intimate séxual activities such as fondling, self stimulation or masturbation and oral séx.
Séxual problems are generally defined as any problem that occurs in the course of séxual activity, including not being in the mood, trouble becoming aroused, which usually involves being too dry; difficulty having orgasms, pain during séx or pain related to séxual activity.
Most women experience these from time to time. It is when they are persistent that they become problematic for the woman and her partner. You should seek help promptly if you are experiencing physical pain.
Defining the problems
Séxual dysfunction is defined simply as a persistent or recurrent problem during one or more of the stages of having séx. It is not considered a séxual disorder unless you are distressed about it or if it negatively affects your relationship with your partner. Female Séxual Dysfunction occurs in women of all ages.
Doctors and séx therapists generally divide séxual dysfunction in women into four categories. These are:
Low séxual desire
In this case, you have poor libido, or lack séx drive. This is the most common type of séxual disorder among women and it accounts for 87.2 per cent of cases of FSD. It is the persistent or recurrent lack of séxual thoughts and/or receptivity to séxual activity, which causes personal distress. Low séxual desire may result from endocrine failure and may be associated with psychological or emotional disorders. Séxual aversion disorder is a subcategory of low séxual desire.
Séxual árousal disorder
In this situation, your desire for séx might be intact, but you’re unable to become ároused or maintain árousal during séxual activity. It is persistent or recurrent inability to reach or maintain séxual excitement, which causes personal distress. This disorder includes poor váginal lubrication, decreased genital sensation and poor váginal muscle relaxation. Arousál disorders are most commonly physiological and can often result from medications, pelvic disorders, as well as neural and peripheral vascular diseases and accounts for 74.7 per cent of FSD.
FSD with orgasmic disorder, which accounts for 83.3 per cent of cases of FSD, comes with persistent or recurrent difficulty in achieving orgasm after sufficient séxual arousál and ongoing stimulation. This causes personal distress and trauma to nerves. Pelvic surgery and spinal cord injury can be associated with orgasmic failure.
There is séxual pain disorder in which the vágina is painful after being séxually stimulated or touched. Subcategories include painful intercourse and vágina spásm. This may be caused by injuries during operations and physical or psychological trauma involving the pelvis. This accounts for 71.7 per cent of FSD.
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