SEXUAL PROBLEMS TERMINOLOGY
It is important to know the definitions of several terms used to describe the sexual response to understand related sexual problems.
Desire (libido) — Libido, or sex drive, is the desire to have sexual activity, and often involves sexual thoughts, images, and wishes. Desire may occur spontaneously or in response to a partner, thoughts, or images. Spontaneous desire is more common in new relationships while desire in response to an erotic stimulus is more typical of long-term relationships. Responsive desire may occur after sexual activity has started.
Sexual desire is not essential to have a satisfactory sex life. In other words, a woman who does not think about or initiate sex does not necessarily have a problem.
Arousal (excitement) — Arousal is a sense of sexual pleasure, often accompanied by an increase in blood flow to the genitals, increased lubrication, and an increased heart rate, blood pressure, and rate of breathing.
Orgasm — Orgasm is defined as a peaking of sexual pleasure and release of sexual tension, usually with contractions of the muscles in the genital area and reproductive organs. A woman who never or rarely experiences an orgasm may still experience pleasure with sex and does not have a sexual problem unless this is bothersome to her.
Although desire, arousal, and orgasm describe the typical sexual response, the goal of sexual activity is satisfaction, which may or may not involve all aspects of the sexual response cycle (desire, arousal, orgasm).
RISK FACTORS FOR SEXUAL PROBLEMS
There are a number of risk factors that may contribute to sexual problems in women. A risk factor is not necessarily the cause of a problem, but rather something that makes the problem more likely.
Personal well-being — A woman's sense of personal wellbeing is important to sexual interest and activity. A woman who does not feel her best physically or emotionally may experience a decrease in sexual interest or response.
Relationship issues — An emotionally healthy relationship with current and past sexual partners is the most important factor in sexual satisfaction. Stress or conflict between a woman and her partner, and current or past emotional, physical, or sexual abuse often influence a woman's sexual desire and response. In addition, even good relationships can become less exciting sexually over time.
Male sexual problems — For women with a male sexual partner, sexual dysfunction in the partner can affect her sexual response. Male sexual problems, (erectile dysfunction, diminished libido, or abnormal ejaculation), can occur at any time, but become more common with advancing age. In addition, women tend to live longer than men, resulting in a shortage of healthy, sexually functional partners for older women.
Childbirth — After childbirth, physical recovery and breastfeeding, as well as fatigue and the demands of parenting, often decrease sexual desire. Low estrogen levels after delivery and local injury to the genital area at delivery may result in pain with sexual activity. In most cases, these issues improve with time.
Menopause — Estrogen is a hormone produced by the ovaries. During the several years before menopause, estrogen levels begin to fluctuate. After menopause, estrogen levels decline dramatically. This may lead to changes in a woman's libido and ability to become aroused. Hot flashes, night sweats, sleep disruption, and fatigue also may contribute to sexual problems
In addition, some women experience vaginal narrowing, dryness, and a decrease in elasticity of the vagina after menopause, especially if intercourse is infrequent, which can lead to discomfort or pain during sex?
Hysterectomy — In general, hysterectomy (removal of the uterus) does not cause sexual dysfunction. Most studies actually show in improvement in sexual function after hysterectomy, likely due to an improvement in symptoms that interfere with sex, such as heavy bleeding or pain. Removal of the cervix at the time of hysterectomy also has no negative effect on sexuality. Removal of the ovaries at the time of hysterectomy, typically done to decrease the risk of ovarian cancer, reduces estrogen and androgen levels, which may impact sexual function for some women.
Vaginal or pelvic pain — Women who have vaginal or pelvic pain often have difficulty with sexual activity. Pain may lead to fear of further pain during sex and can diminish lubrication and cause involuntary tightening of the vaginal muscles, causing further pain.
Pain may be caused by endometriosis, prior surgeries, infection, or scar tissue. In postmenopausal women, a lack of estrogen often causes discomfort with intercourse.
Bladder and pelvic support issues — Changes in the bladder or loss of pelvic support (pelvic organ prolapse) can lead to loss of urine (incontinence) or sensations of vaginal pressure. These symptoms may interfere with sexual desire or activity in some women.
Medical issues — Almost any serious or chronic medical problem can impact a woman's sexual desire and responsiveness. Problems such as coronary artery disease and arthritis can affect a woman's physical ability to have sex. Indeed, arthritis has been identified in some studies as a common contributor to sexual inactivity.
Women with cancer can experience discomfort and fatigue, due to both the disease and its treatments, which impact sexual function. Changes in body image, especially after surgery on the breasts or other intimate areas, can contribute to sexual problems in women with cancer.
Other conditions such as Parkinson disease, complications of diabetes, or alcohol and drug abuse can impair arousal and ability to experience orgasm.
Psychiatric or emotional problems may also impact sexual function, either due to the disease itself or its treatment (see below). Depression is one of the most common causes of decreased libido and other sexual disorders in women.
Medications — Both prescription and nonprescription medications can alter sexual desire, arousal, and orgasm. This may include:
●Many antidepressants (especially selective serotonin reuptake inhibitors)
●Some antipsychotic medications (used for psychiatric problems as well as sleep disorders and other conditions)
●Beta blockers (used to treat high blood pressure)
It is not clear if hormonal medications, such as birth control pills and menopausal hormone therapy, affect sexuality. Studies have shown mixed results, with some studies showing that hormonal medications have no effect while others showing worsening or improvement of sexual problems in women who take hormonal medications.
FOR SEXUAL TREATMENT YOU CAN CONSULT HERE- +91-9999219128