Sexual Dysfunction - Symptoms, causes and treatment
Understanding Sexual Dysfunction
Sexual dysfunction is a problem that prevents a person from having a sexual desire or gets satisfaction in sexual activity. This condition can affect both women and men, and the risks are higher with age.
Sexual dysfunction in women includes problems in sexual response, orgasm and pain during intercourse. While sexual problems in men regarding erectile dysfunction or impotence, impaired ejaculation, and loss of sexual arousal. Sexual dysfunction alone is not a rare occurrence, where 43 percent of women and 31 percent of men have at least experienced interference or difficulty in their sexual activity.
Sexual dysfunction can be a nuisance if this problem persists and has a significant effect on a person's sexual life. The longer this sexual dysfunction lasts, the higher the pressure and the level of anxiety the person has. Even so, most patients with sexual dysfunction can be recovered with physical medicine combined with psychological therapy.
Symptoms of Sexual Dysfunction
Sexual dysfunction shows symptoms based on the type of disorder suffered. Men and women have different symptoms. Here are the symptoms of sexual dysfunction in women:
- Low sexual desire. This is the most common type of sexual dysfunction suffered by women, and is characterized by a loss of desire or desire for sexual intercourse.
- Sexual arousal disorder. In this condition, sexual desire persists, but a woman is difficult to arouse and sustain stimulation during sexual activity.
- Sexual dysfunction / dyspareunia disorders. The symptoms are arising pain when making vaginal contact or sexual stimulation. Many things that can trigger pain in sexual relations, including vaginismus, inadequate lubrication, and rigid vaginal muscles.
- Orgasmic disorder, ie difficulty reaching orgasm despite stimulation and stimulation is done continuously.
While the symptoms of sexual dysfunction in men are:
- Erectile dysfunction or known by the name of impotence. This condition occurs when a man is unable to erect or maintain the necessary erections during intercourse.
- Decreased sexual desire (libido). This condition is often associated with a low amount of testosterone in the body. If the drop in desire is severe, a man will not be entirely eager to have sex.
- Ejaculation disorders There are three types of ejaculatory disorders, ie premature ejaculation (ejaculation that occurs before penetration or shortly after penetration), slow ejaculation, and ejaculation turns (ejaculation back to the bladder and not out on the tip of the penis through the urethra).
Causes of Sexual Dysfunction
Sexual dysfunction may occur due to several factors, including:
- Physical or medical conditions that interfere with sexual function. These conditions include diabetes, heart and vascular disease, neurological disorders, chronic illness, drug abuse, and side effects from certain drugs (one of which is an antidepressant that can interfere with sexual desire and function).
- Hormonal conditions, such as decreased levels of estrogen in women, especially after menopause and low testosterone in men, reduces the desire to engage in sexual activity.
- Psychological factors, especially stress, can cause sexual dysfunction. In addition, anxiety, excessive worry about his sexual performance, problems in relationships or marriage, depression, guilt, and the effects of past traumas can also have an effect.
Diagnosis of Sexual Dysfunction The diagnosis of sexual dysfunction begins by asking for symptoms thoroughly and performing a physical examination, including examination of physical changes that may affect sexual satisfaction, such as skin elasticity and tissue in the genitals. To strengthen the diagnosis of sexual dysfunction, your doctor may perform the following tests, including:
- Blood tests to check hormone levels and other risk factors, such as diabetes and cholesterol.
- Tests to monitor erections during sleep at night. This test will determine whether an erection disorder is experienced due to physical or psychological factors.
- Vascular test in men to check blood flow to the penis.
- Sensory testing test to check the strength of nerve impulses in certain body parts.
Doctors may also refer patients to other doctors, such as a specialist urologist, endocrinologist, neurologist, sexual therapist and other therapist to get the most appropriate diagnosis and treatment options.
Treatment of Sexual Dysfunction Treatment of sexual dysfunction aims to address the main problems that cause this disorder. Treatment includes:
- Medical treatment to deal with physical problems. For patients with a disease, doctors may adjust or change drugs that have certain sexual effects. Flibanserin drugs are given to premenopausal women who have low sexual desire. While the drug tadalafil, sildenafil, or vardenafil can improve male sexual function by increasing blood flow to the penis. For premature ejaculation problems, doctors can give promescent medication. This topical spray medication contains lidocaine which aims to reduce the sensitivity for ejaculation to be more controllable.
- Treatment related to hormone problems. For women with low estrogen levels, estrogen therapy may be given to help the elasticity of the vagina by increasing blood flow and lubrication in the vagina. This therapy can be given in the form of a vaginal ring, cream, or tablet. As for men with low testosterone levels, doctors can provide hormone supplements or testosterone replacement therapy.
- Psychological therapy. This therapy is done by a trained counselor to help a person overcome anxiety, fear or guilt that affects sexual function. In addition, an understanding of sex and sexual behavior also needs to be possessed by the patient so that anxiety about his sexual ability can be resolved. One way is to talk openly to the couple about her needs and anxieties to remove obstacles in her sex life.
In addition to these medications, some tools such as pumps (vacuum) and vibrators can help a person in handling sexual problems. Meanwhile, to help men with erectile disorders, the choice of penile implant surgery can be considered.
To improve your sex life, increase your confidence and find ways to be comfortable with your sexuality. In addition, you must also be able to accept your physical form. It can be achieved by implementing a healthy lifestyle, such as exercising to improve fitness and mood, taking time to relax to relieve stress, avoid alcohol consumption, and stop smoking.