Disorders of sexual arousal

Disorders of sexual arousal


  • 1 Sexual arousal disorder
  • 2 Erectile dysfunction (male impotence)
  • 3 Sexual dysfunction in women (female frigidity)
  • 4 Treatment of sexual dysfunctions

Sexual arousal disorder

The sexual arousal disorder is a dysfunction that occurs at some point in the cycle of sexual response (desire, excitement, orgasm or resolution), and that prevents enjoying the experience of satisfaction through sexual activity. A person with this disorder may wish to have sexual intercourse, but has difficulty stimulating enough to carry them out successfully.

Disorders of sexual arousal were previously known as frigidity in women e impotence in men, although these terms have been replaced by less pejorative ones. Impotence is now known as erectile dysfunction and frigidity is described specifying whether it is a problem of sexual desire or inhibited arousal.

For both men and women, these dysfunctions may be the answer to a aversion or rejection of sexual contact with a couple. In men, it may appear as a total or partial inability to achieve or maintain an erection, or as a lack of sexual arousal and pleasure during sexual activity. In women, it often presents itself as an inability to lubricate enough to complete the sexual act.

Erectile dysfunction (male impotence)

The occasional erectile dysfunction It occurs in approximately 50% of adult men, while the chronic dysfunction affects approximately 1 in 8 men, increasing the number as you get older. About 52% of men between 40 and 70 years of age have some degree of erectile dysfunction.

Impotence can be classified as primary or secondary. The primary impotence It is one in which an erection has never been enough to perform intercourse. The secondary impotence It involves the loss of erectile function after a period of normal function. This tends to occur gradually, except in cases caused by a sudden injury or illness.

The treatment of secondary impotence has a higher success rate than that of primary impotence, because the patient has a previous history of normal function in the past.

As we have seen, approximately 50% of all men at some time may be unable to achieve or maintain an erection, but this does not mean that they are unable to participate fully in sexual relations.
There are several components necessary to achieve an erection:

  • An optimal emotional state
  • A proper functioning of the pituitary gland
  • An adequate testosterone level
  • An adequate blood supply to the penis

The premature ejaculation (when orgasm comes too fast) it is different from erectile dysfunction, and it is not the same as infertility male A man who is unable to maintain an erection may be perfectly capable of fathering a child. Instead, an infertile male may be able to have normal sex, but not be able to father a child.

Causes of male erectile dysfunction

  • The most common risk factors for male impotence are age, anxiety, stress and conflictive relationships.
  • Some medications have side effects that can contribute to impotence. These are diuretics, tricyclic antidepressants, beta-blockers and hormones.
  • The physical causes of impotence are trauma and diseases such as: diabetes, pelvic surgery, spinal cord injury and glandular problems.

The erectile dysfunction It may appear in early adolescence as an inability to achieve an erection, but it is more common to occur after years of normal functioning.

On the other hand, the ejaculatory impotence It's something different, it's about the inability to ejaculate inside a woman's vagina. Here the erection can be maintained for long periods of time, even after the couple has reached orgasm, but ejaculation is not achieved. The impotence of ejaculation usually has an emotional basis that reflects relationship problems.

Sexual dysfunction in women (female frigidity)

The hypoactive sexual desire It is a dysfunction in which the sexual desire of women decreases persistently, with the absence of sexual fantasies and little or no interest in sexual activity. This process is usually associated with pictures of anxiety, anguish and difficulty with interpersonal relationships.

The inhibited sexual desire It is a sexual disorder in which you do not experience any desire or interest in having a sexual encounter. In the most extreme form of sexual inhibition, you may feel disgusted with sexual stimuli or relationships.

The inhibited sexual arousal it is the difficulty to produce vaginal lubrication in a recurrent and persistent way; It is also the difficulty to experience subjective sensations of arousal. That is, although the mind is prepared, the body does not respond as we hope to make things easier.

When a woman does not reach sexual arousal before or during sexual intercourse, she can present different modalities:

  • Not achieve orgasm (anoregasmia)
  • Reach sexual arousal with a lot of difficulty (hyposexuality)
  • Do not enjoy sexual activity (either with a specific partner or in general)

Causes of arousal disorders in women

Many factors can contribute to sexual dysfunction, such as:

  • History of sexual abuse or rape
  • Hormonal disorders, hormonal changes due to menopause and chronic diseases that affect overall health
  • Medical disorders that affect the innervation of the pelvis (such as multiple sclerosis, diabetic neuropathy and spinal cord injury)
  • Some drugs such as antidepressants
  • Negative attitudes towards sex (normally learned in childhood or adolescence)
  • Shyness or difficulties in requesting any type of stimulation that works best
  • Boredom and monotony in sexual activity
  • Conflicts or lack of emotional closeness within the couple
  • Emotional causes such as conflict, anxiety, depression, stress or other tensions.

Treatment of sexual dysfunctions

It is important to remember that from the point of view of nature, the purpose of sex is reproduction. We are not designed to be excited every day, or even every week of every month. Even so, many people experience sexual dysfunction despite having a mature attitude on the subject.

Psychological factors can play a very important role in this disorder, so the psychotherapy It offers good results when it comes to unblocking emotions and disabling thoughts.

On the other hand, the two hormones that are most related to libido are human growth hormone (HGH) and testosterone. Hormone therapy with testosterone in the sexual field is used to improve erectile function and HGH is administered to increase sexual desire.

In older people the deterioration of the vascular system It often plays an important role in sexual dysfunction. The blood supply to the penis and the vagina must be healthy for the optimal functioning of these areas. For this reason, a specialized doctor must assess whether there is any vascular problem and offer the appropriate medical treatment in each case.

The causes of sexual dysfunction are so varied and the interaction so complex that it is best to look for a specialist with experience in the subject.

Millions of men use Viagra to treat erectile dysfunction... but Viagra is not going to solve problems in a relationship. Viagra is not going to improve our social and personal skills, and Viagra's side effects include facial hot flashes, Headaches, digestive disorders and a blue tint to vision.

If we invest the time and effort necessary to find the true cause of sexual dysfunction, we will find an ideal solution for each case, finally achieving a full and satisfying sex life.

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