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Sexual Health 


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The sexual problems can start in early life of person of they develop if the person has experienced an enjoyable and satisfying sex. It can occur suddenly or may develop gradually.

What causes Sexual Problems?

There can be physical, psychological or both causes for the sexual diffficulties. The interpersonal and psychological problems can affect sex. There can be materail or relationship problems in the interpersonal with lack or trust and open communicaiton between the partners as well. Depression, sexual fear and past sexual trauma can be some personal psychological problems.

The sex difficulties can be increased by physical factors like drugs, alcohol, norcotics, injuries to back, bloos supply problems, enlarged protate gland, nerve damage, tumors, various organs failure and hormonal deficiencies. Most of the people seek care of sexual difficulties in their late 20s through 30s. This problem is found more in the geriatic population. The people with alcohol addiction and drugs can have sexual difficulties. The people suffering from diabetes and degenrative neurological disorders can cause sexual problems. The sexual function may also be interfered with the chronic dishormony with the current sexual partner.

Types of Sexual Problems

Sexual desire disorders, sexual arousal disorder, orgasm disorders and sexual pain disorders are some common sexual dysfunction disorders.

The decrease in normal production of estrogen (in women) or testosterone (in men and women) can cause sexual desire disorder. Fatigue, pregnancy, aging and some medications can aslo cause sexual desire disorders. There can be problems if you are taking medications like fluoxetine (Prozac), sertraline (Zoloft), and paroxetine (Paxil). Anxiety and depression and other psychiatric conditions can cause these promelms.

The frigidity in women and impotence in men can known as sexual arousal disorder. These problems can occur due to avoidance sexual contact. There can be failure of erection and lack of sexual excitement in men in the sexual arousal disorder. These difficulties can occure due to chronic disease and lack of vagianl lubrication.

The orgasm disorder may occur with delay of orgasm after normal sexual excitement. It can be in men and women at the same time. The delay in orgasm achievement can be due to SSRI antidepressants.

Sexual pain disorder are known as dyspareunia and vaginusmus which affect most of women. It can be cauysed by insufficient lubrication in women which can lead to insufficient excitement.


The symtoms of sexual difficulties may include lack of interest, inability to attain an erection, delay or absence of ejaculation, inability to feel aroused, inability to control timing, inadequate lubrication, burining pain on vulva and inability to attain orgasm.


The diagnostics of these sexual difficulties depends on the sexual histiry in which doctors have to identify the conditions of predisposing, fears, anxities and guilt to sexual behaviors. There will be physical examination taken of both the partners including whole body.

Call your doctor if:

You should contact your doctor if you have sexual difficulties.

Treatment Options

The treatment of these difficulties depend on the cause of these problems. It can be good for people having sexaul dysfunction due to physical illness to take therapy or mechanical aides. The people can use Viagra if they are having difficulty in attaining an erection which can increase the blood flow to the penis and it should be taken 1 to 4 hours before sexual activity. It should not be takn by men who are using nitrates for heart disease.

There are lubricating gels and hormone creams avaialble for women having vaginal dryness. The women can also take testosterone in case of androgen deficiency.

The treatment of vulvodynia can be done with testosterone cream and you can use it with nerve pain as well.


The anxiety and guilt about sex can be prevented with open, informative and accurate communcation between children and parents. The alochols and drugs should also be avoided. The victims of sexuals tauma like rape or sexual abuse should get help from psychiatric.