A number of the sexual health problems which can occur are outlined below.
Lack of desire
One cannot generalize as to why someone is experiencing a low level of sexual desire. Loss of libido can have a variety of causes, some psychological, some not.
- Stress and fatigue – Perhaps the leading cause of lost sexual desire is stress and fatigue. Most often, the condition is temporary and returns when the stressful period ends, or the person is able to get appropriate rest.
- Anxiety – Sex can arouse a lot of anxiety in some people who are unsure of themselves or fear humiliation.
- Estrangement – One who is angry at their partner can express this frustration through a lack of sexual desire.
- Misdirected sexual desire – This phenomenon often occurs in the case of “closeted” gay men and women.
- Physiological cause – Not all the causes of low sexual desire are psychological in nature. Low sexual desire in older men can be caused by a low level of the hormone androgen. Hormonal deficiency can sometimes be treated with hormone injections. Consult your doctor or sex therapist for all the answers.
If you have experienced loss of desire for only a short time, it may take care of itself. Getting out of stressful or anxious situations may also alleviate the condition. Try to think about what the cause may be for you personally. It could be your partner, your environment, or a number of other factors listed below. If the loss of desire persists, ask your doctor to refer you to a sex therapist who can help.
There are a number of things that you can try on your own to help increase your libido and get you thinking sexy again. Many people shy away from sex toys because they think that they’re unnatural or awkward, however they help a lot of people to start taking care of themselves sexually. With or without a partner, sex toys can help you find new and exciting ways of pleasuring yourself and break up stagnant sexual routines which can squelch your libido. Other things that you can try to liven things up are adult videos and books. Despite the reputation of this type of material, there are actually a lot of high quality videos and books that are designed to arouse, teach you new techniques and even help you with sexual problems.
Impotence or Erectile Dysfunction
Impotence is the failure to achieve an erection, a condition faced by an increasing number of men. In order to diagnose the potential problems that lead to this condition, it is useful to describe what conditions must be present for erection to take place. The first component you need to achieve an erection is a normal, intact male sexual organ. Secondly, a normal amount of circulating hormones is necessary. Third, a man must have an intact nerve supply and blood flow to the male sex organ. Finally, normal erections require a healthy psychological response to the arousing stimuli, coupled with a relaxed state of mind.
Impotence is almost always treatable, a resounding majority of patients will respond to one of the available treatments. Unfortunately, many men (some estimates are as high as 1/3) will not seek treatment due to the nature of this problem. Impotence is an extremely common condition and is very treatable. Please check with your doctor to explore treatment options.
- Neurological disorders – Any neurological disorder which interrupts the nerve supply to the erectile tissues will generally cause an erectile failure.
- Blood Flow – If the blood flow to the genitals is halted or impeded, then erectile failure may occur. Vascular disease can cause the blockage or constriction of the arteries in the pelvis and/or penis.
- Peyronie’s disease – Peyronie’s disease is a fibrous scarring which develops from an inflammatory process. The cause of this process is not yet understood. When an erection does occur, there is a bending of the penis which can often be quite painful.
- Priapism – Priapism is a condition in which a man develops a permanent erection. All of the causes of this condition are not yet known, however some potential contributors are diseases which thicken the blood and certain medications used improperly for achieving an erection.
- Hormonal Deficiency – Hormonal deficiency is another potential cause for erectile failure. In younger men, this deficiency is typically caused by psychological rather than physical failure to produce androgen.
There are other causes aswell
Inability to achieve orgasm
There are a number of reasons why a woman may not be able to achieve orgasm, some physical others psychological.
Possible physical issues:
- inadequate stimulation
- medication treating another illness
- injury or accident which affects genital receptiveness
- conditions which interrupt nerve supply to the genitals
Possible psychological issues:
- stress or anxiety
- relationship problems
- cultural or religious guilt associated with sex
Sex should never be painful. If you are having pain during sex, stop. Sex is supposed to be pleasurable, and pain indicates that something is wrong.
In many cases, your partner’s actions can cause pain, such as going too fast or penetrating from an awkward position. Never hesitate to ask your partner to slow down or move to make you more comfortable.
Another common cause of pain during sex is the lack of natural lubrication in the vagina. Antihistamines or other medication may be the cause of this problem. Additionally, natural changes in the vagina during menopause may cause a reduction in natural lubrication. Or, in some cases, more foreplay may be required to produce a sufficient amount of vaginal lubrication. Adding a water-based lubricant to the proceedings may help alleviate this problem.
Failure of the vagina and uterus to respond to sexual arousal can also cause discomfort. The vagina may be too snug for intercourse or the uterus may not be raised so that the penis comes in contact with the cervix during penetration. Use manual penetration to explore the level of arousal before engaging in intercourse. Men
Discomfort during intercourse for men can be attributed to a number of causes. One cause could be a result of snugly fitting foreskin. Occasionally during a man’s first attempt at intercourse, tight foreskin will cause retraction to be painful. After a while, the foreskin loosens, and intercourse is more comfortable. Secondly, any lesion on the skin of the penis can make intercourse painful. These lesions may be due to unlubricated masturbation, rapid intercourse or STDs. The blisters caused by herpes can also make intercourse extremely painful. Finally, conditions like Peyronie’s disease which cause a bending of the penis may also make intercourse painful. If you can not determine why intercourse is painful then please consult your physician
Premature ejaculation is one of the most common sexual problems. The condition is most often described as being an inability to delay ejaculation to a point when it is mutually desirable for both partners. The definition of when ejaculation is premature is subjective. While some men have trouble controlling their orgasm upon entry, others consider 5-10 minutes of copulation too little time. How long a man is able to last is not the important factor in diagnosing premature ejaculation. The crucial issue is if a man is satisfied with the length of coitus.
Most men have experienced this problem at some time in their life. Premature ejaculation was once thought to be caused by drugs or certain infections such as urethritis, but popular wisdom suggests it is more psychological in nature. The exact cause of the condition, however, still remains a mystery.
Premature ejaculation often occurs during the first experiences with sex, and in this case is most commonly attributed to anxiety. The majority of men gradually learn to control their orgasm, and have no lasting effect. Some men will develop a longer-term anxiety toward sex, which can cause a prolonged experience with premature ejaculation.
The best way to fighting premature ejaculation is learning how to identify and control the sensations leading up to orgasm. The Masters and Johnson method does just that. The Masters and Johnson method requires a great deal of patience and practice, but is very effective. Follow the steps below.
You may want to start with masturbation. Begin by bringing yourself to a point relatively close to climax, and stop, allowing yourself to relax before starting again. Each time you do this, bring yourself closer and closer to orgasm until you cannot control it any longer. You may want to practice with the aid of a lubricant. Repeating this procedure a number of times on different occasions will help you learn where your point of climax is. Once you have an idea about your “point of no return” you should be able to direct stimulation from your partner leading up to orgasm. The best way to practice this method is with a caring lover, although you can try to prepare by yourself. With your partner, engage in non-coital stimulation (like masturbation or oral sex) and gradually allow yourself to reach that point just before ejaculation. At that point, signal your partner to stop (often this is done with a light squeeze or sound) and allow yourself to partially lose your erection. Repeat these steps several times to get the hang of it. You should practice these steps for several days before you attempt intercourse. Once you are ready to try intercourse, lay on your back and direct your partner to slowly allow you to penetrate. As soon as you feel that you are about to climax, signal to your partner or give a gentle push upward. Relax for a bit, then begin again. You should soon be able to control your ejaculation and enjoy having sex.