| NORMAL SEXUALITY AND SEXUAL DISORDERS |
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| Sunday, 04 April 2010 02:05 | |||||
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Human sexual behavior is diverse and determined by a combination of
several factors such as the individual's relationships with others, by
their own circumstances of life and culture in which he lives. It is
therefore very difficult to define what is "normal" in terms of
sexuality. Also read Three basic tips for a healthy sex life Inhibited Sexual Desire Multiple Orgasms Penis Size Myths and Sexual Taboos What can be said about it is that normal sex is related to the fact that sexuality be shared so that the couple is in agreement with what is done without destructive character for the individual or the partner and not insult rules common society in which they live.  The abnormality can be defined when there is a fixation on particular form of sexuality or to a particular person, or where the person can not enjoy other forms of pleasure. The abnormality can be defined as: There is a fixation on particular form of sexuality; the person can not enjoy other forms of pleasure, for example, voyeurism that can only get pleasure by masturbating, watching people without their consent; the person can not have sexual relations with others. What must be remembered is that human sexuality involves, besides the sexual act itself, other activities such as costumes, erotic thoughts, fondling and masturbation. Sexual fantasies are sexual thoughts representing the most ardent desires of a person and serves to complement and stimulate sexuality, both the completion of sexual intercourse with a partner as the auto-erotic stimulation (masturbation). Masturbation is also a normal part of sexuality, and is the touch of himself in areas that give pleasure to the individual (erogenous areas), including the genitals and / or other body parts, with the purpose of obtaining pleasure. In humans, the sexual feelings aroused, either by fantasies through masturbation or by sexual act itself, occur in a succession of stages that are interconnected, which are called Stages of human sexual response. They are: Desire: It consists of a phase in which fantasies, erotic thoughts, or visualization of the desired person arouse desire to have sexual activity. Excitation: Preparation for the sexual act, triggered by desire. Along with feelings of pleasure, there are bodily changes that are represented primarily by the erection in man (hardening of the penis) and women by vaginal lubrication (wet feeling of being intimately). Orgasm: It is the climax of sexual pleasure, pleasure-maximum, which occurs after a phase of growing excitement. In man, along with the pleasure, there is the feeling of being unable to hold their ejaculation, and then it occurs, and in women, genital muscle contractions occur. Resolution: Consists in the feeling of muscle relaxation and general well-being that occurs after orgasm that for men in general, is associated with its refractory period (minimum interval between obtaining erections). In women, this refractory period does not exist: it may, soon after the sexual act again have desire, arousal and orgasm again, no need to wait a while for this to happen again. DYSFUNCTIONS OR SEXUAL DISORDERS Sexual dysfunctions or disorders are problems that occur in some phases of human sexual response. Female Sexual Dysfunction In women, the most common sexual dysfunctions are the inhibitions of sexual desire, anorgasmia, vaginismus and dyspareunia. The inhibitions in sexual desire or hypoactive sexual desire disorder, is the lack or decreased motivation to search for sex, that is, the person has no desire to have sex. This occurs most commonly due to: marital problems (fights, disagreements as to what each expects from the relationship) lack of intimacy communication difficulties between the couple, or even because of taboos about their sexuality, for example, associations of sex with sin, disobedience or punishments Inhibitions caused by sexual trauma (sexual abuse, rape) disease, hormonal problems and the use of certain drugs and medicines. The diagnosis can be made by physician, gynecologist, psychiatrist or psychologist, through the complaints by the patient, depending on the complaints, it may be necessary to carry out tests to discover the origin of the lack of desire. Treatment is according to the cause. While there are clinical problems (diseases), the patient should be referred to a specialist when needed (eg, an endocrinologist when there is hormonal problems), and each type of diagnosis will require a specific type of treatment. However, most cases are due to psychological problems or problems in the couple relationship, and these should be treated by a psychologist or psychiatrist, trying to discover the causes, understand them and resolve them. The anorgasmia or orgasmic dysfunction is the lack of sensation of orgasm during intercourse. It may be primary, when a woman has never had an orgasm in life, or secondary, when he orgasms and now do not have them anymore. Can still be classified as absolute, when the anorgasmia is always situational and when it occurs only in certain situations (for example, in certain places where the person does not feel comfortable, or partner with whom you have some sort of conflict). The woman with anorgasmia can take full advantage of the other phases of the sexual act, ie, has desire, enjoy the caresses and thrills, but something blocks it at the moment of orgasm. The causes of anorgasmia are mainly psychological, involving problems in interpersonal relationships, conflicts about sexuality, lack of knowledge of one's body and sensations, difficulty in communication and intimacy of the couple in matters of sex. Clinical problems can also cause anorgasmia, for example, accidents affecting the spinal cord, hormonal changes, vaginal discharge or frequent abnormalities in the shape of the vagina, uterus or muscles that form the pelvic region (region where lie the genitals) . Vaginismus is a contraction unconscious, unwanted, the muscles of the vagina, which occurs when a person imagines that might have a sexual act. This contraction hinders or prevents the introduction of the penis, which, if attempted will cause much pain, and most times the couple can not have intercourse with penetration. May result from a strict upbringing that led to many sexual taboos generating psychological conflicts, as a result of sexual trauma (rape or sexual abuse) or previous sexual experiences that have caused physical suffering. Diagnosis is usually by obstetricians through the report of the patient and also by the gynecological exam. Treatment consists of identifying and trying to change the cause of vaginismus. Such treatment is done by gynecologists and sex therapists, and consists of exercises genitals with the intent to achieve relaxation of the person, trying to avoid the occurrence of the contraction at the time of intercourse and understanding of the causes of psychological associates. Such treatment is done by gynecologists and sex therapists, and consists of: to understand the psychological causes in exercises genitals with the intent to achieve relaxation of the person, trying to avoid the occurrence of the contraction at the time of intercourse. Dyspareunia is genital pain that occurs repeatedly before, during or after intercourse. The most common causes are gynecological diseases (type vaginal discharge or changes in the format of the vagina) or contraction of the vaginal muscles during sex due to psychological conflicts related to sexuality. The diagnosis is usually made by the gynecologist, it is also the analysis of patient complaints and gynecological examination and treatment will be according to the cause, ie, treatment for the disease is diagnosed, usually done by the gynecologist or treatment with psychologists or psychiatrists, when the problem is due to psychological conflicts. Male Sexual Dysfunction The most common male sexual dysfunction are erectile dysfunction (impotence) and premature ejaculation. Erectile dysfunction known as impotence, is the inability to obtain or maintain an erection capable of maintaining a sexual relationship, or the man that his penis can not stay and remain hard and so able to have intercourse with penetration. The most common causes are: diseases like diabetes, high blood pressure, high cholesterol traumas or accidents involving the spinal cord or his own penis smoking, drug use and some medications (especially those used to treat heart problems) alcohol abuse psychological causes (fear or taboos regarding sexuality) The patient may be referred to the urologist (a specialist who treats these cases), where certain tests can be conducted to discover the cause of impotence. Treatment depends on the cause. For some cases of impotence are no drugs or injections intrapenianas, which should be used only by prescription, they are indicated for specific cases. Penile prostheses would be as a last resort, because once placed there to remove them, and are listed only when no other options worked. It is important to remember that psychological factors can often cause erectile dysfunction. Talking about these internal conflicts with a psychologist or psychiatrist can solve the problem without requiring other types of treatment. Premature ejaculation is when man has no control over their ejaculation, failing to hold it until the end of intercourse, which leads to a reduction in the sensation of pleasure. Thus, ejaculation may occur once the man has erotic thoughts and erection, or occur without penetration, or soon after having intercourse. Premature ejaculation may be due to physical causes (disease, trauma) or more commonly to psychological problems. When the man never had control ejaculation, the most common is that for psychological reasons (such as anxiety, tense first sexual experiences or difficulties within the couple relationship). But when the man had ejaculatory control and has had no more need to do exams with a urologist and a neurologist, because most likely the cause of the problem is physical. Treatment depends on the cause: specific treatments for diseases found or diagnosed lesions, made by the urologist or neurologist, or psychotherapy (psychological treatment) for psychological problems, with a psychologist or psychiatrist.
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| Last Updated on Sunday, 04 April 2010 02:06 |