Male Sexual Dysfunction Cleveland Clinic
Education about human anatomy, sexual function, and the normal changes associated with aging, as well as sexual behaviors and appropriate responses, may help a woman overcome her anxieties about sexual function and performance. With the decrease in the female hormone estrogen that is related to aging and menopause , many women experience some changes in sexual function as they age, including poor vaginal lubrication and decreased genital sensation. You might need rubbing or stimulation for up to an hour before having sex. Psychological causes of sexual dysfunction can include stress, anxiety, concerns about sexual performance, relationship problems, depression , feelings of guilt, and effects of a past sexual trauma. Pain during intercourse can be caused by a number of problems, including endometriosis , a pelvic mass, ovarian cysts , vaginitis , poor lubrication, the presence of scar tissue from surgery, or a sexually transmitted disease. While in many cases PE is due to performance anxiety during sex, other factors may be: To diagnose female sexual dysfunction, the doctor likely will begin with a physical exam and a thorough evaluation of symptoms. In addition, postmenopausal woman often have fewer child-rearing responsibilities, allowing them to relax and enjoy intimacy with their partners. Arousal disorders can often be helped if you use a vaginal cream or sexual lubricant for dryness. Diabetes, high blood pressure, and certain medications like antidepressants may also contribute to a low libido. Reduced sexual desire may also be caused by depression, anxiety, or relationship difficulties. Psychological causes — These include work-related stress and anxiety, concern about sexual performance, marital or relationship problems, depression , feelings of guilt, concerns about body image, and the effects of a past sexual trauma. Low levels of the male hormone testosterone in women may also contribute to less sexual arousal, genital sensation, and orgasm. Why Doesn't It Exist? Sexual dysfunction can be a result of a physical or psychological problem. The stresses of everyday life can also affect your ability to have sex. The problem can also be caused by psychological factors such as depression, anxiety, stress, or relationship problems. While research suggests that sexual dysfunction is common 43 percent of women and 31 percent of men report some degree of difficulty , it is a topic that many people are hesitant to discuss. If you experience any sexual problems on a regular basis, talk to your doctor. Treatment What can I do? Some drugs can also affect desire and function. Squeezing the muscles of your vagina tightly called Kegel exercises and then relaxing them may also increase your arousal. An inability to be aroused may also result from anxiety, or inadequate sexual stimulation. Vaginal lubricants may relieve pain caused by friction, and relaxation before intercourse warm bath, meditation may decrease pain responses. There are 4 kinds of sexual problems in women:. This may include the use of erotic materials videos or books , masturbation , and changes in sexual routines. What Men and Women Should Know Sex therapy can be helpful in treating emotionally driven sexual issues and maintaining a healthy and fulfilling sex life.