Sexual Health

A sexual problem, or sexual dysfunction, refers to a problem during any phase of the sexual act that prevents the individual or couple from experiencing satisfaction from the sexual activity. The sexual complete sexual activity consists of four stages i.e. pleasure, plateau, orgasm, and firmness. In most cases of sexual problems are treatable but men and women often hesitate to discuss.

Reasons, Occurrence and risk Factors

The reasons behind sexual problems could be many. Some could be a physical related issue and some mental or psychological. Both men and women are affected by sexual problems. They can occur in adults of all ages. Among those commonly affected are aged people, which may be related to a decline in health associated with aging.

The causes of sexual problems could vary from these reasons:

  • Diabetes
  • Heart and vascular (blood vessel) disease
  • Neurological disorders
  • Hormonal imbalances
  • Chronic diseases such as kidney or liver failure
  • Alcoholism
  • Drug abuse
  • Stress and anxiety
  • Concern about sexual performance
  • Marital or relationship problems
  • Depression
  • Feelings of guilt
  • Effects of a past sexual trauma
  • Menopause in women
  • Hormonal imbalances


Sexual problems symptoms could vary from person to person. There are different symptoms in men and women regarding any sexual problems.

Symptoms among men

  • Premature ejaculation – This refers to ejaculation that occurs before or soon after penetration.
  • Inhibited or retarded ejaculation – This is when ejaculation is slow to occur.
  • Retrograde ejaculation – This occurs when, at orgasm, the ejaculate is forced back into the bladder rather than through the urethra and out the end of the penis.

Symptoms among women

  • Inhibited sexual desire: This involves a lack of sexual desire or interest in sex.
  • Inability to become aroused: The inability to become physically aroused during sexual activity often involves insufficient vaginal lubrication.
  • Lack of orgasm or anorgasmia: This is the absence of sexual climax (orgasm).
  • Painful intercourse: Pain during intercourse.

Signs and Tests

  • Blood tests – These tests are done to evaluate hormone levels.
  • Vascular assessment – This involves an evaluation of the blood flow to the penis.
  • Sensory testing – Particularly useful in evaluating the effects of diabetic neuropathy (nerve damage),
  • Nocturnal penile tumescence and rigidity testing – This test is used to monitor erections that occur naturally during sleep. This test can help determine if a man’s erectile problems are due to physical or psychological causes.
  • Psychological tests – In these tests doctors often try to find out about any traumatic history of the patient.


The success of treatment for sexual problems depends on the some cause. Minor sexual problems that are related to stress, fear, or anxiety often can be successfully sorted with counseling, education, and improved communication between partners.

There are some ways to prevent sexual problems:

  • Controlling childhood sexual bad habits
  • Having an healthy Diet
  • Stopping Alcohol and Smoking
  • Communication with partner
  • Deal with any emotional or psychological issues such as stress, depression, and anxiety.


  • Medications: Medications, such as Cialis, Viagra or Levitra, may help improve sexual function in men by increasing blood flow to the penis.
  • Hormones: Men with low levels of testosterone may benefit from hormone supplementation such as testosterone replacement therapy.
  • Psychological Therapy: Therapy with a trained counselor can help a person address feelings of anxiety, fear, or guilt that may have an impact on sexual function.
  • Mechanical aids: Assistances such as vacuum devices and penile implants may help men with sexual problems.
  • Communication: Knowledge about sex and sexual behaviors and responses may help a man overcome his anxieties about sexual performance. Open dialogue with your partner about your needs and concerns also helps to overcome many barriers to a healthy sex life.

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