June, 2009

Problems with sexual health may develop early in life or may become prevalent later in life, even after a normal and healthy sex life. At times, the problem may manifest itself in a gradual manner over time, but as seen in many cases this could happen suddenly as a complete or partial disability in the normal participation of any one or multiple stages of performing intercourse. It’s well understood that the causes from which these disorders stem may be bases in a physical condition, a physiological issue or perhaps a combination of both of these.

Overall, the sexual health problems that usually crop up may be identified as: sexual arousal disorders (where there is a lack of response even though the conditions are stimulating), sexual desire disorders (conditions where the want for intercourse is diminished), orgasm disorders (conditions that cause either of partners to be unable to achieve sexual climax) and sexual pain disorders (which primarily afflict women).
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Sexual health and the problems associated with it are quite knitted with issues stemming in the mind. So for this, resolving the physical issue (assuming that there is one) only scratches the surface of the matter. It’s here that therapy offers solutions for persons with issues arising from psychological factors. Medics would refer to the conditions associated with such therapy as psychosexual therapy (PST).

PST has been around for many years now (identifiably by the first courses being offered at various medical schools), so it’s not something that’s just come into the spotlight. There’s considerable research and PST has been noted to have high success rates. It is in most countries an area that is referred to specialists (PST counselors), by the consulting doctor.

Today sex therapists are licensed and are well trained through a formal medical educational process. Therapists are trained specifically in both the physical as well as the psychological maters related to sexual health. Although qualified to even cover the same issues as relationship therapists, sexual health therapists have more superior training when it comes to dealing with sexual problems that are specifically identifiable, towards which they utilize a more focused approach.
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One of the topics that frequently come up when women get together for a bit of a chat is each of their sex lives – but most specifically, the duration of intercourse. Now, according to various studies its become common knowledge that close to ninety-three percent men aren’t able to perform for a duration long enough for their partner to reach climax. This of course is concern for a good ninety percent of all men – since sexual performance is directly linked to coexisting with women.

In most cases however, the problems are of a simple nature and may be overcome with ease, like for instance, most men who suffer from premature ejaculation usually just need a thicker contraceptive sheath (read condom) to cause less friction on the penis (which prolongs the duration required for enough sexual tension to build that results in an ejaculation).
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Other than lack of interest, arousal disorders and premature ejaculation or even the failure to ejaculate altogether, the most common sexual disorder really is male erectile dysfunction. The cause for this dysfunction is an enzyme called PDE 5, which during arousal is inhibited by the body in certain muscles (especially the penis). When this enzyme is inhibited, the muscles relax (contrary to popular belief that penis engorgement is caused by tense muscles) – and the relaxed muscles allow blood to fill in and since the muscles are not tense, allow the blood to concentrate within the muscle. This is what causes an erection. There are a number of generic drugs that may be used to inhibit PDE5, some with lower dosage requirements (since they last longer in the body or that are more selective about their focus on inhibiting PDE5).
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Any less than normal response during any phase of an arousal cycle may be called a sexual dysfunction or disorder. These would include but are not limited to arousal disorders, desire disorders, sexual pain and orgasm disorders.

Most of the common disorders that occur in both men and women are that of ‘desire’, ‘arousal’, ‘erection’ (only in males), ‘orgasms’, ‘premature ejaculation’ (again only in males) and ‘dyspareunia’ (pain during sex). The main effect of Viagra is that it relaxes muscles and increases blood flow, to particular areas of the body that normally would have increased blood flow, especially as seen during sexual activity. Its primary use is by males who have difficulty in achieving or maintaining an erection over any period of time. Other disorders like desire and orgasm are not directly treatable with Viagra use. Viagra however, is very effective in sorting out problems with arousal and introduces higher amounts of blood to fill the penis.
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