Healing Sexual Problems in the Ayurvedic Tradition of India (DRAFT)

Author(s):  
Keesha Ewers

This chapter summarizes the essential principles and approach of India’s traditional medicine, Ayurveda, to healing sexual problems. In Ayurveda there is no one-size-fits-all solution; rather, it defines constitutional types (doshas) according to the balance of elements and gives guidelines for sexual activity for each dosha. Health is said to begin with digestion, and Ayurveda offers a nuanced theory of how digestion may create either toxins (ama) or life force (ojas). Ojas is the basis of cellular reproduction, vitality, and sexual health. This chapter also offers gender- and dosha-specific herbal prescriptions for treating such sexual problems as low libido, premature ejaculation, vaginal dryness, erectile dysfunction, and anorgasmia.

2013 ◽  
pp. 567-602
Author(s):  
John Reynard ◽  
Simon Brewster ◽  
Suzanne Biers

Physiology of erection and ejaculation 568 Erectile dysfunction: evaluation 572 Erectile dysfunction: treatment 576 Peyronie’s disease 580 Priapism 584 Retrograde ejaculation 588 Premature ejaculation 590 Other disorders of ejaculation and orgasm 592 Late-onset hypogonadism (LOH) 594 Hypogonadism and male hormone replacement therapy 596 Urethritis 600...


Author(s):  
Erica S Spatz ◽  
Maureen E Canavan ◽  
Mayur M Desai ◽  
Harlan M Krumholz ◽  
Stacy T Lindau

Background Hypertension (HTN) and its treatment are commonly associated with sexual problems; yet, data are discordant in men and lacking in women. We investigated the association of HTN and its treatment with sexual health in older adults, and whether the association varied by gender and medication class. Methods Data are from the NSHAP, a nationally-representative observational study of men and women aged 57-85 yrs. Adults were stratified by HTN status: No HTN; HTN-Treated; and HTN-Untreated. HTN was defined by self-report or a mean blood pressure ≥140/90mmHg. HTN-Treated adults reported taking ≥1 of the following medications: diuretics, beta-blockers, calcium-channel blocker, ACE inhibitors or angiotensin receptor blockers, and alpha blockers. We report the prevalence of partnered sexual activity and problems by HTN status. Models testing the association of medication class were examined, stratified by gender, and adjusted for other antihypertensive medication classes (Model 1), and Model 1 plus age, partner status, insurance, diabetes, heart disease, smoking, and functional status (Model 2). Results Comparing HTN-treated to HTN-Untreated and No HTN, the prevalence of sexual activity in men was 60.7% v. 74.3% v. 71.5% (p=.002) and in women 35.4% v. 38.3% v. 58.0% (p<.001). The prevalence of sexual problems in men was 69.3% v. 53.8% v. 51.4% (p=.005) and in women 73.9% v. 66.7% v. 71.7% (p=.367). Most commonly cited were erectile problems (41%) in men with HTN. Diuretics (unadjusted: OR=0.68, p 0.02; Model 1: OR=0.69, p=.03; Model 2: OR=0.72, p=.17) and beta blockers (unadjusted: OR=0.69, p 0.02; Model 1: OR=0.67, p=.03; Model 2: OR=0.79, p=.33) were associated with sexual inactivity in men with treated HTN; diuretics, only, were associated with sexual inactivity in women (unadjusted: OR=0.81, p 0.25; Model 1: OR=0.76, p=.14; Model 2: OR=0.58, p=.02). There were no significant associations with sexual problems. Discussion HTN and its treatment are associated with sexual inactivity; diuretics more than other medication classes. In men but not women, treatment is also associated with sexual problems but medication class has no effect. More research investigating gender-specific mechanisms linking HTN and its treatment with sexual health is needed.


Author(s):  
Süleyman Eserdag ◽  
Didem Kurban ◽  
Emrah Yakut ◽  
Prabhu Chandra Mishra

Objective: To examine retrospectively sexual dysfunction in the male spouses of 425 female patients who had presented to our clinic and were diagnosed with primary vaginismus. Materials and methods: Seven questions related to age, profession, educational status, number of marriages, personality structure, sexual experience, and sexual dysfunction history were directed to the spouses of the 425 female patients presenting to our clinic for vaginismus treatment between 2015 and 2018. Men reporting sexual dysfunction were evaluated by a urologist, and the necessary treatment was initiated. Cognitive-behavioral couple therapy was started for all patients. Results: Of the 425 men, 73.9% stated that they did not have any sexual problems. Of the 111 men (26.1%) stated that they had one or more sexual problems, 77 (18.1%) were diagnosed with premature ejaculation, 25 (5.8%) erectile dysfunction, 36 (8.4%) hypoactive sexual desire, and one (0.2%) had delayed ejaculation. Premature ejaculation and erectile dysfunction were identified in nine patients, premature ejaculation and hypoactive sexual desire in seven, and erectile dysfunction and hypoactive sexual desire in four patients. There was an increased rate of sexual dysfunction in men in cases where the duration of marriage without coitus was longer than three years. Conclusion: In the treatment of vaginismus, male sexual dysfunction should not be ignored. Spouses should be questioned for sexual dysfunction and included in the treatment process.


2016 ◽  
Vol 88 (3) ◽  
pp. 186 ◽  
Author(s):  
Francesco Catanzariti ◽  
Benedetta Polito ◽  
Massimo Polito

Purpose: We studied patient satisfaction about sexual activity after prosthesis implantation using validated questionnaires with the aim to discover if testicular prosthesis could be responsible of sexual dysfunctions (erectile dysfunction or premature ejaculation). Materials and Methods: We evaluated a total of 67 men who underwent radical orchiectomy for testicular cancer and a silicon testicular prosthesis implantation from January 2008 to June 2014 at our Hospital. These patients completed 5 validated questionnaires the day before orchiectomy and 6 months after surgery: the International Index of Erectile Function 5 (IIEF5), the Premature Ejaculation Diagnostic Tool (PEDT), the Body Exposure during Sexual Activities Questionnaire (BESAQ), the Body-Esteem Scale and the Rosenberg Self- Esteem Scale. We also evaluated 6 months after surgery any defects of the prosthesis complained by the patients. Results: The questionnaires completed by patients didn’t show statistically significant changes for erectile dysfunction (p &gt; 0.05) and premature ejaculation (p &gt; 0.05). On the contrary the psychological questionnaires showed statistically significant change for the BESAQ (p &lt; 0.001) and the Body Esteem Scale (p &lt; 0.001), but not for the Rosenberg Self-Esteem Scale (p &gt; 0,05). A total of 15 patients (22.37%) were dissatisfied about the prosthesis: the most frequent complaint (8 patients; 11.94%) was that the prosthesis was firmer than the normal testis. Conclusions: Testicular prosthesis implantation is a safe surgical procedure that should be always proposed before orchiectomy for cancer of the testis. The defects complained by patients with testicular prosthesis are few, they don’t influence sexual activity and they aren’t able to cause erectile dysfunction or premature ejaculation.


2021 ◽  
Vol 49 (1) ◽  
pp. 030006052098281
Author(s):  
Liang Zhang ◽  
Hao Yu ◽  
Dan Li ◽  
Hui Qian ◽  
Yuchao Chen

Epilepsy is a chronic neurological disorder that is characterized by episodes of seizure. Sexual dysfunction has been reported in patients with seizure, which mostly manifests as erectile dysfunction and premature ejaculation in men. In this study, we report the case of a 65-year-old Chinese man with frequent spermatorrhea. Electroencephalography suggested local epilepsy in the left temporal lobe. After treatment with anti-epilepsy drugs, the symptoms disappeared and did not recur. To the best of our knowledge, this is the first reported case of epilepsy-induced spermatorrhea. The symptoms of spermatorrhea are probably a rare manifestation of seizure. When repetitive stereotyped symptoms occur, seizure should be considered, and tentative anti-epileptic treatment may be a good option.


Author(s):  
M. Dolores Gil-Llario ◽  
Irene Díaz-Rodríguez ◽  
Vicente Morell-Mengual ◽  
Beatriz Gil-Juliá ◽  
Rafael Ballester-Arnal

Abstract Introduction The lockdown due to COVID-19 affected the sexual health of the people with intellectual disabilities by differentially modifying the frequency and characteristics of people’s sexual activity depending on whether or not they lived with a partner during this period. The aim of this study was to analyze the extent to which the sexual behavior of people with intellectual disabilities (with and without a partner) was affected during the lockdown. Methods The sample consisted of 73 people with intellectual disabilities between 21 and 63 years old (M = 39.63; SD = 10.11). The variables analyzed were the physical, social, and technological environment during the lockdown, sexual appetite, sexual behavior, online sexual activity, and sexual abuse. The data were collected between the months of May and June of 2020. Results The lockdown increased the sexual appetite of a third of the sample (38%), especially the youngest participants. Sexual activity focused on autoeroticism and online behavior, particularly sending nude images of oneself (88%) and viewing pornography (83.6%). Rates of sexual abuse during this period were relatively high (6.8%). Conclusions The sexual activity of people with ID was important during the lockdown, and they had to adapt to the circumstances of isolation in a similar way to the general population. Technological improvements in terms of devices and connection quality at home allowed their sexual behavior to be reoriented, opening the door to new risks for the sexual health of people with ID. Policy Implications Cybersex and the increase in sexual abuse due to confinement are aspects that should be included in programs to improve the sexual health of this group.


2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Birye Dessalegn Mekonnen

Abstract Background Postpartum sexual health and practice need to be integrated in the current maternal healthcare services to address sexual health problems. However, postpartum sexual practice has received little attention, and was not often discussed by healthcare providers during prenatal and postnatal care. Thus, this study was aimed to assess early resumption of sexual intercourse and associated factors among postpartum women in Gondar city, Northwest Ethiopia. Methods A community based cross-sectional study was conducted from January 20 to February 20, 2020. A systematic random sampling technique was used to select 634 postpartum women. A pretested, structured and interviewer-administered questionnaire was used to collect data. Data were entered into Epi Info 7.2.2 and exported to SPSS version 20 for analysis. Bivariable and multivariable logistic regressions analysis were done. Variables with p- value of < 0.05 were considered as statistically significant. Results The magnitude of early resumption of sexual intercourse after childbirth was found to be 26.9% (95% CI: 23.2, 30.8). Urban resident (AOR = 6.12, 95% CI: 2.41, 15.66), parity of one (AOR = 2.26, 95% CI: 1.66, 7.78), husband demand (AOR = 2.66, 95% CI: 1.72, 4.11), postnatal care (AOR = 1.45, 95% CI: 1.06, 2.18) and use of family planning (AOR = 2.72, 95% CI: 1.51, 3.43) were factors significantly associated with early resumption of sexual intercourse. Conclusion The study found that more than one fourth of women had resumed sexual intercourse within six weeks of following childbirth. The finding of this study suggests the need of integrating discussions of postpartum sexual activity into routine prenatal, intrapartum and postnatal care with collaborative effort of policy makers, program planners, health care providers and other stakeholders. Moreover, spousal communication on postpartum sexual activity should be encouraged.


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