scholarly journals Why sex is important: Background for helping patients with their sexual lives

2017 ◽  
Vol 23 (5) ◽  
pp. 300-306
Author(s):  
Stephen B. Levine

SummaryTherapy for sexual problems is not solely based on findings from scientific studies; much of it has to do with intuitive knowledge that comes from personal and clinical experience. The author suggests that an ideal way to begin education about helping with patients' sexual identity, sexual function and relational concerns is to consider why sex is important. Answering this question illuminates the subtle roles sexual behaviour play in our lives. These roles are explained by providing clinically based responses to twelve questions: How are adults nurtured in sexual relationships? How is psychological intimacy created? What is learnt over time through sex? What accounts for the pleasures of sex? Why is sex important? Why is sexual experience unstable? What is a couple's sexual equilibrium? What is sensuality? Is a life of sexual pleasure possible? What is sexual health? What are the sources of distress about sex? How do these concepts facilitate therapy?Learning Objectives• Understand how nurturance is maintained in adult sexual relationships over the life cycle• Specify the roles that a satisfying sexual life plays within individuals' private subjective lives• Conceptualise the psychological and interpersonal accomplishment represented by the maintenance of evolving sexual activity throughout life

Dyspareunia in men refers to a difficult or painful sexual intercourse. Symptoms can be classified as psychogenic, organic, or mixed. It generates mental discomfort and sexual involvement absence up to couple issue. DSM V indexes the disease as „Other specific and non-specific disorders”. Somatic examination of individuals with this disorder doesn’t usually prove genital abnormalities. Repeated experience of genital pain during sexual intercourse may result in the avoidance of sexual experience, breaking existing sexual relationships or limiting the development of new sexual intercourses. Worldwide prevalence of dyspareunia in men is 5%. The disorder may emerge from the beginning of the sexual life or begin after a period of relatively normal sexual function. Keywords: dyspareunia in men, s-on, therapy, testing, evaluation, sexual disorders.


Sexual Health ◽  
2016 ◽  
Vol 13 (1) ◽  
pp. 63
Author(s):  
Nina Callens ◽  
Guy Bronselaer ◽  
Petra De Sutter ◽  
Griet De Cuypere ◽  
Guy T'Sjoen ◽  
...  

Background Research has highlighted the complex association between female sexual dysfunction (FSD) and distress regarding sexual activity, with decreased physical pleasure being an important mediator. The current study aims to elucidate the association between pleasurable and painful genital sensitivity and FSD, and to further investigate whether FSD may be distressing because it prevents the experience of sexual pleasure, induces pain or both. Methods: Sexually active women (n = 256; median, 22 years; range, 18–49 years) completed web-based questionnaires, including the Self-Assessment of Genital Anatomy and Sexual Function, the Female Sexual Function Index and the Female Sexual Distress Scale. Results: Women reported their clitoris to be more sensitive than their vagina in terms of having more pleasurable responses (P < 0.001), but not more painful responses (P = 0.49). In women with FSD (n = 36), impaired self-perceived genital sensation was found: they reported significantly less sexual pleasure and orgasm intensity, and more orgasm effort and discomfort within the clitoral and vaginal area than women without FSD (n = 220) (P-value < 0.05). The odds of having FSD were significantly greater in women with perceived increased discomfort in the vaginal area during stimulation (odds ratio = 5.59, P = 0.009, 95% confidence interval: 1.53–20.39), but not in the clitoral area. Conclusions: The data provide evidence of the relevance of self-perceived genital sensitivity to sexual pleasure and overall sexual experience. Enhancing the pleasurableness of genital sensations, especially during partnered sex, could decrease the likelihood of experiencing pain and concomitant FSD.


2021 ◽  
pp. 205141582110166
Author(s):  
Rico Luis ◽  
Villasante Nicolás ◽  
Blas Leandro ◽  
Bonnano Nicolás ◽  
Ameri Carlos

Background: Peyronie’s disease (PD) is a progressive disorder of the connective tissue of the tunica albuginea of the penis that produces an abnormal curvature, painful erections and different degrees of erectile dysfunction (ED). The aim of this study is to evaluate our initial experience in the surgical treatment of PD using an autologous graft of testicular vaginal tunica. Materials and methods: A retrospective study of 23 patients was carried out between 2015 and 2019. The successful surgical stretching rate was defined as a functional 20 degrees of curvature or less. Postoperative sexual function and complications rate were evaluated as secondary objectives. We used the abbreviated IIEF-5 questionnaire and evaluated the sexual function before and after the surgical procedure. Wilcoxon signed-rank test for paired samples (U test) was used, considering a value of p<0.05 to be statistically significant. Results: Only one patient presented a recurrence of the penile curvature, resulting in a 95.6% success rate of functional stretching. We observed a 1.6 and 0.9 difference between pre- and postoperative total score and satisfaction ( p = 0.002 and p = 0.003 respectively) Conclusion: In this series, the use of testicular vaginal tunic was found to be safe and effective with a significant change in the quality of sexual life, especially reflected in the overall satisfaction after the procedure and a low rate of complications. Level of evidence: Not applicable for this multicentre audit.


2021 ◽  
Vol 17 (3) ◽  
pp. 1-38
Author(s):  
Lauren Biernacki ◽  
Mark Gallagher ◽  
Zhixing Xu ◽  
Misiker Tadesse Aga ◽  
Austin Harris ◽  
...  

There is an increasing body of work in the area of hardware defenses for software-driven security attacks. A significant challenge in developing these defenses is that the space of security vulnerabilities and exploits is large and not fully understood. This results in specific point defenses that aim to patch particular vulnerabilities. While these defenses are valuable, they are often blindsided by fresh attacks that exploit new vulnerabilities. This article aims to address this issue by suggesting ways to make future defenses more durable based on an organization of security vulnerabilities as they arise throughout the program life cycle. We classify these vulnerability sources through programming, compilation, and hardware realization, and we show how each source introduces unintended states and transitions into the implementation. Further, we show how security exploits gain control by moving the implementation to an unintended state using knowledge of these sources and how defenses work to prevent these transitions. This framework of analyzing vulnerability sources, exploits, and defenses provides insights into developing durable defenses that could defend against broader categories of exploits. We present illustrative case studies of four important attack genealogies—showing how they fit into the presented framework and how the sophistication of the exploits and defenses have evolved over time, providing us insights for the future.


1989 ◽  
Vol 21 ◽  
pp. 21-25

Restricting social contacts for women gave assurance that they were virgin on first marriage and that there was no doubt about the legitimacy of their children - all their children, since the ancient world did not have the system of primogeniture, which sometimes makes rich families more relaxed after the birth of the Heir. The most important moral quality for females was sophrosunē, which often (like English ‘virtue’) means simply ‘chastity’. A marriage was distinguished from other sexual relationships precisely by the woman’s ability to bear legitimate citizen children to the man: this is the point of a comment, often misinterpreted, ascribed to Demosthenes ([Demosthenes] 59.122), that men have wives for the procreation of legitimate heirs, concubines for the daily care of the body, and prostitutes for sexual pleasure.


2006 ◽  
Vol 33 (2) ◽  
pp. 209 ◽  
Author(s):  
Benoît Laplante ◽  
Caia Miller ◽  
Paskall Malherbe

The authors argue that the important changes in behaviour related to family and sexual life that were seen in Quebec during the second half of the 20th century are a consequence of a major transformation of the foundation of the normative system shared by the members of Quebec’s main socio-religious group, Frenchspeaking Catholics. Using data from Gallup polls, the authors compare the evolution of the opinions of French-speaking Quebec Catholics and Englishspeaking Ontario Protestants on matters related to sexual and family behaviour from the 1950s to the beginning of the 2000s. The general result is that the evolution of the differences between the two groups is compatible with the hypothesis.


2013 ◽  
Vol 1 (2) ◽  
Author(s):  
Andre Hutagalung ◽  
Christoffel Elim ◽  
Herdy Munayang

Abstract: Normal sexual function is a bio-psycho-social process which is significantly related to the quality of life (QOL). Any disturbance in one of the components can be a disaster in sexual life.  Erectile dysfunction is a disability to get an erection or to maintain the erection well enough for a sexual intercourse, which persists or recurs at least three months conse-cutively due to either psychogenic or organic disturbances, or both. Some psychogenic dis-turbances especially depression, anxiety, and relational distress, play some important roles in ED. Besides that, aging, low testoteron level, physical diseases, and some certain medicines have to be included. Key words: erection, erectile dysfunction, sexual stimulus, depression.     Abstract: Fungsi seksual yang normal merupakan suatu proses biopsikososial yang berkaitan langsung dengan kualitas hidup. Adanya gangguan pada salah satu komponen dapat menjadi malapetaka bagi kehidupan seksual. Disfungsi ereksi dapat dedefinisikan sebagai suatu keti-dakmampuan untuk ereksi atau mempertahankan ereksi yang cukup untuk melakukan hu-bungan seksual yang memuaskan, yang menetap atau berulang paling tidak selama tiga bulan berturut-turut. Gangguan psikogenik khususnya sindroma depresi, ankietas, dan distres relasional berperan penting dalam hal terjadinya disfungsi ereksi. Disamping itu usia lanjut, rendahnya kadar testoteron, penyakit fisik, dan beberapa jenis obat perlu diperhitungkan. Kata kunci: fisiologi ereksi, disfungsi ereksi, stimulus seksual, depresi.


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