Dyspareunia in women

Author(s):  
Delcea Cristian

Dyspareunia is a genital pain that occurs just before, during or after intercourse. The factors involved can be physical or psychological. Women with dyspareunia may complain of a well-defined and localized pain or they may express a general disinterest in and dissatisfaction with intercourse that results from the associated discomfort. Although dyspareunia is present in both sexes, it is far more common in women, with the pain initiating in several areas, from vulvar surfaces to deep pelvic structures. Worldwide prevalence of dyspareunia in women is 15% and can be maintained depending on partner, stimulation, etc. or regardless partner, stimulation, etc. The disorder may emerge from the beginning of the sexual life or begin after a period of relatively normal sexual function. Keywords: dyspareunia in women, s-on, therapy, testing, evaluation, sexual disorders.

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.


Author(s):  
Cristian Delcea

Recurrent / persistent inability to attain/ maintain until completion of the sexual activity, an adequate lubrication-swelling response of sexual arousal. Recurrent inability to get aroused. Your response to stimulation is physiologically / somatically maladaptive. And your perceptions about your inability to get aroused are distorted. The disturbance causes distress. The disturbance causes marked distress or interpersonal difficulty. Worldwide prevalence of arousal disorder in women is 26-43% and can be maintained depending on partner, stimulation, situation or regardless partner, stimulation, situation etc. The disorder may emerge from the beginning of the sexual life or begin after a period of relatively normal sexual function. Keywords: arousal disorder in women, s-on, therapy, testing, evaluation, sexual disorders.


Author(s):  
Delcea Cristian

Significant delay or absence of orgasm or reduced frequency during sexual intercourse with or without penetration / stimulation and / or after penetration. Markedly reduced intensity of orgasmic sensations and individual psychological discomfort. Women with orgasm disorder have never had a clitoral or vaginal orgasm (penetration) regardless situation or stimulation. Worldwide prevalence of orgasmic disorder in women is 42% and can be maintained depending on partner, stimulation, situation or regardless partner, stimulation, situation etc. The disorder may emerge from the beginning of the sexual life or begin after a period of relatively normal sexual function. Keywords: orgasmic disorder in women, s-on, therapy, testing, evaluation, sexual disorders.


Hypoactive sexual desire disorder in men may occur in the context of poor sexual functioning, secondary to sexual dysfunction or a state of sexual dissatisfaction, or may may correspond to poor functioning of the couple. Thus, these multiple factors can generate a hypoactive sexual desire issue. The disorder of desire may also mean cognitions and / or persistently or recurrently reduced(absent) sexual/ erotic fantasies. Worldwide prevalence of sexual desire disorder in men is occasionally 6% for those 8-24 years old; significantly 41% for those 66-74 years old, and persistently 1,8% for those 16-44 years old. The disorder may emerge from the beginning of the sexual life or begin after a period of relatively normal sexual function. Keywords: hypoactive sexual desire disorder, s-on, therapy, testing, evaluation, sexual disorders.


Orgasmic disorder in men is a delayed ejaculation that occurs in all situations where men have difficulty reaching orgasm or ejaculation. In most sexual acts there is a marked delay in ejaculation; a marked limitation in the frequency of ejaculation or the absence of ejaculation and orgasm. Worldwide prevalence of orgasmic disorder in men is 4% and can be maintained depending on partner, stimulation, etc. or regardless partner, stimulation, etc. The disorder may emerge from the beginning of the sexual life or begin after a period of relatively normal sexual function. Keywords: orgasmic disorder in men, s-on, therapy, testing, evaluation, sexual disorders


Author(s):  
Anna Jenczura ◽  
Mariola Czajkowska ◽  
Agnieszka Skrzypulec-Frankel ◽  
Violetta Skrzypulec-Plinta ◽  
Agnieszka Drosdzol-Cop

Introduction: Alcoholism impairs female sexual functions (decreased sex drive, reduced vaginal fluid, difficulty to experience orgasm). Aim: The aim of this study was to evaluate the course of perimenopausal period and sexual life of female alcoholics. Methods: 97 women at the age of 40–60 years were qualified with a diagnosed history of alcoholism (studied group). For the control group, 92 women at the age of 40–60 without a history of alcoholism were qualified. Questionnaires assessing female sexual function (Female Sexual Function Index—FSFI), the severity of perimenopausal symptoms (Menopause Rating Scale—MRS) and the degree of alcohol addiction (Michigan Alcoholism Screening Test—MAST) were obtained from each participant. Main outcome measures: To assess the sexual function of perimenopausal women addicted to alcohol. Results: The studied and control groups were significantly different (p = 0.00) in terms of severity of menopausal symptoms (MRS). The research showed lower quality of sexual life (FSFI) of women from the studied group. Conclusions: Population of women with diagnosed alcohol dependence enter the menopausal stage at the similar age as the population of female non-drinkers. The time of alcohol abuse is an important factor having an impact on both the course of menopause and the dynamics of the perimenopause period, leading to symptom escalation. The population of female alcoholics shows a decrease in sexual activity and the prevalence of sexual disorders.


Premature/early ejaculation manifests through ejaculation that occurs shortly (occurs within approximately 30 seconds to 1 minute) after vaginal penetration and may affect erection, couple relationship, and self-perception of sexual performance. Worldwide prevalence is 30-50% of those with ejaculation disorder and can be maintained depending on the partner or regardless of the partner. The disorder may occur from the beginning of sexual life or may develop after a period of relatively normal sexual function. Keywords: premature/early ejaculation, s-on, therapy, testing, evaluation, sexual disorders.


2016 ◽  
Vol 9 (1) ◽  
pp. 165-165
Author(s):  
N. Nersisyan ◽  
◽  
A. Hakobyan ◽  

Objective: Scientific data shows that early appearance of sexual meanings in child development could predispose to psycho-sexual distortions that manifest later by different kinds of sexual disorders. By the term of erotic libido we understand the emergence of sensual fantasizing and the inner drive toward releasing sexual tension by seeking physical contact not including sexual intercourse per se. We give an importance to this concept as it indicates the very beginning of women’s sexual manifestation. The aim of our study was to examine when erotic libido awakens in sexually concerned women and whether it determines the existing sexual dysfunction they are suffering from. Design and Method: We have conducted cross-sectional study in 90 middleaged women reporting sexual problems. Female Sexual Function Index was used to assess their sexual function. The question that refers to their erotic libido age was “When did you first become aware of and interested in your own sexuality and start to fantasize sensual experiences?” Two groups of women distinguished- one with earlier erotic libido age (group one) and the other with on-time erotic libido age (group two). Results: Our findings show that there is statistically significant difference in two groups relating to their sexual disorder type. Sexual desire disorder meets in women from the second group, subjective sexual arousal disorder affects women from the first group. Orgasm disorder is equally met in two groups. Conclusions: The earlier awaking of erotic interest plays a crucial role in developing of female sexual identity and its integration into their sexual life.


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.


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