orgasm disorder
Introduction
Introduction to orgasm disorders Sexual orgasm dysfunction, also known as orgasm disorder, lack of orgasm or sexy lack, refers to female sexual desire is normal or strong, but in sexual activity is effectively stimulated by sufficient intensity and time, and after a normal sexual excitatory response Orgasm is still often delayed or lacking, so only low levels of sexual pleasure can be obtained, and sexual satisfaction is rarely or difficult to achieve. basic knowledge The proportion of illness: 15% Susceptible people: adults Mode of infection: non-infectious Complications: vaginitis pelvic inflammatory disease
Cause
Cause of orgasm disorder
Psychological factors (45%):
Lack of feelings between husband and wife, or women's doubts, resentment, disgust, and even hostility to their husbands, thus causing psychological causes of female orgasm disorders. In addition, environmental factors such as housing congestion, bed discomfort, noise, work stress, nervous interpersonal relationships, and busy household chores can all cause female sexual orgasm obstacles. At the same time, the lack of sexual knowledge, the law of sexual life will also cause the disease.
Individual factors (10%):
Different from person to person, women who have experienced traumatic trauma have self-blame or retaliate against men's psychology; some women who grow up in a broken family are affected by their parents and thus have fear or distrust of their husbands after marriage. Psychology; some women are unwell, worrying about not meeting their husband's sexual requirements and having anxiety; women who have completed childbearing tasks or repeated flow of people, because of fear of pregnancy in sexual activity, cause nervousness, fear, etc., which will inhibit orgasm reflex Thus, orgasm disorders occur.
Organic disease (20%):
Inflammation of the genitourinary system (vaginitis, pelvic inflammatory disease, etc.), trauma, tumor, changes in organ position, pelvic nerve injury, certain diseases of the spinal cord, destructive orthostatic reflex pathways; vaginal blood circulation disorders (thrombotic obstruction, etc.) Endocrine diseases (such as Addison's disease, hypopituitarism, hyperthyroidism, hypothyroidism, etc.); gynecological surgery, congenital dysplasia, systemic infectious inflammation, long-term excessive drinking or taking a large number of central nervous system inhibitors, etc., can cause Orgasm dysfunction.
Social and cultural influences (15%):
In China, due to the long-term lack of sexual knowledge education, coupled with the influence of feudal ethics, women suppress themselves in sexual reactions, showing shyness and passiveness in sexual activities, thus affecting the emergence of orgasm.
TCM pathogenesis
Traditional Chinese medicine emphasizes the unity and integrity of the human body and its relationship with nature. It is considered that sexual activity is a human instinct, and orgasm is also the natural reaction of the human body. This "instinctive activity" and "natural response" depend on the coordination and interaction between the functions of the organs. Disorders of visceral function can lead to sexual dysfunction and lack of orgasm.
1. Kidney yang deficiency. Insufficient congenital endowment, or yang deficiency, kidney gas is not full; early marriage is prolific, sexual intercourse is not good, chronic illness is weak, consumes kidney gas, deadly fire dysfunction, sexual function declines, agitates weakness and causes this disease.
2. Liver qi stagnation. Plainly emotional depression, unwanted desire, or sudden mental stimulation, husband and wife are not jealous, leading to liver loss, poor air, desire can not be vented, circulated, or sexual orgasm often continues to delay or lack.
3. Heart and kidney do not pay. The heart is the god, the blood of the Lord, the house of lust; the kidney is fine, the scorpion is scorpion, and it is the dirty of water and fire. If the illness is yin, the room is overworked, the thoughts are sad, the emotions are stagnation and the fire, or the exogenous fever, the heart is fired alone, can not be under the kidney to make the water cold; the kidney can not be in the heart The fire is on the top, the water and fire are not the same, although they can meet and "fine" "God" is not secret, sexy lack.
4. Spleen and kidney yang deficiency. Spleen and kidney disease, gas consumption and yang, or long-term diarrhea for a long time, water evil for a long time, so that kidney yang deficiency can not warm the spleen, or spleen yang can not replenish kidney yang, so that spleen and kidney yang , causing the decline of the main reproductive function of the kidney, and the occurrence of orgasm disorders.
Prevention
Orgasm prevention
(1) Psychotherapy
First, understand the patient's perception of sex, teach the physiological and mental health knowledge of sexual anatomy, reduce sexual anxiety, change their traditional sexual attitudes, the relationship between husband and wife and past sexual habits. Deepen the correct understanding of sexual life, so that it is confirmed that the sex life is shared by the husband and wife, rather than an activity in which the man himself participates in or replaces the woman.
(2) sexy concentrated practice
Through the touch of the spouse, the friction between the couple's hands will enhance the body's pleasant feeling, and experience the orgasm response in mutual stimulation, and then gradually transition to sexual intercourse. Before sexual intercourse, increase non-genital stimulation to promote feelings and experience feelings. When both parties are mentally and physically ready to start sexual intercourse, continue to touch each other in a way that the patient feels happy during sexual intercourse. The law is the basis for reducing anxiety, enhancing feelings and transitioning from verbal communication to nonverbal communication.
It is worth noting that orgasm is a natural psychophysiological reaction to increased neuromuscular tissue excitement. If you have sex in a pleasant atmosphere, you will naturally have a sexual orgasm. This view is crucial for patients. . Sexual dysfunction can be permanently changed with one success.
(3) Other methods
There are many methods reported in foreign literature, such as marriage therapy, reading therapy, communication for relaxation training, system conceptualization, sensory awareness, sexual feedback training, etc., as well as combined with step-by-step homework exercises. The expected goal of treatment is not simply to increase the frequency of sexual orgasm, but to focus on the resolution of conflicts between husband and wife, the relief of deep-rooted problems, the balance of family power and control needs, and the transfer of sexual skills and sexual intercourse. Improve the level of psychological sexual arousal, so that the husband and wife can please the sexual activity as the goal.
Complication
Orgasm disorder complications Complications vaginitis pelvic inflammatory disease
Orgasm dysfunction is often associated with the following diseases: inflammation of the genitourinary system (vaginitis, pelvic inflammatory disease, etc.), trauma, tumor, changes in organ position, damage to the pelvic nerve, certain diseases of the spinal cord, and reflex pathways of destructive orgasm Vaginal blood circulation disorder (thrombotic obstruction, etc.); endocrine diseases (such as Addison's disease, hypopituitarism, hyperthyroidism, hypothyroidism, etc.); gynecological surgery, congenital dysplasia, systemic infectious inflammation, long-term excessive drinking or taking a large amount Central nervous system inhibitors and the like.
Symptom
Symptoms of orgasm disorder common symptoms psychological sexual dysfunction mental disorder
1. Functional orgasm disorder: The patient has a history of mental and psychological disorders. Although there is normal sexual desire, due to improper sexual intercourse, family relationship, and couples' bad feelings, they are subject to artificial psychological resistance, inhibition or influence. Sexual intercourse can not achieve the climax of sexual desire, such patients can often reach orgasm in the mood of relaxation, but can not reach orgasm in depression.
2, organic orgasm obstacles: normal sexual desire, neither advancing nor low, but in sexual intercourse has always failed to achieve the orgasm and satisfaction. In addition or accompanied by symptoms associated with organic diseases.
Examine
Check for orgasm disorders
1. Comprehensive physical examination and pelvic examination. Except for various organic causes of the disease.
2. Relevant laboratory tests, such as endocrine testing.
The disease is mainly characterized by orgasm disorder or sexy deficiency. It should be based on its accompanying symptoms, first to distinguish its falsehood, and to distinguish its liver and phlegm deficiency syndrome: mental weakness, fatigue, heart palpitations, cold limbs, Frequent frequency of urination or five upset hot, dry mouth oropharynx, hot flashes and night sweats. More common evidence: fever, abdominal pain refused to press, breathing gas and other performance. The disease is more common with deficiency syndrome or virtual reality. Secondary identification of viscera: small abdomen cold, backache and soft legs, for kidney yang deficiency; irritability, breast pain, liver qi stagnation; palpitations, insomnia, hand and foot heart heat, waist and knees, dizziness, tinnitus, heart and kidney The limbs are fatigued, the cold limbs are cold, and the yellow-skinned skin is spleen and kidney yang deficiency.
Diagnosis
Diagnosis and differentiation of orgasm disorders
diagnosis
For the diagnosis of orgasm disorders, we must first identify the organic causes, detailed medical history, comprehensive physical examination, to avoid leakage of organic lesions due to pelvic examination is not careful, if necessary, for glucose tolerance test or determination of steroid levels.
The diagnostic criteria for CCMD-2-R lack of sexual desire orgasm are:
1 lack of sexual orgasm experience during sexual intercourse, men are often accompanied by significant delays in not ejaculation or ejaculation;
2 for at least three months;
3 is not caused by organic causes.
