sexual dysfunction

Introduction

Introduction to sexual dysfunction Sexual dysfunction refers to the inability to perform normal sexual behavior or to be satisfied in normal sexual behavior. Most sexual dysfunction has no organic lesions, which means that there are no abnormalities or lesions in the sexual organs, but because of psychological factors. Therefore, it is often called sexual psychological dysfunction in sex. Sexual dysfunction is generally divided into psychological sexual dysfunction and organic sexual dysfunction. Organic sexual dysfunction mainly refers to impotence, premature ejaculation, and no ejaculation. The causes of sexual dysfunction can be roughly divided into three categories: biological factors, mental and psychological factors and cultural factors. Patients with sexual dysfunction need to adopt an integrated approach. For patients with organic diseases, the primary disease should be actively treated, and the drug-induced patients should stop using the drug. Symptoms include sexual psychological disorders: such as sexual indifference, sexual aversion, hypersexuality, sexual fear, or one or two unsuccessful sexual life leading to excessive psychological stress, thereby further inhibiting sexual function. basic knowledge The proportion of illness: 0.02% Susceptible people: male Mode of infection: non-infectious Complications: impotence, premature ejaculation

Cause

Cause of sexual dysfunction

Psychological factors (30%):

Sexual anxiety caused by the failure of fearful sex may be a common direct cause of impotence or sexual indifference. The inappropriate or excessive requirements of the other party's sexual ability may also be the basic cause of sexual disorder.

Physiological factors (25%):

Abnormal anatomy of the penis: short penis, penile curvature, upper urethra, hypospadias, abnormal penile position (penis after scrotum), penile malformation (double penis), testicular fibrosis. And penile trauma, penile rupture and so on.

Pathological factors (25%):

Respiratory circulatory diseases: respiratory failure, angina pectoris, myocardial infarction, etc. Blood diseases: Hodgkin's disease, acute and chronic leukemia, and pernicious anemia.

Psychological factors

Attitude is "not correct"

An important factor in the development of sexual dysfunction is to act as a "bystander", that is, during a sexual life, a certain party is anxious and compulsively paying attention to his or her reaction. This kind of bystander role will distract the energy, hinder the establishment of a moderate sexual response and the arrival of orgasm.

Experience "too rough"

Experts believe that the inherent contradiction mainly related to past sexual experience is a deep-rooted reason for sexual dysfunction. If these contradictions control people's sexual life to a certain extent, sexual dysfunction may occur. For example, the unpleasant experience of first contact in childhood, the confusion caused by the failure of the first life, and so on.

Suspicion and jealousy

Suspicion and paralysis are often important causes of sexual dysfunction. There are two reasons for the suspicion and distrust of both sexes. One is the mistrust and the unreasonable feeling caused by insufficient understanding. The other is the closed reverie. They neither understand the root of the matter nor communicate, and always follow their own. Thinking logic to judge things. Many awkward husbands have this problem. They always suspect that their wives have an affair. This kind of strong jealousy and suspicion make them have sexual dysfunction. The more obstacles they have, the more they have to suspect that their wives seek compensation outside the family, creating a vicious circle.

Functional disorders caused by sexual psychological disorders do not have to be overly concerned, because there is no organic disease, as long as attention is paid to adjusting mentality, eliminating anxiety, psychological barriers are gone, and dysfunction is naturally gone.

Pathological factors

1, endocrine system diseases: diabetes, adrenal insufficiency, hypothyroidism, testicular dysplasia, pituitary lesions, hyperthyroidism and so on.

2, vascular diseases: aneurysm, arteritis, arteriosclerosis and so on.

3, neurological diseases: lateral contractile sclerosis, myasthenia gravis, Parkinson's disease, peripheral neuritis, spina bifida, temporal lobe lesions, brain and spinal cord injury or tumor compression or deformity.

4, genital diseases: prostatitis, seminal vesiculitis, epididymitis, seminal vesiculitis, epididymitis, varicocele, cystectomy, perineal or prostate resection, penile cavernous sclerosis, phimosis, penis continuous erection (penis sponge Body fibrosis), urethritis, etc.

5, infectious diseases: filariasis, reproductive system tuberculosis, gonorrhea, mumps and orchitis.

6, drugs: drug addiction, alcohol, a-methyldopa, atropine, barbiturate, limonin, cimetidine, acetaminophen, cannabis leaf, sulphonium, phenothiazine, experience Ning, Li Xueping, spironolactone, hydrochlorothiazide.

7, other diseases: chronic renal failure, cirrhosis, obesity, poisoning (knot, herbicides) and so on.

Prevention

Sexual dysfunction prevention

1. When you are troubled or sad, you should calmly think about it. You should not put on your mental burden for a long time, relax and adjust your nervousness in time, and ease and eliminate anxiety and anxiety. Do something you like, such as listening to music, participating in group activities and reading useful books, or talking to family and friends, but the mood will be comfortable, and sexual repression will gradually disappear.

2, active participation in physical exercise continuous, appropriate physical exercise and outdoor activities will be beneficial to you, adhere to daily exercise, can regulate nervous mental work or neurological fluid disorders, such as jogging or walking for 30 minutes a day. Strive for a regular life, ensure adequate sleep, and actively lose weight.

3, to avoid bad habits to avoid unhealthy eating habits, reduce entertainment, avoid alcohol, control diet, fully recognize the importance and necessity of smoking cessation.

Complication

Sexual dysfunction complications Complications impotence and premature ejaculation

Yangshuo, premature ejaculation and other male sexual dysfunction are the most common diseases in male diseases, and the incidence rate is quite high. According to statistics, it can account for more than 10% of adult males, causing great physical and mental harm to the majority of men. . They feel inferior and shame, and psychological pressures and obstacles are intensified. Over time, systemic dysfunction or damage will occur, and physical and mental state will deteriorate, eventually affecting normal work and life. Secondly, male dysfunction such as impotence and premature ejaculation is even more difficult for the wife. The wife has no sexual gratification for a long time, and she is upset, distracted, and depressed. After a long time, she will face her face, face, and rough skin. Even the symptoms of sexual indifference and sexual atrophy.

Symptom

Sexual dysfunction symptoms common symptoms male sexual dysfunction sexual intercourse difficulty ejaculation painful premature ejaculation blood essence physiological atrophy foreskin edema

1. Sexual psychological disorders: such as sexual indifference, sexual aversion, hypersexuality, sexual fear, or one or two unsuccessful sexual life leads to excessive psychological stress, thereby further inhibiting sexual function;

2, sexual dysfunction: including erectile dysfunction, bottling, erect, short duration of erection, sexual life is too short (premature ejaculation);

3, sexual intercourse disorders: sexual intercourse fainting, sexual intercourse aphasia, sexual intercourse and other diseases;

4, ejaculation obstacles: no ejaculation, retrograde ejaculation, ejaculation pain, blood, etc.;

5, sexual sensation disorder: sexual intercourse pain, orgasm disorders;

6, sexual orientation disorder: homosexuality, fetishism, dew yin, voyeurism, sadism and so on.

Examine

Sexual dysfunction check

Self-examination:

1, penile erectile dysfunction: including yang, penile erection is not strong, penis abnormal erection.

2, ejaculation disorders: including premature ejaculation, nocturnal emission, no ejaculation, retrograde ejaculation, ejaculation pain, blood fines.

3, sexual life disorders: including sexual life fainting, sexual life aphasia, sexual life rickets, sexual life sudden death, sexual life phobia, chicken sperm and so on.

4, sexual desire disorder: including sexual coldness, sexual aversion, sexual desire and so on.

5, although there are four aspects mentioned above, can appear alone, or multiple simultaneous occurrences, called mixed sexual dysfunction, due to common causes of disease.

Diagnosis

Diagnosis of sexual dysfunction

Diagnose based on

(1) Medical history : 1 Past history focuses on whether there is a history of masturbation, a history of sexual life, whether the first sexual life is successful, how the husband and wife are feelings, whether there is trauma or family history. 2 The current medical history focuses on the time of onset, whether there are obvious incentives, the length of the disease, and the time when the condition worsens. The hardness of the erection, the duration and length of the erection, and the presence of erectile ejaculation at night.

(2) Physical examination : In addition to general systemic examination, focus on the development of external genitalia: such as the size of the penis, testicles, presence or absence of deformity, the presence or absence of nodules in the corpus cavernosum, the presence or absence of urethral stricture, the size of the testis and epididymis, Whether there is tender tenderness, no or no nodules. Body type development, hair distribution, male secondary sexual characteristics, etc.

(3) Reproductive endocrine examination : Male sex hormone levels have a significant relationship with male sexual dysfunction, and clinical measurement is necessary.

(4) Penile cavernous test : It is one of the means to identify functional and organic impotence, and it is also a must-test for corpus cavernosum.

(5) Cavernous corpus cavernosum : Cavernous angiography as a diagnostic tool for venous leakage impotence has been reported in the mid-80s abroad, but there is no classification and standard for diagnosis.

(6) Night erection test : The stem hardness test ring is one of the simple and effective means for detecting male genital penile erection to distinguish functional impotence or physiological impotence.

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