Sexual Desire Disorder
Sexual Dysfunctions may occur in both heterosexual and homosexual relationships. Of the different stages in the sexual response cycle, three of them - desire, arousal and orgasm —are each associated with specific sexual dysfunctions. In addition, pain can become associated with sexual functioning in women, which leads to an additional dysfunction.
Sexual Dysfunctions can be:
- Lifelong -- Present during entire sexual history.
- Acquired – Interrupts normal sexual pattern.
- Generalized – Present in every encounter.
- Situational – Present only with certain partners or at certain times.
Arousal: A subjective sense of sexual pleasure and psychological signs of sexual arousal; in males, penis tumescence (increased flow of blood into the penis); in females, vasocongestion (blood pools in the pelvic area) leading to vaginal lubrication and breast tumescence (erect nipples).
Plateau: Brief period occurs before orgasm.
Orgasm: In male, feelings of the inevitability of ejaculation, followed by ejaculation; In females, construction of the walls of the lower third of the vagina.
Resolution: Decrease in arousal occurs after orgasm (particularly in men).
About Sexual Desire Disorder:
Males with Hypoactive Sexual Desire Disorder have little or no interest in any type of sexual activity. Apparent lack of interest in sexual activity or fantasy.
1. Low sexual desire.
2. Frequency of sexual activity less than twice a month for a married couple.
TREATMENT FOR SEXUAL DYSFUNCTION
Treatment programs, both Psychosocial and medical, offer hope to most people who suffer from sexual dysfunctions. Psychosocial treatment include therapy program to facilitate communication, improve sexual education and eliminate anxiety. Both the partners should participate fully.
Medical treatment includes almost all interventions focus on male erectile disorder, including drugs, prostheses and surgery. Medical treatment is combined with sexual education and therapy to achieve maximum benefit.
David H. Barlow, BOSTON UNIVERSITY
V. Mark Durand, UNIVERSITY OF SOUTH FLORIDA- ST. PETERSBERG
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