14C-Sexual Difficulties
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Transcript 14C-Sexual Difficulties
Sexual difficulties
© Robert J. Atkins, Ph.D.
Sexual problems are common
Causes
Organic
Cultural
Individual
Relationship
Most commonly reported sexual
problems
By men
Erectile dysfunction
By women
Inability to climax
Lack of sexual desire
Medications related to sexual
problems
High blood pressure medications
Depression & antipsychotics
Barbiturates and narcotics
Emotional difficulties producing
negative affects on sexuality
Depression
Extreme work stress
Fear of intimacy
Types of sexual disorders
(summary)
Desire Phase
Excitement phase
Orgasm phase
Desire phase
Hypoactive sexual desire
Related to:
Lack of trust
Lack of power and control
Imbalance in independence and dependence
Never fantasizes, rarely masturbates, never initiates sex
Sexual aversion disorder (SAD)
Physiological symptoms
Nausea
Sweating
Diarrhea
Irrationally fearful
Feel disgusted or repulsed by sexual activity
Excitement phase
Erectile dysfunction
Most likely to be physiologically based
(have an organic component)
Viagra
http://www.goaskalice.columbia.edu/1445.html
Primary
Secondary
Situational
Erectile dysfunction (ED) cont.
As many as 25% of cases are related to
medication side effects
Tobacco appears to be one causative
factor
Age - A man is 50’s = twice as likely to
experience ED as a man in his 20’s
Performance anxiety
Can turn a transitory problem into a
serious one
Sexual self confidence
Women who are least self-conscious
about their bodies as compared to
similarly shaped women were more
assertive with their partners
Orgasm phase - Men
Men
Premature
ejaculation
Squeeze technique
Ejaculatory
inhibition
Merc manual
http://www.merck.co
m/pubs/mmanual/se
ction17/chapter220/
220a.htm
Orgasm phase - Women
Orgasmic disorder (preorgasmic)
Primary
Secondary
Situational
E.g. Orgasm with masturbation, but not with oral
sex
Orgasmic with manual stimulation, but
not with intercourse is typical, not a
sexual dysfunction
Dyspareunia (For women)
Painful intercourse
Vaginismus
Hegar dilators
Merc Manual
http://www.merck.com/pubs/mmanual/section18/chapt
er243/243e.htm
Smegma
Smegma collecting under the clitoral hood may
cause discomfort when hood is moved during
sexual stimulation
Dyspareunia (For men)
Phimosis - tight foreskin
Infected or irritated foreskin
Peyronie’s disease - Fibroses in penis
Pelvic or genital infections
E.g. STD’s
Deep pelvic pain in women
during intercourse
Caused by
Jarring of ovaries
Stretching of uterine ligaments
Endometrioses
STD’s
Average duration of intercourse
for American couples
Five to ten minutes