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43% of women and 31% of men report sexual difficulty at some point of their lives. In India, there is a three 10 times increase in the number of women reporting sexual problems, either with themselves or with their partners. Most of the sexual problems are treatable, if addressed by a specialist. Life has now become a mix of impossible looking targets and ever increasing needs. Stress has become the key word is almost every one's day to day life, stress is now a way of describing one's life and sometimes a way to get out of the pressures of day to day life! The basic needs of mankind are food, clothing, shelter and sex. While the money that the stress brings, is able to buy good clothes, some food (even if it is unhealthy) and good shelter, money has not been able to bring good sex on a routine basis. While it can be put away for some time, it comes back to haunt a number of people. Women have now found a place for themselves in this world and are demanding the best that they deserve. While not long ago, female sexual satisfaction was a taboo to be discussed, women are no longer willing to accept shabby treatment between the sheets. The impact of the lack of sex in a married couple has changed over the years. A number of women now come forth to discuss their sexual problems and are willing to work with professionals to set their sexual life straight. Men are now more forthcoming in accepting problems and are willing to work on their sexual lives. However the downside is that a number of women believe that they are responsible for their poor sex lives, or believe that their partners do not love them enough or they are not attractive enough for good sex. Nothing can be farther from the truth. Information available is in patches and can lead to misconceptions about sexual wellbeing. The ideal solution to sexual wellbeing is being able to discuss your problem with a professional in a face to face sitting and clear your doubts.

Female Sexual Disorders

What are the most common sexual problems in women?

A sexual problem means that sex is not satisfying or positive for you. In women, common sexual problems include feeling little or no interest in sex, having problems getting aroused, or having trouble with orgasm, and for some women, pain during intercourse.

How do I know I have a sexual problem? What is the normal sexual response?

Most women have a sexual problem at one time or another. For some women, the problem is ongoing. But your symptoms are a sexual problem ONLY if they bother you or cause problems in your relationship. There is no "normal" level of sexual response—it is different for every woman. You may also find that what is normal at one stage of your life changes at another stage or age. For example, it's common for an exhausted mother of a baby to have little interest in sex. And it's common for both women and men to have less intense sex drives as they age. This is linked in part to hormone changes in the body.

What are some causes of sexual problems in women?

Female sexuality is complex. At its core is a need for closeness and intimacy. Women also have physical needs. When there is a problem in either the emotional or physical part of your life, you can have sexual problems. Among the common causes are Emotional causes, such as stress, relationship problems, depression or anxiety, a memory of sexual trauma, and unhappiness with your body, Physical causes, such as hormone problems, pain from an injury or other problem, and certain conditions such as diabetes or arthritis or aging, which can cause changes in the vagina, such as dryness and stiffening. Certain medicines can also cause sexual problems. These include medicines for depression, blood pressure, and diabetes among others.

What are the symptoms?

Symptoms of sexual dysfunction can present in women in multiple forms, even as depression, mood disorders and irritability. However in early stages and most commonly, they present with less desire for sex, having trouble feeling aroused, not being able to have an orgasm and having pain during intercourse.

How will my problem be diagnosed?

Like all disorders, sexual dysfunction needs to be evaluated. A complete history with a basic physical examination and basic tests are done to rule out any other disorders that may cause your sexual dysfunction. Once your doctor is satisfied that all physical illness is ruled out, she/he will attempt to get to the bottom of your problem.

How are they treated?

Treatment for sexual problems depends on what is causing the problem. There may be one or more issues causing the problems. Many sexual problems can be worked out once you know the cause or causes. Sex involves emotional, physical, and relationship issues. Successful treatment requires a high level of comfort between you and your doctor. Ideally, you and your partner will also be able to talk openly about sexual concerns. Treatment may include treating health problems, getting communication counselling, and learning about things you can practice at home. For example, you might take a warm bath to relax, have plenty of foreplay before sex, or try different positions during sex. Male Sexual Disorders

Male Sexual Disorders

What are the most common sexual disorders in men?

The most common sexual problems in men are ejaculation disorders (premature ejaculation, retarded ejaculation, retrograde ejaculation etc) erectile dysfunction and inhibited sexual desire.

What is Erectile Dysfunction (ED)?

Also known as impotence, erectile dysfunction is defined as the inability to attain and/or maintain an erection suitable for intercourse

What are the causes of ED?

Causes of erectile dysfunction include diseases affecting blood flow, such as atherosclerosis (hardening of the arteries); nerve disorders; psychological factors, such as stress, depression, and performance anxiety (nervousness over his ability to sexually perform); and injury to the penis. Chronic illness, certain medications, and a condition called Peyronie's disease (scar tissue in the penis) also can cause erectile dysfunction.

What Is Inhibited Sexual Desire?

Inhibited desire, or loss of libido, refers to a decrease in desire for, or interest in sexual activity. Reduced libido can result from physical or psychological factors. It has been associated with low levels of the hormone testosterone. It also may be caused by psychological problems, such as anxiety and depression; medical illnesses, such as diabetes and high blood pressure; certain medications, including some anti-depressants; and relationship difficulties.

How Are Male Sexual Problems Diagnosed?

The doctor likely will begin with a thorough history of symptoms and a physical examination. He or she may order other tests to rule out any medical problems that may be contributing to the dysfunction. The doctor may refer you to other doctors, including an urologist (a doctor specializing in the urinary tract and male reproductive system), an endocrinologist (a doctor specializing in glandular disorders), a neurologist (a doctor specializing in disorders of the nervous system), sex therapists, and other counsellors.

How Is Male Sexual Dysfunction Treated?

Many cases of sexual dysfunction can be corrected by treating the underlying physical or psychological problems. Treatment strategies may include the following: • Medical treatment: This involves treatment of any physical problem that may be contributing to a man's sexual dysfunction. • Medications: Medications, such as the impotence drugs Viagra or Levitra, may help improve sexual function in men by increasing blood flow to the penis. • Hormones: Men with low levels of testosterone may benefit from testosterone replacement therapy. • Psychological therapy: Therapy with a trained counsellor can help a person address feelings of anxiety, fear, or guilt that may have an impact on sexual function. • Mechanical aids: Aids such as vacuum devices and penile implants may help men with erectile dysfunction. • Education and communication: Education about sex and sexual behaviours and responses may help a man overcome his anxieties about sexual performance. Open dialogue with your partner about your needs and concerns also helps to overcome many barriers to a healthy sex life.

Can Sexual Problems Be Cured?

The success of treatment for sexual dysfunction depends on the underlying cause of the problem. The outlook is good for dysfunction that is related to a treatable or reversible physical condition. Mild dysfunction that is related to stress, fear, or anxiety often can be successfully treated with counselling, education and improved communication between partners.

Can I Prevent Sexual Problems?

While sexual problems cannot be prevented, dealing with the underlying causes of the dysfunction can help you better understand and cope with the problem when it occurs. There are some things you can do to help maintain good sexual function: • Follow your doctor's treatment plan for any medical/health conditions. • Limit your alcohol intake. • Quit smoking. • Deal with any emotional or psychological issues such as stress, depression, and anxiety. Get treatment as needed. • Increase communication with your partner.

When Should I Call My Doctor?

Many men experience a problem with sexual function from time to time. However, when the problems are persistent, they can cause distress for the man and his partner, and have a negative impact on their relationship. If you consistently experience sexual function problems, see your doctor for evaluation and treatment. Small periods of sexual problems which correct themselves in a week or two are usually normal and nothing to worry about! Stress


America's health care system is in crisis precisely because we systematically neglect wellness and prevention.

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The ability to be in the present moment is a major component of mental wellness.

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