Sexual disorder

Introduction to sexual disorders Sexual disorders include sexual physiology dysfunction and sexual psychological disorders. The sexual problems caused by doctors are only a few decades, and they have just begun in China. Because sexual disorders are often associated with psychological factors, psychiatrists are exposed earlier. Patients with sexual physiology and dysfunction go to the urology clinic, and women rarely go to the doctor or go to the obstetrics and gynecology clinic. In recent years, due to more popular science articles in this area, the number of sexual counseling objects has increased. It is now very important to popularize this knowledge among doctors before it is possible to conduct scientific sexual knowledge education in society. basic knowledge Sickness ratio: 0.0001% Susceptible people: often in young men and women Mode of infection: non-infectious Complications: Infertility

Cause of sexual disorder

Social and cultural background factors (20%):

Scientific sexual knowledge has been rarely studied in the past, and it has not been widely disseminated. Therefore, people's knowledge about sex is often heard from the hearsay. Generally speaking, talking about sexual issues is indecent, so even if there is not enough between husband and wife The exchange does not know what kind of sexual behavior is appropriate. If you have problems, you will not seek help.

Incorrect knowledge (10%):

For example, it is believed that sexual behavior should be terminated with menopause. When a certain age is reached, there will be no sexual ability. Some diseases may affect sexual behavior. In the past, masturbation may cause sexual dysfunction. In fact, this is a misunderstanding. Masturbation generally only causes Insufficient sleep affects the energy of the next day and does not cause specific diseases.

Personal factors (15%):

The most common is anxiety. For example, I am afraid that my sexual ability is insufficient to meet the requirements of the other party, I am afraid of pregnancy, I am afraid that sexual behavior will be discovered, and I am afraid that I will be considered lascivious by lack of feelings.

Relationship between the two parties (10%):

For example, excessive respect, fear, disgust, lack of affection or lack of communication between the two sides.

Other diseases (20%):

Certain diseases or certain drugs can actually affect sexual ability, especially affecting male erections. Generally speaking, acute diseases or short-term medications often affect sexual function, but do not attract attention; chronic diseases cause attention due to long time, other diseases The resulting sexual dysfunction is only a minority, and some are caused by anxiety, such as fear of sexual intercourse aggravating the disease.

Those who have never obtained sexual life are called primary sexual dysfunction. Those who have had normal sexual life experience before are called secondary sexual dysfunction. The latter is more common in clinical practice.

Sexual disorder prevention

(1) Correct understanding of establishability Because China has been influenced by feudal thoughts for thousands of years, it has mystified sexual knowledge, or regarded as obscene obscenity, never openly discussed, but only privately, less research, in fact, sex and diet The same as the urine and urine, are all life behaviors, are normal physiological phenomena, think that sexual behavior is not glamorous, inferior, sexual intercourse is nothing more than a childbearing, childbearing, sexual intercourse, health and other misconceptions, need to be in thought Eliminate it, otherwise it will have an adverse effect on normal sexual life.

(2) Removing mental stress In addition to many of the above misconceptions, there are various kinds of fears, which will generate strong mental stress and inhibit sexual excitement reactions, such as normal sexual reaction before sexual intercourse, penile erection is good, and once Acting, the penis is immediately weak, afraid of sexual companion dissatisfaction, fear of sexual discomfort and so on.

(3) Creating a stable sexual environment The environment of sexual intercourse has a very important impact on the development of sexual response, and should avoid any worries outside of sexual intercourse.

(4) Creating a very relaxed and pleasant atmosphere Before sexual intercourse and sexual intercourse, you must maintain an intimate and awkward atmosphere and mood.

(5) mutual care for each other's hobbies is often the highest expression of love between men and women. In the process of making love and sexual intercourse, if they can take care of each other, they will actively vote for their own good, which can enhance love and growth pleasure.

(6) Pay attention to the artistic nature of expressive requirements When it is necessary to make sexual demands to sexual partners, it is best not to speak out and pay attention to the art of expression.

(7) Knowing the physiological function of sexual organs Before sex, sexual intercourse, should pay attention to the most easily induced excitatory parts.

Sexual complication Complications, infertility

Male sexual dysfunction is one of the main diseases affecting male reproductive health. It directly affects men's self-esteem and mental health, damages marital relationship and family stability, and becomes a hidden secret of many adult males.

Sexual Disorder Symptoms Common Symptoms Sexual Intercourse Pain Sunset-like or Evening-like Depression of the Fundus Depression Unstable Tremor Stress Diabetes Atherosclerosis Paralysis Heart Failure

First, normal sexual function

Both humans and animals have sexual functions, which are considered to be a continuation of race instinct (the other is the instinct to preserve life), but in humans, this instinct is largely constrained by psychosocial factors, and thus There are many sexual dysfunctions that are not caused by sexual organ defects. To illustrate these obstacles, I will introduce the process of normal sexual life.

The sexual life process can be divided into four phases:

(1) Causes of sexual desires When you are exposed to your favorite opposite sex or related images, you can cause sexual desire. This is a necessary premise for sexual life, but there are many psychosocial factors that can inhibit the generation or development of sexual desire.

(B) sexual organ response After sexual desire, if conditions permit, it will produce a sexual organ response, males are mainly penile erection, women mainly vaginal secretion of liquid, is conducive to penis insertion, and then sexual intercourse.

(3) After the pleasure of the penis in the vagina, the male appears to ejaculate, then the pelvic muscles and the whole body enter the slack, reaching orgasm (ie pleasure); the female generally also enters from the tension to relax and get pleasure, but the female's sexual latency is better. Long, so the pleasure can appear later than men.

(4) Relaxation after entering the relaxation period, the male will often have to erect again and gain pleasure after a period of time. This period of time is called the non-reaction period, and the non-response period of women can be short, and even the pleasure can be continuously obtained. (if continuous stimulation).

People's sexual desires generally begin in the youthful development period, the youth is the most prosperous, and women can have a second strong period in their thirties. After menopause, the sexual desire gradually declines, and men can continue to the elderly, sexual intercourse. There is no absolute "normal standard" for frequency and duration. As long as both men and women think it is appropriate, they cannot be considered abnormal.

Second, sexual physiology dysfunction

This refers to the dysfunction of sexual organs without anatomical damage, which are commonly found in the following forms:

(1) Lack of sexual desire may be caused by bad relationship between the two parties. If there is a good relationship in the past, sometimes it can be recovered through psychological counseling and treatment; if you have never had a good relationship with the other party, then it is not a medical problem, if one party is interested, the other party No interest, this may be caused by the fatigue or other reasons of the other party, or it may be caused by the lack of "foreplay" of the other party. The fear of sexual intercourse by the woman can also inhibit sexual desire. The treatment mainly explains to the two sides that there is a lack of sexual desire. The reason is to seek an appropriate solution.

(B) the lack of sexual organ response This is mainly in the man's side of the penis can not erect or can not maintain the erection time to insert into the vagina (called erectile dysfunction or impotence), in the woman's side is characterized by lack of vaginal fluid secretion or deficiency, never before The erectile is called primary impotence, but the vast majority are secondary, transient impotence, if only sexual intercourse with the wife has impotence, it is mainly due to anxiety, treatment should be sought and eliminated The cause of anxiety, if impotence is not "selective", it should be checked whether it is caused by other diseases (including mental illness) or the use of drugs, alcohol, and the lack of vaginal secretion by the woman is mainly caused by lack of sexual desire or lack of teasing.

(3) Lack of pleasure This is more common in women, because the mans penis quickly loses its erectile state after ejaculation, and can no longer move in the vagina, and the woman has not yet reached the pleasure at this time, if the sexual intercourse or delayed ejaculation is properly extended Both men and women can get pleasure at the same time. The treatment is mainly to let both men and women understand each other's feelings. After the woman has a full sexual organ response, the penis is inserted into the vagina, or the action is suspended when there is a feeling of ejaculation, so that the ejaculation time is delayed. The man has ejaculated before the penis is inserted into the vagina, which is called premature ejaculation, which also affects the pleasure. This situation can be restored after the first sexual intercourse or after a long period of time, without treatment, how long the penis needs to be inserted after insertion into the vagina. Time ejaculation is not premature ejaculation, there is no certain standard, even if the time is very short, if the woman can make pleasure, it can not be premature ejaculation, the West once advocated the use of "extrusion method" to treat premature ejaculation, currently considered to be used in Its better to pause the action or pull out the penis when you ejaculate, and start again after a short stop (called the start-stop method). However, during this mutual understanding and treatment of men and women, mutual cooperation is very important and is prerequisite for success.

(4) Sexual intercourse pain is mainly seen in the woman's side. It can be caused by insufficient vaginal secretion or local inflammation during sexual intercourse or violent man's movement. The experience of this kind of pain can cause vaginal fistula due to fear during sexual intercourse, and thus pain. Strengthening mutual care, improving sexual skills, and treating localized conditions often can reduce or improve pain.

The above are common sexual physiology dysfunctions, mainly the second and third stages of the four stages of normal sexual life. Good relationship between husband and wife is a necessary condition for treatment success. Of course, if the relationship is not good due to these If the obstacle is caused, then we must first establish a good faith that can be cured. After the cure, the relationship can be restored to normal. Instilling the correct sexual knowledge for both men and women is a necessary step to establish the confidence of treatment.

Third, sexual psychological disorders

Human sexual activity, from the perspective of human biology, is to point to the opposite sex, to have sexual organ contact, to achieve the purpose of producing the next generation, which is common with other animals, but as a higher animal, I do not know from what From time to time, fertility is not the purpose of every sexual life, but pointing to the opposite sex, sexual intercourse is still the process of sexual activity of most people. Anyone who does not meet this process without anatomical and physiological defects of sexual organs is called sex. Psychological disorders (or sexual metamorphosis, sexual desire, etc.), most of the causes of sexual psychological disorders are unknown, some may be related to the life of children and adolescents, most of the treatment is difficult, in recent years using behavioral therapy, sometimes can be improved, more common Or the more commonly mentioned sexual psychological disorders have the following characteristics:

(1) Homosexuality has mentioned that most people's sex is directed at the opposite sex, rejecting the same sex (can be called heterosexual), and if it is the opposite, it is called homosexuality, and homosexuals do not completely reject the opposite sex, a pair Gay people often have one person more active, one person is more passive, and the passive person has a lesser tendency to reject the opposite sex. Therefore, some people can finally get rid of homosexuality and get married with the opposite sex, resulting in the initiative of the "lost love", complete, lifelong homosexuals are less Those who are homosexual but who are married to the opposite sex due to social traditions, or who are heterosexual, have more lovers of homosexuality and homosexuality, and both homosexuals and men have reports in the West, and there are also many in China. However, there are not many reports. Gay people can adopt the same lifestyle as heterosexual couples, sexual provocation and simulated sexual intercourse; but some are spiritual love. In China, male homosexuals are often found to have sexual behavior. As a rogue behavior, homosexuality is generally considered to be an abnormal phenomenon that violates the laws of biology, and is regarded as a subject of psychiatry. At present, in some places (such as the United States), because of the large number of homosexuals, they believe that the abnormality of homosexuality is a violation of their human rights, causing a certain momentum. Therefore, the American Psychiatric Medicine will have to cancel the homosexuality project in the classification of mental illness. In recent years, Because of the close relationship between AIDS and homosexuality, homosexuality has decreased.

Because homosexuality is unknown, there is currently no specific treatment.

(2) Transvestite refers to an adult male with heterosexuality who repeatedly wears female clothing to obtain sexual excitement, excluding those who do not cause excitement. Because of special needs or socially popular wearing methods, transvestites should actually be called Heterosexual clothing is awkward, but generally does not include women wearing male clothing.

(3) Luyin is generally male, suddenly revealing his genitals in front of strange women, causing the other party's attention to escape immediately, at this time you can get sexual excitement, and does not require further sexual behavior.

(4) Fetishes are generally male, and the things they love are mainly things that are in close contact with the female body (such as underwear) or female hair. When they get these things, they can have sexual excitement, so try to collect and even steal. Grab these things.

(5) Sadism and abuse, that is, repeated abuse of the opposite sex or heterosexual abuse as an act of sexual gratification, which refers to the abuse that can be caused by injury or mentally severely insulted, and the resulting sexuality Satisfy the person who often exceeds the sexual intercourse, as a prelude to sexual intercourse, "fighting", "being", because it does not cause mental and physical harm, it is not abusive or abused.

(6) Transsexuality This kind of person has a strong requirement to become the opposite sex. Both men and women have turned themselves into heterosexuality through surgery and sex hormones. The West has been doing this kind of surgery for decades. It has been in China for more than a decade. To carry out, transsexual surgery is currently the only effective treatment for transsexual sputum. Surgeons must carefully rule out the idea of this susceptibility before surgery, and should carefully explain the possible environmental stress after surgery.

Sexual barrier examination

For the complex etiology of sexual dysfunction, using Doppler penile artery blood flow analyzer, male sexual function dynamic diagnosis system, sex hormone detection system, urodynamic analyzer and other cutting-edge instruments, special tests, including sex hormone levels, prostate, erection Measurement, penile blood flow, blood sugar, blood pressure, etc., can accurately identify the cause of premature ejaculation and take targeted treatment measures.

Diagnosis of sexual disorders

The disease can be diagnosed according to the clinical, no need to identify.

First, normal sexual function

Both humans and animals have sexual functions, which are considered to be a continuation of race instinct (the other is the instinct to preserve life), but in humans, this instinct is largely constrained by psychosocial factors, and thus There are many sexual dysfunctions that are not caused by sexual organ defects. To illustrate these obstacles, I will introduce the process of normal sexual life.

The sexual life process can be divided into four phases:

(1) Causes of sexual desires When you are exposed to your favorite opposite sex or related images, you can cause sexual desire. This is a necessary premise for sexual life, but there are many psychosocial factors that can inhibit the generation or development of sexual desire.

(B) sexual organ response After sexual desire, if conditions permit, it will produce a sexual organ response, males are mainly penile erection, women mainly vaginal secretion of liquid, is conducive to penis insertion, and then sexual intercourse.

(3) After the pleasure of the penis in the vagina, the male appears to ejaculate, then the pelvic muscles and the whole body enter the slack, reaching orgasm (ie pleasure); the female generally also enters from the tension to relax and get pleasure, but the female's sexual latency is better. Long, so the pleasure can appear later than men.

(4) Relaxation after entering the relaxation period, the male will often have to erect again and gain pleasure after a period of time. This period of time is called the non-reaction period, and the non-response period of women can be short, and even the pleasure can be continuously obtained. (if continuous stimulation).

People's sexual desires generally begin in the youthful development period, the youth is the most prosperous, and women can have a second strong period in their thirties. After menopause, the sexual desire gradually declines, and men can continue to the elderly, sexual intercourse. There is no absolute "normal standard" for frequency and duration. As long as both men and women think it is appropriate, they cannot be considered abnormal.

Second, sexual physiology dysfunction

This refers to the dysfunction of sexual organs without anatomical damage, which are commonly found in the following forms:

(1) Lack of sexual desire may be caused by bad relationship between the two parties. If there is a good relationship in the past, sometimes it can be recovered through psychological counseling and treatment; if you have never had a good relationship with the other party, then it is not a medical problem, if one party is interested, the other party No interest, this may be caused by the fatigue or other reasons of the other party, or it may be caused by the lack of "foreplay" of the other party. The fear of sexual intercourse by the woman can also inhibit sexual desire. The treatment mainly explains to the two sides that there is a lack of sexual desire. The reason is to seek an appropriate solution.

(B) the lack of sexual organ response This is mainly in the man's side of the penis can not erect or can not maintain the erection time to insert into the vagina (called erectile dysfunction or impotence), in the woman's side is characterized by lack of vaginal fluid secretion or deficiency, never before The erectile is called primary impotence, but the vast majority are secondary, transient impotence, if only sexual intercourse with the wife has impotence, it is mainly due to anxiety, treatment should be sought and eliminated The cause of anxiety, if impotence is not "selective", it should be checked whether it is caused by other diseases (including mental illness) or the use of drugs, alcohol, and the lack of vaginal secretion by the woman is mainly caused by lack of sexual desire or lack of teasing.

(3) Lack of pleasure This is more common in women, because the mans penis quickly loses its erectile state after ejaculation, and can no longer move in the vagina, and the woman has not yet reached the pleasure at this time, if the sexual intercourse or delayed ejaculation is properly extended Both men and women can get pleasure at the same time. The treatment is mainly to let both men and women understand each other's feelings. After the woman has a full sexual organ response, the penis is inserted into the vagina, or the action is suspended when there is a feeling of ejaculation, so that the ejaculation time is delayed. The man has ejaculated before the penis is inserted into the vagina, which is called premature ejaculation, which also affects the pleasure. This situation can be restored after the first sexual intercourse or after a long period of time, without treatment, how long the penis needs to be inserted after insertion into the vagina. Time ejaculation is not premature ejaculation, there is no certain standard, even if the time is very short, if the woman can make pleasure, it can not be premature ejaculation, the West once advocated the use of "extrusion method" to treat premature ejaculation, currently considered to be used in Its better to pause the action or pull out the penis when you ejaculate, and start again after a short stop (called the start-stop method). However, during this mutual understanding and treatment of men and women, mutual cooperation is very important and is prerequisite for success.

(4) Sexual intercourse pain is mainly seen in the woman's side. It can be caused by insufficient vaginal secretion or local inflammation during sexual intercourse or violent man's movement. The experience of this kind of pain can cause vaginal fistula due to fear during sexual intercourse, and thus pain. Strengthening mutual care, improving sexual skills, and treating localized conditions often can reduce or improve pain.

The above are common sexual physiology dysfunctions, mainly the second and third stages of the four stages of normal sexual life. Good relationship between husband and wife is a necessary condition for treatment success. Of course, if the relationship is not good due to these If the obstacle is caused, then we must first establish a good faith that can be cured. After the cure, the relationship can be restored to normal. Instilling the correct sexual knowledge for both men and women is a necessary step to establish the confidence of treatment.

Third, sexual psychological disorders

Human sexual activity, from the perspective of human biology, is to point to the opposite sex, to have sexual organ contact, to achieve the purpose of producing the next generation, which is common with other animals, but as a higher animal, I do not know from what From time to time, fertility is not the purpose of every sexual life, but pointing to the opposite sex, sexual intercourse is still the process of sexual activity of most people. Anyone who does not meet this process without anatomical and physiological defects of sexual organs is called sex. Psychological disorders (or sexual metamorphosis, sexual desire, etc.), most of the causes of sexual psychological disorders are unknown, some may be related to the life of children and adolescents, most of the treatment is difficult, in recent years using behavioral therapy, sometimes can be improved, more common Or the more commonly mentioned sexual psychological disorders have the following characteristics:

(1) Homosexuality has mentioned that most people's sex is directed at the opposite sex, rejecting the same sex (can be called heterosexual), and if it is the opposite, it is called homosexuality, and homosexuals do not completely reject the opposite sex, a pair Gay people often have one person more active, one person is more passive, and the passive person has a lesser tendency to reject the opposite sex. Therefore, some people can finally get rid of homosexuality and get married with the opposite sex, resulting in the initiative of the "lost love", complete, lifelong homosexuals are less Those who are homosexual but who are married to the opposite sex due to social traditions, or who are heterosexual, have more lovers of homosexuality and homosexuality, and both homosexuals and men have reports in the West, and there are also many in China. However, there are not many reports. Gay people can adopt the same lifestyle as heterosexual couples, sexual provocation and simulated sexual intercourse; but some are spiritual love. In China, male homosexuals are often found to have sexual behavior. As a rogue behavior, homosexuality is generally considered to be an abnormal phenomenon that violates the laws of biology, and is regarded as a subject of psychiatry. At present, in some places (such as the United States), because of the large number of homosexuals, they believe that the abnormality of homosexuality is a violation of their human rights, causing a certain momentum. Therefore, the American Psychiatric Medicine will have to cancel the homosexuality project in the classification of mental illness. In recent years, Because of the close relationship between AIDS and homosexuality, homosexuality has decreased.

Because homosexuality is unknown, there is currently no specific treatment.

(2) Transvestite refers to an adult male with heterosexuality who repeatedly wears female clothing to obtain sexual excitement, excluding those who do not cause excitement. Because of special needs or socially popular wearing methods, transvestites should actually be called Heterosexual clothing is awkward, but generally does not include women wearing male clothing.

(3) Luyin is generally male, suddenly revealing his genitals in front of strange women, causing the other party's attention to escape immediately, at this time you can get sexual excitement, and does not require further sexual behavior.

(4) Fetishes are generally male, and the things they love are mainly things that are in close contact with the female body (such as underwear) or female hair. When they get these things, they can have sexual excitement, so try to collect and even steal. Grab these things.

(5) Sadism and abuse, that is, repeated abuse of the opposite sex or heterosexual abuse as an act of sexual gratification, which refers to the abuse that can be caused by injury or mentally severely insulted, and the resulting sexuality Satisfy the person who often exceeds the sexual intercourse, as a prelude to sexual intercourse, "fighting", "being", because it does not cause mental and physical harm, it is not abusive or abused.

(6) Transsexuality This kind of person has a strong requirement to become the opposite sex. Both men and women have turned themselves into heterosexuality through surgery and sex hormones. The West has been doing this kind of surgery for decades. It has been in China for more than a decade. To carry out, transsexual surgery is currently the only effective treatment for transsexual sputum. Surgeons must carefully rule out the idea of this susceptibility before surgery, and should carefully explain the possible environmental stress after surgery.

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