Female sexual dysfunction is a fairly common problem, which is mainly observed in adult patients who have experienced several pregnancies and childbirth.

At the initial stage of the disorder, sexopathologists note a decrease in sexual arousal and a weakening of orgasmic sensations. Further, there may be pain and discomfort during intercourse.

With the further development of pathology in women, the addition of psychotic factors is observed. This means that the patient begins to experience fear and emotional discomfort in close contact with men, seeks to avoid intimate contact. Thus, a complex complex disorder is being formed, which requires an individual approach for the correction and restoration of libido.

Risk factors

Sexual dysfunctions most often appear in people aged 30 to 55 under the influence of one or more negative factors. Among the circumstances that cause a decrease in sexual desire for a partner, it is worth noting:

• a constant decrease in the background mood and the occurrence of depressive conditions
• any functional disorders that cause a weakening of the immune defense and increased susceptibility to various viral and bacterial agents
• congenital pathologies of the reproductive system
• multiple births, frequent abortions or miscarriages
• non-compliance with the rules of hygiene and personal protection when entering into sexual contact
• lack of a permanent sexual partner, frequent conflicts and quarrels with a spouse
• chronic fatigue syndrome, nervous and physical overstrain, disruption of work and rest
• bad habits, including alcoholism and substance abuse, drug addiction and smoking
• uncontrolled intake of any potent pharmacological drugs (for example, muscle relaxants and antidepressants, painkillers)
• unhealthy unbalanced over or under nutrition, weight gain or severe underweight, anorexia nervosa and bulimia
• hormonal imbalance against the background of obesity or diabetes mellitus, disorders of the adrenal cortex and thyroid gland, ovaries, pituitary and hypothalamus
• the onset of the menopause period, which is accompanied by a decrease in the emotional background and bad mood, thinning and dryness of the walls of the vagina, deterioration of the hair and nails, the appearance of pronounced signs of aging
• use of certain combined oral contraceptives and hormone replacement therapy

Clinical picture of female sexual dysfunctions

Patients are characterized by long-term sexual pathologies. As a rule, ladies and couples who have been suffering from a decrease in libido for several years seek medical help.

The state of a woman is especially strongly influenced by the nature of interpersonal relationships with a partner, as well as the social status of the couple. Emotional outbursts and depressive symptoms can develop in women who are forced to hide their relationship from society. Many patients who note signs of frigidity take self-treatment measures.

Patients of different ages believe that a course of any antidepressants, painkillers and sedatives will help them cope with the disease and restore a normal level of sexual desire. In most cases, the uncontrolled use of medications entails negative consequences in the form of complications of sexual pathology.

Features of the treatment of female pathologies

So that a woman does not suffer from unwanted side effects of the drug, she should adhere to the treatment recommended by a certified gynecologist. Otherwise, the risk of developing incurable pathologies of the reproductive system and severe psychotic disorders increases.

Before prescribing treatment, a medical specialist conducts diagnostics to determine the state of sexual function. To build an effective corrective tactic, the physician finds out:

• level, frequency and persistence of sexual desire
• activity of vaginal lubrication during intimacy
• characteristics (strength, frequency, time to reach) orgasmic sensations, the presence of a sense of satisfaction
• the presence of physical and psychological discomfort, pain during intercourse
• the degree of intimacy with a sexual partner, the presence of a stable psychological connection and a common sexual life

Professional physicians with extensive experience in medical practice prefer to prescribe complex restorative therapy, which includes:

• medical treatment. Patients are prescribed safe hormonal, sedative and tonic agents. The doctor selects substances to eliminate signs of somatic health disorders
• therapeutic gymnastics. Women perform simple exercises aimed at stimulating the intimate muscles, strengthening the muscles of the vagina and increasing the overall tone. Regular exercise can increase self-esteem, maintain a high emotional background and avoid signs of a depressive disorder.
• taking dietary supplements and natural herbal remedies based on chamomile and aloe, ginseng and St. John's wort, parsnip and hops, dubrovnik and nettle. Vitamin food supplements in the form of dried fruits (dried apricots and dates, raisins and prunes) mixed with a small amount of nuts and honey are of great benefit.
• observance of the optimal mode of work and rest, obligatory good sleep
• a healthy diet that includes the exclusion of alcoholic beverages and harmful synthetic products. A woman should receive the necessary daily dose of calories, take care of the balance of vitamins and trace elements

A sexual problem or sexual dysfunction is a problem that occurs during any phase of the sexual response cycle that prevents a person or couple from enjoying sexual activity. The sexual response cycle has four phases: arousal, plateau, orgasm, and release.

Although scientists suggest that sexual dysfunction is common (43% of women and 31% of men report difficulties of various kinds), many people do not want to discuss this topic. Fortunately, most cases of sexual dysfunction are treatable, so it's important to talk about your feelings with your partner and your doctor.

What causes sexual dysfunction?

Sexual dysfunction may result from a physical or psychological problem.

Physical reasons. A variety of physical and/or medical problems can lead to sexual problems. These diseases include: diabetes mellitus, neurological diseases, hormonal imbalances, menopause, chronic kidney disease, liver failure, alcoholism and drug addiction. In addition, the side effects of certain medications, including antidepressants, can affect sexual desire and sexual function.

Psychological reasons. These include work-related stress, anxiety, concerns about sexual activities, relationship problems, depression, guilt, and the impact of sexual trauma from the past.

Who is at risk for sexual dysfunction?

Both men and women are prone to sexual dysfunction. Sexual problems appear in adults of all ages. Among those who are most often prone to sexual dysfunction are the elderly, which may be associated with the aging of the body.

How Sexual Dysfunction Affects Women?

The most common problems associated with sexual dysfunction in women include:

Inhibited sex drive. It is a lack of sexual desire or interest in sex. Many factors can contribute to a lack of sexual desire, including hormonal changes, medical conditions and treatments (such as cancer and chemotherapy), depression, pregnancy, stress, and fatigue. Boredom associated with a regular sexual routine can also contribute to a lack of desire to have sex. Lifestyle factors such as career and caring for children also play a role.

Inability to get aroused. For women, the inability to become aroused during sexual activity often includes a lack of vaginal lubrication. The inability to arouse may also be related to anxiety or inadequate stimulation. In addition, scientists are investigating how blood pressure problems affect the vagina and clitoris.

Lack of orgasm(aorgasmia). It is the absence of sexual release (orgasm). It may arise from denial of one's femininity, inexperience, lack of knowledge, and psychological factors such as guilt, anxiety, or past sexual trauma or rape. Other factors leading to anorgasmia include lack of stimulation, certain medications, and chronic medical conditions.

Painful intercourse. Pain during intercourse can lead to a variety of problems, including endometriosis, a pelvic mass, ovarian cysts, vaginitis, poor hydration, scar tissue from surgery, or STDs. A condition called vaginismus is a painful, involuntary spasm of the muscles surrounding the entrance to the vagina. It can occur in women who fear that penetration will be painful and may also be due to painful sexual experiences in the past.

How is female sexual dysfunction diagnosed??

The doctor will begin with a physical examination and assessment of symptoms. They may do a pelvic exam to assess the health of the reproductive organs and a Pap smear to look for changes in the cells of the cervix (to check for cancer or precancerous conditions). He or she may order other tests to look for other medical problems that could lead to female sexual dysfunction.

Assessing your relationship to sex, as well as other possible contributing factors (fear, anxiety, past sexual trauma/rape, relationship problems, alcohol, drug addiction, etc.) will help your doctor understand the causes of problems and make appropriate treatment recommendations.

How is female sexual dysfunction treated??

The ideal approach to treating female sexual dysfunction involves the team effort of the woman, the doctor, and the therapist. Most types of sexual problems can be corrected through treatment of physical and psychological problems. Other treatment strategies focus on the following:

Provision of information. Knowledge about human anatomy, sexual function and the normal changes associated with aging, as well as sexual behavior and responses, can help a woman overcome anxiety about sexual function.

Increased stimulation. It includes the use of erotic materials (videos and books), masturbation, and changing sexual routines.

The use of distraction techniques. Erotic or non-erotic fantasies; exercises with sexual intercourse; music, video, or television can be used to increase relaxation and reduce anxiety.

Stimulating non-sexual behavior. Non-sexual behaviors (physical stimulating activities that do not involve sexual intercourse) such as erotic massage can be used to improve communication between partners.

Reducing pain. Using sexual positions that allow the woman to control the depth of penetration can help reduce pain. Using vaginal lubricants can help reduce the pain of friction, and a warm bath before intercourse can help you relax.

Can female sexual dysfunction be cured??

The success of treating female sexual dysfunction depends on the cause of the problem. Dysfunctions are treatable physical conditions. Minor dysfunction due to stress, fear, or anxiety can often be successfully treated through counseling, education, and improved communication with a partner.

How hormones affect female sexual dysfunction?

Hormones play an important role in the regulation of female sexual function. With the decline of the female sex hormone estrogen, which is related to aging and menopause, most women experience some changes in sexual function, including a lack of vaginal lubrication and a decrease in genital sensation. Scientists suggest that low levels of the male hormone testosterone also reduce sexual arousal, genital arousal, and orgasm. Scientists are investigating the effects of hormones and other drugs, including drugs like Viagra to treat sexual problems in women.

How does a hysterectomy affect female sexual dysfunction??

Most women suffer from a change in sexual function after a hysterectomy. These changes include loss of sexual desire, reduction in vaginal lubrication and genital sensation. These problems may be related to the hormonal changes that occur after uterine loss. Nerves and blood vessels important for sexual function may be damaged during the hysterectomy procedure.

How does menopause affect female sexual dysfunction??

A drop in estrogen levels after menopause can lead to changes in female sexual function. The emotional changes that often accompany menopause can lead to a woman's loss of interest in sex and/or her ability to become aroused. Hormone replacement therapy or vaginal lubricants can improve certain conditions, such as lack of vaginal lubrication and genital sensation, which can create problems with sexual function in women.

It should be noted that some postmenopausal women report increase sexual satisfaction. This may occur as a result of a reduction in anxiety about the possibility of becoming pregnant.

When to See a Doctor About Sexual Dysfunction?

Many women experience problems with sexual function from time to time. However, when problems escalate, they can stress the woman and her partner and negatively impact their relationship. If you already have these problems, visit your doctor for diagnosis and treatment.

Female Sexual Dysfunction (FSD)

FSD has been diagnosed in more than a third of sexually active American women. The female sexual response includes libido, arousal, orgasm, satisfaction. Reduced sexual desire occurs in 30% of sexually active women. Various emotional factors, hormonal deficiency, endocrinopathy, pregnancy, lactation, and the use of hormonal contraceptives can lead to a decrease in sexual desire.

Sexual aversion is the desire to avoid sexual contact with a sexual partner, leading to distress, a psychological problem associated with sexual abuse.

Disorder of sexual arousal - the inability to achieve or maintain sexual arousal, which may be accompanied by insufficient hydration (blood filling) of the genital organs and (or) the absence of other somatic manifestations (10--20% of women). It can be felt both at the psychological and somatic levels and, in addition to insufficient blood supply, includes a decrease in the sensitivity of the clitoris and labia, and insufficient relaxation of the smooth muscles of the vagina.

Orgasm disorder - the inability to achieve sexual satisfaction in the presence of adequate sexual stimulation and arousal, occurs in 10-15% of sexually active women, may be primary or secondary.

Pain during sexual activity.

Dyspareunia is persistent or intermittent pain in the genitals during intercourse. The result of vestibulitis, vaginal atrophy, may have a psychological or physiological basis.

Vaginismus is a constant or recurrent involuntary spasm of the anterior third of the vagina in response to an attempt at penetration. Allocate generalized vaginismus, which occurs in any situation, and situational.

Pain syndrome outside of intercourse is a constant or recurring pain in the genital organs during non-coital sexual stimulation, the causes of which are genital trauma, endometriosis, inflammation in the genital organs.

Etiology. Circulatory disorders. Syndromes of clitoral and vaginal vascular insufficiency are associated with a decrease in genital blood flow due to atherosclerosis of the ilio-hypogastric vascular bed, resulting in vaginal dryness and dyspareunia; in the tissues of the clitoris, the proportion of smooth muscle elements of the cavernous tissue decreases, and it is replaced by fibrous connective tissue. These processes prevent normal relaxation and dilation during sexual stimulation. Reduced estrogen levels during menopause contribute to circulatory disorders. Neurological disorders: spinal cord injuries, lesions of the central and peripheral nervous system (diabetes mellitus). Endocrine disorders: disorders of the hypothalamic-pituitary system, surgical or medical castration, menopause, premature ovarian dysfunction, hormonal contraception. With a deficiency of estrogen or testosterone, sexual desire decreases, vaginal dryness and lack of sexual arousal appear. A decrease in estrogen levels causes a significant deterioration in blood flow in the cavernous tissue of the clitoris, vagina, and urethra. Androgen deficiency in women causes general malaise, loss of energy, and a decrease in bone volume. Testosterone is also the main precursor of estrogen. Muscular disorders. The pelvic floor muscles are involved in the implementation of female sexual function. Arbitrary contractions of the perineal membrane cause and enhance sexual arousal and orgasm. With hypertonicity of these muscles causes vaginismus, hypotonicity - coital anorgasmia. psychogenic reasons. Depression, psychological and behavioral disorders, hostile relationships with a partner lead to FSD.

Diagnostics. To assess female sexual dysfunction, a study of the pelvic organs, a psychological and psychosocial study, laboratory and hormonal studies, and monitoring of sexual arousal are carried out. The study of the hormonal profile includes an assessment of the levels of follicle-stimulating and luteinizing hormones, prolactin, total and free testosterone, estradiol and sex hormone-binding globulin. It is necessary to identify conditions associated with damage to the hypothalamic-pituitary system, and hormone deficiency conditions caused by menopause, chemotherapy or surgical castration, to identify drugs that can negatively affect sexual function, disorders of the emotional sphere, interpersonal relationships.

Treatment. Adequate therapy depends on both the initial cause of the disorder and the symptoms. In case of violations associated with the period of premenopause, estrogen replacement therapy is indicated, in case of violation of lubrication, dyspareuria, the inflammatory process in the pelvic organs is treated, and blood circulation in them is normalized. The drug salbutiamine, similar in structure to thiamine, is prescribed for functional or psychogenic dysfunction.

FEMALE SEXUAL DYSFUNCTION IS DIVIDED INTO DISORDERS:

1) desires

2) activation

3) orgasmic and sexual pain disorders.

Etiological factors may include previous somatic and gynecological diseases and their treatment, as well as psychosocial problems.

The main task of the doctor is a thorough detailed and patient history taking, its examination, identification of causes and effects, ensuring a complete understanding of the problem, comforting the patient and recommending treatment.

For a better assessment of the situation, indirect questions and filling out personal data help the doctor. The doctor must create an environment in which the patient could feel at ease and open up to revealing all his problems. The first thing the doctor needs to find out is the sexual orientation of the patient. Then the beginning, duration and situation in which sexual dysfunction is expressed. Does it happen with a certain partner? For example: in a patient complaining of a decrease in desire in sexual relations, the cause may be sexual dissatisfaction, i.e., orgasmic disorders.

Various diseases are also a possible frequent source of direct or indirect sexual problems. For example: diabetes mellitus or vascular disease can affect adequate arousal. Cardiovascular disease associated with shortness of breath can limit sexual relationships. Diseases such as arthritis or urinary incontinence cause discomfort and difficulty during intercourse, thereby leading to dysfunction and reduced sexual activity. Gynecological conditions associated with a woman's reproductive life (puberty, pregnancy, menopause) are potential obstacles to a woman's sexual life. Therefore, each patient should be examined by a gynecologist to exclude gynecological pathology.

Frigidity- the sexual coldness of a woman. This is a condition in which a woman, even in the most favorable conditions, does not feel sexual attraction and arousal. Never feel unsatisfied. Sometimes such disturbances of desire are associated with boredom and routine in sexual relations. So, frigidity can be divided into: temporary and permanent, as well as primary and secondary.

Primary frigidity- observed in patients from the very beginning of sexual activity, when the woman is not sexually awakened.

Secondary frigidity- a state of sudden or gradual disappearance of libido in a woman, as a rule, when the cause or influencing factors are eliminated, libido is restored.

Retardation frigidity- delayed pubertal and psychosexual development, the attraction of such people stops at the erotic or platonic stages, the absence of orgasm is combined with satisfaction on an emotional level without an attraction to sexual intimacy.

anorgasmia- violations of orgasm or its absence, occurs more often than frigidity mainly in women, since the male orgasm is associated with the process of ejaculation. In some cases, anorgasmia can be combined with a decrease in sexual desire or its complete absence. Anorgasmic women experience sexual desire, but do not achieve orgasm and remain unsatisfied. This condition can be caused by both sexual inexperience and lack of arousal. For example: when a woman has never experienced an orgasm in her life or a psychological factor (“inadvertent inhibition of orgasm”) or a condition caused by a long-term chronic illness. Psychogenic factors: insufficient psycho-emotional preparation of a woman for sexual intercourse, rape or rough sexual intimacy (during defloration), fear of pregnancy. A poorly chosen position during sexual intercourse (especially with insufficient penis size) or interrupted sexual intercourse (for example: premature ejaculation in a man) can also cause disharmony between partners. Men often use a woman as a tool for their own satisfaction. But in many ways, the satisfaction of a woman during sexual intercourse depends on the correct actions of a man who usually sets the rhythm, posture and the very nature of sexual intercourse, often a man is so passionate about himself that he forgets about stimulating the erogenous zones of his partner, as a result she does not experience orgasm.

With a long absence of orgasm, the sexual desire itself usually fades away. The frequency of occurrence of anorgasmia depends on the age and duration of regular sexual activity. For many women, the first orgasm occurs only after childbirth, and for most after 10-15 years of regular sexual activity. As a result, up to 90% of neuroses in women are associated with their sexual dissatisfaction. Lack of orgasm during intercourse is usually caused by factors such as anxiety, lack of emotional intimacy of partners, distrust, low self-esteem.

SO THERE IS:

Relative anorgasmia- in which the possibility of obtaining an orgasm is extremely rare.

Absolute anorgasmia- when an orgasm does not occur under any circumstances.

Primary anorgasmia- the phenomenon of the absence of orgasm at the beginning of a woman's sexual life.

Secondary anorgasmia- loss of orgasm after a certain period of normal sexual activity. It can be observed when changing sexual partners, or after a long period of abstinence.

According to the severity of anorgasmia, it happens: 1) a woman does not have an orgasm, but sexual intercourse is accompanied by pleasant sensations of arousal, the secret of the gonads is secreted; 2) sexual intercourse is indifferent, there are no pleasant sensations; 3) sexual intercourse is unpleasant, disgusting.

In the treatment of anorgasmia, the prognosis largely depends on the willingness of both partners to change the existing stereotype of sexual intimacy.

Dyspareunia- painful sexual intercourse (general name for sexual disorders in women). Genital pain before, during (in the process) or after intercourse. The most common causes may be associated with the presence of infections, inflammatory processes, lack of vaginal hydration, anomalies in the development of the genital organs, damage or injury to the ligamentous apparatus of the uterus, as well as internal or external genital organs, and conditions after gynecological operations. Contributing factors are the lack of love and trust in a partner, neurotic and somatic diseases. Such women rarely experience orgasm during sexual intercourse and most often remain unsatisfied, feeling irritated and negative about themselves and their partner. With long-term dyspareunia, there is a decrease or loss of the very interest in sexual intimacy.

POSSIBLE THREE TYPES OF PAIN APPEAR: 1) SURFACE; 2) VAGINAL; 3) DEEP.

Superficial dyspareunia- pain that occurs when trying to start sexual intercourse.

Vaginal dyspareunia- pain that occurs during friction during intercourse (lubrication problems and impaired arousal).

Deep dyspareunia- pain associated with prodding during intercourse (often caused by various diseases).

vaginismus- this is an involuntary (unconscious), convulsive contraction of the muscles surrounding the entrance to the vagina, when trying to have sexual intercourse. Involuntary vaginal reflex - a spasm of the smooth muscles of the outer third of the vagina can be caused both by an attempt to have sexual intercourse (the entry or approach of a penis to the vagina), and by an attempt to penetrate other objects, such as the fingers of a gynecologist or even a woman's own hands. Muscle contraction occurs, spasm makes sexual intercourse almost impossible, severe pain occurs, the partner cannot penetrate the vagina through such a compressed hole, and repeated attempts give a feedback effect of pain and discomfort, the already existing conditioned reflex is strengthened (the woman's body tries to protect itself from painful impact, responding with even stronger muscle tension).

Consciously, it is very difficult for a woman to accept a spouse, she simply cannot control this process, and an excited man faces a “brick wall” that cannot be overcome. After the cessation of attempts to enter the object, the muscles return to normal tone. Therefore, women with these problems begin to doubt whether they even have an entrance to the vagina, because with spasms of the vaginal muscles, sex is incredibly difficult, it seems that there is no entrance to the vagina.

The PC muscle surrounds the entrance to the vagina and the anal area. This is a very powerful muscle group that plays a key role in the female reproductive system, is involved in the act of urination and defecation, as well as in sexual intercourse.

Vaginismus affects hundreds of women who are doomed to loneliness. Often the accompanying problems of such women are anxiety, isolation, tension, the appearance of disagreements in marriage.

Patients complain that they cannot have sex, sex is incredibly painful and virtually impossible, they feel that they have a small vagina and any attempt to push the penis into the vagina causes acute pain. Women suffering from vaginismus are sexual and sensitive, but do not have the opportunity to have an active full sexual life.

Factors contributing to the development of vaginismus are sexual abuse, pain during the first attempts to start sexual activity, strict religious upbringing in the family, sexual fears, psychological trauma in the past, and other reasons.

Primary vaginismus- occurs from the first attempts of sexual activity, a woman always experiences pain and discomfort during intercourse.

Secondary vaginismus- the woman had painless sexual intercourse in the past, vaginismus developed later, due to any reason.

Along with these disorders, there is also a hypersexual syndrome, as one of the forms of sexual disorders, this is a sharp increase in libido (increased libido). A group of people with an extremely strong sex drive, but who rarely get full sexual satisfaction despite an active sex life. So hypersexuality in women is designated by the term - nymphomania, and in men satyriasis.

SIGNS OF HYPERSEXUAL SYNDROME:

1) an insatiable need for sexual intimacy that disrupts everyday life 2) a sexual life devoid of an emotional component 3) sexual intimacy does not bring satisfaction, despite the presence of an orgasm.

KEY STRATEGIES USED IN THE TREATMENT OF SEXUAL DYSFUNCTION:

It is very important that both partners acknowledge and understand that there is a problem. It requires the cooperation of both partners and the development of skills that allow you to come to an orgasm together.

1) Providing the patient with information (educational part). For example: about normal anatomy, sexual function, normal changes with aging, pregnancy, menopause.

2) Methods for increasing arousal and eliminating sexual routine: encouraging the use of erotic materials (videos, books), changing positions during sexual intercourse.

3) Distraction methods: encouragement of erotic and non-erotic fantasies, recommendations for Kegel exercises (pelvic muscle training), use of background music and/or video.

4) Solving the problem of sexual harmony by searching for erogenous zones (parts of the partner's body with an increased degree of sexual arousal).

5) Direct, including anatomical changes in the genital organs, providing maximum sexual stimulation (an increase in the G-spot in women, an increase in the size of the penis in men).

The pubococcygeal muscle is the main sexual muscle, its fibers start from the pubic bone, surround the entrance to the vagina and reach the coccyx. In some women, with age or after childbirth, the tone of this muscle can decrease significantly.

It is possible to feel the work of the pubococcygeus muscle during urination, if you try to arbitrarily stop urination. Then insert your finger into the vagina and repeat that effort. If the muscle tone is sufficient, then the vagina will gently wrap around the finger. Sitting in a comfortable position on the bed, try to practice tensing and relaxing this muscle, repeat this exercise 10 times in a row.

Every day, you need to gradually increase the load and bring the number of contractions up to 50 times. After that, you can try to complicate the exercise by first trying to squeeze the muscle strongly, then slowly relax it, making several stops, or quickly squeeze and quickly relax, accelerating the previous contractions. Having mastered these exercises, perform workouts unnoticed by others at any time convenient for you during the day. After the muscles are strong enough, it is necessary to keep them in good shape with daily workouts.

WAYS TO MINIMIZE DYSPAREUNIA:

1) Advice on using positions where the woman is on top and able to control the man's penetration. Or the use of such positions in which it is possible to minimize the occurrence of pain and deep penetration of a man.

2) Using warm baths before intercourse to increase arousal.

3) Use topically lubricants to reduce friction.

4) The use of drugs before sexual intercourse (non-steroidal anti-inflammatory drugs).

5) Use of local anesthetics.

Achieving maximum arousal and reducing psychological inhibitions (Kegel exercises, masturbation, distraction techniques, use of fantasy or music).

TREATMENT OF VAGINISM:

1) A clear understanding of the problem, identifying the causes and factors in the development of vaginismus.

2) The study of the anatomical structure of the genital organs and their role in sexual intercourse.

3) Learn to control the pubococcygeus muscle.

4) Use of a dilator.

Does impotence exist in women? After all, a woman cannot suffer from a weak erection. This is the widely held opinion on the matter. In reality, it looks a little different. Women may suffer from sexual impotence. Only female impotence is not discussed so publicly.

Impotence refers to loss of libido. However, women may also suffer from other problems that are directly related to active sexual relations in life. So, some women suffer from vaginal dryness. This leads to the fact that sex is very painful not only for a woman, but also for a man.

Causes must be addressed immediately and promptly. A woman needs to consult a doctor to prevent possible damage and pain. Many more women suffer from impotence than men. This has been proven in numerous studies. The essential difference is that most women can have sexual intercourse despite their lack of desire. What a man with an absent erection cannot do. Many women perceive this as a cross of fate and usually do not know that even female impotence can be treated quite successfully.

The causes of impotence can be both in the physical (bodily) area, as well as in the mental (mental). Often, both causes depend on each other. Imagine, your friend's girlfriend would be incapable of fertilization, and she adds to her physical problem also a mental complex.

Erectile dysfunction is considered one of the common diseases of civilization and is often considered as a purely male problem. But more and more women suffer from weak potency and the desire to have sex because they cannot achieve orgasm. Female impotence, in principle, is no different from male. They have the same causes and effects.

After the birth of a child, almost every second woman complains of a loss of libido after her body endured one or more children.

In a sense, this is explained biologically. The woman is fertile and has no children, the level of androgen hormones is quite high. These hormones provide a woman with sexual desire. When a woman has fulfilled her biological duty, if I can put it in such a subtle way, then there is no more reason to continue to act sexually.

Some women have problems with insufficient potency, do not get enough sleep and rest, or are prone to high alcohol consumption and smoking too much. As with any deterioration in health, the rule applies - the sooner, the better the appeal to specialists.

Medicine is currently able to eliminate the symptoms of potency disorders. It is only necessary to start treatment at an early stage before irreversible consequences begin. If this does not last too long, it can be corrected with lifestyle changes and therapeutic rest. Potency, strength and sexual desire will be restored. Here are some of the main causes of impotence:

• chronic diseases such as arthritis;
• Fatigue;
• Neurological diseases like multiple sclerosis;
• Surgical treatment of the pelvic organs;
• Pelvic fracture, spinal cord injury;
• Diabetes mellitus, functioning of the thyroid gland;
• Antidepressants, chemotherapy drugs, etc.;
• Bad habits: alcohol, tobacco, etc.;
• Extreme obesity, which leads to mechanical disorders;
• Dyspareunia is pain during intercourse.

Sexual desire is present, but orgasm does not occur - this is called anorgasmia. Spasm of the vagina (vaginismus) can lead to a sharp narrowing of the vagina and the penetration of the penis is difficult.

The most common form of "female impotence" is frigidity. The term frigidity refers to a decrease in sexual desire, coldness, lack of orgasm. Physical reasons:

• Small vaginas and vulvas;
• Inflammation in the vaginal area;
• Pelvic inflammatory disease, etc.

Hormonal changes after menopause can cause changes in the tissues and genitals in women. Lack of lubrication and vaginal dryness can result from these hormonal changes. Psychological and situational causes:

• Religious orthodoxy;
• Depression, anxiety, fear, guilt, interpersonal problems in relationships between partners;
• Emotional stress for a long time;
• Difficulty getting an orgasm.

How to treat

A gynecological examination is necessary - pathologies should be excluded. Psychiatric examination of both partners is mandatory - it is necessary to assess the quality of your relationship.

Psychological counseling helps to understand both partners and each other's needs. For vaginal dryness, use a vaginal lubricant during intercourse. Hormone therapy may help some women.

A healthy lifestyle will help you get rid of smoking, alcohol, etc.

Alternative therapies such as yoga and meditation are helpful in relieving stress. A more suitable position: the man lies on his back, the wife sits on him. This is a mentally and physically less problematic situation for a person. Additional help may be to move the time of intercourse to the morning. Also, the patience and understanding of partners in matters of mental hygiene is very important.

Older men lose their sexual energy gradually, but this does not only happen over the age of 60. Young men are increasingly suffering from sexual impotence. In women, this problem is often combined with a lack of desire to have sex, a decrease in sexual desire is a psychological aspect.

Good potency for women: Female Viagra (Lovegra) is a popular drug that helps to solve many problems.

Until now, it has been difficult to find a suitable potency for women on the market. Androxan Femme is a nutritional supplement that can help give you more energy, vitality and performance, a natural aphrodisiac for increased libido.

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Scientists criticize the planned distribution of pills for women, following the example of Viagra. After the success of treating male potency, the pharmaceutical industry came up with the pill in hopes of better returns. Allegedly, female impotence is present in 43 percent of all women. Psychologists confirm that women can feel their inability to fantasy during intercourse, and when taking pills, they relax more. Many women do not get sexual pleasure. But this does not mean that you have a disease.

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Women's sexuality has its influence on our desires. Even if we do not realize it and do not guess. The emergence of sexual desire depends on a number of physical and psychological factors: lifestyle, hormones, fantasies, feelings and educational level.