Sexuality is an essential part of the identity of each human being, being described as an individual expression of feelings, thoughts, beliefs and desires. It is influenced by biological, psychological and social elements that interact with each other, conditioning the characteristics of each individual in a varied way throughout their lives.
When talking about sexuality, reference is not made
only to sex, other points are also covered, such as identity and gender role,
sexual orientation, sexual pleasure, eroticism, intimacy and reproduction, says
the best sexologist in Delhi.
What is sexual health?
Sexual health represents a fundamental pillar in
terms of the well-being and integral development of each human being, their
relationships and their social expression. Enjoying good sexual health
requires an environment that provides respect, freedom and security. The
correct development and sexual practice in men and women depends on fundamental
points such as the following:
- Access
to information for the prevention of sexually transmitted diseases and
infections
- Education
about the prevention of unwanted pregnancies, teenage pregnancies and
abortions
- Availability
of sexual health care services
- Education
and access to contraceptive methods, their forms of use and adverse
effects on the body
- Safe
environment that promotes acceptance and sexual well-being
For its part, it is important to clarify that sexology is
the science responsible for the study and investigation of everything that
encompasses human sexuality and its manifestations, as well as the alterations
that represent a problem in the sexual field.
What is a sexual dysfunction?
The term sexual dysfunction refers to any type of recurring
problem that hinders or prevents sexual activity, and can generate feelings of
anxiety, stress or affect the quality of life of an individual and their
personal relationships, says sexologist
in Delhi.
The origin of a sexual dysfunction is not necessarily
conditioned to an alteration in the structures involved, since, as mentioned
above, there are multiple elements that participate in this complex process,
such as sexual enjoyment and pleasure. The factors that can trigger sexual
dysfunction are subdivided into:
- Physical
factors: Many health conditions and diseases have a direct impact
on the sexual sphere. Heart disease, cancer, multiple sclerosis and
injuries of neurological origin stand out among these.
- Organic
factors: In women, the hormonal changes associated with menopause
produce a decrease in the sensitivity of the genital area, which can
reduce the level of sexual desire and arousal. During the postpartum
stage and lactation there are also a large number of hormonal changes that
can cause variations in sexual response such as vaginal dryness.
- Psycho-emotional
factors: Anxiety, depression or stress are the main factors that
favor the appearance of sexual dysfunction, as well as trauma related to
cases of sexual assault or abuse. Conflicts in couple relationships
also favor the appearance of sexual dysfunction.
- Socio-cultural
factors: Extreme religious beliefs, taboo and restrictive sex
education can also negatively affect an individual's sexuality.
In most cases, the origin of a sexual dysfunction is not due
to one of these groups of factors, but on the contrary, it is common for them
to coexist causing a problem of multifactorial origin, says sexologist in Delhi.
Risk factors for sexual dysfunctions
Some of the risk factors that can increase the risk of
sexual dysfunction are:
- Use
of tobacco, alcohol or drugs
- sedentary
lifestyle
- Certain
drug treatments such as hypertension medications or selective serotonin
reuptake inhibitors
- Bad
nutrition
- Obesity
or overweight
- Aging
It is estimated that around 40-60% of women suffer from some
sexual dysfunction throughout their lives. Female sexual dysfunctions can
be classified into different disorders that are characterized by affecting
different stages of the sexual act, such as:
- Disorders
of sexual arousal or desire
- orgasm disorders
- Genital-pelvic
pain disorders during penetration
In the case of the male sex, it is estimated that around 40%
of men may present sexual dysfunction throughout their lives, the most frequent
being premature
ejaculation and erectile dysfunction.
The approach to sexual dysfunction varies depending on the
origin of the problem and must be carried out by a team of multidisciplinary
professionals made up of specialists in the areas of sexologist in Delhi, psychology,
kinesiology, psychiatry, gynecology and urology.
What is physiosexology and what is it for?
Physio-sexology is a branch of urogynecological
physiotherapy or pelvic floor physiotherapy that focuses on the
prevention, assessment, diagnosis and treatment of dysfunctions that can occur
in the sexual field and erotic function in both female and male people.
How are sexual dysfunctions treated by physical therapy?
The participation of physiotherapist in Dwarka
in the field of sexology focuses on addressing pain, changes in
sensitivity, muscle weakness, decreased or increased muscle tone, postural
imbalances and decreased or loss of mobility in the pelvic region.
In sexology the role of the physiotherapist in
Dwarka, in the prevention and approach of sexual dysfunctions, is
carried out mainly through:
- External
and internal consultation therapies
- Application
of techniques with the use of dilators, vibrators, electrostimulation,
laser, dry needling, biofeedback, shock waves, diathermy, among others.
- Patient
education about affective-sexual aspects and their relationship with pain
- Patient
advice on hygiene measures
- Education
in self-treatment techniques, partner techniques and different
erotic-sexual approaches
How to identify when I should go for a consultation?
- Difficulty
urinating
- Leakage
of urine or stool
- Pain
during intercourse
- Lack
of sexual desire and anorgasmia
Main dysfunctions of sexual origin
There are multiple dysfunctions in both women and men that
can alter the functioning of one or more of the elements that participate in
everything that encompasses sexual activity. Among the main dysfunctions
of sexual origin that can be addressed by physiotherapist in
Delhi are the following:
Dyspareunia:
Dyspareunia or pain during sexual intercourse is a disorder
that affects women, regardless of their age and sexual orientation, and is
usually associated with a variety of causes, both physical and
emotional. Dyspareunia usually generates varied symptoms depending on the
case, among which the lack of vaginal lubrication, burning, bleeding, pain when
urinating and anxiety prior to intercourse can be highlighted.
Among the most frequent causes associated with dyspareunia,
the postpartum recovery stage, lactation, the presence of urine infections or
vaginal infection, menopause, hysterectomy and the consumption of some
pharmacological treatments stand out.
Urinary and fecal incontinence:
According to urologist
in Noida, the term incontinence refers to accidental dribbling or
leakage of urine or feces due to loss of control of the structures
involved. This dysfunction usually disturbs beyond the physical point of
view, since not keeping it under control can affect the quality of life of an
individual. Urinary incontinence occurs more commonly in women than in
men, associated with various anatomical and physiological factors, among which
the following stand out:
- Pregnancy
- vaginal
delivery
- Hysterectomy
- Menopause
- uterine
prolapse
- Pelvic
muscle weakness
- Constipation
There are certain diseases and injuries that are also often
associated with urinary incontinence in both genders, such as cancer, the
presence of a tumor near the bladder, neurological injuries, radiation
treatment in the abdominal or pelvic area, intestinal obstruction and urine
retention.
Pelvic floor weakness:
The weakness of the pelvic floor muscles is another of the
problems that occur more frequently in the female sex and that can result in
other alterations that impair the quality of life, among which the following
stand out:
- uterine
prolapse
- urinary
incontinence
- low
back pain
- dyspareunia
- Anorgasmia
(inability to reach orgasm)
Vaginismus
Vaginismus is considered one of the less common female
sexual dysfunctions, it occurs in the form of involuntary spasms of the vaginal
muscles that narrow the vaginal canal, making penetration difficult or
impossible, medical examination and the introduction of tampons or menstrual
cups. When muscle contraction causes discomfort but does not prevent
penetration, it is classified as dyspareunia.
The largest number of cases of vaginismus are associated
with a psychological origin and only 10% of cases are attributed to physical
alterations. In a lower incidence number, vaginismus can also occur
without an apparent origin (idiopathic origin). The main causes described are:
Psychological origin:
- History
of sexual assault or abuse
- Fear
of sexual intercourse or pregnancy
- Little
sex education
- Low
self-esteem
- Negative
perception of body image
- Rejection
towards the partner
Physical origin:
The physical origin of vaginismus is mainly associated with
pathologies or injuries that cause prior pain in the structures involved in the
sexual act, among these are stenosis or narrowing of the vaginal canal,
endometriosis, hemorrhoids, fibrous hymen, vaginitis.
Erectile dysfunction in men:
Erectile
dysfunction is the repeated and persistent inability to achieve or
maintain an erection that can be associated with both physical and emotional
factors. The inability to maintain an erection is considered a sexual
dysfunction when it is maintained for more than 6 months and is accompanied by
emotional discomfort, anxiety, feelings of anguish and frustration.
It is estimated that erectile
dysfunction affects approximately 20% of the male population, mostly
affecting the adult population between 40 and 70 years of age, which makes it a
frequent problem in male sexual health.
Premature ejaculation:
As its name indicates, premature
ejaculation occurs when male orgasm and ejaculation persistently occurs
sooner than desired, during or before penetration. This dysfunction
usually leads to emotional discomfort, feelings of sexual dissatisfaction and
problems in relationships.
Premature
ejaculation is the most common sexual dysfunction in
men. According to sexologist
in Delhi, about 1 in 3 men suffer from premature
ejaculation throughout his life. This dysfunction also has the
characteristic that it can be primary, appearing from the beginning of sexual
life, or secondary, which means that it is acquired at a stage of greater
sexual experience.
Physio-sexology can participate in the treatment of premature
ejaculation through techniques focused on delaying the onset of the
reflex, working on the proprioceptive capacity of all the structures that make
up the pelvic floor, toning the muscles of the perineum and breathing control.
Delayed ejaculation
Delayed or late ejaculation is a sexual dysfunction in which
more than the desired time is required for the man to reach climax, or not
reach it completely (anejaculation).
There is no established time to consider delayed ejaculation
as a dysfunction, it is considered as such when it represents a problem for the
man and his partner, causing feelings of stress or anxiety.
Delayed ejaculation can occur during sexual intercourse with
a partner, during masturbation, or both. Sometimes, it is also possible
that the man is only able to ejaculate through masturbation, which would fall
under the concept of situational anejaculation.
Anejaculation is not exactly a frequent sexual
dysfunction. This can be classified into two types:
- Total
anejaculation: It refers to the total inability of the man to achieve
ejaculation. Men with this condition are able to produce sperm and
reach the sensation of orgasm.
- Situational
anejaculation: In this case, the man's inability to ejaculate semen
is only conditioned by factors that may be related to the environment, the
partner or the type of act practiced.
Benefits of physiosexology
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