Sexual problems in women (Classification according to DSM-IV criteria)
I. Sexual desire disorders
II. Arousal Disorder
III. Orgasm Disorders
IV. Sexual Pain Disorders
Hypoactive Sexual desire disorders
Absence of persistent or recurring sexual fantasies, and the desire for sexual activity is minimal or does not exist.
Doctors decide based on age, living conditions, if there is a decrease in sexual desire.
This last year, there is an increase in desire disorders.
It is difficult to establish a link between hormones and sexual desire. Female hormones change, during menstruation, during pregnancy, during menopause, during breastfeeding. Despite this information there is a link between the frequency of sexual intercourse and the level of testosterone.
Women with sexual aversion, have little or no pleasure during foreplay. Natural lubrication is very minimal. These women have difficulty having orgasm.
Authors LoPiccolo and Friedman write that sexual disorders are related to strict religious beliefs, obsessive-compulsive personality, sexual phobias and avoidance, fear of losing control of sexual urges, fear of pregnancy, depression, loss of a spouse, age-related anxieties.
Loss of interest in a relationship, binary relationship on differences and conflicts in marriage. In addition, lack of marital sexual skills, fear of intimacy, differences between couples, power imbalance, passive-aggressive approach are that the inability to reconcile their feelings of love and sexual desire.
According to Schreiner-Engel sexual desire disorder in patients with mood disorders have encountered this problem more often. This disorder is said to be the most important factor in the development of deficiency in the quality of the marital relationship.
Sexual Aversion Disorder
Sexual Aversion Disorder, is an aversion to penetration with one's partner and avoidance of sex.
The marriage of women in this group are more severe and affect (emotional),intrapsychic conflicts, personality disorders, relationship difficulties are more common. Sexual trauma disorders, such as rape and abuse can lead to disgust.
Sexual Aversion Disorder is a significant cause of distress or interpersonal difficulties.
The resolution of this problem is difficult and time consuming compared to other sexual problems.
Female Arousal Disorder
Continuously or repeatedly, the hydration response, swelling of sexual arousal is not possible or is very weak.
Sexual arousal disorder is a significant cause of distress or interpersonal difficulties.
The strength and duration of stimulation is not enough to have pleasure during sexual intercourse. The blood supply is not sufficient to the genital area, so natural lubrication is not possible.
Vaginal lubrication (lubrication),and the swelling response is parallel to the arousal. Most of these women have problems with orgasm.
Sexual arousal disorder is a significant cause of distress or interpersonal difficulties.
The strength and duration of stimulation is not enough to enjoy sexual intercourse. The blood supply is not enough to the genital area, so you do not have vaginal wetness or too small.
Vaginal lubrication (lubrication),and swelling response parallel to the deterioration of subjective arousal and pleasure. Most of these women have problems with orgasm.
Orgasm disorder is diagnosed according to the age of the woman, sexual experience, and the relevance of the terms of sexual stimuli.
Orgasm rubles is a significant cause of distress or interpersonal difficulties.
The most common sexual complaint in Western countries is orgasmic difficulties.
Orgasm is clitoral or vaginal according to several authors. The opinion of Masters and Johnson is that there is a kind of orgasm.
According to Kaplan, the female orgasm is always located in and around the vagina.
Dyspareunia is genital pain during sexual intercourse.
Dyspareunia, a significant cause of distress or interpersonal difficulties.
The definition of dyspareunia is experiencing pain during sexual intercourse. This vaginal pain corruption of moisture, as well as scratching or contractions of muscles.
Vaginismus is also considered as sexual pain disorders.
In recent years, the treatment of sexual problems in women, in general, therapies are focused on short-term behavioral problems.
However, depending on the degree of intrapsychic conflicts, dynamic analytical psychotherapies are still valid. However, drug and hormonal treatments, hypnosis and supportive methods are temporary.
Masters and Johnson sex therapy doctors have developed a variety of methods, especially Dr. H. Kaplan. Individual, group and couple therapies are applied.
The four main approaches to the treatment of sexual problems:
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