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Delayed Ejaculation a.Can be due to a learned response i.Male’s masturbation practice mimics those in pornography ii.Excessive porn can desensitize male to sexual stimuli iii.Psychosocial problems
1.Trouble in relationship with sex partner iv.Biological factor 1.Neurological damage 2.Use of anti-hypertensive drugs, tranquilizers, or antidepressants 7.Erectile Disorder a.Causes i.Physical factors leading to erectile disorders 1.Aging 2.Medications 3.Smoking 4.Alcoholism 5.Obesity 6.Hormone sufficiency 7.Diabetes 8.Injuries ii.Psychological factors leading to erectile disorders 1.Performance anxiety 2.Stress 3.Anxiety 4.Depression 5.Relationship issues 6.Sexual orientation issues 7.Prior traumatic sexual experiences 8.Overly strict interpretation of religious dogma b.Treatment i.Switching medications ii.Improving lifestyle factors 1.Losing weight 2.Quit smoking 3.Cutting down on alcohol 4.Starting an exercise regimen iii.Sex therapy iv.Viagra 1.Increase responsiveness of the erectile tissue in the penis to nitric oxide, causing blood vessels to expand and fill penis with blood 2.Only works if nerves in penis are already releasing some nitric oxide v.Injection of prostaglandin E vi.Vacuum erection devices
1.Placed over the penis that draws blood into the penis creating an erection when device is pumped vii.Penile implant 1.Semi-rigid plastic rod that keeps the penis permanently stiff enough for coitus 8.Hypoactive sexual desire disorder a.When low sexual desire interferes with living a full life (pertains to men) b.Causes i.Hormones ii.Lack of attraction to partner iii.Bereavement iv.Illness v.Disability vi.Depression vii.Negative attitudes about sex 9.Female Sexual Arousal Disorder a.Lubrication problem b.Lack of clitoral erection c.Lack of vaginal engorgement d.Psychological lack of sexual excitement e.As woman ages, hormone levels decrease i.Could be a reason why these issues occur ii.Can be solved with hormone treatment –estrogens 10.Sexual Pain a.Dyspareunia in females i.Painful sex due to medical or psychological causes ii.Factors that can lead to sexual pain in female 1.Can be due to the external surface of the vulva or vagina or cervix 2.Vaginismus a.Walls of the vagina, as well as the pelvic floor muscles, to spasm b.Cause of it is still a mystery i.Could be from the anxiety of the act of coitus itself ii.Sensate focus is helpful –focuses on relaxation and gentle touch of the whole body iii.Vaginal dilators –train muscles to remain relaxed b.Intersex conditions c.Persistent, unbroken hymen d.Scars from vaginal tearing
e.Vaginal atrophy f.Chronic infection or inflammation of vagina g.Endometriosis h.Allergic reaction i.Lack of lubrication j.Vulvodynia 11.Difficulty in Reaching Orgasm a.Anaorgasmia i.Persistent inability to reach orgasm during sex where it becomes distressing ii.Of women, 71% do no experience orgasm regularly during coitus iii.Reportedly, the vulvas of anorgasmic women are anatomically different than those of orgasmic women 1.