• the amount of time that elapsed between vaginal penetration and ejaculation • perceived feelings of satisfaction and self-control over the timing of ejaculation. • how much concern or worry these men had about premature ejaculation. • according to DSM, when a man is distressed over his lack of ejaculatory control and this problem contributes to interpersonal difficulties with his partner, premature ejaculation is a sexual dysfunction. • Dyspareunia • sexual pain disorders • uncomfortable or painful intercourse • considered a dysfunction when intercourse is persistently and recurrently uncomfortable and discomfort is habitually experienced • Dyspareunia in Women • 60% of women will experience symptoms of this at some point of their lives • causes: pain at the vaginal entrance or inside the vaginal walls may be caused by inadequate arousal and lubrication (could be psychological or organic); yeast, bacteria, and trichomoniasis infections cause inflammation of the vaginal walls and may create
pain during intercourse; reactions to spermicide, lubricants, etc that result in irritation to the vagina may create pain during intercourse; other psychological factors can also contribute - early influences that create negative and fearful feelings about intercourse or relationship problems can result in painful intercourse • Vaginismus • condition when woman experiences a spastic contraction of the musculature at the opening of the vagina— penile penetration impossible, cannot insert tampon or devices for exams • contractions are involuntary and can be weak or strong • common reason for unconsummated marriages • primarily psychological or psychosocial • fairly uncommon, about 2% of women may have some form of this • pain from biological conditions can lead to muscle spasms during intercourse • a history of sexual assault/abuse can play a role in the etiology • traumatic early experiences w/tampon • research by Tugrul and Kabakci (1997): explored the marital dynamics of couples living with vaginismus, questionnaires assessed sexual satisfaction, family difficulties, anxiety, body image, sex roles, and personal information; in general, the women and men reported low levels of sexual satisfaction in their marriages, whereas men found intercourse manageable, the women reported that they did not enjoy having sex very often and did not feel especially sensual during sexual interactions, women reported specific fears about pain, harm, and even physical injury during intercourse; thus they often tried to avoid intercourse, the women reported that they found their husbands to be highly authoritarian and oppressive, as well as undependable; these factors seemed to be highly correlated with vaginismus. • Drugs and Sexual Dysfunction • marijuana:: most common illegal recreational drug; perception of increased desire and arousal but no data to support this; habitual use affects arousal and fertility- decreases testosterone and creates psychological dependence •
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- Fall '09
- Human Sexuality, partner, Sexual intercourse, Human sexual behavior, Sexual arousal, sexual activity