Hypoactive Sexual Desire HSD affects BOTH genders low sex drive important to distinguish from no interest 10 20 males caused by tumor on pituitary increase prolactin sometimes HSD develops to mask an existing dysfunction 80 90 of time neurological cause 1 Primary always had low sexual response 2 Secondary lost desire previously had normal sex response Treatment Psycotherapy very difficult to treat Endometriosis female endometrium tissue blocks fallopian tubes encases ovaries causes backache and makes sex painful affects 15 postmenopausal women leading cause of infertility Treatment pill decrease period pregnancy Laser therapy Premature ejaculation male inability to control within reason ejaculation men ejaculate before women 50 time common in young men Treatment 1 practice masturbating stop before cliff edge 2 think of something else during sex 3 practice intercourse with partner 4 Masters Johnson squeeze technique Inorgasmia female problems having orgasm 10 females 1 Primary never orgasmed before 2 Secondary use to orgasm 3 Coital inability to orgasm from penis 4 Situational need specific stimuli to orgasm Treatment masturbation sensate focus Vaginismus female involuntary contraction of perivaginal muscle penetration is impossible usually a psychological problem muscle spasm Treatment dilators therapy Inhibited Orgasm male usually a psychological cause guilt fear shame Treatment therapy Lack of Lubrication female women not aroused 1 lack of excitement stimulation 2 man takes too long prolong sex endocrine test low estrogen levels rule out physical if normal psych problem guilt shame fear anxiety Treatment therapy if not physical cause Dyspaureunia female intercourse is very painful can be physical lack lube yeast STI can also be psychological Treatment physical exam phys or therapy Erectile Dysfunction impotence male similar inorgasmia trouble getting erection organic vascular possible to have nocturnal erections masturbate 1 Primary cannot maintain erection for penetration 2 Secondary was able to get erections in past 3 Situational need specific stimuli to orgasm Treatment vascular problem check physical or therapy 1 Papaverie injection 2 hour erection by injection into penis 2 Alprostadil pellets push pellets into eye of penis for erection 3 Viagra Cialis allows increased blood flow heart attack Penile Prosthesis 1 Semi rigid silicon rod that can be pulled down for intercourse 2 Pneumatic pump
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