Although the majority of sexual dysfunction probably has a physical basis it is fitting to mention some sexual disorders here because dysfunctions, whether mainly due to physical or psychological causes, can result in distress. For example, the individual with a sexual disorder may suffer related anxiety and sexual frustration which in turn leads to insomnia, and that insomnia may be the presenting complaint to the GP. The individual’s close relationships may suffer and tension may build up in the family as a whole.
Brief overviews on sexual disorders are:
1. Hypoactive sexual disorder
A persistently reduced sexual drive or libido, not attributable to depression where there is reduced desire, sexual activity and reduced sexual fantasy.
2. Sexual aversion disorder
An avoidance of or aversion to genital sexual contact
3. Female sexual arousal disorder
A failure of arousal and lubrication/swelling response.
4. Male erectile disorder
Inability to gain an erection or inability to maintain an erection once it has occurred.
5. Female orgasmic disorder.
A lengthy delay or absence of orgasm following a satisfactory excitatory phase. The GP must take into account the patient’s age, previous sexual experience and adequacy of sexual stimulation
6. Male orgasmic disorder
A lengthy delay or absence of orgasm following normal excitation, erection and adequate stimulation.
7. Premature ejaculation
Ejaculation occurring with only minimal stimulation, either before penetration or soon afterwards, in either case certainly before the patient wishes it. Again the GP must take into account the patient’s age, previous sexual experience, extent of sexual stimulation and ‘novelty’ of the sexual partner.
8. Dyspareunia (not due to general medical condition)
Recurrent pain associated with intercourse, but in women not due to vaginismus, poor lubrication, and in women and men not due to drugs or other physical causes
9. Vaginismus
An involuntary or persistent spasm of the muscles of the outer third of the vagina, again not attributable to physiological effects of physical causes. Vaginismus may be either lifelong or recent; generalised to all sexual encounters or specific to certain partners or situations.
10. Secondary sexual dysfunction
Dysfunction secondary to illness eg hypothyrodism, mental disorder eg depression, or drugs eg fluoextine.
11. Paraphilias
Exhibitionism (exposure of genitals to strangers). Fetishism (finding nonliving objects erotic eg women’s underwear). Paedophilia. Frotteurism (fantasies, urges or behviour centred around rubbing self against non-consenting other). Sexual masochism and sadism. Transvestic festishism (cross-dressing for erotic pleasure). Voyeurism (fantasies, urges or behavior centered around watching non-consenting others undressing, or having sex).
12. Gender identity disorder
Strong and persistent identification of the self with another gender. Persistent dissatisfaction with own sex. Desire to participate in stereotyped games and pastimes of opposite sex. Preference for cross-dressing. May insist that they are wrong sex. May occur in children, adolescents and adults.
Sexual Disorders
Treatment Dr. Devisetty’s Healing Touch Homeopathic medicines act by increasing the blood supply and exciting the nerves. It also treats psychological problems of the patient and administering a constitutional remedy, which treats him or her in totality.
After homeopathic medication, the patient experiences a general feeling of well-being. Homeopathy treats the psychological causes also and thus regains the lost vigor.