Wednesday, 25 May 2016

FEMALE ORGASMIC DISORDER

Definition:

Persistent or recurrent delay in, or absence of, orgasm following a normal sexual excitement phase . It was formerly known as inhibited female orgasm. Some researchers called it Female Orgasmic Dysfunction.

Causes:

Strong negative signals from psychosocial system results in female orgasmic disorder . In our culture the female has been forbidden to accept herself as a sexual being. Girls as they grow up, deny their sexual feelings in order to conform to society’s image of “good” behavior. Later, as a woman, she resists the experience of orgasmic response. Anxiety and guilt feeling due to religious orthodoxy can cause this dysfunction . The idea that it is woman’s duty to satisfy her husbands makes her inhibit her own sexual response. Woman may have orgasm with masturbation by stimulating her clitoris, with partner’s manipulation or with oral-genital stimulation, but not during intercourse. Similarly, a woman may be orgasmic during intercourse, but not with other kinds of stimulation.

The organic causes for this dysfunction are multiple sclerosis, spinal cord trauma or tumor, nutritional deficiencies, diabetic  

Neuropathy and severe arteriosclerosis . Chronic illnesses impair orgasmic responsiveness by affecting libido and generalHealth.

 

Treatment

The treatment is based upon the information indicating woman’s attitude towards sex, the degree of her open-mindedness and her physical responsiveness. The first goal is to help the couple to stop behaving toward each other in hostile or in negative ways, so that they can create erotic aura in their relationship. They are provided information about sex to counter myth and misunderstandings that stand in the way of woman’s response to sexual stimuli.

The couple is given instruction to practice ‘Sensate Focus’ exercise for 3 days. On the next 3 days, after the couple has experienced feelings of closeness and intimacy in pleasuring each other, they proceed to genital play.    

 

Posted by Dr. Ramesh Maheshwari, Wnho Clinic, 2014 sadashiv peth, Tilak road, Pune. Free to call for further information.
DYSPAREUNIA (PAINFUL COITUS)
DYSPAREUNIA (PAINFUL COITUS)

Recurrent or persistent genital pain associated with sexual intercourse in either male or a female.

In females, the pain may be superficial during penetration or deep during penile thrusting. The intensity of pain may range from mild discomfort to sharp pain. On examination, no genital abnormalities are seen. Repeated genital pain during coitus may result in the avoidance of sexual activity, disrupting existing sexual relationships.





Females : Dyspareunia can be of psychogenic or organic in origin.

Pain in vaginal outlet and clitoris : If the hymen is intact, this is a source of irritation. Episiotomy scar can cause pain. Smegma accumulated under the foreskin of clitoris

Irritates the area and causes intense burning.

Pain in the vagina : One of the common causes is failure to lubricate. This happens when the women has no affection, respect or understanding for her husband. Because of various fears like fear of pregnancy or of coitus, her natural responces will be inhibited. Many woman do not lubricate because of aging. Thin walls of vagina crack and bleed easily during the intercourse, causing discomfort that lasts for hours to days. Homosexual women will not lubricate in heterosexual activity. Infections of vaginal or urinary tract will give rise to burning, itching or pain in the vagina. When there is itching and burning but no infection, sensitivity to the rubber of condom is apossibility.

Pain deep in pelvis : Laceration or tears in the ligaments which support the uterus, caused by gang rape or criminal abortion may result into pain deep in pelvis. It is associated with backache, throbbing in pelvis, tired feeling

And painful menstruation . Endometriosis, infection in cervix, uterus, and tubes cause pain during thrusting . Infection can be due to gonorrhea or of E.coil.Hysterectomy, tumors and ovarian cysts can cause pain deep in the pelvis.


: Some men do not retract the prepuce during masturbation. Their glans of penis remains hypersensitive to touch. They find pain during coitus. In men with poor hygiene, the smegma accumulates on the glans, causing pain during coitus. Phimosis can cause pain during coitus. Allergy to condom rubber, jellies, foams and douching materials can give hypersensitivity reaction to the males. Infection of vaginal canal causes burning and itching. Fibrosis of penile tissue following a trauma causes pain during masturbation and intercourse.
: Reassurance, countering myths and misconceptions and supportive psychotherapy will be helpful in dyspareunia of psychogenic origin. Insufficient foreplay may lead to failure of lubrication in females. Thick hymen will need excision. Accumulation of smegma needs cleaning daily. Senile vaginitis requires hormonal replacement. Homosexual women are not amenable to any treatment.




Posted by Dr. Ramesh Maheshwari, Wnho Clinic, 2014 sadashiv peth, Tilak road, Pune. Free to call for further information.