Sexual life is one of the basic building blocks of a healthy life. Disruptions in sexual life lead to dissatisfaction in important areas of life and pave the way for various mental diseases.

Sexuality is a concept with multiple dimensions and stages. Disruptions occurring in at least one of these stages are called sexual dysfunction. Stages of sexuality; Increased sexual desire, hardening of the penis and wetting of the vagina, resulting in sexual arousal and orgasm. In all of these stages, different sexual disorders may occur one by one and are dependent or independent from each other. 

Sexual Dysfunctions Decreased sexual desire disorder  Sexual aversion disorder Sexual Arousal Disorders Sexual arousal disorder in women Erectile Dysfunction in men Orgasm-related disorders Lack of orgasm in women  Lack of orgasm in men  Premature Ejaculation Sexual pain disorders Dyspareunia (pain during sexual intercourse)  Vaginismus  Sexual dysfunction due to general medical condition.

What are the symptoms of sexual dysfunction?

In men; Lack of sufficient hardness in the penis Not getting enough pleasure Premature ejaculation and therefore decreased penis hardness Uncontrollable ejaculation Lack of sexual satisfaction Tension experienced before, during and after sexual intercourse In women; Sexual intercourse is painful. Vaginal and penis intercourse is very difficult or does not occur at all. Pain and soreness when using tampons. Pain in the vagina during gynecological examination. Muscle contraction during sexual intercourse.

What Causes Sexual Dysfunctions?

Sexual dysfunctions and problems, negative experiences in sexual life can also reveal psychiatric problems. A person begins to recognize and experience sexuality from early childhood. The first lines of our sexual identity are formed between the ages of 3-6; It becomes more evident during adolescence. During these periods, every detail about sexuality that a person hears, learns and experiences are fundamental determinants of the quality of his sexual life in the future. In order to avoid problems with sexual dysfunction, people need to spend this period healthy in all respects. Low testosterone level.

Using antidepressant and hypertension-like medications, experiencing arteriosclerosis and other circulatory disorders, nerve damage or stroke due to diabetes or any surgery, smoking, using high levels of alcohol and addictive substances, pregnancy and postpartum breastfeeding period, worrying about sexual performance, problems with relationships and marriage. Being depressed and feeling guilty Traumas from previous sexual relationships Old age Incomplete sexual education Taboos about sexuality Growing up in an oppressive environment regarding sexuality and many issues Having problems with family relationships Treatment of Sexual Dysfunction in Men Depending on the type of psychological or physical problems underlying sexual dysfunction in men The type of treatment varies. In general, the most common problems such as premature ejaculation, erectile dysfunction, and sexual reluctance can be treated with different methods. For the problem of premature ejaculation, medical drugs (antidepressants), local anesthetic creams and sexual therapy methods are used. In case of erectile dysfunction, drugs that reduce the production of phosphodiesterase type 5 enzyme, vacuum devices, injections applied directly to the penis, and penile prostheses are used when necessary. In the treatment of sexual reluctance, if there is low testosterone hormone in the blood, hormone replacement therapy is applied.

Kiss. Dr. Serhat Ozgun

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