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    Sexual Dysfunctions

      Sexual Dysfunctions

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    What are Sexual Dysfunctions?


    One of the most important issues of sexuality, determining the sex of men and women can now be made more precisely as a result of the progress of genetics and the high level of hormone research in recent years.


    Gender Determination: In order to determine the gender of a person precisely, it should be determined at 8 levels.


    These determinations are as follows;


    • Inheritance - Chromosomes.
    • The Structure of the Male or Female Eggs - Hormone Glands.
    • Sex Hormones Available in Men and Women Having Values ​​Suitable for That Sex - Endocrine system.
    • Internal Sexual Organs Being Suitable for Sex.
    • The Conformity of the External Sexual Organs and Secondary Sexual Characters such as Hairs to the Above Findings.
    • The Formation of Sexual Differentiation in the Sexual Center in the Brain Tissue.
    • Gender Determined by Looking at Fully Developed External Sexual Organs at Birth.
    • How the Person Views Oneself from a Sexual Perspective, in other words, Sexual Identity.


    According to our current knowledge, in order to be able to say that a person is a man or a woman, the 8 evaluation findings above should definitely be suitable for that gender. Human reproduction requires the presence of two reproductive cells, one male and one female. Among all these scientific explanations and factors mentioned here, the most important factor in the formation of a person's gender is sexual identity.


    Shakes, doubts, wrong upbringing and evaluations in sexual identity will reveal deviations or disorders in the sexual behavior of the person's mental balance. The influence of the family or close environment on the formation of sexual identity in the child is enormous.


    When a child is born, gender is determined according to the visible external genitalia. As in many countries, the name worn in our country begins to make differences with the other gender by supporting behavior patterns close to boys or girls, from the color of the bed sheet to the toys.


    After infancy, in childhood, the child will gradually identify with masculinity or femininity. For this reason, it is very inconvenient to dress girls like boys and play boy games at these young ages. Parents should take this point very seriously, and even playfully, they should not repeat these wrong behaviors even a few times.


    The characteristics of sexual identity first settle between the ages of 2-4. If there is any doubt about the certainty of the child's sex in terms of external sexual organs, physicians specialized in this field should be consulted immediately. Studies have revealed that even the behaviors between parents in the family cause the child to get used to feminine or male behaviors. Adolescence is the most important stage in the development of a person in terms of sexual identity.


    Every sexual behavior of a girl or a boy during adolescence is a kind of test of his / her sexual identity. The important thing in these relationships is the way a person shows his / her femininity or masculinity to those with whom they have a relationship or to their environment. In other words, it is how much male or female he is. Because of its gender, it would be insufficient to look at sexuality by reducing it only to a biological framework.


    The personal and psychological dimensions of sexuality and gender phenomenon should be taken into consideration. It is a great mistake not to leave sexual identity to one's own assessment. To summarize, sexual identity is the identification of oneself with masculinity or femininity.


    Sexual dysfunctions or in other words functional sexual disorders are the most common sexual problems. Although they are common, they are diseases that can be treated. Premature ejaculation in men, inability to have orgasm and vaginismus in women are the main sexual dysfunctions . They used to describe sexual problems as "frigid woman" and "impotent man". These idioms now abandoned sexual dysfunctions have been covered in detail.


    Causes of Sexual Dysfunctions


    Extensive research has been conducted on the causes of sexual dysfunctions in the last 40 years. Although some reasons have been reached, it is not possible to give a definite answer as to why this problem suddenly occurred in the person. Sometimes a negative and unconscious act of one of the spouses suddenly causes functional sexual disorder in himself or his partner. Often spouses are not even aware of such a situation.


    Sometimes a disorder that starts in one of the spouses affects the other spouse and causes a different sexual dysfunction in the spouse. In general, as a result of talking to couples who come with the complaint of not having orgasm, it is revealed that the male also has a problem of premature ejaculation. While treating the problem, the causes are naturally investigated.


    Among the most important factors of sexual dysfunctions, we can list physiological and physical causes, lack of knowledge, lack of technical sexual knowledge, mental reasons, fear of sexuality, fear of failure, fear of not being competent against the opposite sex, personality and personality conflicts, and inability to discuss sexual problems.


    Physical Causes of Sexual Dysfunctions


    The most important of these physical reasons are the physiological changes related to pregnancy, childbirth and menopause due to aging. The most important point we should not forget here is that such sexual dysfunction does not always develop in every pregnancy and birth. At the same time, every woman entering menopause should not worry about sexual dysfunction. In menopause, some women enjoy sex more than before, as they have sexual intercourse without fear of conceiving.


    Apart from these situations, traffic accidents and the fractures and other diseases caused by it bring many physical discomfort and sexual dysfunctions occur in the person. The high number of traffic accidents in our country and this problem is a major factor. According to the data of five years ago, the number of people who died in traffic accidents in our country in the first 6 months of 2005 is 1080 and the number of those injured is 1000.


    Especially after spinal cord injuries, many of our people's sexual lives end with paralysis from the waist down. Apart from accidents, many surgical interventions and the use of drugs are among the main causes of sexual dysfunctions.


    In the meantime, it should not be forgotten that there are allergic reactions to drugs and allergic reactions to devices such as condoms. The point to be emphasized here is that certain sexual problems will not always arise in everyone with these disorders. Insufficient stimulation and insufficient technical sexual knowledge are the most important reasons for the occurrence of sexual dysfunctions .


    Many inexperienced young people do not know what to do due to lack of knowledge. Not being able to access information may seem like childish behavior and uncertainty, considering the possibilities such as the internet in today's information age. Sometimes they do not know what they are afraid of and what they are afraid of and cannot tell their spouses. They neither know exactly how to be stimulated, nor can they express what they want. Under this incompetence and helplessness, there is again wrong upbringing.


    What is the aim of leaving young people so ignorant of sexual matters? In order to achieve this, to whom and what is it good to castrate the young people with the prohibitions brought by the elderly, the taboo they created and the fear of sin? It is impossible for a sex scientist to understand this question.


    We see that family pressure leads to negative consequences for people with sexual functional problems. We hear that foreplay fails because of this ignorance. Even if spouses learn enough foreplay for themselves, many problems can be eliminated.


    Most importantly, sexuality is not just sexual intercourse, how important it is to have sex, even when alone, long dressed or even half-clothed sex will lead them to a higher level of sexuality.


    Inability to Speak and Communication Problems


    Speech, communication, or in other words, inability to speak, are the reason for the occurrence of sexual dysfunctions. In successful and sustainable relationships between spouses, the social, physiological, spiritual and sexual needs of both partners must be met in a balanced way. People with sexual dysfunction appear to be very tense when they and their partners come to the doctor. These tension problems also damage the relationship apart from sexual dimensions due to the inability to talk or discuss.


    Diseases and Sexual Dysfunctions


    Many physical diseases can cause sexual dysfunction. These dysfunctions sometimes occur suddenly and sometimes slowly. There is no real sexual dysfunction, but the physical and mental problems brought about by the disease cause a sexual problem. Neurological diseases are the leading diseases that cause sexual dysfunction. For example, in cases of paralysis or work and traffic accidents where the spinal cord is damaged, very important sexual dysfunctions are seen.


    The biggest problem in women is that they cannot feel pleasure due to the loss of sensation even after sexual intercourse. In some of these diseases, involuntary upper leg contraction makes it difficult to unite or there is no intercourse at all. As a result of a blow to the head, libido is sometimes decreased, while some people may experience an increase in libido.


    Weakening or loss in sexual function can also be detected in brain vascular occlusions and hemorrhages in the lower part of the brain, depending on the severity of the disease. In addition, the problem of low sexual desire and inability to have orgasm arises in women with Multiple Sclerosis, called MS.


    It has been known for a long time to have sexual dysfunctions in diabetic patients, chronic joint rheumatism, goiter disease, kidney failure, heart failure, many heart diseases, prostate enlargement and cancer, testicular cancer, genital organ tumors and cancers in women, schizophrenia, depression. the disease causes sexual dysfunction.


    Inability to Orgasm and Orgasm Problems


    Every woman tried to reach orgasm in every sexual intercourse or not, and those who could not have experienced a long period of anxiety. As it is known from the statistics, the number of women who reach orgasm in each union is in a minority. We now know that the lack of orgasm in a woman, or in other words, orgasm problem or orgasm difficulty is a different phenomenon than sexual frigidity. In frigidity, the woman does not seem to have a sexual instinct. Finds sexual behavior offensive.


    Orgasm difficulties have sexual desire and they are sexually aroused, excited by sexual stimulation. Although they are stimulated enough, they have difficulty reaching the climax. Orgasm is the name given to the climax of sexual pleasure. Orgasm is a reflex that can be learned such as defecation and urination.


    Inability to have orgasm is called anorgasmia. Important factors in the woman's inability to have orgasm are being raised in an environment that humiliates sexuality, communication disorder with the partner and lack of knowledge in sexual technique.


    Vaginismus


    Vaginismus is the involuntary contraction or spasm of the muscles surrounding the 1/3 part from the entrance of the reproductive tract. This contraction causes the entrance part of the reproductive tract to be blocked and thus sexual intercourse is prevented. This phenomenon can be seen in women of all ages.


    Vaginismus is seen as a preventive reflex against sexual intercourse. As a result of the question we asked for some of the women who came with these problems, they stated that they were caught masturbating at a young age and were beaten very violently.


    In line with the sexual urges given by nature, the child may tend to masturbate from the age of approximately 2 years. This does not mean that the child is immoral or a sexual pervert. Although sexual intercourse was previously possible in some women, vaginismus can be seen later, for example even in women with a few children.


    Vaginismus is the result of painful or painful sexual intercourse in these women. For this reason, first of all, gynecological examination should be performed on the patient and it should be checked whether there is an organic cause.


    We can list the organic reasons as follows;


    Inflammation of the inner and outer lips, scar tissue left from wounds and burns in this area, sensitivity states due to the deterioration of the hymen in some cases, bartholin gland inflammation and abscesses, vaginal inflammation, birth tears, bad birth suture scars, anal cracks, advanced hemorrhoids.


    Turkey 'According to our observation until they usually mingle organic and psychological factors. In vaginismus, we see that women, caused by mental factors, grow up in an environment hostile to sexuality, where feelings of fear and guilt are instilled against sexuality. These women are often subject to strict prohibitions on the handling of the genital areas.


    Vaginismus, which we see various applications in its treatment, emerges as a functional sexual problem that responds very well to treatment.




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