The most common known sexual disorders for women include decreased libido, dyspareunia (painful intercourse), vaginismus (painful and involuntary contraction of vaginal muscles during penetration), and lack of orgasm (or sexual dissatisfaction).
Dyspareunia (painful intercourse): Dyspareunia is a condition in which a person experiences pain during intercourse. This pain may occur when the penis enters the vagina or at different stages during penetration. This condition has different degrees and different reasons and treatments depending on when after the onset of intimacy and where the person feels pain.
One of the most common causes of pain during intercourse for women is vaginal dryness. This can be very painful if the woman is not ready to enter for any reason. In most cases, vaginal dryness is due to lack of foreplay, which means that the woman has not had the opportunity to respond sexually to sexual stimuli and the vaginal environment is not slippery enough.
Or the woman herself does not have enough discharge that you can use intercourse gels, but be careful in choosing these gels because non-standard gels can cause uterine infections.
Other causes and conditions that can cause vaginal dryness include medications that a person is taking. In this case, talking to your doctor or studying the medication you are taking can be helpful. There are usually good resources on the Internet about different medications. Other causes of dyspareunia or painful intercourse include injuries and blows to the penis over time, a history of sexual harassment, postpartum period, menstruation, genital diseases, and some cancers of the nerves in that area. Destroyed as well as untreated sexually transmitted diseases.
Some doctors do not consider painful intercourse to be a category of sexual disorders, and dealing with patients who suffer from this condition is not enough with knowledge. In these cases, it is recommended to see another doctor and tell him about the pain in your genital area before the examination. Sometimes it is necessary to have the necessary psychotherapy before any examination. Another condition that people face is pain when entering. This condition can have many causes, the most common of which are infections of the genitals and cervix, untreated sexually transmitted diseases, the timing of intimacy and the timing of ovulation, and ultimately physical unpreparedness. The latter is the reason for the large percentage of women, especially in the early stages of sexual intercourse.
When couples spend for foreplay, it is not just emotional. In the body of a woman who is preparing for sex, changes are made that make penetration easier. This is because a woman’s body is designed to be maximally ready to conceive when she enters, so when a woman prepares for a foreplay, her uterus is pulled upwards along the length of her vagina. Adds to be able to accommodate the penis.
In this case, the walls of the vagina fill with blood and secrete slippery material that makes penetration easier. These walls separate from each other due to proper foreplay and make it easier to place the penis in the vagina. So we see how pleasant foreplay and how much can affect the quality of sex.
Vaginismus (painful and involuntary contraction of the vaginal muscles when penetrating): In this case, any penetration into the vagina is extremely painful and even impossible, even the finger itself. In these cases, obstetric and gynecological examinations are also difficult because the patient is even afraid that the examination device will enter his vagina. Because this disorder is part of the group of pain-related disorders and each person’s definition of the amount of pain he experiences is different from the other person, so how the doctor and those around them treat during treatment is important.
The first step in treating this disorder is to believe the patient and feel his or her pain. After that, the doctor (in Iran) or the sexual psychotherapist together with the sexual partner start the treatment. In this way, the person receives a series of tools that are like a finger and usually have the size of the index finger to the size of the penis. Every week, the person practices inserting one of these tools into the vagina, along with exercises to focus and relax the limbs, until the last measure enters the vagina without pain. After that, he gradually experiences the penetration of the penis into the vagina.
This step should be done very slowly and according to the patient’s admission. Treatment for vaginismus can take up to a year, depending on various factors. For people who are looking for faster solutions, treatments such as bringing a man closer to a woman while the woman is anesthetized by a doctor or paralyzing the surrounding muscles and vaginal opening by injecting substances such as Botox have been reported in Iran. It does not have a better effect, but it can have a very destructive effect on couples’ relationships and the image that a woman has of herself. These methods are not recommended.
If a couple wants to get rid of the disorder just for the sake of having children, they can use mediated fertilization, that is, they insert a man’s semen into a woman’s vagina with a tool such as a long dropper and have artificial intercourse. This is a psychological issue, not a physical one (except for a handful of reported injuries and blows to the genital area). For example, a woman who was told as a child that her genitals could be a source of disgrace and sin, and that men could cause irreparable damage to her hymen, may experience such a problem at the beginning of cohabitation. .
Vaginismus is more commonly reported among couples in whose culture or religion premarital sex is strictly forbidden, while emphasizing family and having children. For example, the latest medical articles have reported the prevalence of the disorder in Turkey (Muslim) and Israel (Jewish).
Failure to reach orgasm (orgasm): This disorder is a condition in which a person reaches orgasm is delayed or the person does not experience orgasm at all. This condition is more or less seen in women in most parts of the world. The reason for this is that girls are encouraged to be modest from childhood. When the same girl enters into a relationship and now, as a woman and a sexual partner, she has to perform duties, breaking the privacy in which one has to put aside shame and enjoy sexual intercourse with her husband during the hours of the day and night. It is very difficult. This institutionalized mindset cannot be turned on and off like a key. Therefore, a person cannot break his mental restraints, and sometimes, even if he enjoys it, he cannot or does not want to express it, for fear of being judged and accused of being a light-hearted woman. So over time, that is likely to change from a pleasant state to a state of duty and sometimes fear. Fear of reacting if his wife thinks he is a scoundrel.
At the beginning of the formation of sexual intercourse, there is often a fear that the person will be accused of having experienced another sexual intercourse before, and that is why he knows how to deal with the other party in a sexual intercourse and pleasure. win. The next thing that can cause this disorder is the adverse effect of some drugs on the brain mechanism of individuals. For example, research has reported that some antidepressants can have a negative effect on women reaching orgasm.
If a person notices this effect, he should see his doctor to change the drug or change the dose if possible, but this must be done by a specialist doctor, otherwise in the long run, the effects of the new drug or discontinuation of the drug can stop. Cause harm to the person. With all these details, we see how effective the role of men can be in solving women’s sexual disorders. If a woman feels comfortable and raises her concerns with her sexual partner without fear of being judged, her percentage of developing these disorders or prolonging her treatment will be greatly reduced.
Decreased libido: In studies and clinical observations in North America, this disorder is the most common reason for referral among women aged 18 to 59 years. Decreased libido can be caused by anger and dissatisfaction with the whole relationship, fatigue and stress. In this case, the empathy of couples and their support for each other can be helpful. Next, couples counselors and sex psychotherapists can be helpful. It should only be noted that using sex as a weapon against a sexual partner is not very sensible and causes more turmoil in couples.
Forcing a person who is experiencing decreased sexual desire to have sex also does not help the situation at all. Some birth control pills can also cause this condition, for example, some types of birth control pills or subcutaneous capsules have been mentioned in the reports. In this case, the person can change his contraceptive device in consultation with a doctor. But until you are sure of the new contraceptive, it is best not to stop the previous medication to avoid an unwanted pregnancy.
Usually, if a woman has an orgasmic disorder and it becomes chronic, she may have secondary sexual dysfunction after a while, which is the decrease in sexual desire. The simple explanation for this is that man likes to do something he enjoys. If a person has had sex for a long time that is not pleasant for him, he naturally refuses to have it or does not show any desire for it. Therefore, it is important that even if you are not satisfied through penetration, you reach orgasm by stimulating the clitoris so that the brain remembers good memories of sex and does not despair of receiving pleasure every time.
In many cases, the weakness of the internal muscles of the vagina has been reported as the reason for this because when the internal muscles of the vagina are close, the perimeter of the penis is not complete and the person does not enjoy close enough. Also, the weakness of these muscles can cause frequent urination in women. Be normal or when sneezing and coughing.
The most effective and least expensive way to treat this problem is to use a vaginal exercise machine called a kegel.
Kegel device: treatment of urinary incontinence and enhancement of female libido
Source: Persian Medicine Association