What are the criteria for diagnosis of sexual disorder?

Considering the high statistics of sexual impotence in various countries and the extent of the discussion of sexual disorders, we intend to evaluate common sexual disabilities and disorders among couples.

Do not leave impotence untreated
I have been working in a government office in the field of psychology and family counseling for some time. Not long ago, I shared an article about methods of prevention and treatment of sexual disabilities in my workplace. As always, I sent the article to the education group with the hierarchy so that it could be shared with colleagues, but before noon, the education group called me saying, “Mr. Durbani, unfortunately, this article cannot be shared in the office.”

But we must know that inability in any matter can lead to inferiority complex, decrease in self-confidence, and weakening of self-esteem, and the sooner we stop it, the less harm will be done to us, and in this field, we must inform and educate.

Put aside the shame!
Not long ago, I had a client who called from time to time and said: “My sister is depressed and does not come to the office for treatment because she is embarrassed. Can you give some solutions?” A few days later, the counseling center came and said: “I am the one who asked for advice for my sister from time to time; “I have a problem myself, but I was ashamed to say it.” I replied: “Have you ever had the flu or a cold?” He said: “Yes, very much!”; I said: “Then were you embarrassed to go to the doctor?” And he replied: “No.” I also said: “This is also a kind of disease and there is no shame!”

3 million Iranian couples have sexual impotence?!
Impotence exists in both men and women, but it manifests itself in different ways in men and women. It is said that the most common untreated problem in various societies is impotence, and only one percent of people with impotence are treated. The most common reasons for not treating impotence are not having enough information about safe and risk-free treatment methods. It is estimated that more than 10% of society (about 3 million couples in Iran) have impotence problems; So you are not alone.

Today, treatment is easier
In the 1950s, a theory was expressed that said that more than 90% of erectile dysfunctions are psychological, and we should focus on the mental and psychological issues of patients. But today, the progress of medical knowledge and modern methods of urology show that more than 50% of sexual impotences have organic causes (disorders in the nervous, biochemical and vascular systems). This makes it clear that this disorder can be treated more easily.

However, doctors are of the opinion that the imbalance of the sympathetic and parasympathetic nervous system is the basis of sexual impotence caused by psychological issues. Many mental patients, such as people suffering from depression, bipolar patients, of course, in the phase of depression, etc., are among those who are more involved in this disorder.

Types of impotence
Impotence is a common problem that affects both the patient and his partner. Its treatment also requires the help of couples during the treatment. There are two types of impotence: primary and secondary. Men with primary impotence have never had the ability to perform a sexual relationship optimally. This type of disability is very rare and usually has deep psychological reasons such as fear of intimacy, guilt and anxiety.

In secondary impotence, the patient loses the ability to activate his sexual organ after some time. This type of impotence is more common and men with it are only able to perform about 25% of sexual activity. Secondary disability usually develops gradually and its treatment is easier than the first type.

Who is at risk?
Millions of couples in the world suffer from the problem of impotence. With increasing age from 50 to 70 years, the prevalence of this problem increases from about 5 to 15 percent. Studies show that 60% of men in their fifth decade of life are capable of sexual activity, but when they reach their seventh decade of life, this ability exists in only 33% of them. 60% of men who have had a previous stroke also suffer from impotence, and 50% of diabetics have this problem. It should be noted that impotence exists even in 5% of people under the age of 40 with different degrees.

If not treated, it becomes chronic!
Although impotence is a common problem for a couple, it can be treated. Impotence in many men is seen in the form of incomplete erection or other forms of it, but it can remain permanent and chronic. Simply, the inability to create and maintain an erection suitable for successful sexual intercourse is called male impotence. This disability not only has a great impact on the quality of life, but it is a common problem that affects the person and his spouse and causes anxiety, depression, and a decrease in personal satisfaction from married life and loss of self-confidence, which each of these The problems alone increase the mental and social complications related to this disease, so the treatment of impotence has a special priority.

Diseases that cause impotence
In general, in 15% of cases, the cause of sexual impotence is mental problems (usually in young people) and in 85% of cases, it is due to a disturbance in a person’s physiological function, the most common causes of which in 40% of cases are vascular diseases (such as arteriosclerosis). 30% of diabetes, 10% of neurological disorders (such as spinal cord injury, Parkinson’s, MS, etc.), 9% of hip surgeries and injuries, 8% of various drugs and narcotics (such as cigarettes, antihypertensive drugs, and antidepressants) and 3 The percentage of hormonal disorders.

The first step is to accept the existence of disability
The first step and perhaps the most difficult issue in these patients is to accept the existence of a problem, because after that, it is easy to find a way to treat it. In order for the penis to become erect, different parts of the body must coordinate with each other. A man cannot simply get an erection just because he wants to.

In order to create an erection, coordination between the human psyche, the brain and the central and peripheral nervous system, blood hormones, blood vessels including arteries and veins are necessary for the blood flow to enter the organ and prevent it from leaving. If there is a disorder in any of the organs and devices involved in erection, impotence occurs.

Test yourself
You can use this simple test to see if your impotence is related to physical or psychological factors. Men often experience sexual stimulation at night while sleeping and in the morning. If you also have these stimulations and your genital organ is activated several times during sleep, it is known that it is in a normal state and all the nerves, muscles and veins that are used in this field are working properly.

This shows that the reason for impotence is somewhere else, not physical problems. To determine this, you can simply wet the penis and put a sticker on it. After waking up during the day, if the label is not there, it means that you had irritations at night and you are completely healthy.
Source: Sib Sabz magazine

Leave a Reply

Your email address will not be published. Required fields are marked *

Check Also
Back to top button