Introduction

• The mantra of "Staying young" or "Delaying Aging" is to stay "Sexually Active"
• About 20 - 25% of middle aged men and women suffer from one or the other form of Sexual dysfunction.
• Because most of the people are reluctant to talk about their sexual problems, the issue gets unnoticed.
• The Sexual Dysfunction can be a marker of underlying Medical, Endocrinological, Psychological and Social problem.
• Sexual Deprivation to the spouse/partner because of ones Sexual Dysfunction leads to complications in the partner.
• Erectile Dysfunction should not considered to be a normal part of aging process.

• Causes Of Sexual Dysfunction

  • Hormonal Imbalances.
  • Neurotransmitters defects.
  • Addictions (Smoking)
  • Stress
  • Life Style
  • Medicines
  • Psychologic
  • Neurogenic
  • Vasculogenic
  • Mood disorders
  • PCOD
  • Diabetes Mellitus
  • Obesity
  • Not attracted towards the partner
  • Sexual Exclusivity (Monogamy)
  • Socioeconomic (Small houses having big families)
  • Religious/ Cultural/ Social taboos
  • Fear of Pregnancy
  • No Sex education
  • No knowledge of foreplay
  • Monotonous Sexual activity
  • Imperfect partner (in term of partner not bothered about sexual satisfaction of other partner)
  • Forced Sex
  • Premature ejaculation in male partner
  • Trauma, Insults in early age.
  • Usually attitude of male partners to see female partners as sex objects brings Sexual problems in the female partner.

• Management Of Sexual Dysfunction

  • Classify the Sexual Dysfunction (Libido, Arousal, Erection, Penetration, Ejaculation, Orgasm)
  • Detailed Discussion about interpersonal relationship issues
  • Identify the risk factors
  • Elimination of risk factors
  • Identification and treatment of underlying medical conditions causing Sexual dysfunction
  • Investigation for Hormonal imbalances, Nutritional deficiency etc.
  • Imaging for Erectile dysfunction (Penile Doppler etc)
  • Hormonal and nutritional manipulation
  • Stress reduction
  • Sleep management
  • Motivation
  • Medical and Surgical management for Erectile dysfunction
  • Medical and psychological management or arousal and orgasmic disorders
  • Couple counselling is of utmost importance
  • Education about Foreplay and use of non - genital organs for sexual pleasure.