Dr Monga Clinic

Causes, Symptoms and Treatment for Diabetes

Physical intimacy is a very important part of our lives and defines how we relate to others and see ourselves. It is the attraction one feels towards a particular gender or group of people not just romantically, but emotionally and sexually. There is an increase in the number of people in today's world who identify themselves as bisexuals. Bisexuality is the romantic and sexual attraction or behavior towards people of any sex or gender i.e. both males and females. There are many factors that affect the sexual orientation of a person including environmental, hormonal, emotional and biological factors. Bisexuality is not a disorder that needs to be treated, nor are bisexuals psychologically disturbed.

One very misleading myth is that bisexuality is just a phase and after experimentation (usually during college years) you settle for your true identity as either a homosexual i.e. attracted towards the same sex or heterosexual i.e. attracted towards the opposite sex. Bisexuality is not a transitional period. Most bisexuals may act on their desires and choose to be with one particular sex. However, it doesn't mean that bisexuals are not attracted towards the other sex. This does not mean that they are any less faithful towards their partners than other sexual orientations such as heterosexuals, homosexuals, pansexuals etc. 

Several surveys later, it has been concluded that women are more likely to identify themselves as bisexuals than males. This is because women have greater erotic plasticity as compared to men. Bisexuals are often prejudiced against and are stereotyped as highly promiscuous and sexually confused. There is also a social stigma attached to the concept of bisexuality. This is nothing more than an unfair social bias. If you wish to discuss about any specific problem, you can consult a sexologist.

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Everyone can understand that men feel anxious and upset when they are diagnosed with erectile dysfunction. However, not many know that if these feelings are not dealt with then you may suffer from anxiety, depression as well as erectile dysfunction. The statistics agree with this statement that 82% of men who suffer from erectile dysfunction also suffer from depression. The science also agrees with this statement that depression causes chemicals in your brain to get out of balance and this may mean that you have lesser sexual desire and perhaps even impotency. Here is how to diagnose as well as cope with erectile dysfunction and depression and anxiety.

Diagnosing erectile dysfunction and depression:
Erectile dysfunction is a very common problem as about 50% of men above 50 years of age suffer from it. Infact it is now becoming common in as young as 28-30 years of age. Therefore, it is crucial to recognize depression when it is part of the problem. Here is how depression is diagnosed when it is known you have erectile dysfunction:
1. Loss of Sexual Desire
2. Erectile dysfunction starts happening after a traumatic event like loss of a job or of a loved one
3. Feelings of stress, anxiety or frustration
4. Pessimistic outlook to life

Coping with erectile dysfunction and depression:
Being unable to deal with erectile dysfunction can cause men to lose their self-esteem, feel angry, anxious and frustrated, or even lose interest in sex altogether. This can threaten their relationships and may even result in depression. Erectile dysfunction is treatable, but the time before and during treatment may be difficult. Here is some advice to assist you and your partner in getting your sex life back on track.
1. Antidepressants: Antidepressants are used to treat depression, however some antidepressants worsen erectile dysfunction, therefore it is crucial that you explicitly explain your condition to your doctor.
2. Behavorial Therapy: Therapy is performed by a mental health expert who will identify and help you overcome all the issues which are depressing you.
3. Counselling: Counselling by an experienced sexual therapist can help. Therapist who can identify the core issue and works upon with the patient to identify the issue and helps the person step by step over come the same. Repeated sessions may be required. And if possible both partners should join the sessions.
 
If you wish to discuss about any specific problem, you can consult a Sexologist.

Causes and treatment for Diabetes

While science might suggest that with age, one’s libido takes a nose dive, it does not necessarily have to be this way all the time. Here are a bunch of reasons why sexual intimacy and pleasuring your partner can be phenominal in your thirtirs:

1. You only get better with age:  Sex is like wine, it just gets better with age. When you compare the sex in your teenage years to the sex in your 20s, you will have your answer. You were probably more nervous in those teen years, but in the 20s when you libido was at the optimum level, your confidence increased by scores.

2. Asking for what you want gets easier: This comes from maturity. The older you get, your approach towards sex becomes more mature. You get more comfortable to ask for what you want and you have a better chance of really knowing what you want out of a person.

3. More confidence: You are 30. You are probably settled and know exactly what you are doing with your life. And it is a well known fact that you look your best in your 30s. This ought to give you the boost you need.

4. You can laugh it off: Sex can get awkward sometimes. It is not the most pleasant of things. And funny things can happen. With experience you get to know it. And you are in a better position to laugh off things, because you are simply more mature about it and you find the humour in it.

5. Experience: At certain jobs, people will probably give a passing glance to your qualifications and concentrate more on your experience in that field. The same applies to sex. The more experienced you are, the better you get at the job. Your approach towards sex will be more mature emotionally as well as physically.

6. Gets easier to stand up for what you want: In your 30s, your patience level may fizzle out. You concentrate more on the things you want rather than putting up with things that never interested you in the first place. If you wish to discuss about any specific problem, you can consult a Sexologist.

Your fantasies might have taken a backseat for the time being or might have remained silenced for more than a while. The other processes of your usual life go on perfectly except for a few changes that you either consider as minute or you attribute them to any cause other than lowered libido (interest in sex). 

Loss of libido can create hurdles in a man as well as a woman's life and thus should be corrected at the earliest possible. Even if you don't care much about an impaired sex life, libido loss can affect your overall health that can prove to be harmful in the long run.

Some may say that it’s all in the mind. Yes, but to a certain extent only.  Considering the following causes, you would agree that it is not always in the mind that one loses interest in sex.

The common causes of decreased libido can be listed as below:

1. While in males, testosterone levels may sharply drop due to aging, in females the estrogen levels may drop after surgeries pertaining to the vaginal tract, after menopause or after childbirth and subsequent breast- feeding.

2. Exhaustion from prolonged office work or extensive travelling.

3. An instance of sexual abuse in the past can result in lowered libido.

4. A lousy lifestyle where you either smoke or drink regularly can prevent you from experiencing sexual desires.

5. Irregular sleep patterns can be a contributing factor as well.

6. Illnesses like cancer, diabetes and neurological disorders can hamper your sex drive.

Ways to deal with your libido loss:

1. Make significant efforts to change your lifestyle. If you have an erratic lifestyle, sexual dysfunction is almost inevitable. You need to follow a routine to prohibit your libido from deterioration.

2. Meditate and/or workout daily.  Indulge in brisk walk, jogging, yoga, light exercises, swimming, play games like, badminton, table tennis, squash, etc.  Over a period of time, it can restore your interest in sexual activities.

3. Try and reduce the stress level from your life.  Spend quality time together and with family. Take time out for a movie, an event, a long drive, or a vacation.  Share your day’s activities with each other.

4. Eat lots of vegetables and fruits. Cut down on drinking and smoking and gradually give them up completely.

5. Take at least 8 hours of sleep so as to wake up latest by 6:00 in the morning. 

6. A counseling by a good sexologist can help to a great extent in overcoming this problem. A major part of my treatment for libido loss consists of Counselling. Many of my patients are now happy to revive their sexual life through my treatment. One can consult me in private if they want to say goodbye to Loss of Libido.

However, one must beware of the Quacks claiming to help you get back your “Mardana Taqat and Josh”. Always seek help from a qualified Doctor / sexologist / sexual counselor with a good track record. 

Sexual intercourse for humans is not only a reproductive act, but is also considered to be an emotional and pleasurable act. However, statistics report that almost 30% of the women experience pain during intercourse also known as vaginismus. This not only hampers the pleasure, but is also an unhealthy sign since it is indicative of a problem.

Vaginismus / Painful intercourse could be a regular occurrence, or a sporadic one. There could be numerous reasons that cause the discomfort and pain. Though it might be an early manifestation of grave diseases such as endometriosis or fibroids, but more often, it is triggered due to conditions such as vaginal dryness, yeast infection, bacterial vaginiosis, which can be easily treated. It is pertinent to understand that it is not the physical infirmity of the entire female anatomy that causes such pain/ discomfort, but the existence of certain conditions that can be treated by a medical practitioner. 

Certain such causal factors associated with painful intercourse and the efficient ways to deal with them are discussed below:

1. Vaginal dryness- Vaginal dryness is one of the most commonly cited causes for painful intercourse. There are various causal factors of vaginal dryness. These include, but are not limited to, consumption of certain drugs, bathing with hot water, health conditions or even lack of foreplay. Vaginal dryness due to the aforementioned causes is a short-lived condition that can be treated well with the help of a medical practitioner. Usage of lubricants that is suitable for you, as advised by a medical practitioner, could go a long way in aiding the ease of sexual intercourse. The lubricants act as an effective substitute, if the body is unable to naturally secrete vaginal fluids to ease intercourse, thereby greatly reducing the pain that is experienced.

2. Improper vaginal expansion- The female anatomy is designed in such a way that it expands normally during intercourse. Proper foreplay enables the woman to get excited, which results in the release of vaginal fluids that aids in sexual intercourse. However, in the event that the female is not excited enough prior to the act, sexual intercourse can become a painful act, since the vagina is unable to expand in the absence of vaginal fluids. In such cases, take things slow and give your body time to comfortably go with the flow.

3. Vaginal itching caused by infection- Vaginal infections can be caused by antibiotics, prior sexual activity that has resulted in contraction of Sexually Transmitted Diseases etc. This results in an itching or burning sensation while having sex. It is essential to rest your body instead of forcing things, and to consult your doctor as soon as possible. The doctor can correctly diagnose the causal factors behind the infection, and prescribe the necessary medicines for it.

4. Emotional issues including fear of sex, marital issues/ disputes, etc are also leading cause of painful sex

Treatment:

However, symptoms vary from the common ones mentioned above, it is always advisable to consult a experienced doctor including a gynecologist, sexologist or sexual counselor.

Role of sexual counselor is very important, as he she can offer Sex therapy in the form of counseling, brief psychoanalysis, or behavioural therapy .This can help to address any underlying psychological issues, such as fear or anxiety, tackle any irrational beliefs that you have about sex, educate you about sex.

Also some special techniques can be taught eventually stop your vagina closing involuntarily, such as using vaginal trainers and pelvic floor exercises

If you wish to discuss about this problem, you can consult a doctor and ask a question.