Sex magazines

20-05-2014, 12:13Print
The sexual malfunctions can be evident to the beginning of the sexual life of the person or can develop further on. Some of them can develop gradually with the time, and others can appear suddenly like total or partial disability to take part of one or more stages of the sexual act. The causes of the sexual malfunctions can be physical, psychological or both.

The emotional factors that they affect to the sexual life include so much interpersonal problems (like problems of couple or lacking in confidence and communication) like psychological of the individual (depression, fears and fault, traumas, between others).

The physical factors include drugs (alcohol, nicotine, narcotic, stimulant, antihypertensive, antihistamine and some medicines psicoterapéuticos), back injuries, hiperplasia prostate benign, problems of blood irrigation, nervous damages (like wounds in the spinal cord), diverse illnesses (diabetic neuropathy, multiple sclerosis, tumors and, rarely, tertiary syphilis), mistakes in several organic systems (like the heart and the lungs), disorders endocrinos (problems in thyroid gland, pituitary or adrenal glands), hormonal shortcomings (deficit of testosterone, estrogen or androgen) and some congenital illnesses.

Classification

The sexual magazines malfunctions usually qualify in four categories:

Disorders of the sexual desire or anafrodisia. It can owe to a descent of the normal level of production of the estrogen (in the women) or the testosterone (in the males). Other causes can be the age, the fatigue, the pregnancy, the medication or psychiatric illnesses, like depression or anxiety.
Disorders of the sexual excitement, previously called «powerlessness« in the men and «frigidity« in the women, although now less critical terms are used: for the men, there is used that of «erectile malfunction» and for the women they are used different allusive to the diverse problems. These disorders are evident like distaste or elusion of the sexual contact with the couple. There can be medical causes for these problems, like insufficient blood irrigation or absence of vaginal lubrication. The chronic illnesses also contribute, as well as the nature of the relation between the parts.
Disorders of the orgasm, like the persistent delay or the absence of orgasm after a normal phase of sexual excitement. These disorders happen both in man and in women. Again, the antidepressants ISRS are often culprits.
Disorders of sexual pain, which affect almost exclusively the women and are known like dispareunia (painful sexual exchange) and vaginismo (espamos involuntary of the muscles of the vaginal wall that they make difficult or prevent the coitus). The dispareunia can be provoked in the women by an insufficient lubrication (vaginal dryness).
The inadequate lubrication can owe to an excitement or insufficient stimulation, or to hormonal changes provoked by the menopause, the pregnancy or the lactation. The annoyance due to creams and contraceptive froth can provoke also dryness, as well as also the fear and the anxiety for the sexual act.

They are not clear what the exact causes of the vaginismo are, but one believes that a previous sexual trauma (like a violation or abuses) they can redeem an important role. Another painful feminine sexual disorder is named vulvodinia or vestibulitis vulvar, that it seems to be related to problems in the vaginal skin of the areas and vulvar. Its causes are not known.

Symptoms

Psychological sexual disorders

The fourth edition of the diagnostic and statistical Manual of the mental disorders of the American Association of Psychiatry enumerates the following psychological sexual disorders:

Hypoactive sexual desire (see also asexualidad)
Disorder of sexual distaste (elusión or lacking in desire in sexual exchange)
Disorder of feminine sexual excitement (mistake of the normal answer of sexual excitement: lubrication, etc.)
Masculine erectile malfunction
Disorder of the feminine orgasm (see anorgasmia)
Disorder of the masculine orgasm (see anorgasmia)
Premature ejaculation
Dispareunia
Vaginismo
Secondary sexual malfunction
Parafilias
Disorder of identity of genre
Stress disorder postraumático due to genital mutilation or infantile abuses
Other sexual problems

Lacking in sexual partner
Sexual dissatisfaction (not specific)
Inhibited sexual desire or frigidity
Anorgasmia
Erectile malfunction
Sexually transmitted diseases
Infidelity
Delay or absence of ejaculation after a suitable stimulation
Incapability to control the moment of the ejaculation
Incapability to relax the muscles of the vaginal wall the sufficient thing to allow the coitus
Inadequate vaginal lubrication earlier and during the sexual coitus
Pain in the vulva or the vagina during the sexual contact
Unhappiness or confusion with regard to the sexual orientation
The transsexual persons or transgénero they can have sexual problems (earlier or after the surgery), although the transsexual condition or transgénero is not a sexual problem in itself.
Syndrome of persistent sexual excitement
Addiction to the sex
Hypersexuality
Ablation
Circumcision
Other related problems

Parafilias
Unfertility
Clinical studies

Since the people usually do not speak between themselves on its sexual problems, many persons believe that they are "abnormal" or that its sexual problems are the only or shameful. The images of the sexuality presented by the society and the mass media usually present adult magazines to the people slightly realistic ideals of sexual conduct, be already those of chastity and sexual loyalty presented by the religion or of inagotabilidad sexually and promiscuousness presented by the pornography. None of these images seems to be representative of the normal human behavior in the real life. Everything previous has been summed up by the phrase: "Everybody lies on sex.»

The beginning of the genuine clinical study of the sexual problems is dated usually not beyond 1970 when Master's degrees and Johnson published human sexual Insufficiency (Human Sexual Inadequacy), like result of close to a decade of work in the Foundation for Investigation of the Reproductive Biology of San Luis, including 790 cases. The work was extending previously human sexual Answer (Human Sexual Response), published in 1966 also for Master's degrees and Johnson.

Before this work the clinical approach to the sexual problems was deriving to a great extent from the Freud doctrine. It was based on the psychopathology and was including a certain pessimism on the possibility of help or progress, since the sexual problems were mere symptoms of a deeper psychopathological discomfort. There was few distinction between the difficulties in function and changes and between the perversions and problems. In spite of the psychotherapists' work as Balint, the sexual problems were splitting crudamente into frigidity and powerlessness, terms that promptly were acquiring negative connotations in the popular culture.

The achievement of human sexual Insufficiency was to move the treatment from the psychopathology to learning: only if one was not answering to the educational tratamiendo there were considered to be the psychopathological problems. Also the tratamiendo was assined to couples, while earlier Master's degrees and Johnson was talking each sex magazines pdf other the patients individually, so they saw that the sex was a joint act. They believed that the sexual communication was the key of the sexual problems more than the specific difficulties of the individual. Also they proposed the co-therapy, assigning a therapists' couple to the clients' couple, arguing that the only masculine therapist might not understand completely the feminine difficulties and vice versa.

To define the fan of sexual problems, Master's degrees and Johnson they defined a border between malfunction and deviation. The malfunctions were transitory and they were experiencing most of the people: in case of the men there were the erectile malfunction, the premature ejaculation, the backward ejaculation, and in that of the women the orgasmic malfunction, the dispareunia and the vaginismo. According to Master's degrees and Johnson, the sexual excitement and the climax are normal physiological processes of any functionally intact adult, but in spite of being autonomous they can be inhibited. The program of treatment of Master's degrees and Johnson for the malfunctions had a valuation of efficacy of 81,1 percent.

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