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What are sexual problems?
They are characterized by the presence of alterations in both desire and sexual response that cause discomfort and make interpersonal relationships difficult.

Included within sexual and sexual identity disorders are: Sexual disorders, include pain, trouble reaching orgasm, Paraphilias, Sexual identity disorders and Unidentified sexual disorder.

They can be presented by both women and men. In women, it manifests itself with the symptoms of pain when having sexual intercourse, absence of orgasm and desire, or arousal problems . In men we find erectile dysfunction , reduction or loss of sexual interest, premature or delayed ejaculation problems , or low testosterone.

 

Disease prognosis
Sexual problems do not constitute a serious disease for which the patient puts his life at risk, but sexual health will be affected, also influencing his emotional health and quality of life. In many cases, patients with sexual problems feel a loss of self-confidence, low self-esteem, or even depression .

In addition, the particularity of sexual problems lies in the fact that they not only affect the sexual health of the patient, but also influence that of their partner.

 

Symptoms of sexual problems
The symptoms of sexual problems , depending on the problem that diffrent in each case:

Both men and women can experience the sexual disorders of anorgasmia and  lack of sexual desire , which refer to psychological disorders that do not allow the patient to enjoy sexual relations. The common symptoms are usually depression anxiety, or stress.

The main sexual problems that only affect men are:

Erectile dysfunction : the man will feel unable to have an erection or maintain it during intercourse.
Premature ejaculation : the man expels the semen prematurely and is not able to retain it.
Delayed ejaculation or delayed ejaculation: on the contrary, in this case the man needs a long time of stimulation to ejaculate, as well as some of them fail to ejaculate finally.
Low testosterone : This alteration of testosterone causes depression, anxiety, low sexual desire, erectile dysfunction, increased sweating, and fatigue or tiredness.
On the other hand, sexual problems that affect only women are:

Vaginismus : the patient will feel intense pain during sexual intercourse, to the point of making penetration impossible, due to the contraction of the vaginal muscles.
Dyspareunia : the patient feels persistent pain in the pelvic area after penetration. Although it is more common in women, some men can suffer from it.

What are the causes of sexual problems?
The causes of sexual problems can be psychological or physical, and be derived from stress , from some illness or injury suffered, side effects of some medication or emotional or physical problems.

 

Can they be prevented?
Prevention of many sexual problems can be established through good physical and emotional health. For example, erectile dysfunction can be caused by vascular causes, which could be prevented by avoiding obesity , high blood pressure , high cholesterol levels or smoking .


Treatments for sexual problems
The treatment for sexual problems will vary greatly depending on the sexual problem that is suffered and the cause that originated it.

Thus, many of the sexual disorders are faced with psychological therapy . On the other hand, in cases caused by vascular, pelvic floor or hormonal problems, you will need personalized attention and treatment by an expert gynecologist or andrologist.  

What specialist treats them?
The specialist who treats problems of the female reproductive system will be the gynecologist , while the specialist for the male patient will be the andrologist . On the other hand, the specialist in Psychology can also treat these problems, especially those specialized in Sexology , when they have an emotional cause.

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