Sexual disorders – causes and forms – Vigorous Herbs
The problems of sexuality have not diminished since the greater freedom of movement of society, but have at least become more prominent since it is “allowed” to talk about it more openly. Although sexuality is the number 1 topic at every round table and every coffee chat, those affected by sexual disorders often remain alone with their needs and worries and hardly dare to seek professional help, whereby feelings of shame play an important role. For this reason, the topic of sexuality in medical/therapeutic contact is also often avoided by both sides, although suitable treatment options are available.
Overall, sexual dysfunction is by far the most important group of
sexual disorders. Questions of sexual orientation and gender identity disorders are also significant. The high prevalence of sexual problems in men and women, the availability of a range of different diagnostic and therapeutic options, and the increasing use of professional help by the affected patients will make this area even more important in the future. More than with the other groups of sexual disorders, organic and psychological factors intertwine in functional disorders and make an integrative, bio-psychosocial approach necessary. The relationship between sexual health and sexual disorders and quality of life has been known for a long time but has only recently been discussed more broadly.
Important results from recent studies have clearly shown the relationship between sexual health and general life satisfaction. The following results were found:
- People who are not sexually active have a significantly lower quality of life, although this relationship is partly determined by the lack of a suitable sexual partner.
- Compared to non-dysfunctional men, men with sexual disorders have considerable losses in the emotional, social, and sexual qualities of intimacy and bondage, and sexual dysfunction is associated with a breakdown in emotional and sexual closeness in the partnership, a reduction in mutuality Exchanges and a decline in participation in social and leisure activities.
- In women too, sexual problems are associated with reduced performance and satisfaction in the interpersonal, professional and emotional areas: Women seem to be less able than men to compensate for or to compensate for sexual problems, for example by “fleeing to work” displace.
- In the clinical studies, a reduction in sexual symptoms led to significant improvements in life satisfaction and mental health, especially to reduce anxiety and depression and to improve interpersonal sensitivity and self-esteem.
- This makes it clear that when treating sexual disorders, a central area of human experience and behavior is addressed.
The causes of sexual dysfunction can vary widely and include both physical and psychological factors or a combination of both.
Physical causes of sexual dysfunction:
- congenital or acquired malformations
- somatic diseases
- Vascular diseases (arteriosclerosis, diabetes mellitus)
- Nervous system disorders
- Muscular disorders
- General illnesses
- Genital diseases
- psychiatric illness
- Medicines and drugs
- Painful intercourse
Psychosocial causes of sexual dysfunction:
- lack of sexual information and experience
- Misconceptions regarding sexual pressure to perform, masturbation, the importance of sexuality in different phases of life, etc.
- traumatic experiences in childhood, adolescence and adulthood
- internal psychological causes
- partnership-related causes
- A distinction is made between the following sexual dysfunctions:
- Lack or loss of sexual desire up to sexual aversion
- Failure of the genital reaction, man: erectile dysfunction, woman: lubrication disorder
- Orgasmic disorders
- Pain during sexual intercourse without an organic cause
- Vaginismus without an organic cause
The individual disorders can exist for a lifetime since the beginning of the sexual experience (primary) or acquired, ie have developed after a symptom-free phase (secondary). The sexual disorders can be generalized, that is, with all partners and practices or situational, that is, partner, practice or situation-dependent. Psychological factors as a cause can play a role in isolation or in combination with other causes.
The inpatient treatment of sexual dysfunctions begins with a comprehensive and detailed survey of the sexual symptoms with special reference to possible psychological relationships. Possible organic medical causes are clarified and, if necessary, treated in an interdisciplinary manner. In supportive and conflict-centered one-on-one conversations, particular emphasis is placed on clarifying the respective background and on clarification in a trusting and appropriate therapeutic contact, taking into account individual shame boundaries. Depending on the respective indication, conversations with couples take place with a focus on the sexual symptoms.
This can be combined with creative psychotherapeutic group and individual procedures such as concentrative movement therapy (KBT), creative therapy or music therapy.
In addition, relaxation procedures are used that support the psychotherapeutic process.
In addition, there are general measures in Hardtwaldklinik II for the treatment of sexual dysfunction. Particular value is also placed on close cooperation between the clinic and resident specialist colleagues in order to guarantee the most comprehensive possible care, also with a view to possible continuation of treatment in an outpatient setting.