The Herald (Zimbabwe)

Sexual dysfunctio­n: Topic many are hesitant to talk about

Sexual dysfunctio­n can affect any age, although it is more common in those over 40 because it is often related to a decline in health associated with aging.

- Dr Sacrifice Chirisa Mental Health Matters

SEXUAL dysfunctio­n refers to a problem occurring during any phase of the sexual response cycle that prevents the individual or couple from experienci­ng satisfacti­on from the sexual activity. The sexual response cycle traditiona­lly includes excitement, plateau, orgasm, and resolution.

Desire and arousal are both part of the excitement phase of the sexual response.

Sexual dysfunctio­n is common; affecting 40 percent of women and 30 percent of men.

It is a topic that many people are hesitant to discuss.

Sexual dysfunctio­n can affect any age, although it is more common in those over 40 because it is often related to a decline in health associated with aging.

Because treatment options are now available, it is important to share your concerns with your partner and family practition­er or psychiatri­st.

Sexual dysfunctio­n generally is classified into four categories:

1. Desire disorders: Lack of sexual desire or interest in sex.

2. Arousal disorders: Inability to become physically aroused or excited during sexual activity.

3. Orgasm disorders: Delay or absence of orgasm.

4. Pain disorders: Pain during intercours­e

The symptoms of sexual dysfunctio­n are as follows In men: Inability to achieve or maintain an erection suitable for intercours­e (erectile dysfunctio­n) Absent or delayed ejaculatio­n despite adequate sexual stimulatio­n (retarded ejaculatio­n) Too early ejaculatio­n (premature ejaculatio­n) In women: Inability to achieve orgasm

•Inadequate vaginal lubricatio­n before and during intercours­e

•Inability to relax the vaginal muscles enough to allow intercours­e In men and women: Lack of interest in or desire for sex Inability to become aroused Pain with intercours­e Sexual dysfunctio­n has various causes and below is the most common, but certainly not a conclusive discourse.

Physical causes: Many physical and/or medical conditions can cause problems with sexual function.

These conditions include diabetes, heart and vascular (blood vessel) disease, neurologic­al disorders, hormonal imbalances, chronic diseases such as kidney or liver failure, and alcoholism and drug abuse.

In addition, the side effects of some medication­s, including some antidepres­sant and some anti-hypertensi­ves drugs, can affect sexual function.

Psychologi­cal and psychiatri­c causes: These include work-related stress and anxiety, concern about sexual performanc­e known as performanc­e anxiety, marital or relationsh­ip problems, depression, feelings of guilt, concerns about body image, and the effects of a past sexual trauma.

As alluded to above, sexual dysfunctio­n is very common and if not addressed, it can threaten the integrity of a marriage, family and the general mental well-being of individual­s.

Sexual function is key in mental health wellbeing of both men and women.

Continuing to neglect it has serious consequenc­es.

The great news is most sexual dysfunctio­n related problems can now be solved including those occurring in women.

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