Topics Studied in Sexual Therapy

Ejaculation Problems

Premature Ejaculation

Uncontrolled ejaculation of a man before or during sexual intercourse is called premature ejaculation. is named. A person who cannot maintain control over his ejaculation reflexes may ejaculate before, during and after intercourse. While 7 minutes is considered normal ejaculation time, involuntary ejaculation problems may occur after this period. The problem is not the short duration of sexual intercourse, but rather the lack of control over ejaculation. While research conducted around the world shows that one in every four men has this problem, some studies conducted in our country show that this rate can reach 70%.

    Men who were affected by some sexual taboos in adolescence and who learned sexuality incorrectly or incompletely, if they do not have a regular sex life. Otherwise, if they experience their sexuality with unrealistic dreams, in short periods of time, in inappropriate environments, and this combination makes them feel guilty, they may not be able to control ejaculation. The problem is often their thoughts about sexuality rather than their sexual functions. Fears of getting your partner pregnant, catching a disease, being disappointed, and seeing private parts also cause premature ejaculation.

    Delayed Ejaculation

    This problem, called ejaculatory insufficiency, means that the man ejaculates late or does not ejaculate at all during sexual intercourse. Unlike premature ejaculation, orgasm is constantly delayed. It usually occurs during sexual intercourse, but ejaculation may occur during masturbation. Anxiety about one's performance, masturbation addiction, or problems between spouses may cause delayed ejaculation.

    Retrograde Ejaculation

    Ejaculation does not occur outward. Ejaculation without sperm, also called Retrograde Ejaculation, occurs when sperm is thrown into the urinary bladder. It is detected by urine examined after orgasm. It occurs due to the sphincter muscle in the bladder not contracting properly. Prostate surgery, spinal damage, diabetes, and medications used for high blood pressure can also cause this condition.

    Before the Penis is Hardened Ejaculation

    Ejaculation without erection may occur as a result of oral or manual stimulation of the penis. A real orgasm is not experienced.

    Ejaculation Without Sperm

    Although orgasm is experienced, only the urethral secretion is expelled. It may occur in the diagnosis of infertility.

    Not being able to ejaculate at all

    Also called ejaculation inhibition. It may occur as a result of physiological disorders such as diabetes and spinal cord injuries.

Erection Problem

    Erectile problem can be seen as the inability to achieve the erection required for sexual intercourse or the loss of hardness before orgasm during vagina and penis intercourse. This problem may not be seen during masturbation or during intercourse with other partners. There are also men who can have an erection only when they are with their partner, and this shows that erectile dysfunction occurs in different ways. Basically, there are three types of erection problems: lifelong, acquired and situational. We can classify those who have never been able to get an erection, those who had adequate erection problems before but later experienced erection problems, and those who only encounter this problem in specific situations. Although it occurs in 10 percent of young people, one in every two people between the ages of 40 and 70 may experience erectile dysfunction.

    The inability to get an erection is seen as more degrading than premature ejaculation. The importance men attach to their sexual power is identified with erection. Therefore, the inability to get an erection can be a cause for great anxiety, anxiety and devastation. This anxiety about sexual performance can further exacerbate the problem of erectile dysfunction. The belief that you will fail turns the problem into a vicious circle. In addition, incorrect perceptions of sexuality established in childhood, problems experienced in relationships and physiological disorders can also lead to erectile dysfunction.

Dyspareunia

    If pain is felt during sexual intercourse, known as penetration, we can talk about painful sexual penetration. This problem, called dyspareunia, involves the uncomfortable feelings women experience during sexual intercourse. Pain Problems such as pain, burning and stinging may occur during the first sexual experience or may occur later. Dyspareunia that occurs during the first sexual experience is called primary, and that which occurs later is called secondary dyspareunia. It is found in one in every 10 women.

    Unpleasant conditions such as pain, stinging, burning and stinging may occur at the entrance to the vagina or in the deeper groin areas. The pain felt at the entrance to the vagina may be caused by problems such as vulvar vestibulitis syndrome, vaginitis and vulvitis, perineal tears and non-healing birth stitches, vaginal stenosis, vaginal dryness, and thick hymen. Dyspareunia seen in the deep groin areas may occur due to diseases related to the uterus, ovaries and species, adhesions in the abdomen, and abdominal surgeries such as cesarean section. These reasons constitute the physiological causes of dyspareunia. The disease known as vaginismus, in which unconscious perceptions about sexual intercourse play a role, is one of the main psychological causes of dyspareunia.

Sexual Desire Disorder

    It is a problem that occurs with decreased interest in sexuality, reluctance to initiate a relationship, and decreased fantasies. In these cases, the frequency of sexual intercourse decreases, it becomes difficult to find the partner attractive, the response to sexual stimuli decreases, and the desire for intercourse decreases significantly. According to a study conducted in the United States, it occurs in 32 percent of women and 15 percent of men. Decreased sexual desire may also present itself as a disguise for a dysfunction.

    Sexual desire depends on having positive experiences and accurate information about sexuality, the personality of the partner and the course of the relationship, the intensity of daily life, and physical and spiritual self-confidence. Hormonal imbalance, neurotransmitter problems, and chronic diseases can cause decreased sexual desire. In addition to childhood spent with a lack of affection, attachment problems and personality disorders that arise as a result, diseases such as depression and anxiety can also be considered as factors in the emergence of sexual reluctance. Cultural norms, interpersonal problems and environmental factors regarding sexuality may also be It may indicate a disorder of sexual desire.

Anorgasmia

    Orgasm constitutes the peak of sexual intercourse and the pleasure derived from it. After the contraction movements in the erogenous zones and throughout the body, a state of relaxation and relaxation occurs. Orgasm is complementary to sexual satisfaction. Anorgasmia is a state of inability to orgasm seen in women. If a person can orgasm through masturbation, it is called coital anorgasmia. If the person cannot orgasm at all during masturbation and sexual intercourse, it is called clitoral anorgasmia.

    During orgasm, a person becomes a kind of slave to pleasure. One of the main causes of anorgasmia is the fear of losing control. Controlling, perfectionist and idealistic women in life and human relations may experience anorgasmia problems because they are afraid of losing themselves during orgasm. Individuals who ignore this pleasure and focus on themselves and their performance also experience problems with orgasm. Accepted myths about sexuality in childhood, trauma and abuse, not knowing one's own anatomy, and sexual disorders experienced by one's partner are other causes of anorgasmia.

Arousal Disorder

    Coital intercourse, which culminates in orgasm, begins with foreplay, in which the penis and vagina prepare for intercourse. The emergence of desire and erotic feelings are followed by changes in the vagina and breasts. Since this preparation period does not occur for women with arousal problems, other stages of sexuality cannot be experienced. We can use arousal disorder for situations where sexual arousal is not felt or arousal does not continue during intercourse.

    Arousal disorder usually occurs because men who have premature ejaculation problems skip the foreplay phase and the woman cannot prepare for sexuality. A perception of sexuality surrounded by sexual myths, anxiety, anxiety and feelings of guilt is the cause of arousal disorder, as well as other sexual problems. Abuse and rape in her past; Disgust felt by men's genitals and the lack of a clean, safe and comfortable environment in which sexuality takes place can be seen as other factors. iriz.

 

Hypersexuality - Nymphomania

    A person whose sexual desire and number of relationships are above normal, with one partner Nymphomania is seen in people who cannot be satisfied and cannot control their partner selection. The person is of the opinion that he can only achieve the feeling of reward through sexuality. His excessive sexual intercourse with different partners is as dangerous and humiliating as his addiction to drugs and alcohol. He may not be able to live his social life as he wishes. It is thought to occur in at least 3 out of every 100 women.

    Hypersexual people can show borderline and narcissistic tendencies. As a result of therapies, it was revealed that these people were obsessed with their once beloved fathers. They constantly engage in sexual intercourse to tolerate the insecure and unsatisfactory environment they experienced in their childhood. Excessive indulgence in sexuality also alienates the mind and moral values ​​from the person. Even though they feel guilty and become insensitive to sexual pleasure, they cannot inhibit excessive sexual desire.

Sexual Aversion Disorder

    It can be defined as extreme disgust towards sexual intercourse. The idea of ​​genital intercourse or sexuality can make a person feel extremely anxious, afraid and disgusted. During sexual intercourse, panic-like behavior, disdain for sexual intercourse, or, more mildly, inability to enjoy intercourse may occur. There is no problem with the libido of these people, they can orgasm. There are two types: feeling disgusted only in some situations and having this disorder from the first experience. It is usually seen together with decreased sexual desire disorder.

    Sexual Aversion Disorder can be rooted in a person's childhood. Abuse experienced as a child, false beliefs taught, inhibition of sexuality, and the oppressiveness of the concepts of virginity and honor may be the sources of this disorder. Since sexual traumas bring with them feelings such as humiliation, pain, disgust, anger and shame, the person may have equated sexuality with these emotions. It may also occur as a result of disorders such as sexual disgust, dyspareunia and vaginismus.

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