The problem of "not being able to have sexual intercourse" is one of the leading sexual problems in societies. This problem can be caused by both men and women. This disease, which often concerns both parties, is present from the first sexual intercourse experience or may appear later. The first doctor to go to when experiencing the problem of not being able to have sexual intercourse is a gynecologist. However, if the problem is caused by men, it is necessary to consult a urologist.
Inability to have sexual intercourse due to women
“Vaginismus disease” is the most important reason for inability to have sexual intercourse due to women. This disease, which develops due to psychological and anatomical reasons, is expressed by most couples as 'it is as if my vagina is closed and we cannot move forward', 'it is as if a wall has been built of flesh', 'I am hitting a wall'. Vaginismus, which is a result of involuntary, persistent and strong contractions of the muscles at the entrance of the vagina, is resolved permanently in a short time with appropriate treatment methods.
If we look at the physical reasons other than vaginismus for not being able to have sexual intercourse;
-Vulvar vestibulitis syndrome,
-Vaginal canal infections,
-Bartholin gland cyst and abscess,
-Myomas born in the vagina,
- Giant condylomas,
- Poor healing of stitches due to previous vaginal surgery or childbirth,
- Vaginal dryness and narrowing of the vagina due to menopause,
- Congenital vaginal canal anomalies.
These physical problems should be resolved with appropriate treatment methods and then sexual therapy should be planned for vaginismus.
Inability to have sexual intercourse due to male
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The problem of being unable to have sexual intercourse is less common in men than in women. This problem is mostly experienced by people who do not have sufficient knowledge about sexuality. In some cases, premature ejaculation, erection problems and lack of sexual reluctance may be the reason for not being able to have sexual intercourse.
In this problem seen in men, physical problems should first be investigated with a urology examination. Marriage therapy and sexual therapy are recommended individually or as a couple in the treatment of conditions that are mostly psychological in origin.
Sexual Relationship Treatment of the Problem of Inability to Have Sexual Intercourse
Couples who have problems of being unable to have sexual intercourse should first take a detailed anamnesis and undergo a physical examination. If they have systemic diseases, they should be questioned. Both parties should see this problem as a common marital problem and participate in treatment.
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