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Sexual Dysfunction Reference Sheet
Illnesses that may result in loss of sexual
desire
- Gynecologic disorders
causing pain with sexual intercourse
- Obstetric disorders causing
pain on sexual intercourse
- Urological disorders causing
pain on sexual intercourse
- Alcohol and substance misuse
- Stress and chronic anxiety
- Endocrine disorders
- Neurological disorders
- Psychiatric disorders
- Depression
- Fatigue
Treating vaginismus
- Sexual education
- Control of vaginal muscles
- Self-exploration of sexual
anatomy
- Introduction of an inserter
into the vagina under controlled relaxation
- Sharing of control with
partner
- Insertion of penis, with
the woman in control
- Transfer control of insertion
of penis to partner
- Exploration of phobia
Treating anorgasmia
- Self-exploration
- Sensate focus
- Masturbation
- Use of vibrators
- Resolution of unconscious
fear of orgasm
- Distraction
- Exercises to heighten sexual
arousal
- Transfer to heterosexual
situation
- Orgasm on sexual intercourse,
if desired
Physical factors that can reduce sexual
activity during pregnancy
- Fatigue
- Backache
- Dyspareunia due to:
* Pelvic vasocongestion
* Vaginal congestion with reduced lubrication
* Relaxation of the pubic and sacroiliac joints
* Retroverted uterus during the first weeks of pregnancy
* Weight of partner on uterus during intercourse, in late pregnancy
* Deep engagement of the fetal head
* Candida (yeast) or trichomonal vaginal infections
- Hemorrhoids
- Urinary tract infections
- Stress incontinence
- Vulval varicose veins
Sexual problems during or after pregnancy
Female
- Loss of libido associated
with fatigue, negative body image, breastfeeding
- Anorgasmia associated with
lack of arousal or pain
- Vaginismus associated with
pain or trauma from delivery
Male
- Lack of desire
- Erectile dysfunction associated
with fears raised by watching the delivery, causing pain on intercourse
- Premature ejaculation associated
with fear raised by watching the delivery, causing pain on intercourse
© 2007 EngenderHealth
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