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Month: February 2019

Comprehensive Sex Therapy

Let us consider in more detail the sex-therapeutic treatment of alibidemia (frigidity) in women, developed by X. Kaplan (1987). His main therapeutic strategy is to train a woman to respond adequately to sexual stimulation while she is in a relaxed and serene state. The following sequence of treatment for women with complete frigidity is commonly […]

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Lack or loss of sexual desire

The absence or loss of sexual desire can be observed in a number of pathological conditions. These include schizophrenia, temporal lobe epilepsy, head injuries, tumors, cerebral vascular diseases, substance abuse (drugs, alcohol, etc.), depressive disorders. In particular, in patients with depression, a decrease in libido is observed in 70% of cases. Endocrine disorders: in men, […]

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The absence or loss of sexual desire part 1

Loss of sexual desire is a major problem, and not secondary to other sexual difficulties, such as lack of erection or dyspareunia. Lack of sexual desire does not exclude sexual satisfaction or arousal, but makes sexual activity less likely. Diagnostic criteria: 1) the lack or loss of sexual desire is expressed in the reduction of […]

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Patients with sexual disorders

Examination of patients with sexual disorders is carried out on an outpatient basis, only some methods of objective examination of patients of a sexological profile are carried out in a hospital, for example phalloarteriography. A standard sexological examination provides for an obligatory assessment of mental status (in particular, the identification of psychopathological symptoms), the condition […]

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Mechanisms of psychological adaptation to sexual dysfunction

There are five types of defense mechanisms that are activated during the psychological processing of problems in sexual relations: 1. Energy type – the removal of energy from the “painful object”: a) decrease in sexual motives – oppression of a libido; b) the discharge of energy – response; c) the transfer of energy – for […]

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Psychogenic sexual dysfunctions (sexual neurosis)

Psychogenic sexual dysfunctions include functional psychogenic sexual disorders that have arisen with the direct participation of psychological mechanisms and manifest themselves in qualitative or quantitative disorders in the sexual functions of men and women not associated with organic pathology. Psychogenic sexual dysfunctions are distinguished by: 1) the leading role in their development of psychotraumatic influences […]

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Principles of classification sexual dysfunctions in ICD-10

According to ICD-10, sexual dysfunctions include various options for the inability of the subject to engage in sexual activity in accordance with his desire, including: lack of interest; lack of satisfaction; lack of physiological reactions necessary for full sexual contact (for example, erection); inability to control or experience an orgasm. Sexual dysfunctions can be permanent […]

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Epidemiology and Systematics of Sexual Function Disorders

The sexual health of people due to their high personal significance is no less important than their physical health. WHO experts in 1977 proposed the following definition: “Sexual health is a complex of somatic, emotional, intellectual and social aspects of a person’s sexual existence, which positively enrich a person, increase a person’s sociability and ability […]

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Imaginary sexual disorders

Inadequate beliefs and attitudes regarding sexuality lead not only to the development of sexual disharmony in the couple, but in some cases contribute to the emergence of imaginary sexual disorders, that is, conviction in the presence of sexual dysfunction in the absence of such. Men often, making excessively high demands on their own sexual sphere, […]

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Pathological Disharms

These are dysgamies, which are secondary in nature and are due to existing sexual disorders. For example, erectile dysfunction, premature or difficult ejaculation in men, frigidity, dyspareunia, vaginism in women often lead to the development of sexual disharmony in a couple. With good interpersonal relationships and a wide range of acceptability of the spouses, sexual […]

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