Orgasm does not occur or is significantly delayed. This may be situational in nature (that is, it occurs only in certain situations), in which case the etiology is most likely psychogenic. In other cases, orgasmic dysfunction is invariant and physical or constitutional factors can be excluded only on the basis of a positive reaction to […]
Identification of diagnostic signs of psychogenic erectile dysfunction; 1. Persistent spontaneous erections in sleep and in the morning awakening. 2. The presence of erections during masturbation. 3. The emergence of an erection with caresses and its subsequent weakening when trying to introitus. 4. The appearance of an erection in situations that provoke sexual arousal, if […]
The patient’s fear of the upcoming sexual contacts requires his mandatory neutralization (best of all by psychotherapeutic methods), since without this it is difficult to count on a steady recovery of the normal sexual reactions of the man. Among the erectile dysfunction of organic genesis in men over 45, vasculogenic erectile dysfunctions dominate. Consider the […]
1. Vascular pathology: a) Arterial (lesions in the aorto-iliac zone and in the pool of the internal genital arteries): – atherosclerotic lesions of the arteries; – Post-traumatic injuries of the pelvic arteries (usually occur after a fracture of the pelvis bones); – iatrogenic damage to the arteries (during surgery on the pelvic organs, aortic bifurcation, […]
In men, the main problem lies in the disorder (dysfunction) of erection, i.e., difficulty in achieving or maintaining an erection sufficient to have satisfactory sexual intercourse. If in some cases an erection occurs normally, for example, during masturbation, while sleeping or with another partner, then the cause of the violation is likely to be psychogenic. […]
There are normal sexual reactions and orgasm is experienced, but there is no adequate pleasure. This complaint is much more common in women than in men. Diagnostic criteria: 1) all genital reactions (orgasm and / or ejaculation) occur during sexual stimulation, but do not cause pleasant sensations or feelings of pleasant excitement; 2) in the […]
In contrast to disorders of sexual desire, accompanied by a loss of interest or complete indifference to any manifestation of intimate life, this rubric refers to reactions (subjectively neutral or pronounced negative) to direct sexual interaction. The upcoming sexual relationship with a partner causes strong negative feelings, fear or anxiety, which are sufficient to lead […]
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