Lack of Enjoyment during Intercourse: Specialty Treatment & Counseling Center at Chennai, Tamilnadu, India

Lack of Enjoyment during Intercourse

This is also called female arousal disorder; it is characterized by minimal vaginal lubrication or no lubrication all during sexual excitation along with absence of feeling of excitation. In one study many women complained of lack of sexual arousal so that they get very little lubrication & vagina does not relax so that sexual intercourse is painful. In population many women complain of difficulty in getting excited. Many of such women complain of absence of orgasm & sex may be even being painful. It can be from beginning of sexual life or may start later in life. In some arousal may be absent with one partner whereas it is normal with other partner.

Causes of Lack of enjoyment during intercourse

• Hormones Disorder:
• Hypogonadotropic hypogonadism (hypothalamic or pituitary deficiencies)
• Hypogonadisms, Hypothyroidisms, Testosterone deficiency, hyperprolactinemias,
• Hypogonadotropics states: Hypothalamic - pituitary deficiencies: Idiopathic GnRH deficiency, Kallman syndromes, Prader-Willi syndromes, Laurence-Moon-Biedl syndromes, pituitary hypoplasia,
• Ovarian Dysfunctions
• Hypothyroidisms
• Untreated endocrinopathies & Diabetics
• Glucorticoids excess, Cushings disease, Addisons disease
• Excess asthenia i.e. chronic asthenia is a also a significant cause of low sexual excitation & arousal.
• Chronic vulvo-vaginitis, and chronic urethritis.
• Addiction as chronic alcoholism, chronic smoker, heroin or cannabis use.
• Drugs: Sedative: Narcotics, tranquillizers, amphetamine, cocaine, many antidepressant, and anti-psychotics, anti-hypertensive’s, many other drugs.                             
• Psychiatric disorder as depression, neurosis, & many other psychiatric disorders.
• Any kind of sexual dysfunction in man leading to non-enjoyment of sexual act by female may lead to absent arousal & excitement.
• Any cause of painful sexual intercourse (as due to vaginismus or dyspaerunia) will also lead to secondary loss of excitation in women whether married or unmarried.
• Decreased blood supply to vagina due to various medical conditions can lead to diminish vaginal lubrication, pain during intercourse
• Infections: In genital tract or vulvae vestibule, vulvo-vaginitis
• Less lubrication due to various reasons as hormone deficiency
• Connective tissue diseases leading to dryness
• Psychological problems: as depression & other psychiatry disorders
• Sicca syndrome
• Idiopathic
• Any ulcerative lesions of vagina as chronic lichen planus, herpese genitals, Pemphigus vulgaris of vagina
• Decreased blood supply to vagina due to various medical conditions can lead to diminish vaginal lubrication, pain during intercourse
• Vulvar vestibulitis
• Restrictive upbringing, inadequate sexual information, early insecurity in psychosexual role.

Obstructive vaginal lesions: Vaginal stenosis, vaginal scarring, post surgical problems, retroverted  uterus, organic diseases of uterus, endometriosis, adenomyosis, tubes or ovaries, chronic pelvic inflammatory diseases, urethral diverticulum. Idiopathic vulvodynia

Disorders of Sex Centre

In the brain there is a particular center in the hippocampus part of fore brain, which regulates the enjoyment achieved during sex. When this peak excitation reaches a particular threshold, the muscles around vagina starts contracting. This phenomenon is called orgasm. So any disorder of sex center due to various causes can lead to absent orgasm in females. This occurs due to orgasm controlling portions of sex center does not achieves the peak of sexual excitation & final orgasm so that in spite of \not having any physical or mental disorders the patient either does not getting orgasm or getting it after long delay.

The causes of sex centre dysfunction can be divided into two groups:

1) Immediate cause, and Remote causes. Such a classification is helpful in the treatment of decreased libido. If the loss of desire is due to immediate causes, a removal of these factors results in adequate sexual desire. If it is due to remote causes, then detailed sex therapy may be necessary for a more lasting cure.

2) Sexual Performance anxiety means development of anxiety before sex. Patient develops obsessive concern for her orgasm i.e. whether or not She'll get orgasm. Due to this anxiety She tries to concentrate more on getting it & contracting the pelvic & leg muscles rather than allow it to occur in natural response to erotic pleasure. This performance anxiety can be cured by sex therapy in few sittings.

3) Spectator Attitude: Those women who suffer with absent orgasm, whenever She goes for sexual activity though engaged love making, her brain is always thinking and involuntarily (unconsciously) trying hard to achieve the vaginal orgasm. This is called spying for her own orgasm. So that in place of enjoying the partner's touch, She always keeps spying her own sexual response leading to lack of enjoyment of sexual activity thus\leading to repeated failures in getting orgasm.

These all above problems contributes to repeated absent orgasm. So that in all cases of absent orgasmic patients, after proper diagnosis & treatment of primary cause, these secondary problems also need to be tackled by sex therapy then only patient can get permanent cure. So by sex therapy, the patient is taught how to avoid spectator role and become free of performance anxiety. So these problems hinder her in getting orgasm 

'In most cases, for cure of absent orgasm detailed sex counselling & sex therapy is necessary.

DIAGNOSIS OF CAUSE

First step in proper treatment of low sex desire is accurate diagnosis of cause of her absent orgasm during sex. So we first try to find out cause. We take detailed history, thorough sex counselling.

DETAILED HISTORY

For diagnosis of cause of female arousal disorder, detailed case history is taken. Along with we suggest some lab investigations

Detailed Sex Counselling: sex counsellors meet with respective patient, talking in detail resulting in detection of primary cause leading to low sex desire.

TREATMENT OF ABSENT ORGASM
Once the diagnosis of female arousal disorder is confirmed after detailed history, examination, relevant investigations, we start the treatment. It involves giving the sex therapy session, which is focused on eliminating the anxiety & spectatoring for female arousal disorder..

Treatment options

1)   Sex Therapy:- Sex therapy begins with detail sex education about the anatomy of male & female genitals. Then we give the patients specific exercises, which, the couple has to do at their home. After every exercise session lady becomes more confident in her ability to achieve the orgasm. With these exercises along with behavioural therapy, hypnotherapy, & couple's therapy leads to cure in approximately two months. Certain pelvic exercises also help to quite from female arousal disorder. We teach patient how to eliminate excessive focusing on having an orgasm.
Even some women fake the orgasm to please her partner & hide her inadequacy.

2) Medicines – Symptomatic  Homeopathy medicines works well

Whom to contact for Low Libido Counseling & Treatment

Dr.Senthil Kumar Treats many cases of Low Libido, In his medical professional experience with successful results. Many patients get relief after taking treatment from Dr.Senthil Kumar.  Dr.Senthil Kumar visits Chennai at Vivekanantha Homeopathy Clinic, Velachery, Chennai 42. To get appointment please call 9786901830, +91 94430 54168 or mail to consult.ur.dr@gmail.com,

 

For more details & Consultation Feel free to contact us.

Vivekanantha Clinic Consultation Champers at

Chennai:- 9786901830

Panruti:- 9443054168

Pondicherry:- 9865212055 (Camp)

Mail : consult.ur.dr@gmail.com, homoeokumar@gmail.com

For appointment please Call us or Mail Us

For appointment: SMS your Name -Age – Mobile Number - Problem in Single word - date and day - Place of appointment (Eg: Rajini – 30 - 99xxxxxxx0 – Low Libido – 21st Oct, Sunday - Chennai ), You will receive Appointment details through SMS

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