Saturday, September 30, 2006

SEXUAL HEALTH PROBLEMS

The list of the most common sexual problems:

(a) Problems related to infection: not only sexually transmitted diseases but such problems as vaginitis and cystitis,
which may cause a variety of sexual difficulties.

(b) Problems related to the life-cycle: those sexual problems that occur in conjunction with pregnancy, childbirth, and
the postpartum period, those associated with the menstrual cycle, etc.

(c) Problems related to a changing technology: e.g., use of condoms, hormonal contraception, of IUDs, when
breakthrough bleeding may be a problem.

(d) Problems that are related to sociocultural factors, including legal and economic factors.

The main sexual problems have also been categorized by age group as follows:

Infants and young children: educators' and parents' reactions to infantile sexuality and masturbation; children's questions; privacy problems for intimacy between parents.

Latency period: sexual curiosity, sexual games.

Puberty and adolescence: masturbation; sexual experimentation with partners; feelings of loneliness, physical and emotional inadequacy.

Unmarried adults: sexual needs; difficulties in finding a partner; feelings of loneliness and inferiority; love affairs without a future; unwanted pregnancy and wishful exposure to unwanted pregnancy.

Couples: sexual problems dependent on duration of marriage: (I) problems of initial adaptation; (II) alienation, divorce; (III) temtations and extramarital relationships, infidelty, jealousy; (IV) problems of middle and old age, quantitative differences.

Divorcees, widows, and widowers: problems largely similar to those of unmarried adults.

In addition to the problems grouped above there are some that are specific to men or women and are less related to age, such as sexually transmitted disease.

While most of the therapy programmes are concerned with the more specific psychotherapeutic approaches to sexual (erotic and copulatory) dysfunctions, it is recognized that the care of sexual problems encompasses a much broader field, including the gynaecological and psychosomatic aspects, therapy for endocrine dysfunction, and the use of drugs for infectious and other medical conditions relevant to sexual health. The consideration of genetic and endocrine factors is important in relation to both therapeutic intervention and training of health personnel, and special attention should be given to a better understanding of childhood sexuality.

4 Comments:

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