5.SEXUAL DYSFUNCTION AND INFERTILITY.pptx

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1. SEXUAL DYSFUNCTION

2. DEFINITION Sexual dysfunction is a problem with the sexual response cycle that interferes with the normal, satisfying sexual activity.

3. HUMAN SEXUAL RESPONSE CYCLE According to master and johnson , 4 phases Phase I: Excitement One attains intrinsic motivation to pursue sex Phase 2: Plateau Sets the stage for orgasm Phase 3: Orgasm the release of tension Phase 4: Resolution Unaroused state before the cycle begins again

4. CLASSIFICATION OF SEXUAL DISORDERS Desire disorders Lack of sexual desire or unintersted in sex Hypoactive sexual desire, low sexual drive, occurs at the excitement phase sexual aversion, anticipation of sexual interactions causes anxiety Arousal disorders Inability to become physically aroused during sexual activity, erectile dysfunction, difficulty to get aroused Orgasmic disorders Premature ejaculation, inability to have orgasm, hyper sexuality Sexual pain disorders Pain during intercourse Dyspareunia , post ejaculaory syndrome, priapism , coital cephalgia Non-coital sexual pain disorders

5. ETIOLOGY Medical causes Diabetes, urological infections, hypertension, cardiovascular diseases, neurological diseases, nerve damages, cancer, hormonal imbalances, kidney diseases, certain drugs Psychological causes Work related stress, anxiety, fear, past sexual trauma/abuse, concern about sexual performance, marital or relationship problems, depression, feeling of guilt, body image concern, Life style causes Obesity, smoking, alcoholism, drug abuse

6. Common sexual dysfunctions Men Erectile dysfunctions or impotence inability to get and keep an erection firm during sex Premature ejaculation ejaculates sooner than he or his partner would like Ejaculatory incompetence inability to achieve orgasm and to ejaculate despite adequacy of erection

7. Management Hormonal suppliments For men- sildenafil ( viagra ), tadalafil ( cialis ), vardenafil ( levitra ), avanafil ( stendra ) improve sexual function by improving blood supply to penis For women, estrogen , testosterone,

8. Mechanical aids: Vaccum devices for women penile implants for erectile dysfunction Dilators for women Devices such as vibrators

9. THERAPIES Sex therapy Behavioural treatments- self stimulation for treatment of problems with arousal or orgasm Psychotherapy: with trained counseller to address previous trauma, anxiety, guilt, poor body image Sex education

10. Prevention Avoid smoking Regular exercise , aerobics Maintain healthy weight Well balanced diet Avoid alcohol Avoid illegal drugs

11. Contraception

12. EMERGENCY CONTRACEPTION

13. TERMINAL METHODS Vasectomy is a surgical procedure for male sterilization and a method of permanent birth control. ● During the procedure, the vasa deferentia of a man are tied and separated to prevent sperms from entering into the seminal stream.

14. FEMALE STERILIZATION

15. THANK YOU