"Is this leaving work, I'll come back next time?"
At 12 noon, the doctor was about to clean up the table, went to the cafeteria for lunch, the door of the consultation room was knocked lightly, the doctor looked up, it was an uncle who was knocking on the door, it looked a little familiar, these days the uncle always hovered outside the examination room, just did not see him to come for consultation.
The doctor quickly asked him to come in and sit down, but the uncle was really a talking basket, and after coming in, he asked the doctor how old he was, whether he was married, whether he was tired from work, and chatted a lot of homely things. The doctor touched his hungry stomach, quickly asked his uncle to stop, and asked Qinglai: "Uncle, I have always seen you shaking outside these days, is there something wrong with your body?" ”
"Alas, it's embarrassing to say, I'm 60 years old this year, widowed for 5 years, got married for the second time a month ago, I don't know why husband and wife life is far less than before, if I can score 100 points before, now only 40 points, what to do?" The uncle twisted and pinched his mouth, there were many patients who came to wait a few days ago, so that he has been embarrassed to register to see a doctor, this time just bumped into and from work, there were many fewer people, he plucked up the courage to knock on the door.
"There's nothing embarrassing, there are many people who look at sexual dysfunction, some older than you, some younger than you, let's treat it the same!" The doctor intimately calmed the uncle and told him that male sexual dysfunction is very common in middle-aged and elderly people, and there is no need to be ashamed.
In daily life, many people humiliate men The most common words are "you can't", sexual ability seems to be the most important indicator to evaluate a man's ability, when a man has sexual dysfunction, it is often ridiculed, in fact, there is no irony. As we age, sexual function declines in all people.
First, why the older the man, the weaker "that aspect" is
When you get older, your hair will turn gray, your face will have more and more wrinkles, and your intercourse will become worse and worse. According to statistics, 57% of men over the age of 40 have some degree of sexual dysfunction, but only 17% can summon the courage to go to the hospital.
What exactly counts as sexual dysfunction? There are 4 main manifestations of sexual dysfunction, see if you have a trick, including frigidity, premature ejaculation, erectile dysfunction, retrograde ejaculation, etc., of which the highest incidence is premature ejaculation (44%), and then erectile dysfunction (32%).
For men, there are several main reasons for sexual dysfunction:
1. Aging and chronic diseases
After the body goes down aging, including the reproductive system, many tissues and organs of the human body will also undergo degeneration, especially after the age of 50, male male hormones are sharply reduced, which will cause a series of menopausal syndromes such as decreased libido, irritability, insomnia and so on.
As they age, many men suffer from chronic diseases, such as high blood pressure, diabetes, coronary heart disease, etc., which may affect sexual function. Taking diabetes as an example, in the state of high blood sugar, hemodynamics will also change, and blood viscosity will increase, which may affect the blood supply of "Tintin" and hinder normal erection. Moreover, diabetes also has an impact on the nerves, which may affect the transmission of sensory signals for sexual stimulation, making men unable to do anything about intercourse.
Some drugs for chronic diseases may also have an impact on sexual function, such as thiazide diuretics, whose component hydrochlorothiazide may cause decreased blood flow to the penis and reduce androgen secretion. A study by Fuwai Hospital showed that the use of thiazide diuretics in small doses can also lead to a 2-fold increase in the incidence of fertility dysfunction.
3. Male genitourinary diseases
The genitourinary system is the basis of male sexual performance, and its state directly determines the quality of sexual performance. Taking the most common prostatitis as an example, the prostate gland has been repeatedly hyperemic for a long time, and the contractility of the walls of the vas deferens duct and prostate excretory duct may also be affected, resulting in weakened ability of male tadpoles to eject and sexual dysfunction.
4. Psychological factors
Unexpectedly, sexual dysfunction is also a "heart disease", there are research statistics, 80% of sexual dysfunction is caused by psychological factors, if the treatment of psychological intervention can be effectively improved. Now many men are in a nervous, anxious, depressed mood, huge pressure may lead to endocrine system disorders, affecting the testicular secretion of androgens, if the body is in a state of androgen depression for a long time, sexual desire and erectile function may also decline.
Some people have a wrong concept of sex, thinking that intercourse hurts the body, a drop of sperm and ten drops of blood, thereby inhibiting intercourse, or having had an unpleasant sexual experience, and will also have a fear of married life. Many people also ignore the impact of the relationship between husband and wife on sexual function, the partner is the closest person in life, if there is a long-term dispute, or even a fight, the couple's feelings are getting weaker and weaker, which can easily lead to sexual frigidity.
5. Bad habits such as smoking and drinking
According to statistics, the smoking rate of men over 15 years old is 50.5%, tobacco contains nicotine, which will stimulate the contraction of blood vessels, affect the amount of blood in the penile arteries, and affect erection. Few people know this, and the "2022 Shenzhen Adult Tobacco Epidemic Survey Report" shows that only 31.1% of people know that smoking causes impotence in men.
Alcohol can affect testosterone secretion in the testes, resulting in a decline in androgens in the body, thereby inducing erectile dysfunction. And excessive intake of alcohol will also inhibit nerve function and make people's responses dull, and it is difficult to "drink promiscuously" at this time.
Male sexual dysfunction is related to age, and chronic diseases, genitourinary diseases, psychological factors, smoking and drinking bad lifestyle habits, need to be improved. Male sexual dysfunction is becoming more common, but many people don't know that women also have female sexual dysfunction.
Second, cold knowledge: sexual dysfunction is not exclusive to men, and women will also be recruited
According to statistics, half of the world's middle-aged women have sexual dysfunction, and after menopause, the prevalence soars to 100%. The main manifestations of female sexual dysfunction are sexual interest/arousal disorder, female orgasm disorder, genital-pelvic pain/penetration disorder, and male sexual dysfunction.
Why do women become incapable when they get older? Let's take a good pick.
The first reason to introduce is estrogen deficiency. After the age of 35, the ovaries begin to age, and after the function is reduced, the secretion of estrogen will slowly decline, especially in menopause, estrogen will experience a cliff-like landslide. Because of the lack of estrogen, sexual function will also change, such as vaginal atrophy, decreased vaginal secretions, decreased lubrication and a series of other problems.
Estrogen itself is a source of sexual desire, and if estrogen is low in the body, it is difficult for women to be interested in couples' affairs. Estrogen is also an important hormone for maintaining the female reproductive system, it can promote the normal development of the vagina, so that it maintains a certain elasticity, and can also maintain the production of vaginal secretions. It is conceivable that if there is too little estrogen, the vagina may shrink and the discharge will be reduced accordingly, resulting in a decrease in the lubrication of the vagina.
In addition, some diseases can also cause sexual dysfunction in women, such as endometriosis, uterine fibroids, uterine prolapse and other gynecological diseases, which will cause pain and decreased libido in women's husband and wife life.
According to statistics, 43.3% of endometriosis patients have sexual dysfunction, these patients' endometrial tissue "deviant" grows outside the uterine cavity and myometrium, if it occurs in the vaginal rectal septum or the uterosacral ligament, often can lead to painful intercourse symptoms. During sex, pain is caused by the movement involving the affected area.
Finally, many people may underestimate the impact of childbirth. Some women may face vaginal tears, vulvar tears when giving birth, and even if they heal, they may lead to decreased sensitivity of their private parts, or vaginal narrowing, which is prone to pain in the couple's life.
Sexual dysfunction occurs in both men and women, which is not a shame, and it is necessary to focus on timely response and improvement.
3. How to deal with sexual dysfunction? Do 3 points to improve
The cause of sexual dysfunction is complex and usually does not heal itself, so find that you have relevant signs, don't stupidly wait at home for the "little brother" to recover on their own, to deal with the cause, but also to improve in life.
First, identify the cause. As mentioned earlier, many sexual dysfunctions are related to diseases, if the body has high blood pressure, diabetes, coronary heart disease, etc., it is necessary to strictly take medicine to control the condition. If the drug you take has an impact on sexual function, do not stop the drug rashly, so as not to cause a sudden deterioration of the condition due to the withdrawal of the drug, and communicate with the doctor to adjust the drug.
Secondly, follow the doctor's advice for professional treatment. For different symptoms of sexual dysfunction, the treatment used is also different, such as for erectile dysfunction, you can choose PDE5 inhibitors such as tadalafil and sildenafil. Estrogen therapy may also be used for female intercourse pain.
Remember not to buy "kidney and aphrodisiac" health products at will, in fact, many such aphrodisiacs have been added with sildenafil in violation of regulations, if taken irregularly, it may cause a drop in blood pressure, and in severe cases, it may also lead to shock.
Also, don't forget to improve your mental state and receive sex education. Receive professional psychological counseling from doctors, including cognitive therapy, behavioral therapy, etc., to eliminate sexual anxiety. Many people may have fear and disgust for sex life because of some special experiences in the past, or have higher expectations for sex life than the actual reality, resulting in anxiety and frustration, resulting in sexual dysfunction, which requires cognitive therapy to correct the cognition of sex and build confidence.
Some people have psychological problems with sexual dysfunction, mainly because they are too concerned about their performance in bed and the satisfaction of their partner. You can receive behavioral therapy, systematic desensitization training through muscle relaxation techniques, relax your muscles, and also reduce the psychological burden and get rid of anxiety.
Women in modern society face the dual pressure of work and family, especially after entering menopause, women's mood swings are large, easy to be anxious, and easy to lose the desire for sexual life. Therefore, in daily life, we must learn to release our pressure reasonably, talk to family and friends more, go out to exercise, travel, etc., which can reduce the psychological burden.
Summary:
The human body is like a huge and sophisticated machine, with the aging day by day, the "parts" will also age, sexual function will naturally appear obstacles, we have to do timely response, do not be ashamed to seek medical treatment, can go to andrology, gynecology registration. Long-term unsatisfactory sex life can also have a negative impact on mental health, fall into a negative and depressed mood, lose self-confidence, and further aggravate sexual dysfunction.
Resources:
[1] WU Han,JIANG Hui. Psychopsychological abnormalities and sexual dysfunction[J].Chinese Journal of Clinicians,2022,50(06):643-645.)
[2] Ju Rui, Ruan Xiangyan, Dai Yinmei, Bai Yongtao, Yang Yu, Xu Xin, Cheng Jiaojiao, Yang Xingzi, Shi Yanhong, Sun Yanhua, Li Ruiling. Journal of Capital Medical University,2022,43(03):357-363.)
[3] LI Huaqiang. Effect and clinical treatment analysis of chronic prostatitis on male infertility and sexual dysfunction[J].Chinese Journal of Health Standard Management,2021,12(12):43-46.)
[4] Tayil Yasheng, Akbar Mahmuti. Common manifestations and treatment measures of male sexual dysfunction[J].World Latest Medical Information Digest,2017,17(30):82+85.)
[5] JIANG Qingfeng. Risk factors for male sexual dysfunction[J].Electronic Journal of Clinical Medical Literature,2016,3(56):11111.)