Sexual Dysfunction

Sexual dysfunction affects not only physical intimacy but also emotional ties and self-esteem, making it seem like an isolated battle for many.

People usually overlook sexual issues when considering health problems in men and women.

These issues, like low sex drive, quick ejaculation, and trouble getting or keeping an erection, are more common than you think and can be treated.

This occurs due to stress, relationship issues, or a lower quality of life. With different treatments, it’s possible to improve sex life again, as these issues can be from physical, mental, or emotional causes.

Sexual dysfunction can be any problems that prevent a couple from experiencing fully satisfaction from sexual activity. around 30% of men and 45% of women report some degree of sexual dysfunction.

In this blog, we’ll dive into common types of sexual dysfunction, breaking down its causes, signs, diagnosis and when to seek help, with insights by the expertise of Dr. Vivek Pratap Singh, the best sexologist doctor in Patna.

With years of experience and a compassionate approach, Dr. Singh has helped countless individuals and couples reclaim their confidence and rediscover joy in their relationships.

Let’s explore how expert care can light the way to a healthier, happier you.

What Is Sexual Dysfunction?

Sexual dysfunction occurs when you have an issue that stops you from enjoying sexual activity. It can happen anytime.

People of all ages experience sexual dysfunction.

Other health issues, like getting older or lifestyle choices, can also play a role, especially when combined with emotional stress.

Stress is a common cause of sexual dysfunction.

Other causes include:

Diabetes
Sexual trauma
Psychological issues
Drug use
Heart disease or other medical conditions
Certain medications
Alcohol use

Common Types of Sexual Dysfunction

Sexual dysfunction refers to various problems: Desire/Orgasm/Arousal problems, and Pain during sex.

Here, some generic and most common types among the sexual dysfunctions are prevalent in both men and women in general and are listed below.

1: Erectile Dysfunction (ED)

Erectile dysfunction means a man cannot get or keep an erection strong enough for sex.

It is a common problem many men face and can hurt their self-esteem and relationships.

Causes of ED:

Physical health conditions: Diabetes, heart diseases; high blood pressure, or obesity-cannot allow the blood to flow to the penis, thus leading to an erection problem.
Hormonal imbalance: Sometimes testosterone’s low levels may lead to ED.
Psychological: Stress, anxiety, and depression can interfere with sexual arousal as well.
Lifestyle: Moreover, smoking, excess alcohol consumption, and lack of exercise can further tip in toward having ED.
Medications: Some of these drugs used for conditions like high blood pressure, prostate conditions, and depression sometimes have certain side effects on erectile function.

2: Premature Ejaculation (PE)

Premature ejaculation happens when a man finishes too quickly during sex, usually within a minute, and it does not give either partner time to get ready after they start.

It harbors feelings of disappointment, disreputes, as well as deteriorating relations in a couple.

Causes of PE:

Psychological factors: Performance anxiety, stressful and problematic relationships are major contributors to early ejaculation.
Biological factors: Hormonal imbalances in the body, such as neurotransmitters or a high sensitivity of the penile nerves, could also be factors in early ejaculation.
Sexual experience: Lack of sexual experience, long periods of abstinence, or excessive stimulation may lead to early ejaculation.

3: Low Libido (Hypoactive Sexual Desire Disorder)

It’s a condition characterized by a persistent lack or absence of sexual fantasies and desire for sexual activity, causing distress or interpersonal difficulties.

It can affect both men and women and may be caused by physical, psychological, or relational factors.

Low Libido Causes:

Hormonal changes: Although low testosterone levels decrease the desire, it happens mostly in men. In women, the fluctuation of estrogen due to menopause and pregnancy causes a reduction in libido, as with birth control pills.
Chronic diseases: Diabetes, hypothyroidism, or depression are chronic diseases that can interfere with sexual interest.
Mental health issues: Stress and anxiety generated out of trauma may bind sexual desire.
Medications: Antidepressants, birth control pills, or any analgesics have a depressing effect on the libido.
Relationship factors: These can include emotional disconnect and unresolved conflict, or lack of intimacy, that can damage sexual interests.

4: Orgasm Disorders (Anorgasmia, Delayed Ejaculation)

Orgasm disorders involve persistent difficulties in reaching orgasm (anorgasmia) or significant delays in ejaculation (delayed ejaculation), despite adequate sexual stimulation.

These conditions can cause distress and affect sexual satisfaction.

Subtypes of Orgasmic Disorders:

Anorgasmia: Failure to climax is much more common in females and may have psychological explanations, nerve injuries, and hormonal deficits.
Delayed ejaculation: A man finds it exceptionally difficult to attain orgasm or is unable to ejaculate at all. Such situations stem from the medication side effects, nerve disorders, and emotional stress.

5: Pain Disorders (Dyspareunia, Vaginismus)

Pain during sex is a common issue that can affect people of all genders but is most frequently reported by women.

Two primary conditions are Dyspareunia (general pain during intercourse) and Vaginismus (involuntary muscle spasms preventing penetration).

Both can lead to distress, avoidance of sex, and relationship strain.

Subtypes of Pain Disorders:

Dyspareunia is pain during sex. In women, it can be caused by vaginal dryness, infections, endometriosis, or pelvic inflammatory disease. In men, it can be due to infections, tight foreskin, or prostate problems.
Vaginismus is when the vaginal muscles tighten, making sex painful or impossible. This can happen due to fear, past trauma, or other health issues.

Causes of Sexual Dysfunction

Sexual dysfunction can stem from physical, psychological, hormonal, relational, or lifestyle-related factors.

The causes vary depending on the specific disorder (e.g., erectile dysfunction, low libido, anorgasmia, pain disorders).

Below is a breakdown of key contributing factors:

1: Physical Causes

Many medical ailments, as well as physiological parameters, have a lot to do with hindrance to normal sexual functioning.

Hormonal Imbalance: Lower testosterone in men and less estrogen in women can lead to a reduced interest in sex and lower performance.
Chronic Diseases: Long-term health issues like diabetes, heart problems, high blood pressure, and nerve diseases can affect blood flow, nerve function, and energy, which may impact a man’s sexual performance.
Side Effects of Medicines: Some medications, like antidepressants, blood pressure drugs, and chemotherapy, can lower sex drive and cause issues like delayed arousal or trouble with erections.
Substance Abuse: Using too much alcohol, tobacco, or drugs can harm nerve function and hormone levels, affecting blood flow and sexual health.

2: Psychological Causes

Mental health and emotional well-being do have enough to do with sexual health.

Anxiety and depression: Mental stress can lead to different reactions in sexual health, such as losing interest in sex, trouble getting aroused, or premature ejaculation.
Performance anxiety: Worrying about not doing well can cause issues like erectile dysfunction or early ejaculation.
Past trauma: Previous experiences of sexual abuse, bad sexual encounters, or cultural beliefs about sex can lead to problems with intimacy.
Relationship issues: Problems in a relationship, like bad communication, emotional distance, and unresolved conflicts, can affect desire and satisfaction.

3: Lifestyle Factors

Also, Bad lifestyles can cause sexual dysfunction.

Malnutrition and Inactivity: Gastric disorders, troubles with circulation, and loss of energy produce more problems concerning sexual health, such as obesity.
Sleep Disorders: Disorders such as insomnia, sleep apnea, and constant fatigue affect libido and sexual endurance negatively.
Stress Levels: Work responsibilities, needing money, and personal pressures lead people into situations possible to hormonal imbalance and, hence, affect sexual energy.

Common Signs of Sexual Dysfunction in Men and Women

Sexual dysfunction can manifest in different ways depending on biological sex, underlying causes, and individual factors.

Below are the most common symptoms in men and women.

Signs of Sexual Dysfunction in Men

Erection not maintained or achieved makes this possible for erectile dysfunction; on its part, it may indicate some underlying health problems.
Referring to a negative tendency toward sexual activities, in many instances, this condition associates itself with different hormonal deficiencies or even stress.
Premature or delayed ejaculation: If an individual ejaculates before it is going to finish or has difficulty achieving orgasm, he should find out if something is wrong physically or psychologically.
Pain During Sex: Penile pain (due to Peyronie’s disease, infections, or nerve issues) or Testicular discomfort/

Signs of Sexual Dysfunction in Women

Poor interest in sexual intercourse means an extremely poor sexual desire associated usually with hormonal changes, stress, or emotional issues.
Inability to be sexually aroused: Lack of vaginal lubrication or pleasure during sexual intercourse.
Dyspareunia in having painful intercourse characterized by either a dull ache or sharp pain, brings to mind a medical nomenclature of vaginismus or infections, or may also mean hormonal deficiency.
Difficulty in achieving orgasm: If a proper stimulus is provided to reach climax but fails in doing so, in most situations, it has been caused by psychological factors or sometimes due to damage to the nervous system.
Emotional or Psychological Barriers: Anxiety, guilt, or shame around sex. Past trauma affecting sexual response.

Sexual Dysfunction Diagnosis and When to Seek Help?

Sexual dysfunction encompasses a range of issues that can interfere with a person’s ability to enjoy a satisfying sex life.

It’s not just a physical concern—emotional and psychological factors often play a role too.

Diagnosis of sexual dysfunction must undergo several evaluations to get to know what exists underlying there.

Here’s what you need to know, with guidance inspired by experts like Dr. Vivek Pratap Singh, the top sexologist doctor in Patna.

1: Medical History Review

Your doctor will ask about your symptoms—such as difficulty achieving or maintaining an erection, low sexual desire, or pain during intercourse—and how long they’ve persisted.

Such would include:

Research the onset and course of symptoms.
Any history of a medical condition, for example, diabetes, high blood pressure, or heart disease.
Medications being taken such as antidepressants, blood pressure medicines, and hormone treatments.
Previously misused substances such as alcohol and cigarettes, and drugs, including serious substances misused.
Sexual history, including exposure to satisfying or unsatisfying sex, and any traumatic incidents in the history.

2: Physical Examination

A physical exam may be conducted to check for underlying issues, such as poor blood flow, nerve problems, or hormonal imbalances.

For men, this might include examining the penis and testes; for women, a pelvic exam might be considered.

The ones included are:

Orthostatic blood pressure and heart rate measurement to assess cardiovascular well-being.
A genital examination for structural abnormalities, signs of infection, and neurological deficits.
Hormonal assays of any hormones related to low libido or erectile dysfunction.

3: Psychological Assessment

The mental state has a great deal to do with sexual functioning, which could be evaluated by a psychologist or psychiatrist; some of the following could be looked at:

Anxiety and stress disorders.
Depression is a prime factor causing low libido and interest.
Relationship problems build stress on both partners in intimate matters.
Any history of trauma or sexual abuse.

4: Laboratory Tests

For any medical condition to be ruled out, the physician asks for laboratory tests:

Hormonal studies: Testosterone, estrogen, and thyroid hormones blood levels.
Blood sugar tests: Ruling out diabetes, as it may interfere with blood flow and proper nerve functioning.
Lipid profile: Checking cholesterol and cardiovascular health.
Prolactin levels: High levels may affect libido and erections.

The diagnosis is highly personalized, as sexual dysfunction can stem from physical, psychological, or combined factors.

A skilled sexologist, like Dr. Vivek Pratap Singh, ensures a holistic approach to uncover the root cause.

When to Seek Help?

It’s normal to experience occasional difficulties in sexual performance—stress, fatigue, or a late night can throw things off temporarily.

But when should you consider professional help?

Here are some key signs:

Ongoing Problems: If you have issues like trouble getting or keeping an erection, finishing too soon, not being able to orgasm, or low interest in sex for weeks or months, it’s important to see a doctor.
Emotional Pain: If you feel shame, frustration, or anxiety about your sexual performance that affects how you see yourself or your relationships, it’s a good idea to ask for help.
Relationship Issues: If sexual problems are causing tension or distance between you and your partner, talking to a professional can help fix things.
Physical Issues: Experiencing pain during sex, unusual changes in sexual response, or signs like tiredness and weight gain (which could mean hormonal problems) should lead you to see a doctor.
Health Concerns: If you have diabetes, heart problems, or past surgeries that might affect your sexual function, it’s wise to talk to a doctor early.

Treatment Options for Sexual Dysfunction

Treatment of sexual dysfunction depends on the reasons behind it.

Therapeutic intervention may also be combined with medications or lifestyle changes in controlling the symptoms of the condition while enhancing sexual health.

1: Medications:

Prescribed medications are mostly the first line of treatment for sexual dysfunctions.

Different classes of medicines, depending on the condition, would be as such:

In Men:

PDE5 inhibitors: sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra) will be administered to strengthen the flow of blood to the penis to facilitate erection in men presenting with erectile dysfunction.
Sex hormone replacement: it is the hormone replacement of testosterone that is deficient, thus leading to low libido or failure to achieve an erection.

In Women:

Hormonal therapy: For other purposes, estrogen therapy may be done through the use of vaginal creams, tablets, or rings to treat vaginal dryness and pain during sexual intercourse among post-menopausal women.
Flibanserin (Addyi) and Bremelanotide (Vyleesi), aside from the above drugs, are also FDA approved for hypoactive sexual desire disorder (HSDD) for women.

For Men and Women:

Men and women with similar sexual problems may be treated with antidepressants like SSRIs. These drugs are usually used to help with anxiety and depression, but they can also cause issues with sexual function.
Dopamine agonists: boosting dopaminergic activity inside the body to raise levels of sexual desire.

2: Psychotherapy and Counseling

Psychotherapy and Counseling must always be part of the sexual dysfunction management team.

Usually, the psyche and emotions play the most important role in having good sexual health.

Cognitive Behavioral Therapy (CBT):

Cognitive Behavioral Therapy is the treatment for teaching individuals to recognize the negative thought patterns that are seen to contribute to their sexual dysfunction.
Suitable for stress, depression, and sexual performance anxiety-related issues.

Couples Therapy:

Encourages the expression of thoughts and feelings about each other directly.
Uncovers conflicts in the relationship that could be contributing to problems in sexual health.
Intervention strategies improve sexual satisfaction and intimacy.

Sex Therapy:

Specific therapy is directed at enhancing sexual functioning and overcoming sexual barriers.
Also includes exercises like sensate focus exercises, which bond partners without pressure for performance.

3: Lifestyle Changes

Adopting a healthier lifestyle can have a significant impact on improving sexual health.

Regular Exercise:

Improving Blood Circulation: Blood circulation is to for erection and arousal.
Increases testosterone and energy levels.
Reduces stress and anxiety, sometimes leading to sexual dysfunction.

Balanced Nutrition:

Even antioxidants found in vitamins and minerals nourish and maintain a healthy hormonal environment, favoring sexual performance.
Increase libido by including items rich in zinc, like oysters, nuts, and lean meats.
Good for blood which Omega 3 Fatty Acids (fish and walnuts) move towards the sexual organs via cardiovascular health.

Reducing Alcohol Use:

Too much alcohol consumption leads to erectile dysfunction and sexual failure.
Causes erection difficulties caused by restriction of blood flow due to celibacy.

Stress Management:

Everyone should exercise and meditate, doing yoga or deep-breathing exercises for stress relief and enhancement of sexual desire and performance.
Good sleep is also essential for energy boosting and maintaining hormonal balance.

4: Medical Treatment

Medical procedures would be offered for those not responding to medical and lifestyle changes:

For Erectile Dysfunction:

Leave aside the silicone prosthesis. Vacuum erection devices create suction on the penis and provide a non-invasive way to help an erection by sucking blood into the penis.
Penile implants: The final recourse of surgery for very severe ED after other treatments have failed.

Hormonal Imbalances Latent:

Hormone replacement therapy (HRT): Both males and females can receive therapy. Estrogen or testosterone would replace hormones and libido.

Surgical Treatment for Sexual Dysfunction:

Very rarely, Vascular surgery is conducted to increase blood flow to the genitals.
Of the sex-specific operations, hood reduction and vaginal rejuvenation would be the surgeries advocated for women in very rare situations.

Waiting till the situation becomes intolerable is not necessary. It is possible to treat sexual dysfunction, and better results are frequently obtained with early intervention.

A caring professional like Dr. Vivek Pratap Singh, who is known as the top sexologist in Patna, can offer discrete, efficient solutions that are customized to meet your needs, whether they involve advanced therapies, medicine, lifestyle modifications, or therapy.

Sexual Dysfunction Prevention and Self-Care Tips

Some of the types of sexual dysfunction cannot be prevented; however, except for the above, most sexual dysfunctions can be prevented by maintaining healthy habits.

This, in turn, exponentially increases one’s overall sexual health.

The Diet

Consume sexual health-promoting foods: green vegetables, lean meat, and whole grains.
Avoid processed foods and foods high in sugar, as these are detrimental to blood circulation and hormone levels.

Workout

Exercise for about 30-60 minutes daily for a healthy heart and stamina.
Weight lifting and aerobics boost testosterone and alleviate stress.

Talk with Your Partner

Talk about sexual health concerns, preferences, and expectations.
You should also think about getting professional counseling if relationship issues are hampering intimacy.

Stress and Psychological Well-being

Mindfulness, yoga, or meditation can be utilized to draw one’s consciousness away from anxiety and improve focus.
In addition, one can also engage in therapy or counseling to relieve the symptoms of chronic stress or depression.

Look for help early

Persistent sexual problems are no issues to ignore. That much earlier helps greatly to achieve a successful outcome in terms of treatment.
Regular health check-ups allow early detection and maintenance of underlying conditions such as diabetes, hypertension, or hormonal imbalances.

Dr. Vivek Pratap Singh – Best Sexologist Doctor in Patna

Dr. Vivek Pratap Singh is a leading sexologist doctor in Patna, who provides best treatment at his clinic in kankarbagh Patna.

He provides right treatment through the combinations of counseling and medication.

Dr. Vivek Pratap Singh has successfully treated males and females of all ages with their sexual dysfunctions.

He is a most trusted and Famous Sexologist in patna, who is curing the sexual dysfunctions from past many years.

When it comes to addressing sexual health concerns with expertise and empathy, Dr. Vivek Pratap Singh stands out as the best sexologist doctor in Patna.

Renowned for his comprehensive approach and dedication to patient care, Dr. Singh has earned the trust of countless individuals and couples seeking solutions to sexual dysfunction and related issues.

Here’s why he’s a leading name in the field and how he’s transforming lives in Patna and beyond.

Expertise and Services

Dr. Singh provides expert care for a wide range of sexual dysfunctions, including:

Erectile Dysfunction (ED): Helping men regain confidence with tailored treatments, from lifestyle advice to advanced therapies.
Premature Ejaculation: Offering practical solutions to improve control and satisfaction.
Low Libido: Identifying hormonal, emotional, or medical causes and restoring sexual desire.
Female Sexual Dysfunction: Addressing issues like painful intercourse, arousal difficulties, or orgasm challenges with sensitivity and care.
Relationship Counseling: Supporting couples to navigate intimacy issues and strengthen their bond.

If you’re ready to address your concerns or learn more about your sexual health, Dr. Vivek Pratap Singh is the go-to expert in Patna.

With his guidance, you can overcome challenges, rebuild confidence, and enjoy a fulfilling life.

Don’t let hesitation hold you back—reach out to the top sexologist doctor in Patna and start your journey to wellness today.