Sex, Pelvic Syndromes
One of the most obscure of pelvic pathological syndromes, yet one of the most psychosexually crippling, is traumatic laceration of
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One of the most obscure of pelvic pathological syndromes, yet one of the most psychosexually crippling, is traumatic laceration of
Probably the most frequent cause for dyspareunia originating with symptoms of burning, itching, or aching is a lack of adequate production of vaginal lubrication with sexual functioning.
Although emphasis has been placed upon the role of premature ejaculation in the etiology of primary orgasmic dysfunction, primary or secondary impotence also contributes. Again the basic theme of man and woman coital interaction must be emphasized.
Probably the most important psychophysiological alteration of sexual patterning to develop during the 50 to 70 year period is the human male’s loss of high levels of ejaculatory demand.
Arbitrarily, statistics reflecting the failure rates of treatment procedures for sexual dysfunction in the aging population will be considered in this section rather than dividing the material between the discussions of sexual inadequacy in the aging male and female.
The natural aging process creates some specific physiological changes in the male cycle of sexual response. Knowledge of these cycle variations has not been widely disseminated.
Composite case studies have been selected to identify and illustrate the dysfunctional characteristics of the male aging process.
Seminal-fluid volume is gradually reduced during the aging process. In the younger man with 24-36 hours of prior ejaculatory continence, the total, seminal-fluid volume averages 3-5 ml, while with a similar continence pattern, an output of 2-3 ml is within normal limits for the post 50 male.
When does it occur, if it develops? Is it a constant occurrence? What is the specific symptomatology? Should sex-steroid-replacement techniques be employed? What, if any, are the patterns of sexual responsivity engendered by these replacement techniques? So little is known of the male climacteric.