Medical expert of the article
Erectile dysfunction in men and a lack of sexual excitability in women
All iLive content is medically reviewed or fact checked to ensure as much factual accuracy as possible.
We have strict sourcing guidelines and only link to reputable media sites, academic research institutions and, whenever possible, medically peer reviewed studies. Note that the numbers in parentheses (, , etc.) are clickable links to these studies.
If you feel that any of our content is inaccurate, out-of-date, or otherwise questionable, please select it and press Ctrl + Enter.
Erectile dysfunction in men and a lack of sexual excitability in women is a consequence of the excitation phase in the cycle of sexual reactions. Men suffering from this disorder have difficulty in achieving and maintaining an erection (impotence) or an erection in them is not sufficiently expressed. In women with such a disorder, the ability to secrete vaginal lubricant may be impaired.
Some people with such violations have a long history (history) of violations of erectile or sexual excitability, while in others these abnormalities occur suddenly, after a long period of normal sexual life. So, a 50-year-old man during 25 years of marriage rarely had difficulty in achieving an erection. A year after the death of his wife, he entered into a new relationship, and at the first attempt to sleep with his chosen one, he did not have an erection. In another case, a 27-year-old woman experienced no sexual arousal, although she desired sex. In the past, during her previous relationship, she always experienced physical excitement during a love game. Further inquiries showed that her partner did not stimulate her in the way she was used to.
, , , , , , , , , , , 
Causes of erectile dysfunction in men
If problems with erection or excitability first arise suddenly and after a long, satisfying sexual life, you should seek an explanation from a doctor. As we have already mentioned, various medications and diseases cause a breakdown in the cycle of sexual reactions.
If a man develops erectile dysfunction, he should probably go to the urologist to find out whether the causes of these disorders are organic or psychological. Often, problems have both organic and psychological roots, as was the case with a man who did not have a full enough erection. The problem began a year after diagnosing his diabetes (a very common cause of impotence) and his appointment of insulin treatment. His wife's complaints about a lack of erection caused him to fear that he would not be able to have an erection at all.
Studies of organic disorders include blood flow levels and the monitoring of the condition of the arteries and veins of the penis, which also determine the likelihood of neurological damage. In most men, in such cases, the level of nocturnal erection is determined. For two or three nights, patients sleep in a specially equipped laboratory. Devices fix the state of the organism in different phases of sleep, in particular during the REM-phase. In addition, a very practical test for using it at home was also offered: if an erection does not occur during the fast-sleep phase, then we can assume that the underlying cause of dysfunction is the organic cause. Unfortunately, the development of methods for establishing organic factors for sexual disorders in women lags behind those in men, although somatic examination and hormonal tests can help to clarify their organic causes.
Treatment of erectile dysfunction in men
In disorders of erection or sexual excitability, behavioral psychotherapy that promotes the reduction of fear is shown. As a rule, sensitizing exercises are recommended. In this case, sex itself is postponed and in return it is first recommended tactile contact and emotional stimulation. At the same time, both man and woman should encourage one another and support during the treatment of their partner, especially if sexual problems are related to difficulties in relationships.
The difficulties of erection in many men are due to the fear of failure. They arise either because of increased self-control (the "role of the observer") or because of excessive concern about the degree of erection. Men with potency problems are particularly sensitive to their partner's critical remarks about the lack of their erection; they experience a feeling of inferiority and guilt. Therapy in such cases concentrates on acquaintance of partners with other forms of sexual relations, except for direct genital coitus.
For men with organically caused erectile dysfunction, implantation of the prosthesis of the penis can be used as a means of realizing the penetration ability. Each such operation should be based on expert opinions of psychologists, psychiatrists, sexologists and urologists. In some cases, when the enjoyment of sex is hampered by mental problems, both long-term psychotherapy and behavioral sexual therapy are shown.