- The Importance of Psychiatry in Sexual Distress
Sexual problems experienced in the middle of couples can sometimes be short-term, temporary problems, and sometimes they can be caused by congenital issues. Many factors affect sexual problems. However, the most valuable factor is considered to be mental problems. For this reason, psychiatric applications have a valuable place in sexual problems. From the Department of Psychology at Memorial Bahçelievler Hospital, Uz. psi. Isk Beyribey gave information about the importance of psychiatry in sexual problems.
- What is Sex Therapy?
Sex therapy is a type of psychotherapy that can affect an individual’s sexual function, impulses, and desire for intimacy, and therefore is applied by addressing the person’s mental health problems and emotional concerns. This therapy is a kind of cognitive behavioral treatment applied to individuals or couples with sexual problems by trained psychiatrists and clinical psychologists about sexual issues.
During the therapies, the masturbation experiences of the person, his partnered sexual relationships, past sexual life characteristics, the continuity of sexual connections and the first sexual intercourse experience are evaluated; The drugs that the person is using, the diseases he has experienced in the past, and the general health status information are also obtained. Then, when and how the sexual problem started, how it changed, and the development of treatment attempts until then are examined.
- What are the Physiological, Sociological and Spiritual Factors in Sexual Distress?
Although the midrange deterioration of sexual functions is not pathological, this picture must be continuous in order to diagnose the disease. Although the most common sexual problem is premature ejaculation with a rate of 40% in men, the most frequently consulted issue for the doctor is erectile dysfunction, which is contraindicated for sexual intercourse. In severe premature ejaculation disorders, for example 1 min. In cases of premature ejaculation, which lasts up to 30 minutes, a doctor is consulted at the request of the person’s partner.
Generally, men younger than 40 seek treatment for psychological reasons, and men over 40 seek treatment for premature ejaculation for physiological reasons. The role of lack of sexual knowledge in the occurrence of orgasm problems in women is high. While the rate of sexual reluctance is higher in women, the rate of consulting a doctor with vaginismus complaints is higher due to the inconvenience of sexual intercourse again.
Determining whether the sexual problem is primarily physiological in origin is valuable in excluding this possibility. In the midst of the causes of biological sexual problems; Sexual function problems can be seen due to diseases such as cardiovascular diseases, prostate gland problems, diabetes, hormone problems. If it is caused by a medical or biological reason, the treatment is planned with drugs or other medical treatments, and urology, gynecology and obstetricians are supported in this regard.
Between 35 and 50 percent of people experience sexual problems at some point in their lives. Sexual problems can be primary or secondary. If the person has always faced one-on-one trouble since the beginning of his sexual life, the disorder is a primary disorder. If sexuality is definitely in a state of satisfaction and subsequently deteriorates, it is a secondary disorder. For example, while vaginismus is a primary disorder in our society, erectile dysfunction is mostly a secondary disorder.
- Psychological Sexual Problems
In the formation of the questions, cultural and psychosocial factors can accompany together, innate characteristics, growth conditions, the attitude of the families, the family’s view of sexuality, past traumas, educational status, information learned in childhood, subconscious conflicts that occur in later periods, psychosexual developmental period in developmental periods. glitches, communication problems within the couple, and the reasons for the problems can be listed in the middle.
Although sexual problems cannot be attributed to a single cause, one of the most valuable factors in the formation of sexual problems is our feelings. Sexuality, which is experienced in a way that is far from feeling, does not satisfy individuals and as a result, a problem of belief arises. The deeper the feelings felt for the partner, the more passionate the experience will be, and in this case, it will be easier to deal with troubles. Tension other than feelings, fear of not being able to satisfy the spouse, first night worries etc. can cause sexual problems.
- What is Sex Therapy Background?
Vaginismus and premature ejaculation cases, sexual reluctance, erectile dysfunction, arousal and orgasm disorders in women can be treated to a large extent with the practice of “Sexual Therapy” throughout the world and in our country since the 1970s. Depending on the type of sexual problem, couples, sexual treatments last for 2-4 months on average, but there may be cases where the treatment takes 1-2 years.
- How is Sex Therapy Applied?
Sexuality, which we cannot limit only to the genitals, is a concept that is influenced by the body, psychology and social markers, and is shaped by our feelings, ideas and beliefs. For this reason, when sexual problems occur, if the problem is not based on a physiological source, in interviews with individuals, the real reasons underlying this problem are tried to be revealed. Even if the sexual problem occurs due to a medical reason, sexual therapies can be applied to relieve mental factors and support the individual.
In the middle of sexual therapy methods, there are behavioral, cognitive, psychoanalytic, systemic, couple and individual psychotherapy techniques with Masters and Johnson approach. The patient is treated by talking about the situations, worries and feelings.
The purpose of sexual problems is to shape the learning style of the person. In this process, by creating a faithful learning environment, the person is encouraged to discover himself, his identity, his body and his relevance under his own control.
- What to Talk About in Sex Therapy?
Since the sexual therapist is responsible for the selection of the treatment to be applied, he should inform the patient about the treatment details and get his/her opinions. Before the treatment, the structure of the sexual problem in question, its causes, the couple’s feelings and ideas about the issue, the development of the problems and experiences in the process, what the effects are if there are ways that have been tried before, the characteristics and rules of the treatment to be applied afterwards, the effectiveness of the treatment to be applied for the problem. information should be given.
During the interviews, an evaluation is made on the experiences, fluctuations, feelings and intentions, sexual life aimed at, and the communication problems of the couple at the same time. In the next process, coping mechanisms that can provide positive developments are discussed on the basis of having a healthier sexual life and maintaining emotional connection within the framework of health.
- How Many Sessions Does Sexual Therapy Take?
Vaginismus and premature ejaculation cases, sexual reluctance, erection problems, arousal and orgasm disorders in women can be treated to a great extent with the practice of “Sexual Therapy” throughout the world and in our country since the 1970s. Depending on the type of sexual problem, couples, sexual treatments last for 2-4 months on average, but there may be cases where the treatment takes 1-2 years.
- What Sexual Dysfunctions Are Treated by Sex Therapy?
Vaginismus, premature ejaculation, erection problems, pain in sexual interest, sexual desire problems, arousal disorders, orgasmic disorders can be treated with sexual therapies. In addition to the issues that occur due to lack of sexual education in our country, inadequacy of sexual experience, false beliefs about the issue, can be specified in addition to the points that need to be supported during therapy.
- What are the Exercises in Sex Therapy?
It is not used in daily life, but when the muscles used during sexual intercourse become weak, it can lead to negative consequences such as loss of erection and premature ejaculation. Several exercises can be recommended to deal with these issues.
Push-ups:The exam is one of the movements that develops the chest, abdomen and arm muscles the best.
Running:It is a nice cardio workout that prevents fatigue quickly.
Kegel training (Pelvic floor exercise):Since one of the muscles that most affect sexual functions in men is the pelvic muscle, strengthening these muscles can help in controlling the ejaculation time and hardening.
Pelvic lift (Bridge) training:It develops the most sexually valuable muscle clusters.
Urdhva Mukha Svanasana (Upward facing dog pose): It is a yoga movement that helps strengthen the abdominal muscles and stretch the pelvic muscles.
Seated Straddle Stretch:It helps to accelerate blood flow and relax the pelvic muscles.
Reclined Butterfly Pose:It is a movement that facilitates sexual situations by helping the development of the inner leg muscles and lower abdominal muscles.
Plank stance (Push-up stance):It is effective in strengthening the abdominal muscles, upper legs and hips.
Lying Leg Raises:It is effective for strengthening the abdominal muscles and the muscles in the groin area.
- What are Sexually Transmitted Diseases?
- hepatitis B
- HPV Infection
- Herpes (HSV Infection)
- What are the mistakes that are considered to be wrong in sexuality?
- Men shouldn’t necessarily express their feelings.
- The male must make the sexual connection request and the male should initiate the connection.
- A woman who expresses her sexual desire is a light person.
- Talking and thinking about making love spoils its naturalness and pleasure.
- When there is a problem with sexual intercourse, this will continue.
- A man is powerless if he is having sexual problems.
- There is no need to go to the doctor for sexual problems.
This fact is known, but false myths are corrected in public, and as the level of sexual education increases, it will be easier to deal with issues.