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PREMATURE EJACULATION

Premature ejaculation can be lifelong or acquired a while ago. In either case, it can have several causes, characteristics and conditioning factors. There are factors of synchronization of the sexual response in a short time, learned and fixed by the brain, and also, management of the processing of stimuli, which makes it react faster to different stimuli, therefore, the ejaculation time can be different in masturbation and vaginal penetration. In any case, this is handled with THERAPY. Therapy is a process that requires patience, perseverance and discipline, achieving that at the return of a few weeks or a few months, depending on the case, this problem is solved permanently and without drugs or medications.

ERECTYLE DYSFUNCTION

Organic erectile dysfunction is clearly associated with the physiological, hormonal and neurological issues that affect erection. It is generally associated with symptoms and effects of the pathology at hand, and its causes can be of arteriogenic, neurogenic, venoclusive, drug or pharmaceutical related, endocrinological, or special conditions such as chronic diseases or other syndromes: diabetes, metabolic S, iatrogenic, trauma, prostate pathology, renal, etc. Psychogenic erectile dysfunction is associated with psychological and emotional disorders, either transient or permanent, ranging from temporary emotional states to chronic stress. Individual or couple emotional problems, anxiety and stress, are also associated with hypoactive desire and in many cases, premature ejaculation. There is also a high correlation between ED and depression.

In primary ED, the cause is usually found in the patient's history, such as social situation or pressure, sexual abuse, education, cognitive aspects, beliefs, etc.) In cases of secondary erectile dysfunction, specific situations such as performance anxiety, depression, and relationships or conflicts are regularly associated. Although the mechanism of action in ED of these disorders is not perfectly defined,this can be treated by multifactorial THERAPY, in which the different aspects that affect this response are addressed. This can be achieved without drugs or medications.

VAGINISMUS

Vaginismus is the involuntary contraction and tension of the vaginal muscles preventing, in most cases, vaginal penetration, or making it very painful. This condition does not imply a lack of desire or attraction to the partner. It usually begins with sexual initiation and occurs in the presence of distress, stress, fear, or many other emotions and thoughts that block the sexual response. Because there is usually a lot of discomfort or pain, a fear of sexual intercourse is created, causing it to be avoided many times, which can cause distancing or problems in the couple. The fear of sexual intercourse, makes the muscles tighten even more, increasing the pain and causing a reflex reaction, even to the only rubbing of the vulva, generating sexual dissatisfaction. Vaginismus can be treated with Therapy, without drugs or medications, with psycho-affective, cognitive-behavioral and sexological intervention, as well as could, in some cases, requiring Kinesiological complementary intervention.

HSDD HIPOACTIVE SEXUAL DESIRE DISORDER

Hypoactive Sexual Desire Disorder is a drop in desire characterized by the decrease (or absence) of fantasies and desires for sexual activity on a persistent or recurrent basis. The judgment of deficiency or absence must be made, taking into account factors that, such as age, sex and the context of the individual's life, affect sexual activity. This disorder causes marked discomfort or interpersonal relationship difficulties and is not better explained by the presence of another disorder (except other sexual dysfunction,) and is not due exclusively to the direct physiological effects of a substance (e.g., drugs, drugs) or a medical illness. It is specified that it can be lifelong or acquired and usually due to psychological, emotional/spiritual factors, or a combination of them. It can be managed with sexological and kinesiological THERAPY, if necessary. This is done without drugs or medications.

ELDERLY and SEXUALITY

While the psychological and emotional effects in menopause and andropause could be treated successfully, it is true that there are a number of physiological effects at the genito-urinary level, which can significantly alter the cycle of sexual response, from the desire phase to the resolution phase. If a person were suffering from these changes, it is inevitable that changes will also arise in the couple, in the relationship, behavior, processes and results of the exercise of sexual function as a couple. In the relationship, it is difficult to separate the affections of one member, from those of the other, we can say that any of the parties that is going through a hormonal "decay", will inexorably affect the other. Therefore, it is necessary to treat menarche, impairment or andropause as a couple´s syndrome. Therefore, at this stage, the need to reorder and readapt the expectations, processes and sexual techniques of individuals and the couple is raised, so that the levels of satisfaction and the respective implications in the affective relationship of a couple, can be maintained.

COUPLE´S DYSFUNCTION

In all couples, when there is love and commitment, problems, conflicts and discrepancies, can be handled with communication and empathy. However, in some cases, the relationship is cracking and without realizing it, there comes a time when even communication works to solve problems. Sometimes gaps and voids grow, without the couple even realizing it, and If so, not wanting to face, until a truly strong crisis arises. These crises can have psychological, emotional, affective, sexual roots and components, or a combination of several. In these cases, symptoms such as lack of intimacy, communication and sexual relationship are evident, in most cases. In others, simply avoidance, distancing, little time shared and situations of tension when it is time to confront and/or solve issues together.

These episodes can lead to frustration, infidelities or simply isolation from one or both members of the couple. Crisis are usually generated by unresolved issues, which can have a long time underlying the relationship. And in many cases, these crises are opportunities to work on them and renew the relationship. If both still feel affection and value the couple and / or the family, guided, oriented and accompanied COUPLES THERAPY can be carried out, achieving results that, in most cases, strengthen the couple and prepare them to handle any other conflict that may arise.

SPECIAL CASES

There are conditions or events that change the management of our sexuality. Aging, a chronic disease such as diabetes or hypertension, cancer, surgery, a spinal cord injury, or simply some congenital pathology, which requires a different management of sexuality. In these cases, appropriate counseling can help in the rehabilitation, stabilization and effective management of a satisfactory sexuality, either alone or as a couple. Life events do not have to end that important part of our human condition. We all need to be able to live our sexuality and have the best sexual health possible. This is entirely feasible with professional sexual counseling.

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