Topic of the Month

Sexual Disorder : for men & Women

Sexual function is a complex blend of anatomic, neurological, metabolic, endocrine and psychic factors an important human activity. Sex is just not a physical activity but also a mental relaxation and up liftman. If any one of the partners remain dissatisfied, the family life is disturbed. The male partner always worries of his ability to satisfy his female counterpart. If there is an erection, retention and early ejaculation problem then the male subject is designated as sexual dysfunction.

A person who is unable to perform and maintain erection sufficient for mutually satisfying intercourse is known as klaibya or dhajabhanga. All the classical and compilation work of Ayurveda deals with fertility, sexuality, its problems and solution as well as positive health in a separate chapter known as vajikarana tantra. Description about vajikarana and klaibya are available in the entire span ranging from Vedas to the present day text.Aim & objective of vajikarana tantra of Ayurveda is very clear and comprehensive i.e., procreative and recreative. This includes treating the mind as well as body.Next to the need of  food, water and sleep, the sexual urge is the most powerful biological drive. The importance of this aspect  of human life is duely recognised by Ayurvedic authority in a separate section known is vajikarana  tantra. The inability to perform normal sexual desire and a willing partner is not able to have coitus with her due to lack of rigidity of the penis . Even if he manages to have erection, his anxiety will cause attacks of dyspnoea and profuse sweating and his attempts to have sex will result in a failure.Maharshi Vatsayan “Kamsutra” the famous  book of sexology is mainly related to reecreative  & charak samhita  described both procreative and recreative.

Common Causes :

Excessive masturbation.
Complete loss of desire (even in young man)
Excessive indulging in sex.
Local Injury
Syphilis.
Enlargement of prostate gland.
Impotency with diabetes mellitus
Mumps, obesity, excessive alcohol intake, smoking & drugs intake.

Few male Sexual disorders:  

• Inability to have coitus due to lack of erection.

• Premature ejaculation.

• Loss of sexual desire.

Premature Ejaculation:

Premature ejaculation is persistent or re-current ejaculation with minimal sexual stimulation before, upon or shortly after penetration and before the person wishes it and is associated with marked distress or interpersonal difficulty. Premature ejaculation is a problem experienced mainly by younger men who  masturbation when timing and control were unimportant . It may also occur after a prolonged period without sexual intercourse.

Types  of premature Ejaculation:

Neurological system premature ejaculation - often responds well to detailed psychosexual skills training to compensate for thee physiological pre-dispositional pharmacological agent

Physical Illness pre mature ejaculation -- can be caused by a number of acute diseases is acquired and occurs in all sexual situations. The most common cause is Prostatitis, other possible cause are Diabetes, Sexually Transmitted Diseases, virtually any urological pathology such as prostatic hypertropy, epilepsy, endocrine irregularities, athreoscleresis, cardio-vascular disease, generalise neurological disease, localised sensory impairement spurious polycythemia, cerebral tumours and poly neuritis

Physical Injury premature ejaculation-- it may caused by spinal cord injury, head injury, trauma to the sympathetic nervous system ,pelvic fractures and other torso trauma or localise sensory impairment.

Psychological system pre mature ejaculation—is caused by a personality characteristic that speeds ejaculation due to psychological disorder such as bipolar mood disorder, generalised anxiety disorder, obsessive compulsive disorder or one of the personality disorders.

Erectile dysfunction :

Erectile Dysfunction sometimes called impotence is the repeated in-ability to get or keep an erection  firm enough for sexual intercourse. In older men, erectile dysfunction has a physical cause such as diseases, injury or side effect of allopathic drugs any disorder that causes injury to the nerves or impairs blood flow in the penis has the potential to cause  erectile dysfunction.
Cause : Erectile Dysfunction can occurs when any of the events  is disrupted. The sequence includes nerve impulses in the brain, spinal column and area around the penis and response in muscles, fibrous tissues, veins and arteries in and near the corpora cavarnosa. Diseases such as diabetes, kidney diseases multiple schlerosis, athroschlerosis, vascular diseases and neurological diseases caused erectile dysfunction. Surgery, (specially radical prostate surgery for cancer) can also injures nerves and arteries near the penis, injury to the penis, spinal chord, prostate, bladder and pelvis can lead to erectile dysfunction, smooth muscles, arteries and fibrouse tissues of the corpora cavarnossa. Many common allopathic medicine like anti-hypertensive, anti-histamine, anti-depressant, tranquilizer, appetite suppressant and ulcer healing drugs can produce erectile dysfunction. Psychological factors such as stress, anxiety, guilt, depression, low self  esteem, and fear of sexual failure cause erectile dysfunction. Patient suffering from infection , gastric disturbances, who have undergone surgery recently, trauma, and during convalsence are likely to suffer from transient dysfunction. Other possible causes are smoking, and chronic alcoholism.

Loss of sexual desire or Libido:

Loss of libido can be result  from endocrinal dis-balance and psychological factor such as stress, anxiety, depression. There are some disease and medicines which are directly affect the sexual desire and libido.

Few female Sexual disorders:

Some diseases cause sexual dysfunction in women.

Menopause:

There are some common changes in the physiology of sexual function after  menopause. This is primary a result of a decrease  in estrogens and testosterone levels. As women age they also experience decreased blood flow to their genitals. Common complains include a loss of desire, diminished responsiveness and low sexual arousal. Vaginal atropy, which involves thinning, drying and irritation of thee vaginal lining, causes significant distress for thee menopausal woman. Since there are some specific sexual changes during and after menopause and often impairment of physical health, continuity of sexual function and enjoyment require flexibility and adaptability on the part of the woman and her sexual partner. Again intimate relationship , relatively free of conflict , will support and enhance the sexual relationship.

Dysfunctional Uterine Bleeding:

It is the condition where women have  profuse bleeding per vagina  or heavy irregular menstruation bleeding  without any caused mostly happen in women who are older than 45 and sometimes in young girls. This may cause a sexual debility in female.,

Loss of Libido:

Loss of libido is a common problem that women face from time to time. Generally  female hormones are directly responsible for female sex drive and libido. In addition to this fatigue, stress, depression, and medication are just a few of the other possible factors that may interfere with sexual desire. Again libido can result in difficulty becoming aroused and ultimately achieving climax or orgasm.

Dyspareunia :

This is an abnormal pain during sexual intercourse. It may result from abnormal conditions of the genitalia, dysfunctional psychophysiology reaction to sexual union, forcible coition, or incomplete sexual arousal.

It is not a disease, but rather a symptom of an underlying physical or psychological disorder. The pain, which can be mild or severe, may appear in the genitals, the pelvic region, or the lower back. The condition is much more common among women.
Cause: Chronic pelvic inflammatory disease
Endometriosis, Vaginal agenesis
Vaginal duplication
Vaginal septation / dryness,
Chronic constipation
Hemorrhoids
Inflammatory bowel disease
Past Surgery
Depression
Interstitial cystitis
Ovarian mass

Herbs & Minerals which are useful :

Safed Musli (Chlorophytum Borivilianum):

The dried roots of Safed Musli (also known as asparagus) are used in Ayurveda as an aphrodisiac. 

Primarily used as a tonic and rejuvenative for the reproductive system. The regular use of this herb is valuable in impotency , premature ejaculation & low sperm count in men.

It is also useful during pregnancy as a nutritive tonic for mother and fetus. Post-partum it replenishes lost fluids, prana, ojas and improves the quantity and flow of breast milk. Used in chronic leucorrhoea.

Ashwagandha (Withania somnifera) : 

The herb helps to cure female sterility. Powder of the roots in 6gram doses can be taken with milk for 5 to 6 successive nights after menstruation.

Two to four grams of root with milk or ghee can be taken as an aphrodisiac to enhance libido. It is also beneficial for the treatment of spermatorrhoea or involuntary ejaculations. Two to four gram of powdered root can also be taken daily with sugar, honey, long pepper and ghee in the treatment of these conditions.

Garlic:

Drumstick:

A soup made with about 15 gms of drumstick flowers boiled in 250ml milk is very useful as a sexual tonic in the treatment of sexual disorder. It is also useful in the functional sterility in both males and females. The powder of the dry bark is also valuable in impotency, premature ejaculation and thinness of semen. About 120 gms of powder of the dry bark should be boiled in half a liter of water of about half an hour. Thirty grams of powder, mixed with tablespoon of honey, should be taken thrice daily

Ginger:

The juice extracted from ginger is a valuable aphrodisiac and beneficial in the treatment of sexual weakness. For better results, half a teaspoon of ginger juice should be taken with a half boiled egg and honey, once daily at night for a month. It is said to relieve impotency, premature ejaculation and spermatorrhoea.

Diet: 

Diet is an important factors, to begin with the patient should adopt an exclusive fresh fruit diet. Take fresh fruits and fresh  fruit juice twice daily. Concentrate on foods like nut, cereals , some green vegetables, fruits, milk, honey etc. Avoid smoking, alcohol, tea, coffee all processed canned refined and denatured foods especially white sugar and white flour and products made from them.

Life style: 

A vigorous massage with Vita-ex Massage oil is highly beneficial in the treatment of debility as it helps to revive muscular vigor which is essential for nervous energy. The nerves of the genital organs are controlled by the pelvic region. Hence cold hip bath for ten minutes in the morning or evening is very effective.

Ayurvedic Supplements :