SEX THERAPIST & COUNSELLING

Sexual disorder

Sexual disorder involves difficulties in sexual functioning, desire, performance, physical pleasure, preference, arousal or orgasm. It can be at any stage of a normal sexual activity. A sexual disorder can cause distress in the life of the person suffering from it, a major impact can be seen in marital relations, to one’s own self-esteem and even other interpersonal relations.Many of the sexual disorders are due to performance anxiety, worry, guilt, stress, medications, addictions and even past experiences while others may have biological and other medical reasons.
Whatever may be the reason, it is vital to get the right Sex Counselling in Mumbai for healthy sexual life. We also offer sex counseling online

The various types of sexual disorders are:

Sexual desire disorder
1. • Hypoactive sexual desire disorder – deficiency or absence of sexual fantasies and desire for sexual activity.
   • Sexual aversion disorder – it is the aversion and active avoidance of genital contact with a sexual partner

Sexual arousal disorder
1. • Female sexual arousal disorder – it is a persistent or recurring inability to attain or maintain until completion of the sexual activity. Inadequate lubrication and or swelling response to sexual excitement can be seen.
   • Male erectile disorder– it is a persistent or recurring inability to attain or maintain until completion of the sexual activity, an adequate erection.

Orgasmic disorder
1. • Female orgasmic disorder – it is a persistent or recurring delay in or absence of orgasm following a normal sexual excitement phase.
   • Male orgasmic disorder – it is a persistent or recurring delay in or absence of orgasm following a normal sexual excitement phase.
   • Premature ejaculation–it is a persistent or recurring onset of orgasm and ejaculation with minimum sexual stimulation before, on or shortly after penetration and before the person wishes it.

Sexual pain disorder
1. • Dyspareunia – it is genital pain associated with intercourse but it is not due to general medical condition.
   • Vaginismus – recurring or persistent involuntary contraction of the perineal muscles surrounding the outer third of the vagina during vaginal penetration but it is not due to general medical condition.

Sexual dysfunctions due to a general medical condition – it is the presence of clinically significant sexual dysfunction that is judged to be due to the direct physiological effects of a general medical condition.

Substance induced sexual dysfunction–it is the presence of clinically significant sexual dysfunction that results in marked distress or interpersonal difficulty however this significant sexual dysfunction is due to intake of substances, e.g.: drugs, alcohol, etc.

Sexual dysfunction not otherwise specified – sexual dysfunction that does not meet the criteria of the above.

Paraphilias – it is recurrent, intense sexually arousing fantasies, sexual urges, or behaviours that generally involve nonhuman objects, non – consenting partners, children and suffering or humiliation of oneself or the partner.
1. • Exhibitionism – exposure of ones genitals to a stranger.
   • Fetishism – use of non-living objects for sexual arousal and gratification.
   • Frotteurism – touching and rubbing against a non-consenting person.
   • Pedophilia – sexual activity with a prepubescent child.
   • Sexual masochism – involves real acts of being beaten, bound, humiliated or otherwise to be sexually aroused or gratified.
   • Sexual sadism – involves real acts of psychological or physical suffering of victims to be sexually aroused and gratified.
   • Transvestic fetishism – also refers to autogyniphilia, it involves cross dressing of a male in a female attire leading to accompanying thought of the person as a female which is sexually stimulating and gratifying.
   • Voyeurism – involves the act of unsuspecting individuals usually strangers, who are naked, in the process of disrobing or in a sexual activity for sexual arousal and gratification.

Gender identity disorder – involves a strong and consistent cross gender identification along with a persistent discomfort about one’s own assigned sex.

Other sexual problems

• Sexual dissatisfaction (non-specific)
• Anorgasmia
• Impotence
• Sexually transmitted diseases
• Inadequate vaginal lubrication preceding and during intercourse
• Burning pain on the vulva or in the vagina with contact to those areas
• Unhappiness or confusion related to sexual orientation
• Transgender
• Persistent sexual arousal syndrome
• Hypersexuality
• Female genital mutilations
• Post-orgasmic diseases, such as Dhat syndrome, post-coital tristesse (PCT), postorgasmic illness syndrome (POIS), and sexual headache.
• Sexual addiction–it is a conceptual model that describes compulsive participation or engagement in sexualactivity, despite negative consequences. It is considered by its proponents to be the same thing as hypersexual disorder.

Causes of sexual disorder are:

1. Psychological problems – sexual disorders have a high comorbidity with psychological disorders like anxiety disorder, depression, panic disorder, post-traumatic stress disorder, childhood sexual abuse or any other past sexual trauma, marital discord or marital stress
2. Use of drugs – alcohol, nicotine, narcotics, stimulants, antihypertensives, antihistamines, and some psychotherapeutic drugs
3. For women – almost any physiological change that affects the reproductive system—premenstrual syndrome, pregnancy and the postpartum period, menopause as well as aging—can have an adverse effect on their sexual functioning
4. Physical and biological causes – Injuries to the back may also impact sexual activity, as can problems with an enlarged prostate gland, problems with blood supply, or nerve damage, sexual dysfunction can be seen after spinal cord injuries. Diseases such as diabetic neuropathy, multiple sclerosis, tumors, tertiary syphilis may cause failure of various organ systems (such as the heart and lungs), endocrine disorders (thyroid, pituitary, or adrenal gland problems), hormonal deficiencies (low testosterone, other androgens, or estrogen) and cause sexual dysfunctioning. Some birth defects can also be responsible for sexual dysfunctioning.

Treatment

1. Lifestyle changes such as discontinuing smoking, drug or alcohol abuse can also help in some types of erectile dysfunction
2. Seeking treatment in the form of online Sex Counselling in Mumbai for any other psychological difficulty that the person might be facing like depression, stress, anxiety, etc that may be effecting sexual functioning negatively
3. Treatment in the form of medication and psychotherapy for the sexual dysfunction through best Sex therapist in Mumbai.

Sex by many is considered an important aspect of life, an inborn drive like hunger and thirst and the ultimate expression of love. It plays an important role in intimate relations, in giving a healthy sense of self, maintaining self-esteem and a healthy bond with his/her intimate partner. Sexual dysfunctions does not only cause problems in the life of the person with the dysfunction but also causes distress in the partner and a strained relation which has the capacity to adversely affect all other aspects of life, living and productivity.
At Mumbai Psychiatry Clinics, we have top Sex Therapist in Mumbai to provide education about relevant sexual issues, including anatomy, bodily re-sponse, and healthy sexual behavior.

We at Mumbai psychiatry clinics have a dedicated team of counsellors and clinical psychologists who will help you with your problems, there are experienced psychiatrists who will be guiding you throughout your journey and our multidisciplinary team will try to assure you with the best help possible.