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Lack of Enjoyment During Intercourse

This is also called female arousal disorder, it is characterized by minimal vaginal lubrication or no lubrication et all during sexual excitation along with absence of feeling of excitation. In one study many women complained of lack of sexual arousal so that they get very little lubrication & vagina does not relaxes so that sexual intercourse is painful. In population many women complain of difficulty in getting excited. Many of such women complain of absence of orgasm & sex may be even be painful. It can be from beginning of sexual life or may start later in life. In some arousal may be absent with one partner whereas it is normal with other partner.

CAUSES OF LACK OF ENJOYMENT DURING INTERCOURSE

Disorder of sex centre: So that vagina & muscles around it goes into painful spasm at the point of penis entry rather than relaxing.

  • Hormones Disorder: Hypogonadotropic hypogonadism (hypothalamic or pituitary deficiencies) Hypogonadisms, Hypothyroidisms, Testosterone deficiency, hyperprolactinemias, Hypogonadotropics states: Hypothalamic – pituitary deficiencies: Idiopathic GnRH deficiency, Kallman syndromes, Prader-Willi syndromes, Laurence-Moon-Biedl syndromes, pituitary hypoplasia, Ovarian Dysfunctions Hypothyroidisms Untreated endocrinopathies & Diabetics Glucorticoids excess, Cushings disease, Addisons disease
  • Excess asthenia i.e. chronic asthenia is a also a significant cause of low sexual excitation & arousal.
  • Chronic vulvo-vaginitis, and chronic urethritis.
  • Addiction as chronic alcoholism, chronic smoker, heroin or cannabis use.
  • Drugs: Sedative: Narcotics, tranquillizers, amphetamine, cocaine, many antidepressant, and anti-psychotics, anti-hypertensives, many other drugs.
  • Psychiatric disorder as depression, neurosis, & many other psychiatric disorders.
  • Any kind of sexual dysfunction in man leading to non-enjoyment of sexual act by female may lead to absent arousal & excitement.
  • Any cause of painful sexual intercourse (as due to vaginismus or dyspaerunia) will also lead to secondary loss of excitation in women whether married or unmarried.
  • Decreased blood supply to vagina due to various medical conditions can lead to diminish vaginal lubrication, pain during intercourse
  • Infections: In genital tract or vulvae vestibule, vulvo-vaginitis
  • Less lubrication due to various reasons as hormone deficiency
  • Connective tissue diseases leading to dryness
  • Psychological problems: as depression & other psychiatry disorders
  • Sicca syndrome
  • Idiopathic
  • Decreased blood supply to vagina due to various medical conditions can lead to diminish vaginal lubrication, pain during intercourse
  • Vulvar vestibulitis
  • Restrictive upbringing, Inadequate sexual information, early insecurity in psychosexual role.
  • Obstructive vaginal lesions: Vaginal stenosis, vaginal scarring, post surgical problems, retroverted uterus, organic diseases of uterus, endometriosis, adenomyosis, tubes or ovaries, chronic pelvic inflammatory diseases, urethral diverticulum
  • Idiopathic vulvodynia

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