| Treatment |
Impaired sexual interest & impaired sexual response are similar to erectile dysfunction (Impotence) in males. The causes: - Performance anxiety, fear of rejection
- Feeling of guilt about sexual enjoyment, due to lack of Sex education.
- Traumatic sexual experience in past e.g. Rape.
- Hostility towards husband or marital conflicts.
- Physiological in old age due to hormonal changes.
Treatment: Marital Counselingi. Marital conflict not related to sex should be solved first. Let them not be mixed with the sexual problems. ii. If the hostility towards the husband is due to smell of alcohol, tobacco, body odour, or due to some demands from the male which she does not like – proper counseling & explanation by the Family Doctor will resolve the anxiety. iii. Husbands, in our society, have negative attitude toward the wife’s problems. He should be taken into confidence, motivated and explained that the response from the partner will only be increasing his pleasure! Sexual exercises : Same as for impotence. First non-genital pleasuring, then genital pleasuring, then extravaginal orgasm and finally coitus to orgasm each stage patiently practiced for at least one month. Petroleum jelly locally for Copious lubrication to compensate for lack of vaginal secretions. Adequate foreplay and if necessary, subsequent manual stimulation of clitoris to help the wife to reach orgasm. Placebo treatment: i. Shilajeet pills 2 tds with milk or water (Ayurvedic) or Tab Pallarywyn 1-2 bd with milk. If no response, refer to psychiatrist.
Tab Pallarywyn Shilajeet pills |
