Sexual culture
Sexuality is the secret of the survival of humanity. In the section on sex education in Medicine Web, you will find a comprehensive guide on sexuality, sexual diseases, sexual problems and marital life. Starting with erectile dysfunction, premature ejaculation and how we get to orgasm. Enjoy the most important advice about having sex, and how it strengthens the sacred bond between spouses.
Sex diseases
Here is a list of all diseases that belong to the field of sexual education in WebMed. Read about the most common diseases such as influenza and even diseases that you have not heard about before on the following page:
Impotence, Erectile Dysfunction
Erectile dysfunction in particular and sexual dysfunction disorders in general are much more common than we previously thought.
Erectile dysfunction is defined as the persistent and recurrent inability to achieve or maintain an erection sufficient for sexual performance.
It is not the habit of patients to talk, in general, with their family doctor about sexual functioning disorders, based on the assumption that this is not his job (his specialty) and for fear of damaging their image, but do you know the most important information about him?
Causes and risk factors of erectile dysfunction
Many diseases and problems may cause disturbances in sexual performance. In the past, these factors were classified according to their sources: emotional - psychological and physical - physical.
Today we are aware that this classification is artificial, because the connection between the soul and the body is very close and inseparable.
Causes of erectile dysfunction are varied and include:
Psychological stress: such as personal and marital problems, anxiety about sexual performance (fear of sexual failure, etc.).
Some common diseases: such as: diabetes, hypertension, hyperlipidemia, calcification and hardening of the arteries in the body. The common denominator between these diseases is that all of them affect blood flow to the penis, and thus may affect sexual performance and lead to erectile dysfunction.
Some types of medicines: The same applies to medicines used to treat the aforementioned diseases (beta blockers, lipid-lowering drugs, diuretics, etc.).
Innervation problems: such as after a herniated disc in the spine, or after pelvic surgery or radiotherapy.
Depression and anxiety (Anxiety): They are two very common diseases, and one of their prominent symptoms is a decrease in sexual desire and a decline in sexual performance. Also, treatment with modern drugs, selective serotonin reuptake inhibitors, exacerbates the problem, and this is one of the side effects of these drugs.
Heart disease and its treatments: It can also harm the level of sexual performance. Today it is known that a person who has had a heart attack can return to a normal sexual life, but he only needs help and encouragement.
Medicines: such as sedating drugs, drugs to reduce stomach acid, chemotherapy and various hormones - may affect the level of sexual performance.
Erectile dysfunction treatment
There are a wide variety of treatments that help treat erectile dysfunction. It includes:
1- Medicines
The first line of treatment recognized today is the tablets Viagra / sildenafil (Sildenaphil / Viagra), Levitra (Vrdnaphil / Levitera) or Cialis (Tdalaphil / Cilas), and finally a new drug in this family called Avanafil has been approved.
These drugs are sold in pharmacies, and every doctor can give them in appropriate cases.
Side effects of erectile dysfunction medications
These drugs have minor and transient side effects, including:
Slight redness of the cheeks
A slight decrease in blood pressure is reflected in a feeling of dizziness, a slight feeling of weakness and nausea.
Most of these symptoms subside and go away before you start having sex (about an hour later). There were almost no patients for whom the side effects of these drugs were so severe that they could not take them again.
However, it is strictly forbidden to take these medicines with medicines that contain nitrates (medicines to increase the flow of blood in the coronary arteries in heart patients), and it is also prohibited to take them for anyone whose physical, medical and psychological status does not allow them to have sex.
2- Testosterone test
This hormone is considered a regulator of sexual desire, in some cases of erectile dysfunction, doctors may recommend tests to find out its concentration in the blood, and if it appears that its concentration is low, then doctors advise alternatives to testosterone as an appropriate treatment.
Sometimes doctors may prescribe a combination of Viagra and testosterone alternatives, which may be effective.
A person who is unable to take one of these medicines orally, or a person who has found that this medicine does not help him, may be helped by direct injection into the corpora cavernosa of the penis, where active substances are injected into the blood vessels.
It is also possible to use a special vacuum pump that creates a strong erection, which is kept by a ring at the base of the penis.
Another treatment available today is the direct injection of Prostadil (a vasodilator substance) into the urethra, which has produced satisfactory results during recent scientific research.
3- Surgeries
In the event that all of the above treatment methods for erectile dysfunction fail, it is recommended that surgeries such as:
Penis implantation: This surgery is simple and has a very good success rate. The participation of the primary physician (the family doctor) in the decision-making process and in the treatment measures greatly increases the chances of success, and also increases the willingness of the therapists and their partners to receive treatment.
Penile revascularization is another available surgery, but with relatively low success rates. In a few special cases, this procedure can be an effective treatment.
The primary doctor (family doctor) must diagnose these conditions, and he is most likely able to treat them. However, in every major hospital there are clinics specialized in treating erectile dysfunction and dysfunction.
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Postcoital bleeding
The source of post-sex bleeding can be from any organ of the lower genital tract, including the vulva, vagina and cervix.
Post-sex hemorrhage is a relatively common symptom of vaginal and neck lesions, and therefore requires a gynecological examination. Clinical signs appear in various degrees, from slight staining to very severe bleeding that requires urgent treatment.
Anal sexually transmitted diseases
Other names:
The prevalence of sexually transmitted diseases through the anus has increased in the last two decades, against the background of performing anal sexual activity and practicing anal sexual relations among homosexuals (homosexuality) and people of bisexuality. And because of the high prevalence of AIDS (HIV = Human Immunodeficiency Virus) among these communities.
Data indicate that between 4% -13% of all adult men in the United States practice homosexuality (sodomy) or dual sex, and that more than 12 million new patients develop sexual diseases in the anus each year.
Common types
Types of diseases
1. Gonorrhea - a bacterium capable of infecting the sexual organs. Lead to itching, pain, wounds and local purulent secretions. Men become infected as a result of having anal sexual relations, while women may get local infection as a result of having sexual intercourse through the vagina. The disease is diagnosed through culture and treatment is by means of antibiotics (penicillin). It is important to remain under medical supervision to prevent recurrence of the infection and treat it if it occurs in the spouse.
2. Syphilis - this disease affects mainly homosexuals. And it leads to a hard sore that appears several weeks to months after infection. It is diagnosed by a direct smear test or by a blood test (serum antibodies). The treatment is done with penicillin.
3. Chlamydia - a sexually transmitted lymphogranuloma (Lymphogranuloma venereum), chlamydial proctitis) - an intracellular microorganism (intracellular microorganism), which causes pain, lymph node secretions, and purulent or swollen or bloody secretions around the anus. The diagnosis is determined according to the blood test or the results of transplantation from the affected tissues. The treatment is with antibiotics.
Herpes simplex - virus, which causes irritation, pain and the formation of vesicles filled with clear liquid. The diagnosis is made according to the appearance of the vesicles and the results of transplantation from the fluid. As for the treatment, it is taken by mouth (Acyclovir) in addition to topical treatment. The probability of recurrence and recurrence of the disease is very high.
5. Anal warts, condyloma acuminata.
(Human papilloma virus - HPV) is a virus that causes numerous lesions, small and bright (reminiscent of cauliflower) around the anus and sometimes in the rectum. It causes local irritation and bleeding. The treatment is cauterization, excision with an electric scalpel, or laser and excision. The probability of recurrence of lesions is very high. It can become carcinogenic (squamous cell carcinoma).
6. AIDS - (Acquired Immunodeficiency Syndrome - AIDS) - is caused by a virus transmitted through sexual contact or blood. And it leads to the failure of the immune system and thus to the occurrence of systemic infection and infection in the anus, including the above types of infections (items 1-5). In addition, inflammation arises in the anus due to the cytomegalovirus, and an ulcer appears that occurs directly from the HIV virus itself. Therefore, it is important to have an AIDS test for every person who has an STD in the anus area. It must be remembered that these patients may have anus carcinomas. There is still no vaccination that prevents the disease or a treatment that leads to a complete cure from it.
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