Treatment of Sexual Dysfunctions

Sexual dysfunctions are treated with a holistic approach by Urologists, Gynecologists and Psychiatrists, although physicians of other departments are also involved, whenever required.

Confidentiality is strictly ensured in admissions and treatments. Relevant specialists provide diagnostic and treatment services depending on features of the problem.

Diagnosis and Treatment Services for Sexual Dysfunctions

What are Sexual Problems?

Sexual problems cover all medical, psychological, social and cultural problems that get in the way for men, women or couples from experiencing a satisfying sex life.

These consist of sexual fears and concerns, shyness, feeling guilt and sinful, low sex drive, avoiding sexuality, inability to perform sexual intercourse, pain or convulsions during intercourse, erectile dysfunction and premature ejaculation in men as well as failure of arousal or orgasm for women.

Sexual problems secondary to sexual disharmony between man and woman, differences in understanding and approach and the relationship should be added to the list.

How often is Sexual Dysfunction Seen in Men?

Erectile dysfunction is the most common sexual dysfunction in men. Global studies report that approximately 55% of men at 40 to 70 years of age have mild, moderate or severe erectile dysfunction.

Incidence of low sex drive is 15% in adult men and 30% in men older than 50. Premature ejaculation is documented in 30% of men. Ten percent of men cannot ejaculate or suffer from delayed ejaculation.

What is incidence of Sexual Dysfunction in Women?

Lack of sexual appetite and anorgasmia or difficulty in having an orgasm is most common problems in women. Aforementioned figures also apply to women. At least one third of females complain of low or no sex drive throughout their lives, while 30 to 50% specify difficulty in achieving orgasm.

The third rank is occupied by vaginismus that is briefly defined as failure of sexual intercourse secondary to abnormally strong contraction of muscles at the inlet of vaginal canal secondary to fear of sexual intercourse due to psychological etiologies.

What Are Causes of Sexual Dysfunctions?

The causes are listed under two main topics:

1) Organic causes: Vascular diseases, hypertension, diabetes mellitus, chronic diseases, side effects of drugs, alcohol consumption or drug abuse

2) Psychological causes: Relationship problems with partners, depression, anxiety disorders, effects of personality

However, a single etiology does not usually explain the problem. Both aspects (organic and psychological) may play a role in development of the problem.

Which way should be adopted for treatment?

Psychological and physiological elements are investigated in the initial examination. Patients are consulted with relevant physicians; diagnostic tools are used and treatment is started.

Treatment options include medication treatment, psychological therapy, sex therapies and surgery.

Is Joint Assessment and Treatment of the Couple Beneficial?

Sexual dysfunctions are treated more easily and quickly in couples when relationship is strong and based on love and trust. However, there are also treatment programmes for single people or others without a steady relationship.

What Happens When Not Treated?

Sexual problems are usually a very potent source of psychological trauma for both men and women. The condition may cause additional problems like unhappiness, pessimism, inability to enjoy life and self-depreciation, making the situation more complicated. Also, daily life and interpersonal relationships, primarily with spouse, may deteriorate.