Sexual dysfunction

• Sexual dysfunction is the problem related to

sexual life

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 Types of sexual dysfunction/disorder
1. Erectile dysfunction (ብልት መቆም አለመቻል ወይም ቆሞ
አለመቆየት): inability to get erection or to maintain
erection until completion of sexual intercourse
 Cause: substance (chat, cigarette, alcohol, and others),
diabetic mellitus
 Treatment: - treating or avoiding the cause,
-Counseling (ሰውነቱን በመዳሰሰ የወሲብ ጓደኛዋን ማነሳሳት አለባት
እሱም ደግሞ ስሜቱን በመሰብሰብ ትኩረቱን ወሲብ ለይ ብቻ ማድረግ) ,
- Sildenafil (viagra 5-20 mg po BID/TID 1 hour before
sexual intercourse.

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 Cont’d…
2. Male hypoactive sexual desire disorder (የወንድ ልጅ
የወሲብ ፍላጎት መጥፋት): This dysfunction is characterized
by a deficiency or absence of sexual fantasies and
desire for sexual activity for a minimum duration of
approximately 6 months
Cause: substance (chat, cigarette, alcohol, and others),
diabetic mellitus and personal or family problem
Treatment: treating or avoiding the cause and
counseling

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 Cont’d…
3. Female sexual interest or arousal disorder (የሴት ልጅ
የወሲብ ፍላጎት መጥፋት): absent or reduced in at least three
of the following:
- desire, fantasy or thought, initiation, excitement,
sensation to sexual cues, and genital stimulation
 cause: substance (chat, cigarette, alcohol, and others),
diabetic mellitus and personal or family problem
Treatment: treating or avoiding the cause and
counseling

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 Cont’d…
4. Premature ejaculation/orgasm (ቶሎ መጨረስ): release
of sperm or reaching at orgasm immediately within
1 minute of sexual intercourse.
Cause: Tension or anxiety and temporal lobe
epilepsy.
Treatment: treat anxiety with fluoxetine 20 mg po
morning with food. Counseling (ቶሎ ላለመጨረስ
በማሟሟቅ የወሲብ ጓደኛን ስሜት በመቀስቀስ መቆየት፤ ከዛ
ሁለቱም ስሜታቸው ጫፍ ለይ ሲደርስ ሴክስ ማድረግ እና እኩል
ለመጨረስ መሞከር)
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 Cont’d…
5. Female orgasmic disorder (የእርካታ ችግር)፡
decreased or absent orgasm and delayed
orgasm.
Cause: substance (chat, cigarette, alcohol, and
others), diabetic mellitus and personal or
family problem
Treatment: treating or avoiding the cause and
counseling

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 Cont’d…
6. Delayed ejaculation (ቶሎ መጨረስ አለመቻል)፡ difficulty
attaining orgasm and staying long period on sexual
activity to reach at orgasm.
Cause: substance (chat, cigarette, alcohol, and others),
diabetic mellitus and personal or family problem
Treatment: treating or avoiding the cause and
counseling (ሃሳብን በመሰብሰብ እና ትኩረትን ወሲብ ለይ ብቻ
በማድረግ ስሜትን ማዳመጥ፤ የወሲብ አጋርም ችግሩን በመረዳት ቶሎ
ወደስሜት እንዲመጣ ወይም እንድትመጣ ሴንሴቲቨ አካልን መዳሰስ)

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 Cont’d…
7. Dysparunia (ሴቶች ለይ የሚከሰት ሴክስ ሲያደርጉ፣
ከማድረጋቸው በፊት ወይም ካደረጉ በኋላ የሚሰማቸው
ከፍተኛ ህመም ነው) ፡ pain feeling during, before
or after sexual intercourse.
Cause: hormonal, girls positioning due to fear.
Treatment: link to gynecologist, and
psychologist

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 Cont’d…
8. Vaginismus (የሴት ብልት አለመከፈት)፡ pelvic wall
muscle tightens making insertion of penis
difficult.
Cause: hormonal, girls positioning due to fear.
Treatment: link to gynecologist, and
psychologist

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 Cont’d…
9. Post coital dysphoria (ከወሲብ በኋላ መከፋት፣
መናደድ፣ መደበር፣ የወሲብ አጋርን መጥላት እና መሳደብ)፡
depression, anxiety, guilty feeling after orgasm.
Cause: poor attitude to sexual intercourse and
lack of understanding about the nature of
sexual intercourse and not able to understand
its end is natural
Treatment: Counseling (ተፈጥሮን መረዳት እና መቀበል
እንዳለበት ማስረዳት ወይም መረዳት ይጠበቅብናል)
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 Cont’d…
10. Unconsummated couple (ወሲብ ለመፈፀም
መፍራት) ፡ inhibition of sex because of afraid
each other about thinking that.
Cause: poor attitude to sexual intercourse
Treatment: Counseling (ተፈጥሮን መረዳት እና
መቀበል እንዳለበት ማስረዳት ወይም መረዳት ይጠበቅብናል)

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 Cont’d…
11. Body image Problem (በራስ ገላ ማፈር እና መሸማቀቅ፤
አካላቸው ችግር ያለበት እና አሳፋሪ ስለሚመስላቸው የወሲብ
አጋር እንዳያይባቸው መፍራት)፡ thinking that their
body parts is ashaming and as a result they hide
it. they make sexual intercourse in complete
darkness.
Cause: poor judgment about the self and nature.
Treatment: Counseling (ተፈጥሮን መረዳት እና መቀበል
እንዳለበት ማስረዳት ወይም መረዳት ይጠበቅብናል)
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• 12. Sexual Addiction (የወሲብ ሱስ)፡ urge or
excessive desire for sex.
Cause: inability to think that sexual
intercourse is not mandatory to get
satisfaction.
Treatment: Counseling (ደስታን ማግኘት በወሲብ
ብቻ እንዳልሆነ ማስረዳት ወይም መረዳት ይጠበቅብናል)

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 Paraphilia
1. Fetishism (የተቃራኒ ፆታን ፓንት በመልበስ መርካት):
Satisfying with in animate object or cloths of
opposite sex.
2. Exhibitionism (ገላን በማሳየት መርካት): showing
one’s genital or other sexually exciting body
part.
3. Frotteurism (ብልትን በሴት ዳሌ በማፋተግ መርካት):
rubbing of with buttock of female to gain
satisfaction.
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 Cont’d…
1. Pedophilia (ህፃንን ለወሲብ ማሰብ/መፈለግ): sexual
urge toward child.
2. Sexual masochism (በሴክስ ጊዜ ራስን በመጉዳት
መርካት): needing to be hurt by the sexual
partner during sexual intercourse to gain
satisfaction.
3. Sexual sadism (በሴክስ ጊዜ የወሲብ አጋርን በመጉዳት
መርካት): needing to hurt sexual partner during
sexual intercourse to gain satisfaction.
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 Cont’d…
7. Voyeursim (እርቃን ሆና ወይም ሆኖ በማየት መርካት
ወይም ሌሎች ሴክስ ሲያደርጉ በማየት መርካት): getting
graification by looking the nudity of other or
by looking other’s coital activity.
8. Necrophilia (ከሙታን ጋር ወሲብ በማድረግ መርካት):
having sex with the deceased.
9. Partialism (ከወሲብ አጋር አንድ አካልን ብቻ መውደድ):
liking one specific part of sexua partner.

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 Cont’d…
10. Urophilia (የወሲብ አጋር ለይ በመሽናት መርካት):
being gratified by urinating on coital partner
during sexual intercourse.
11. Coprophilia/klismaphilia (የወሲብ አጋር ለይ
በመፀዳዳት መርካት): being gratified by deficating
on coital partner during sexual intercourse.

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 Cont’d…
12. Zoophilia (ከእንስሳ ጋር ወሲብ መፈጸም): having sex
with animal.
13. Masturbation (ብልትን በመነካካት እራስን በራስ
ማርካት): making oneself sexually gratified by
rubbing the genital area.
14. Tele phone/computer catalogia (በስልክ ወሲብ
መፈጸም): having sex up with telephoning.

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 Treatment of paraphila:
Counseling

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 Thanks for
being pleased

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