Basic knowledge of the female sexual system and sexual dysfunction

What are the female sexual organs and their functions? The female sexual organs include the external genitalia, internal genitalia and other sensual areas. I. External genitalia The external genitalia consists of the pubic mound, labia and vaginal vestibule, which are collectively called the vulva. (a) Mons pubis The mons pubis is a bulge located in front of the pubic symphysis, next to the labia majora on both sides. After puberty, pubic hair grows on the skin of the mons pubis, and its distribution is pointed

1,What are the female sexual organs and their functions?
The female sexual organs include external genitalia, internal genitalia and other sexy areas.
I. External genitalia
The external genitalia consist of the mons pubis, labia, vaginal vestibule, etc., collectively known as vulva.
(A) Mons pubis
The mons pubis is a bulge located in front of the pubic symphysis, next to the labia majora on both sides. After puberty, pubic hair grows on the skin of the mons pubis, and its distribution is triangular with the tip down. The rich fatty tissue under the skin of the mons pubis and the pubic hair on the skin play a role in supporting and shock absorbing cushioning during sexual intercourse. Stroking the mons pubis or gently kneading can play a role in sexual arousal, men and women rubbing each other’s mons pubis can make women produce sexual pleasure.
(B) Labia majora and labia minora
The labia majora is a pair of elevated skin folds near the inside of the two femurs, with the front end in the mons pubis and the back end below the labial ligament forming the labia conjoined. The labia majora contain thick, loose fatty tissue, skin fat and sweat glands. The outer side has pigmented skin and pubic hair on it; the inner side is light pink, similar to mucous membrane, and has no pubic hair on it. In adult women and obese women, the labia majora on both sides are disturbed together, covering the labia minora, the vaginal opening and the external urethral opening; during menstruation and sexual excitement, the labia majora open outward, exposing the vaginal opening.
The labia minora is a pair of thin folds on the inner side of the labia majora, with a smooth, hairless, moist, brown surface and rich in sebaceous glands. The front end of labia minora fuses with each other and then divides into two lobes, the front lobe forms the clitoral foreskin and the back lobe forms the clitoral tether; the back end fuses with the back end of labia majora to form the labial tether.
Since the labia majora and labia minora are rich in nerve fibers, they play an important role in sexual stimulation and arousal, and the clitoris is stimulated by the penis pumping in the vagina during sexual intercourse.
(C) Clitoris
The clitoris is located at the tip between the labia minora on both sides, and is surrounded by the clitoral foreskin, which is in the shape of a garden column. Although the clitoris is in the external genital area, it does not have a reproductive function, but is the most important sexually sensitive part. The clitoris, especially the head of the clitoris, is full of nerve endings, and slight contact or stimulation can cause strong sexual arousal and sexual pleasure, and even appropriate stimulation can make women reach orgasm, so it is also the most popular stimulation area for women to masturbate. In the process of sexual intercourse, the penis generally does not directly stimulate the clitoris, but the penis is pumping in the vagina and pulling the labia minora, thus stimulating the clitoris.
(D) Vaginal vestibule
The vestibule is a diamond-shaped area between the two labia minora, with the clitoris in front and the labial ligament in the back. The vestibule has an external urethral opening in the front, a vaginal opening and hymen in the back, and an opening for the vestibular gland on each side.
(E) Hymen
The hymen is located at the division between the vaginal opening and the vestibule and is a membrane with a central hole. The hymen is ring-shaped or half-moon shaped, and its thickness varies from person to person. Most hymens are torn during the first sexual intercourse and only vestiges remain after delivery. Some women are born without a hymen, or the hymen is torn during strenuous exercise, and thus cannot be judged by the presence or absence of pain and bleeding during first intercourse as a sign of virginity or chastity.
(vi) Vestibular bulb
The vestibular bulb is a deep part located on both sides of the vaginal vestibule and is a spongy structure made up of a plexus of veins surrounded by a white membrane in the shape of a hoof. Because the surface is covered by the cavernous muscle, this muscle compresses the vestibular bulb when contracted and causes the vaginal opening to narrow. The vestibular bulb can feel the psychological and local stimulation and the chain reaction from the clitoral stimulation, so it becomes engorged and bulges.
(vii) Vestibular gland
The vestibular gland, also known as the Bartholin’s gland, is a pair of garden-shaped or oval-shaped glands located in the back of the labia majora on both sides, opening in the groove between the inner labia minora and the middle and lower 1/3 of the hymen. During sexual excitement, the vestibular glands secrete yellowish-white mucus to lubricate the vagina.

Internal genitalia
The internal genitalia consist of the vagina, uterus, fallopian tubes and ovaries.
(a) Vagina
The vagina is an elastic, flexible, hollow tube that is often closed. It is the organ of sexual intercourse for women and the channel for menstruation and delivery of the fetus. The upper end of the vagina is roofed around the cervix, called the vaginal vault, and the lower end opens at the back of the vestibule. The vaginal mucosa is transversely folded and very stretchable, and its epithelium sheds cells in a cyclic pattern influenced by ovarian sex hormones. The exudate from the small vessels of the vaginal wall, the shed epithelial cells and the secretions from the cervical glands mix to form a milky vaginal fluid (leucorrhoea) that keeps the vagina moist. During sexual excitement, the small blood vessels of the vaginal wall are highly filled and the exudate increases, which together with the fluid of the vestibular gland play a role in lubricating the vagina to avoid damage to the vaginal wall from friction during sexual intercourse, while the vagina also expands to facilitate penile penetration.
The nerve endings of the vagina are mainly located in the lower 1/3 of the vagina, thus the lower 1/3 has higher sexual sensitivity.
(b) Uterus
The uterus is located in the center of the pelvis and is inverted and pear-shaped, a hollow muscular organ, adjacent to the bladder in front and the rectum in the back. The lower 1/3 of the uterus is the narrow, garden-column shaped cervix, and the external opening of the cervix is connected to the vagina; the upper 2/3 of the uterus is the uterine body; the top of the uterine body is the uterine fundus; and its two sides are the uterine horns, which are connected to the fallopian tubes. The uterus is composed of three layers of tissues: the endometrial layer contains glands with rich blood supply, and the endometrium grows and sheds periodically in post-pubertal and pre-menopausal women; the middle layer is composed of interlocking smooth muscles and a few fibers, which are elastic and can fully accommodate the fetus and produce strong contractions during childbirth and orgasm; the outermost layer is the mucosa, which is part of the peritoneum.
(C) Fallopian tubes
The fallopian tubes are a pair of elongated, smooth muscle-dominated hollow tubes that connect to the uterine horns on the inside and are free and close to the ovaries on the outside. The fallopian tubes are divided into an interstitial part, an isthmus, a jugular part, and a funnel part, which has many finger-like protrusions at the end of the funnel part and captures the eggs that drain the ovaries into the abdominal cavity. After sexual intercourse, the sperm discharged into the vagina by the male fertilizes the egg in the fallopian tube, which then travels down to the uterine cavity for implantation.
(iv) Ovaries
The ovaries are a pair of flat, oval-shaped gonads located on either side of the uterus that produce eggs and produce and secrete female hormones.

Other sexy areas
(A) Skin
After puberty, any part of a woman’s body is sensitive to male stimulation. There are some more sensitive parts of the skin on the whole body, each person is different. Generally speaking, all the parts that are tickled by touching, such as the neck, armpits, belly, thigh root and inner side can play a role in stimulating sexual desire.
(B) breast
Female breast is the most sexy part, is also the secretion of milk, nursing organs. It is both a sign of female maturity and a symbol of motherhood and femininity. Because the breasts and nipples are rich in nerve endings, they feel euphoric when touched and sucked and other stimuli, and produce breast enlargement and nipple erection, areola color deepening and other phenomena. Some women can reach orgasm by simply stroking their breasts.
(C), mouth, lips, tongue
The contact of mouth and lips, sucking, mutual contact between the tongue and mouth, etc., can also produce sexual excitement.
2, how do nerves and endocrine regulate female sexual function?
The neurological basis of female sexual function is not very clear, but it is thought that female sexual function is regulated by three levels of nerve centers. The first level center, the primary center of sexual function, is located in the lower part of the spinal cord, also known as the spinal cord center, through the somatic nerves and sympathetic and parasympathetic nerves innervate the external and internal sex organs, and participate in the regulation of sexual excitement and sexual behavior; the second level center, the subcortical center located in the hypothalamus and the hindbrain, mainly through the secretion of gonadotropin-releasing hormone and regulation of sexual function; the third level center, is located in the cerebral cortex The third level center, which is located in the limbic system, especially in the septal area and related structures, is the highest center for the regulation of sexual function.

The female endocrine system is regulated by the hypothalamus-pituitary-ovarian axis, which causes cyclic changes in the reproductive organs and affects sexual function.
The hypothalamus secretes gonadotropin, which acts on the anterior pituitary; it synthesizes and releases follicle stimulating hormone and luteinizing hormone (luteinizing hormone). With the involvement of small amounts of luteinizing hormone, follicle stimulating hormone causes the follicles in the ovaries to develop and secrete estrogen. In response to estrogen, the endometrium undergoes proliferative phase changes. The secretion of estrogen reaches its first peak just before ovulation and produces positive and negative feedback to the hypothalamus – pituitary gland. The positive feedback is to induce the pituitary gland to release luteinizing hormone and the negative feedback is to inhibit the release of follicle stimulating hormone. When the release of luteinizing hormone reaches its peak, ovulation of the ovary is triggered with the involvement of follicle stimulating hormone and the formation of corpus luteum from the ruptured follicles. The corpus luteum secretes progesterone and estrogen, and the endometrium becomes secretory phase due to the action of progesterone. As the secretion of progesterone and estrogen increases and reaches its peak, it inhibits the hypothalamus and pituitary gland (negative feedback), thus decreasing the release of follicle stimulating hormone and luteinizing hormone from the pituitary gland. As a result, the corpus luteum shrinks and the secretion of progesterone and estrogen decreases, thus making it difficult for the endometrium to maintain and shed to form menstruation. As progesterone and estrogen decline, the inhibition of the hypothalamus and pituitary gland is lifted, and the pituitary gland re-releases follicle stimulating hormone, new follicles begin to develop, and a new cycle begins. Recent studies have demonstrated that the release of gonadotropin from some neurons in the subthalamic gland is controlled by the release of monoamines (e.g., dopamine) from certain neurons in the brain tissue, and that those neurons that release monoamines are influenced by higher neural centers, such as the mental activity of the brain. In addition, the pituitary gland also secretes lactogen, which cooperates with estrogen and progesterone and promotes breast development and secretion, and is controlled by the lower thalamus; the ovaries also secrete a small amount of androgens, which can be converted into estrogen and play the role of estrogen, and can cause clitoral enlargement, etc.

From the endocrine point of view, estrogen has a greater impact on female libido, androgen is second.

3,Do you know the sexual response cycle of women?

In the process of sexual intercourse, women from the beginning of sexual desire is aroused to the end of sexual intercourse to regain, follow a different stage of the cyclical pattern, this law is the sexual response cycle, it includes excitement, duration, orgasm and receding period. The performance and significance of the sexual response cycle can help couples to have a harmonious sexual life.
Arousal phase: This is the phase when the female sexual desire is aroused and the body starts to show sexual tension. In this phase, the first thing you see is the erection and swelling of the nipples caused by caressing, the vaginal blood vessels are engorged and dilated with secretions, the labia are engorged and swollen and separated to the sides, the clitoris is erect and enlarged, the inner 2/3 of the vagina is dilated and the uterus is elevated upwards; the heart rate is increased, the blood pressure rises and the muscles of the body are generally tense. Women are slower to become sexually aroused and take longer to become aroused than men, so men need to stimulate and caress their lover, while avoiding interference from other factors.
Duration: This is the period when sexual arousal or tension reaches a high and definite level before the onset of orgasm. The most distinctive feature of this phase is the narrowing of the outer 1/3 of the vagina due to obvious engorgement and contraction of the muscles surrounding it, other areas such as the nipples becoming erect and the areolas becoming engorged, the labia majora becoming engorged and bulging, the labia minora increasing in size and turning purple, the inner 2/3 of the vagina expanding further and the uterus lifting further. At the same time, sexual flushing appears on the face and other parts of the body, breathing is accelerated, heart rate increases and blood pressure rises more significantly, and muscle tension is strengthened throughout the body. This period is maintained for varying lengths of time, and men need to master sexual skills to prompt the arrival of female orgasm.
Orgasmic phase: It refers to the stage when women’s physical and mental tension has reached its peak and sexual venting. In this stage, the vaginal and pelvic muscles are characterized by rhythmic contractions and show different intensities. At the same time, the whole body reacts strongly, showing muscle tension and contraction, shortness of breath, rapid heartbeat and increased blood pressure. Some women may experience momentary vertigo, resulting in a very brief loss of consciousness. The orgasm is accompanied by a special sexual pleasure, but some women can not reach orgasm will produce boredom and insomnia, so men should learn about sex, and strive to achieve orgasm in women, but the pursuit of sex every time you reach orgasm is also unrealistic.
The receding period: is the stage where the sexual tension gradually relaxes and dissipates. In this phase, the changes in the sexual organs and the whole body begin to recover, until the complete return to a normal state of non-sexual arousal, usually accompanied by a sense of relief and euphoria. Women are slower to dissipate, so men should not hurl after ejaculation, and women should not rush to clean the vulva, to continue a period of warm touch, which helps to strengthen the intimacy between the couple.

4,Why do women feel pain during sexual intercourse?

Painful intercourse for women refers to pain of varying severity in the vulva, vaginal area or lower abdomen when the penis is inserted into the vagina or pumped in the vagina during intercourse, or after intercourse. It is a common sexual dysfunction in women, which overshadows the sexual life of many couples, and the serious ones often cannot have intercourse, causing disharmony in sexual life between couples, and even becoming one of the causes of marital disintegration.
The primary pain of sexual intercourse refers to the pain of sexual life just after marriage; the secondary pain of sexual intercourse refers to the couple had a beautiful sexual life, and then the pain occurs due to various factors. The pain of sexual intercourse can occur in any situation, while the pain of situational intercourse can occur only in certain situations.
Painful intercourse can occur superficially in the vulva and vaginal opening, or deeper in the vagina and pelvic area and can spread to the lower abdomen and lumbosacral region.
The causes of painful intercourse are complex.
(1) Sexual ignorance or lack of sexual experience. For example, men mistake the urethra for the vagina for intercourse; men insert the penis violently into the vagina without preparing for the action before intercourse.
(2) Painful intercourse and vaginal cramps exist at the same time, and the two can be causal.
(3) Physiological atrophy of the reproductive organs. For example, postmenopausal women or women with bilateral ovaries removed, due to the lack of estrogen secretion, resulting in the atrophy and dryness of the reproductive organs, which is a common cause of painful intercourse.
(4) congenital defects, underdevelopment or acquired organic lesions of the reproductive organs and surrounding organs. For example: congenital hymen hypertrophy, hymen umbrella, vaginal stenosis; congenital ovarian hypoplasia or male pseudohermaphroditism with vaginal shortening, vaginal mediastinum or diaphragm, hypospadias; clitoritis, clitoral scale, vestibular gland cyst, scar after vulvovagotomy, vulvovaginitis, vulvar ulcer or Leukocyte’s syndrome; narrow vaginal opening caused by white lesion atrophy of vulva, various inflammatory diseases in the vagina, vaginal cysts and vaginal narrowing caused by various treatments; urethritis, urethral meatus, urethral diverticulum, urethral bulge; rectal tumor, enteritis, severe hemorrhoids, rectovaginal fistula; endometritis, posterior tilt of the uterus, uterine prolapse; ovarian cysts and tumors, ovarian prolapse, ovarian fixed posterior fornix after surgery; endometriosis, adnexitis, pelvic inflammatory disease, soft tissue adhesions in the pelvis after surgery; all can cause painful intercourse.
(5) Psychological causes. The psychological reasons for painful intercourse are: incorrect sex education for children in the family, which makes intercourse after marriage associated with anxiety, fear and guilt; violent rape when unmarried, rough male action in the first marriage, etc., which makes intercourse later associated with pain; emotional discord between husband and wife, fear of pregnancy room is not tight, fatigue, etc. can inhibit women’s sexual excitement or can not induce sexual excitement, which leads to The pain is caused by the lack of vaginal lubrication.
The treatment of painful intercourse depends on the cause. In general, sex education before marriage and sexual counseling and diagnosis of the patient are necessary. In young women who have had their ovaries removed, estrogen can be used as a replacement therapy; in middle-aged and older women with vaginal atrophy and dryness, oral nil estrol or human lubricants can be used with significant results. If it is due to congenital or organic lesions, surgical or pharmacological treatment should be used for the condition, which can also yield better results. If the above-mentioned causes are ruled out and psychological causes are considered, medical personnel must understand in detail the knowledge and attitude towards sexual life, sexual intercourse, psychological state, couple’s feelings and health condition in order to exclude hidden worries and pay attention to flirtation activities before sexual intercourse to arouse sexual excitement, increase vaginal wetness and perform sexual behavior therapy if necessary.

5. Can vaginismus be cured?
Vaginismus, also known as fear of intercourse syndrome, is a condition in which the muscles around the vagina go into involuntary reflex spasms when trying to have intercourse, so much so that the entrance to the vagina closes up tightly, making intercourse impossible, even for a routine gynecological examination by a doctor. If left untreated, it often lasts for years, causing great pain and marital discord for both partners.
Primary vaginismus is a condition in which spasms occur during the first sexual intercourse, thus leading to a failure of sexual intercourse on the wedding night; secondary vaginismus is a condition in which spasms occur after successful sexual intercourse between the couple. Complete vaginismus occurs in all circumstances, while situational vaginismus occurs in certain circumstances. There are different levels of vaginismus depending on the degree of vaginismus.
Vaginismus is mainly caused by psychological factors, such as a long history of wrong sexual education, a history of sexual trauma and a lack of sexual knowledge among newlyweds, which leads to negativity, nervousness, fear, anxiety and guilt about sexual intercourse, thus causing vaginismus. In addition to psychological factors, congenital underdevelopment of the reproductive organs, certain lesions and improper techniques of sexual intercourse can also cause vaginal cramps. For example, thick and tough hymen, vaginal septum, inflammation of the vulva and vagina, or lack of excitement during sexual intercourse or rough male movements can cause vaginal spasm due to pain during sexual intercourse and protective reflexes.
Based on a clear diagnosis and clarification of the cause, vaginal spasms can be treated in a targeted manner. If the vaginal spasms are caused by deformities or lesions of the genital organs, they can be relieved by treating and improving these causes, otherwise they will continue to exist and will be intensified by painful attempts to have intercourse again. If the vaginal spasm is primarily psychological or due to improper intercourse, the couple should be educated about sex and, if necessary, undergo vaginal dilation therapy with the assistance of a physician. Vaginal dilation is not really about “making the vagina wide and loose” with a dilator, but rather to confirm the vagina’s ability to accommodate and to increase confidence. Vaginal dilation can be demonstrated by the doctor. The doctor first has the patient do pelvic muscle tensing —– exercises before dilation, and then the doctor uses a lubricant coated dilator or sterile gloved fingers to gently insert the vagina during dilation. When the patient has mastered it, he can go home and expand it on his own or let his husband assist him for 10-15 minutes 3-4 times a day, increasing the number of the dilator every day until the dilator reaches No. 4 (the diameter of No. 4 dilator is similar to that of the penis) or when he can enter the vagina with two fingers without feeling pain, the couple can start experimenting with sexual life. When you start to experiment with sex, the husband should pay attention to suppress his urgent sexual impulse, first fully caress, and then insert the penis slowly into the vagina when the woman reaches a certain level of sexual excitement, and in the pumping should be slow, gentle, and small, once the woman can not tolerate to stop immediately. It is best to choose the female superior position, where the woman guides the penis and controls the action. Through the above treatment, most patients can be cured, and gradually establish a normal sex life, so that both couples share the happiness of sex.

6、How can women treat orgasmic disorder correctly?

Orgasmic disorder refers to the fact that although women have sexual demands and normal or strong sexual desire, but after being effectively stimulated with sufficient intensity and time during sexual intercourse and having normal arousal response, orgasm is still frequently or continuously delayed or lacking, thus rarely or hardly reaching sexual satisfaction. According to statistical data, orgasmic disorder is the first among female sexual dysfunctions, both at home and abroad. Although, it is wrong and unwise for both men and women to pursue orgasm at the same time during sexual activity, and women deliberately pursuing orgasm every time they have sex can cause undue mental stress. However, the long-term lack of female orgasm can also lead to sexual disharmony, which in turn affects the stability of marriage and family. Therefore, a proper understanding of orgasm disorder and its causes and treatments is beneficial for women to maintain their physical and mental health and family stability.

Primary orgasmic disorder means that a woman has never had an orgasm during sexual activity; secondary orgasmic disorder means that a woman had an orgasm during sexual activity in the past, but now it no longer occurs. Complete orgasmic disorder is when a woman cannot have an orgasm in any situation or occasion; situational orgasmic disorder is when a woman does not have an orgasm during sexual activity with a specific object or environment, and then has an orgasm during sexual activity with another object or environment.

The causes of female orgasm disorder are organic factors, psychological factors, and environmental factors. Among them, common organic factors are: inflammation of the genitourinary system, trauma, tumors, and changes in the location of organs, which cause pain or discomfort during sexual intercourse and therefore inhibit the orgasmic reflex; certain diseases of the spinal cord can destroy the pathway of the orgasmic reflex, and orgasm can not appear; infectious inflammation of the whole body. Endocrine disorders, psychiatric diseases, long-term alcohol consumption or the use of large amounts of central nervous system inhibiting drugs, etc., can also have an inhibitory effect on the orgasmic reflex. Psychological factors are the main factors that cause female orgasm disorder, it comes from the influence of social culture, individual factors and the couple’s incoordination, etc. . Because of the long-term lack of sex education in China, coupled with the influence of feudal rituals, so that women in the sexual response to inhibit themselves, in the sexual activities of shyness, passivity, and therefore affect the appearance of orgasm. Individual factors vary from person to person; some women who have experienced sexual trauma have depression, self-condemnation or revenge against men; some women who grew up in broken families have deep impressions of their fathers’ cruelty and mothers’ sorrows, and thus have fear or distrust of their husbands after marriage; some women have poor health and are anxious about not being able to meet their husbands’ sexual demands; women who have completed the task of childbirth or have repeated abortions have anxiety. Women who have completed the task of childbirth or repeated abortions, due to the fear of sexual activity pregnancy and tension, fear; and so on can inhibit the orgasmic reflex, thus occurring orgasmic disorder. Lack of affection between husband and wife, women meet the sexual requirements of men only to do their duty; or women are suspicious of their husbands, resentment, disgust, hostility, etc., thus causing disharmony between husband and wife, which is also the psychological cause of female orgasm disorder. Environmental factors like crowded housing, uncomfortable beds, bright light exposure or noise, as well as unhappy jobs, strained relationships, busy households, and economic difficulties can cause situational female orgasm disorder. Other factors such as lack of sexual knowledge and failure to master the rules of sexual life can also cause female orgasm disorder.

For the treatment of female orgasm disorder, if the doctor examines the organic factors, then the treatment should be targeted accordingly. After ruling out organic factors, psychotherapy and behavioral therapy should be carried out for different types of orgasmic disorders to weaken or eliminate the excessive unconscious inhibition of the orgasmic reflex.

The treatment of primary orgasmic disorders begins with helping the woman to have her first orgasm. To do this, various efforts are made to remove the forces of inhibition on the one hand, and to increase the intensity of stimulation of sexually sensitive areas on the other. Removing the power of inhibition is not an easy task, and women must cooperate with their sexual health practitioner to identify and break all kinds of inhibitions, and orgasm will be possible. Increasing the stimulation of sensual areas, then this will quickly be received well by women who lack sexual knowledge and do not get enough stimulation and claim to have orgasmic disorders, even for women with real orgasmic disorders. The site of stimulation should be chosen so that the woman feels comfortable and euphoric in herself, such as the clitoris and its surroundings, the nipples and breasts, the inner side of the labia minora and the perimeter of the vaginal opening. The self-stimulation is fine, and so is the husband’s assistance in stimulating, but it should be done repeatedly. If masturbation does not work, a vibrator can provide women with strong and intense stimulation, but to prevent over-reliance on it, in order to consolidate the effect of masturbation and vibrator, usually to close the relationship between the couple, women can also perform the pubococcygeal muscle or contraction of the vagina exercise to enhance the muscle tightness and control. To promote the emergence of orgasm.

Secondary orgasmic disorder treatment focuses on emotional communication between couples and improving intercourse techniques. Mutual understanding is achieved by reviewing the good old days between the couple; reclaiming the feelings of the past and examining the factors and root causes that now affect the sweet relationship. The couple can take care of each other and rekindle the strong desire of the past. At the same time, improve the technique of sexual intercourse and supplemented with local physical and pharmacological treatment such as prolonged caressing during sexual activity, change the position of sexual intercourse, choose female sexual peak for sexual intercourse, etc., can also try oral methyltestosterone, local sexual stimulation drugs and physical therapy ring .

The treatment of situational orgasm disorder is mainly to strengthen the exchange of sexual information between husband and wife, and jointly explore the environmental factors affecting sexual activity, and try to eliminate their interference, so that sexual life is more harmonious.

Finally, also need to emphasize the point that every sexual activity, women do not always appear orgasm, as long as the couple’s sexual life is satisfactory, even if sometimes women do not appear orgasm is also normal.

7,Can low libido in women be treated?

Sexual desire is a desire or drive that arises from excitation of a specific part of the brain, and it is a particular feeling that makes a person seek or receive sexual experiences. Female hypoactive sexual desire refers to the persistent and recurrent lack or complete lack of sexual fantasy and desire for sexual activity, except for the possibility of hypoactive sexual desire as a result of mental disorders such as obsessive-compulsive neurosis or heavy depression, that is, women lack subjective desire and interest in sexual activity or have no requirement for sexual activity, including sexual fantasy, sexual dreams and masturbation, and even hate all sexual and non-sexual intimacy.

Hypoactive sexual desire is the most common and serious type of female sexual dysfunction. It can occur alone, but also with other sexual dysfunctions at the same time and as a result of each other, such as women without orgasm, over time to inhibit sexual desire, and a decline in sexual desire and sexual arousal decline, so it is difficult to have an orgasm.

Most low libido in women is caused by psychosocial factors. Since sexual values that discriminate and restrict female sexual activity are still prevalent in society, women are more susceptible to psychosocial factors than men. Women’s anxiety, depression, stressful life, career blows, serious illness or death of children or relatives, and long-term relationship discord between couples can all cause low female libido. Among them, some women can be traced back to their childhood and adolescence to receive inhibitory sexual education or have suffered from sexual trauma experiences, such as rape, incest, sexual harassment, etc. Due to the above factors, their negative conditioned reflexes established in their early years are reinforced, and after marriage, their sexual desire presents obvious inhibition and low. A few women can also have low libido due to factors such as insufficient gonadal function, increased secretion of prolactin from pituitary adenoma, long-term use of large amounts of antihypertensive and diuretic drugs, and acute and chronic alcoholism. Therefore, low female libido can be caused by either psychosocial factors, physiological or organic factors, or multiple factors acting together.

The treatment of low female libido is difficult, but not untreatable, as long as you work closely with the sexual health doctor to insist on long-term patient examination and treatment, you will also receive certain results. The following are the corresponding treatment methods depending on the cause.

If it is due to psychological factors, the underlying causes should be identified, under the guidance and assistance of the doctor to dispel concerns and hidden worries, and then even if there is low libido, through sexual activity and sexual excitement may be stimulated and obtain sexual satisfaction. If necessary, take the sexy concentration training method treatment, this method is to let the patient couple initially for a period of time to abandon sexual intercourse, sexual activities are limited to hugging and touching the female body parts other than genitals and breasts, when the touch can lead to sexy then start to touch the female genitals and breasts, about two weeks of training, when touching the female genitals and breasts can cause a good sexual response then sexual intercourse, but does not Orgasm is not necessarily required. In the course of treatment, patients can read some moving books or graphic materials, strengthen the sexual imagination, break the old concept that only the male partner can become the initiator of sexual activity, and can take the female position during sexual intercourse, in order to stimulate and mobilize the subjective initiative of the female partner in sexual activity, in addition, can also try some Chinese and Western drugs with hypnotic effect, such as women with depression, taking chloroperidone, etc. In addition to the disappearance or reduction of depression in some women, the sexual desire of some women can also be increased.

If endocrine laboratory tests confirm hypogonadism, small doses of estrogen can be used to replace the estrogen deficiency in the body, and methyltestosterone can also be used to enhance libido. If pituitary imaging or CT scan reveals adenomas in the pituitary gland, bromocriptine treatment or surgery can be used to enhance libido. For long-term use of antihypertensive and diuretic drugs or alcoholics, the drugs or dose should be adjusted according to the condition, and alcohol should be gradually withdrawn.

8,Why do women have hypersexuality?

Some women suddenly appear strong, frequent, difficult to control the demand for sexual intercourse, not sexual intercourse is difficult to quell their libido, and irritability, restlessness, etc., so that the husband exhausted and extremely distressed, this is the female hypersexuality. It is different from some women’s strong sexual desire, the latter is also sexual intercourse 3-4 times a week, most do not affect health.
There are both organic and functional factors that can cause hypersexuality in women. The organic causes are: gynecological inflammation stimulating the clitoris; organic lesions of the endocrine and nervous systems, such as follicular membrane cell tumors, menopausal syndrome, and some patients with hyperthyroidism. Functional causes are seen in: increased cortical excitation and decreased inhibition, such as manic psychosis, menopausal psychosis, etc.; in adolescent girls, the rise of estrogen levels in the body, causing strong sexual impulses, etc.
The female hypersexuality should be diagnosed and treated early. If it is organic cause can be targeted treatment if it is functional or psychological cause should be hospitalized or receive psychological treatment in outpatient clinic. Whatever the cause, her husband should be sympathetic and considerate to his wife, not to argue and sarcastic, while the patient should intentionally control herself and separate from her husband for a period of time if necessary to reduce sexual stimulation.