SEXUALITY

Prepared By: Maria Theresa s. Talplacido

 Sexuality
is diverse, and deeply
personal.
 it is about the sexual feelings
and attractions we feel towards
other people, not about who we
have sex with.
 Types of sexuality
There are a few common labels people use to identify their
sexuality.
Your sexuality is not defined by who you have sex with –
it’s about how you feel and how you choose to identity yourself.

 Straight. Attracted mostly to people of the opposite sex or gender.

 Gay. Attracted mostly to people of the same sex or gender (used by

guys, and often girls too).

 Lesbian. Attracted mostly to people of the same sex or gender

(used by women).

 Bisexual. Attracted to both men and women. Some people use

terms like pan or pansexual to say they’re attracted to different kinds
of people, regardless of their gender.

Asexual. Not really sexually attracted to anyone.

 GENDER
TERMS
A. GENDER ROLES

B. GENDER IDENTITY

C. SEXUAL ORIENATION

 A. Gender Roles

 is a set of societal norms dictating

what types of behaviors are generally
considered acceptable, appropriate, or
desirable for a person based on their
actual or perceived sex.
 B. Gender Identity
is each person's internal and individual
experience of gender. It is their sense of
being a woman, a man, both, neither, or
anywhere along the gender spectrum. A
person's gender identity may be the same
as or different from their birth-assigned sex.
WORDS COMMONLY USED TO
DESCRIBE FEMININITY
dependent weak
emotional flirtatious
passive nurturing
sensitive self-critical
soft
quiet
sexually
graceful submissive
innocent accepting
WORDS COMMONLY USED TO
DESCRIBE MASCULINITY
independent experienced
non-emotional strong
aggressive active
tough-skinned self-confident
competitive hard
clumsy sexually aggressive
rebellious
C. Sexual orientation

 is a person's sexual
identity in relation to the
gender to which they are
attracted; the fact of
being heterosexual,
homosexual, or bisexual.
Terms Used to
Describe A
Person’s Sexual
Orientation:
1.Asexual . person who does not
experience sexual attraction towards
towards any gender
2. Bisexual . Attracted to both men and women.
Some people use terms like pan or pansexual to
say they’re attracted to different kinds of people,
regardless of their gender.
3.Gay . Attracted mostly to people of the same
sex or gender (used by guys, and often girls
too).
4. Lesbian. Attracted mostly to people of the
same sex or gender (used by women).
Male and Female Reproductive
Anatomy and Physiology
 Male
Reproductive
Anatomy
 Scrotum

= The scrotum is a sac-like organ made of

skin and muscles that houses the testes.
= It is located inferior to the penis in the
pubic region. it is made up of 2 side-by-side
pouches with a testis located in each
pouch.
= When the testes become too warm to
support spermatogenesis, the scrotum
relaxes to move the testes away from the
body’s heat.
 Testes
 = The 2 testes, also known as testicles, are the
male gonads responsible for the production of
sperm and testosterone.
 = The testes are ellipsoid glandular organs around
1.5 to 2 inches long and an inch in diameter.
 = The inside of the testes is divided into small
compartments known as lobules.
 Each lobule contains a section of seminiferous
tubule lined with epithelial cells.
 = These epithelial cells contain many stem cells
that divide and form sperm cells through the
process of spermatogenesis.
 Epididymis

= The epididymis is a sperm storage area that
wraps around the superior and posterior edge of
the testes.
 = The epididymis is made up of several feet of
long, thin tubules that are tightly coiled into a small
mass.
 = Sperm produced in the testes moves into the
epididymis to mature before being passed on
through the male reproductive organs.
 = The length of the epididymis delays the release
of the sperm and allows them time to mature.
 Spermatic Cord &
Ductus Deferens

= Within the scrotum, a pair of spermatic

cords connects the testes to the
abdominal cavity.
= The spermatic cords contain the ductus
deferens along with
nerves, veins, arteries, and lymphatic
vessels that support the function of the
testes.
Ductus Deferens

 = also known as the vas deferens,

 = is a muscular tube that carries sperm superiorly
from the epididymis into the abdominal cavity to
the ejaculatory duct.
 = It is wider in diameter than the epididymis and
uses its internal space to store mature sperm.
 = The smooth muscles of the walls of the ductus
deferens are used to move sperm towards the
ejaculatory duct through peristalsis.
Seminal
Vesicles
 = The seminal vesicles are a pair of lumpy exocrine
glands that store and produce some of the liquid
portion of semen.
 = The seminal vesicles are about 2 inches in length and
located posterior to the urinary bladder and anterior to
the rectum.
 = The liquid produced by the seminal vesicles contains
proteins and mucus and has an alkaline pH to help
sperm survive in the acidic environment of the vagina.
 = The liquid also contains fructose to feed sperm cells
so that they survive long enough to fertilize the oocyte.
Ejaculatory
Duct

= The ductus deferns passes through the

prostate and joins with the urethra at a
structure known as the ejaculatory duct.
= The ejaculatory duct contains the ducts
from the seminal vesicles as well.
= During ejaculation, the ejaculatory duct
opens and expels sperm and the secretions
from the seminal vesicles into the urethra.
 Urethra
 = Semen passes from the ejaculatory duct to the
exterior of the body via the urethra, an 8 to 10 inch
long muscular tube.
 = The urethra passes through the prostate and
ends at the external urethral orifice located at the
tip of the penis.
 = Urine exiting the body from the urinary bladder
also passes through the urethra.
 Prostate
= is a walnut-sized exocrine gland that
borders the inferior end of the urinary
bladder and surrounds the urethra.
= The prostate produces a large portion of
the fluid that makes up semen.
= This fluid is milky white in color,contains
enzymes, proteins, &other chemicals to
support and protect sperm during
ejaculation.
= The prostate also contains smooth
muscle tissue that can constrict to prevent
the flow of urine or semen.
 Cowper’s
Glands
= also known as the bulbourethral glands
= are a pair of pea-sized exocrine glands
located inferior to the prostate and anterior
to the anus.
= it secrete a thin alkaline fluid into the
urethra that lubricates the urethra and
neutralizes acid from urine remaining in the
urethra after urination.
= This fluid enters the urethra during
sexual arousal prior to ejaculation to
prepare the urethra for the flow of semen.
 Penis
= is the male external sexual organ located superior to the
scrotum and inferior to the umbilicus.
 = it is roughly cylindrical in shape and contains the urethra
and the external opening of the urethra.
 = The erection of the penis causes it to increase in size and
become turgid.
Function:
 = to deliver semen into the vagina during sexual
intercourse.
 = the also allows for the excretion of urine through the
urethra.
 Semen
= is the fluid produced by males for sexual
reproduction and is ejaculated out of the
body during sexual intercourse.
= Semen contains sperm
= The chemical composition of semen
gives it a thick, sticky consistency and a
slightly alkaline pH.
= In healthy adult males, semen contains
around 100 million sperm cells per milliliter.
= These sperm cells fertilize oocytes inside
the female fallopian tubes
 Physiology
of the
Male Reproductive
System
 Spermatogenesis
 is the process of producing sperm and takes place in the testes
and epididymis of adult males. Prior to puberty, At puberty,
 spermatogenesis begins when luteinizing hormone (LH) and
follicle stimulating hormone (FSH) are produced.
 Testosterone stimulates stem cells in the testes known as
spermatogonium to undergo the process of developing into
spermatocytes.
 The spermatid cells then go through a process known as
spermiogenesis where they grow a flagellum and develop the
structures of the sperm head.
 After spermiogenesis, the cell is finally a sperm cell, or
spermatozoa.
 The spermatozoa are released into the epididymis where they
complete their maturation and become able to move on their
 Fertilization
 is the process by which a sperm combines with an oocyte, or
egg cell, to produce a fertilized zygote.
 The sperm released during ejaculation must first swim
through the vagina and uterus and into the fallopian tubes
where they may find an oocyte.
 After encountering the oocyte, sperm next have to penetrate
the outer corona radiata and zona pellucida layers of the
oocyte.
 Sperm contain enzymes in the acrosome region of the head
that allow them to penetrate these layers.
 After penetrating the interior of the oocyte, the nuclei of these
haploid cells fuse to form a diploid cell known as a zygote.
 The zygote cell begins cell division to form an embryo
 Female
Reproductive
Anatomy &
Physiology
1. Internal Organs
The internal organs are located
in the pelvic cavity and are
supported by the pelvic floor.
Uterus

 The uterus is a hollow organ about the size and

shape of a pear. It serves two important functions:
it is the organ of menstruation and during
pregnancy it receives the fertilized ovum, retains
and nourishes it until it expels the fetus during
labor.
 The uterus is located between the urinary bladder
and the rectum. It is suspended in the pelvis by
broad ligaments.
Vagina

 The vagina is the thin in walled muscular tube

about 6 inches long leading from the uterus to the
external genitalia. It is located between the bladder
and the rectum.
 The vagina provides the passageway for childbirth
and menstrual flow; it receives the penis and
semen during sexual intercourse.
Fallopian Tubes
 Each tube is about 4 inches long.It transport ovum
from the ovaries to the uterus. There is no contact
of fallopian tubes with the ovaries.When an oocyte
is expelled from the ovary, fimbriae create fluid
currents that act to carry the oocyte into the
fallopian tube. Oocyte is carried toward the uterus
by combination of tube peristalsis and cilia, which
propel the oocyte forward. The most desirable
place for fertilization is the fallopian tube.
Ovaries

 The ovaries are for oogenesis-the production of

eggs (female sex cells) and for hormone
production (estrogen and progesterone).
 The ovaries are about the size and shape of
almonds. The follicles are tiny sac-like structures
that consist of an immature egg surrounded by one
or more layers of follicle cells. When the egg is
matured, it is called a graafian follicle, and is ready
to be ejected from the ovary.
 Process of hormone
production by the ovaries
 Estrogen is produced by the
follicle cells, which are
responsible secondary sex  Progesterone is
characteristics and for the produced by the
maintenance of these traits. corpus luteum in
These secondary sex presence of in the
characteristics include the blood. It works with
enlargement of fallopian tubes, estrogen to produce a
uterus, vagina, and external normal menstrual
genitals; breast development; cycle. Progesterone is
increased deposits of fat in hips important during
and breasts; widening of the pregnancy and in
pelvis; and onset of menses or preparing the breasts
menstrual cycle. for milk production.
 2. External Organs
 The external organs are located from the lower margin of the
pubis to the perineum.

 The appearance of the external genitals varies greatly from

woman to woman, since age, heredity, race, and the number
of children a woman has borne determines the size, shape,
and color.

 The external organs of the female reproductive system

include the mons pubis, labia majora, labia minora, vestibule,
perineum, and the Bartholin’s glands. As a group, these
structures that surround the openings of the urethra and
vagina compose the vulva, from the Latin word meaning
covering.
Mons Pubis

This is the fatty rounded area overlying the

symphysis pubis and covered with thick coarse hair.
Labia Majora

b) The labia majora run posteriorly from the mons

pubis. They are the 2 elongated hair covered skin
folds. They enclose and protect other external
reproductive organs.
Labia Minora

 are 2 smaller folds enclosed by the labia majora.

They protect the opening of the vagina and
urethra.
Vestibule

 consists of the clitoris, urethral meatus, and the

vaginal introitus.
 The clitoris is a short erectile organ at the top of
the vaginal vestibule whose function is sexual
excitation.
 The urethral meatus is the mouth or opening of the
urethra.
 The vaginal introitus is the vaginal entrance.
Perineum

 This is the skin covered muscular area between

the vaginal opening (introitus) and the anus. It aids
in constricting the urinary, vaginal, and anal
opening. It also helps support the pelvic contents.
 Bartholin’s Glands (Vulvovaginal
or Vestibular Glands)
 lie on either side of the vaginal opening.
They produce a mucoid substance, which provides
lubrication for intercourse.
 3. Blood Supply
 The blood supply is derived from the uterine and ovarian
arteries that extend from the internal iliac arteries and the
aorta. The increased demands of pregnancy necessitate a
rich supply of blood to the uterus. New, larger blood vessels
develop to accommodate the need of the growing uterus.
The venous circulation is accomplished via the internal iliac
and common iliac vein.
 4. The Menstrual
Cycle
 Menstruation is the periodic discharge of blood, mucus,
and epithelial cells from the uterus. It usually occurs at
monthly intervals throughout the reproductive period,
except during pregnancy and lactation, when it is usually
suppressed.
 The menstrual cycle is controlled by the cyclic activity of
follicle stimulating hormone (FSH) and LH from the anterior
pituitary and progesterone and estrogen from the ovaries.
In other words, FSH acts upon the ovary to stimulate the
maturation of a follicle, and during this development, the
follicular cells secrete increasing amounts of estrogen
 Hormonal
interactions of the
female cycle are as
follows:
Days 1-5. This is known as the menses
phase. A lack of signal from a fertilized egg
influences the drop in estrogen and
progesterone production. A drop in
progesterone results in the sloughing off of
the thick endometrial lining which is the
menstrual flow. This occurs for 3 to 5 days.
Days 6-14. This is known as the proliferative
phase. A drop in progesterone and estrogen
stimulates the release of FSH from the anterior
pituitary. FSH stimulates the maturation of an
ovum with graafian follicle. Near the end of this
phase, the release of LH increases causing a
sudden burst like release of the ovum, which is
known as ovulation.
Days 15-28. This is known as the secretory
phase. High levels of LH cause the empty
graafian follicle to develop into the corpus
luteum. The corpus luteum releases
progesterone, which increases the endometrial
blood supply. Endometrial arrival of the fertilized
egg. If the egg is fertilized, the embryo produces
human chorionic gonadotropin (HCG).
Thehuman chorionic gonadotropin signals the
corpus luteum to continue to supply
progesterone to maintain the uterine lining.
Continuous levels of progesterone prevent the
release of FSH and ovulation ceases.
 Additional Information

 The length of the menstrual  The menstrual cycle

cycle is highly variable. It usually ends when or
may be as short as 21 days before a woman
or as long as 39 days. reaches her fifties. This
 Only one interval is fairly is known as
constant in all females, the menopause.
time from ovulation to the
beginning of menses, which
is almost always 14-15 days.
 5. Ovulation
 Ovulation is the release of an egg cell from a mature
ovarian follicle. Ovulation is stimulated by hormones from
the anterior pituitary gland, which apparently causes the
mature follicle to swell rapidly and eventually rupture.
When this happens, the follicular fluid, accompanied by the
egg cell, oozes outward from the surface of the ovary and
enters the peritoneal cavity. After it is expelled from the
ovary, the egg cell and one or two layers of follicular cells
surrounding it are usually propelled to the opening of a
nearby uterine tube. If the cell is not fertilized by union of a
sperm cell within a relatively short time, it will degenerate.
 6. Menopause
 As mentioned in paragraph 1-6c, menopause is the
cessation of menstruation. This usually occurs in women
between the ages of 45 and 50. Some women may reach
menopause before the age of 45 and some after the age of
50. In common use, menopause generally means cessation
of regular menstruation. Ovulation may occur sporadically or
may cease abruptly. Periods may end suddenly, may
become scanty or irregular, or may be intermittently heavy
before ceasing altogether. Markedly diminished ovarian
activity, that is, significantly decreased estrogen production
and cessation of ovulation, causes menopause.
HUMAN
SEXUAL
RESPONSE
 Sexual Response
A biochemical and physiological response
to sexual stimulation that occurs in ♂ and ♀
after puberty Phases Excitement, plateau,
orgasm, resolution
 A. Excitement phase
(also known as the arousal phase or initial
excitement phase) is the first stage of the human
sexual response cycle.
It occurs as the result of physical or mental erotic
stimuli,
such as kissing, petting, viewing erotic images
that leads to sexual arousal.
During the excitement stage, the body prepares for
sexual intercourse, initially leading to the plateau
phase.
 Excitement in both sexes
Excitement in males
 the beginning of the
excitement phase is observed
when the penis becomes
partially erect
 Both testicles become drawn
upward toward the perineum,
notably in circumcised males
where less skin is available to
accommodate the erection.
 the scrotum can tense and
thicken during the erection
process.
Excitement in females
 In females, the excitement
phase can last from several
minutes to several hours.
 The onset of
vasocongestion results in
swelling of the woman's
clitoris, labia minora and
vagina.
 The vaginal walls begin to
produce a lubricating
organic liquid.
 Meanwhile, the breasts
increase slightly in size and
nipples become hardened
and erect.
 b. Plateau phase

 The plateau phase is the period of sexual excitement prior

to orgasm. The phase is characterised by an increased
circulation and heart rate in both sexes,
 increased sexual pleasure with increased stimulation, and
further increased muscle tension.
 Also, respiration continues at an elevated level. Both men
and women may also begin to vocalize involuntarily at this
stage.

Plateau in
males
 the male urethral sphincter
contracts (so as to prevent
urine from mixing with semen,
and to guard against
retrograde ejaculation) and
muscles at the base of the
penis begin a steady rhythmic
contraction.
 Males may start to secrete
seminal fluid or pre-ejaculatory
fluid and the testicles rise
closer to the body.
Plateau in
females
 in females is basically a
continuation of the same changes
evident in the excitement stage.
 The clitoris becomes extremely
sensitive and withdraws slightly
and the Bartholin glands produce
further lubrication.
 The tissues of the outer third of
the vagina swell, and the
pubococcygeus muscle tightens,
reducing the diameter of the
opening of the vagina.
 c. Orgasmic phase

 It is accompanied by quick cycles of muscle

contraction in the lower pelvic muscles, which
surround both the anus and the primary sexual
organs. Women also experience uterine and
vaginal contractions. Orgasms are often
associated with other involuntary actions, including
vocalizations and muscular spasms in other areas
of the body, and a generally euphoric sensation.
Heart rate is increased even further.
 Orgasm in males
 In men, orgasm is usually
associated with ejaculation.
Each ejection is
accompanied with
continuous pulses of sexual
pleasure, especially in the
penis.
 Other sensations may be
felt strongly among the
lower spine, or lower back.
 The first and second
convulsions are usually the
most intense in sensation,
and produce the greatest
quantity of semen.
Orgasm in
females
 Orgasms in females can
vary widely from woman to
woman. The overall
sensation is similar to that
of the male orgasm.
 They are commonly
associated with an
increase in vaginal
lubrication, a tightening of
the vaginal walls, and
overall pleasure.
 d. Resolution phase

occurs after orgasm and allows the

muscles to relax, blood pressure to drop
and the body to slow down from its excited
state.
Resolution in males

two-stage detumescence of the penis:

 In the first stage, the penis decreases from its
erect state to about fifty percent larger than its
flaccid state. This occurs during the refractory
period.
 In the second stage (and after the refractory period
is finished), the penis decreases in size and
returns to being flaccid. It is generally impossible
for men to achieve orgasm during the refractory
period.
Resolution in females

women have the ability to orgasm again

very quickly, as long as they have effective
stimulation. For some women, the clitoris is
very sensitive after climax, making
additional stimulation initially painful. After
the initial orgasm, subsequent orgasms for
women may also be stronger or more
pleasurable as the stimulation
accumulates.
 SEXUAL
ORIENTATION
Sexual orientation
is a term used to refer to a
person's emotional, romantic, and
sexual attraction to individuals of
a particular gender (male or
female).
Sexual orientation generally is
divided into three categories:
Heterosexual: attracted to individuals of
the opposite sex

Bisexual: attracted to members of either

sex

Homosexual: attracted to individuals of

one's own sex
 Sexual Orientation
believe that it is caused by a
complex interplay of :
genetic
Hormonal
environmental influences
 Sexual expression
is a somewhat vague term that is used to
describe not only sexual activities we
engage in, but ways we communicate and
present ourselves to the world as a sexual
being.
Sexual expression can include
things such as:
 Individual expression: choices you make in terms
of how you dress, talk, or move through the world
that reflect aspects of your sexual self.

 Interpersonal interactions: the way you relate to

others, and the extent to which you connect
physically or emotionally with other people can say
a lot about who you are sexually.
Sexual expression can include
things such as:
Cultural/educational engagement: the
kinds of things you read, the movies and
TV you watch, the music you listen to, the
performances you choose to go to or
participate in.

Explicit sexual activities alone or with a

partner or partners.
 Sexual expression can include
things such as:
 Consumer behavior: where you shop and what you buy
may express parts of your sexuality.

 Political engagement: not just who you vote for, but what
sorts of organizations you support can be a way of
expressing your sexuality.

 Spirituality: whether that means that sex is a form of

spiritual practice or that your practice of religion or spirituality
is tied to how you feel about yourself as sexual.
 SEXUAL
DESIRE
DISORDER
1. Hypoactive sexual desire
disorder (HSDD) or inhibited
sexual desire (ISD)
is considered a sexual
dysfunction and is
characterized as a lack or
absence of sexual
fantasies and desire for sexual
activity
2. Sexual Aversion Disorder

is an avoidance of sexual activity that

causes significant relationship
problems. Even the possibility of
sexual intercourse may cause a panic
attack. The disorder may appear as a
lifelong problem.
SYMPTOMS/ Reasons for Sexual
Aversion Disorder

Avoidance of sexual activity

Fear, revulsion, or disgust of sexual activity
Relationship problems
Panic attacks when confronted with sexual
activity
Causes of Sexual Aversion
Disorder
Other problems may be physical in nature.
hormonal imbalances may be the cause of a
decrease in sexual desire.
 Other minor causes of sexual aversion
disorder may be stress, substance abuse, or a
fear of pregnancy.
Whatever the exact causes, certain tell-tale
signs will appear in people suffering from this
sexual dysfunction.
3. Hypersexuality
is a clinical diagnosis used by mental
healthcare researchers and providers to
describe extremely frequent or suddenly
increased sexual urges or sexual activity.
The
terms nymphomania and satyriasis were
once used to describe the condition, in
women and men respectively, but are no
longer in general medical use.
 Hypersexual Disorder Signs

• Frequent viewing of pornography or use of sexually

explicit websites or other online services –
This may include videos, adult magazines,
pornographic websites, “adult” chat rooms, paying to
watch sexual activity via webcams, or using dating
websites that connect people interested in sexual
relationships and / or one night stands.

• Frequent or excessive use of phone sex services

 Hypersexual Disorder Signs
 Excessive masturbation – This is one of the most
common early sex addiction signs. Often the sex addict
masturbates while engaging in other sexual activity (e.g.
while viewing pornography or talking to a phone sex
operator).
 Obsessing about sex to the point that it interferes with their
life
 Spending a significant amount of time planning their
sexual activity – Sex addicts, just like drug addicts and
other types of addicts, will devote a large amount of time
determining where and how they will get their next “fix”.
 SEXUAL
AROUSAL
DISORDER
Hypersexual Disorder Signs

 • Frequent or excessive use of phone sex

services

• Having multiple extramarital affairs or

frequently having sex with multiple partners

• Frequent one-night stands with total

strangers or prostitutes
 Sexual Arousal
Disorder
 is characterized by a lack or absence
of sexual fantasies and desire for sexual
activity in a situation that would normally
produce sexual arousal, or the inability to
attain or maintain typical responses to
sexual arousal.
Signs and symptoms
In women, include:
Lack of vaginal lubrication
Lack of vaginal dilation or lengthening
Decreased genital tumescence or
swelling
Decreased genital or nipple sensation
 Causes
 Popular belief caused from a lack of sexual arousal.
 Possible causes of the disorder include psychological and
emotional
 factors, such asdepression, anger, and stress;
relationship factors, such as
 conflict or lack of trust; medical factors, such as
depleted hormones, reduced regional blood flow,
and nerve damage; and drug use.
 The lack of sexual arousal may be due to a general lack of sexual
desire or due to a lack of sexual desire for the current partner.
 Treatment
 Depending on the cause of the disorder, hormone therapy or
a blood-flow enhancing medication, like Viagra, may be
appropriate.
 Bremelanotide (formerly PT-141) is being studied in clinical
tests to increase sexual desire in women. In 2014, Palatin,
the company developing the drug, announced the beginning
of a Phase 3 clinical trial to determine its effectiveness.[5]
 ORGASM DISORDER/
ORGASMICDYSFUNCTION
 is a condition that occurs when someone
has difficulty reaching orgasm, even when
they’re sexually aroused and there’s
sufficient sexual stimulation.

Orgasmic dysfunction is also known

as anorgasmia or female orgasmic
disorder.
 What Causes Orgasmic
Dysfunction?
older age
medical conditions, such as diabetes
a history of gynecological surgeries, such
as a hysterectomy
cultural or religious beliefs
embarrassment or shyness
guilt about enjoying sexual activity
 What Causes Orgasmic
Dysfunction?
history of sexual abuse
mental health conditions, such as depression or
anxiety
stress
poor self-esteem
relationship issues, such as unresolved conflicts or
lack of trust
Sometimes, a combination of these factors can make
achieving an orgasm difficult. The inability to orgasm
can lead to distress, which may make it even harder
to achieve orgasm in the future.
 What Are the Symptoms of
Orgasmic Dysfunction?
The main symptom of orgasmic dysfunction is :
the inability to achieve sexual climax.

Having unsatisfying orgasms or taking longer than

normal to reach climax are also symptoms.

have difficulty achieving orgasm during either

sexual intercourse or masturbation.
 MALE ORGASMIC DISORDER
(MOD)

 Anorgasmia is a male sexual orgasmic disorder in which

there is persistent and consistent inability to achieve
orgasm, after adequate stimulation that causes personal
distress.
 Anorgasmia is more common in women than in men.
Primary anorgasmia is used to define the condition of men
who have never experienced orgasm while secondary
anorgasmia is used to describe a man who once
experienced orgasm but lost the ability.
Symptoms of anorgasmia
in a man are persistent and consistent
inability to achieve orgasm after adequate
stimulation.
 CAUSES
Anorgasmia can be caused by psychologic problems.
or complications from spinal cord injury, genital surgery,
radical prostatectomy, pelvic trauma, hormonal issues
such as low testosterone and low thyroid.
 A common cause of anorgasmia, in men, is the use
of anti-depressants, particularly selective serotonin
reuptake inhibitors (SSRIs). It is estimated that one
quarter of users of selective serotonin reuptake inhibitors
are affected by anorgasmia.
Signs of Sexual Pain

For women, the symptoms of dyspareunia

include ;
 pain in the vagina during sexual activity,
 either at the entrance of the vagina or further
inside. Some women experience vaginismus,
which means that their vaginal muscles
involuntarily contract during penetration, making
the experience painful.
 Causes and Treatment of Sexual
Pain
Vaginal itching.
Yeast infections, urinary tract infections (UTIs), and
some sexual transmitted diseases
cause itching and burning sensations in the vagina.
Having sex while you are suffering from one of these
conditions can be unpleasant and can cause dyspareunia.
UTIs and yeast infections are treatable, and most sexually
transmitted diseases can be treated or managed.
Causes and Treatment of Sexual
Pain
Vaginal dryness.
As many as 20 percent of women report lubrication
difficulties, which can lead to pain during sex. The
hormonal changes that accompany menopause can
also lead to vaginal dryness. Huang says that using
water-based lubricants and engaging in more
foreplay before sexual intercourse can help with
vaginal dryness.
Causes and Treatment of Sexual
Pain
Vaginismus.
The involuntary contraction of vaginal
muscles during penetration, or
vaginismus, can be caused by physical
and psychological factors, Huang says.
Identifying the cause of vaginismus is
essential for developing a treatment plan.
 Other Causes of Sexual Pain
 Though dyspareunia is often
caused by easily treatable
conditions, sometimes it can
be a sign of more serious
issues.
 Health
conditions. Sometimes,
dyspareunia is a sign
of hemorrhoids or
endometriosis, a condition in
which the tissue that lines the
uterus starts growing in other
places in the body. All of these
conditions are treatable.
 Psychological
causes. Psychological
factors, such as anxiety and
depression, can adversely
affect sexuality and bring on
dyspareunia. Women who
have been sexually abused
may find that their
relationship to sex has
changed dramatically. A sex
therapist or counselor can
help you address these root
psychological causes and
work with you to cultivate a
healthy and positive
sexuality.
Bottom line on
sexual:
pain
Recognize your symptoms and positive
sexuality.
and seek advice. If you experience pain
during intercourse, talk to your
gynecologist. Sexual pain does not have to
be part of your life.