All women can squirt during sex

Sexual disorders: clinical picture

The classification of sexual disorders (dysfunctions) was developed on the basis of the three-phase model by Helen Kaplan. It divides the sexual response into three phases: the phase of sexual desire (appetite), the arousal phase and the orgasm phase. Accordingly, sexual disorders can occur in any phase. Gynecologists distinguish the following disorders:

  1. Sexual desire disorder: listlessness (libido disorder)
  2. Sexual arousal disorder: Problems getting or maintaining genital arousal during stimulation; this also includes a dry vagina (lubrication disorder)
  3. Orgasm disorder: failure to orgasm after sexual stimulation or repeated orgasm difficulties
  4. Disorder caused by pain during sexual intercourse: genital pain with a normal excitement phase (dyspareunia) or muscle spasms of the vaginal muscles (vaginismus) as well as insufficient moisture in the vagina (lubrication disorder)

Women who believe they have sexual dysfunction such as libido disorder, orgasm disorder, vaginismus, or dyspareunia should definitely seek medical attention.

Libido disorder (appetite disorder)

Sexual appetite disorders do not preclude sexual arousal or satisfaction, but they do mean that sexual activities are initiated less often. Patients suffering from a libido disorder often have no physical experience of their own through masturbation and are therefore not aware of the sexual pleasure that it entails. As a result of early childhood experiences or anti-sexual upbringing, they have mostly developed fears of their own bodies. Some women even have a downright reluctance to have a sexual relationship.

A discomfort caused by external factors such as stress or changing living conditions as well as a situation- or cycle-dependent loss of libido, on the other hand, are not to be regarded as an appetite disorder. It is only a disorder that requires treatment if the problems persist. Usually there is an unconscious defense reaction in those affected, organic causes are rare.

Arousal disorder (excitation disorder)

In the case of sexual arousal disorders, the genital reaction fails, i.e. little or no vaginal fluid is formed despite sexual stimulation. In addition to these physical symptoms, those affected also complain about the lack of a subjective feeling of excitement and pleasure.

Orgasm disorder

In principle, anyone can have an orgasm, but the ability to orgasm is more prone to failure in women than in men and depends in many ways on the psychological and partnership situation. Overall, achieving a normal ability to orgasm is a kind of learning process in which the woman explores her own body and its stimulation.

An orgasm disorder can affect the timing or the subjective experience of the orgasm. Either, after a phase of sexual arousal, the orgasm occurs in the affected person with great delay or it does not occur at all. Some women cannot orgasm through sexual intercourse, but only through masturbation, manual or oral gratification, which is now considered a normal variation of female sexuality and not an orgasm disorder.

When a woman is unable to orgasm, gynecologists speak of anorgasmia. It can occur primarily, which means that the woman has never experienced an orgasm in her life. If it occurs secondary, the ability to orgasm has been lost. In addition, anorgasmia can also be present situationally, for example only with a certain partner. A birth trauma defect can also be a cause. The causes of anorgasmia are often behavioral errors, inhibitions, personality fears or partner problems. Overall, physical illnesses are rarely the cause of an orgasm disorder - it is mostly due to psychological factors.

Painful intercourse (dyspareunia)

Quite a few women complain of pain during sexual intercourse. If a woman has enough desire for sexual intercourse, but does not get "wet" enough for it, the sexual act can be uncomfortable or painful for her. If pain has occurred since the first sexual intercourse, it could be a deformity in the sexual organs, which women suffer from other cultures but also about an earlier circumcision.

Later pain can have a variety of organic causes. These include inflammation in the genital area, cysts on the ovaries, adhesions after gynecological operations or sexually transmitted diseases. If a physical illness can be excluded, psychological blockages can also be the cause.

A special form of dyspareunia is what is known as vaginismus. This refers to the involuntary tension of the muscles in the lower area of ​​the vagina as soon as a finger, a tampon or a penis is inserted. Affected women cramp completely and often clamp their legs together as protection. They cannot be examined gynecologically either. The tension in the muscles usually leads to pain. Vaginismus is a psychological defense reflex based on sexual anxiety that was acquired or that goes back to unpleasant experiences. This disorder is most likely to occur in women who have had negative experiences with sexuality or who have overall difficulties dealing with sexuality due to their previous history.

Author (s): äin-red