Child sexual abuse is a pressing issue in society today. Moreover, statistically there is a considerable increase in the number of cases related to juvenile sex abuse over the past decade. Most of the cases report the abuser to be a close family member or a family friend rather than a complete stranger.
A sexually abused child is likely to develop severe mental health conditions and have major difficulties coping with as an adult. Therefore, one of the most common disorders affecting survivors of child sexual abuse is Post-Traumatic Stress Disorder (PTSD). Significantly, this involves the individual reliving the trauma all his/her life – thus leading to panic, stress and difficulties in living a healthy life in the longer run.
Consequently, for the individuals abused as a child it is normal to suffer from a very low self -esteem. They continue to blame themselves for the events that occurred and hence have a rather demeaning view of themselves. Thus, this leads to adjustment issues in the future.
They also have a diagnosis of clinical depression owing to the previous trauma. Accordingly, this hampers the everyday functioning of the individual. The individual continues to relive the past traumatic events in the mind that further fuels their depression and contribute to the vicious cycle, eventually.
Most often, survivors of child sexual abuse have a rather impulsive nature owing to the hampered functioning of impulse-control. Subsequently, they have lesser control over their emotions, especially anger and rather quick to act on it.
Because of all the complications, there is a good chance that they become socially competent. Thus, they fail to build firm peer relationships. Therefore they grow up to be adults with severe trust issues. Hence, often sidelined because of their cynicism which leads to further depressive symptoms.
By definition, Genophobia or Coitophobia is the abnormal fear of sex. It is another complication that sexually abused kids go on experience as adults. They usually avoid sexual intercourse altogether. Otherwise, they sometimes engage in sexual activities that come accross as rather violent in nature. Some survivors also develop certain sexual fetishes that can be rather dangerous; the most common is ‘paedophilia’ or the sexual arousal involving prepubescent children.
Depressed Woman Vaginismus comes to mind. It is not only the cyclical changes in physiological and psychological terms that women have to endure and become resilient. Women also need to change to external circumstances. Hence, they are probably designed to be flexible enough for change. However, depression can get the better of even the so called toughest woman. Good news is that it is something that can be treated to the fullest degree. Among the various symptoms of depression that are easily modified with medications sexual symptoms are rarely discussed. However, one symptom rarely discussed is that of sexual problems or disinterest due especially to physical causes resulting in depression.
A specific sexual disturbance especially during the initiation of first sexual contact or encounter is that of dyspareunia. The female version of which is vaginismus, which could possible be more common in depressed women. There are various successful vaginismus treatments that do not require interventions. These include medications, surgical operations, psychotherapeutic measures, nor any other complex interventional procedures.
Vaginismus is treatable and the success rates are quite high.
Among the most effective treatment approaches are a combination of pelvic floor control exercises very commonly known as kegel exercises. This along with insertion or dilation training using objects that are specific to the sexual treatment procedures is helpful. Resulting in pain elimination techniques using psychotherapeutic measures like exposure and response prevention are helpful. Likewise, transition steps with incremental tolerance to pain and enjoyment of the act are taught. Also, exercises designed to help women identify, express and resolve any contributing emotional components are helpful. They either are from the past experiences or from ill-informed sexual learning experiences which are mostly hearsay.
Women can do their treatments at the comfort of their homes. Thus, allowing a woman to work at her own pace in privacy, or in cooperation with her health care provider. The sexual pain, tightness and penetration difficulties that are due to vaginismus in depressed women are completely treatable. In addition, they fully overcome any remaining pain or discomfort, over the course of time.
Women experiencing pain or tightness during sexual activities can expect great benefit. However, if pain is associated with penile penetration problems including unconsummated relationships, they can expect high degree of resolution of vaginismus. This is true even in depressed women. This would allow for full pain free and adequate intercourse to the satisfaction of both partners.
Vaginismus treatment in depressed women and exercises follow a manageable, step-by-step process ~
Step 1 –
Understanding Vaginismus. Step 1 provides an overview of vaginismus and how symptoms can arise from it. Symptoms include sexual pain, tightness, burning sensations or penetration difficulties may result from it. Women start their sexual endeavor with this approach. The women become proactive about their sexual health. This is because an understanding vaginismus is fundamental to the process of overcoming it. Topics also include how to obtain a solid diagnosis, treatment methods, relationship issues, pelvic/relaxation techniques, conditioned responses and muscle memories.
Step 2 –
Sexual History Review & Treatment Strategies. A balanced approach helps women review and analyze their history. Exercises help identify and evaluate any events, emotions, or triggers contributing to vaginismus sexual pain or penetration problems. Checklists and detailed exercises map out a woman’s sexual history and pelvic pain events, working toward appropriate treatment strategies. Emotional reviews help detail any negative events, feelings, or memories that may collectively contribute to involuntary pelvic responses. Topics also include blocked or hidden memories. In addition, how to move forward when there have been traumatic events in a woman’s past.
Step 3 –
Sexual Pain Anatomy. Women often lack complete information about their body’s sexual anatomy, function, and the causes of pelvic pain and penetration problems. Confusion regarding problems with inner vaginal areas and vaginal muscles frequently lead to misdiagnosis and frustration. Step 3 educates about these sexual body parts with emphasis on their role in sexual pain and penetration issues. Topics include how to distinguish what kind of pain or discomfort is normal with first-time or ongoing sex. Also, what physical changes take place during arousal to orgasm cycles in the context of sexual pain or penetration problems. In this step, explanations about the Anatomy areas such as the hymen and inner vulva. These areas are demystified (for example there are six diagrams of hymen varieties to help distinguish hymen problems).
Step 4 –
Vaginal Tightness & The Role Of Pelvic Floor Muscles.Female sexual pain and penetration difficulties typically involve some degree of involuntary tightening of the pelvic floor. This step focuses on the role of pelvic floor muscles, especially the pubococcygeus (PC) muscle group. This explains in great detail how triggering the PC once continues their involuntary tightness. This continues with increasing attempts at intercourse. Effective vaginismus treatment focuses on retraining the pelvic floor to eliminate involuntary muscle reactions that produce tightness or pain. Learning how to identify, selectively control, exercise and retrain the pelvic muscles is a trick. This is to reduce pain and alleviate penetration tightness and difficulties is an important step in vaginismus treatment.
Step 5 –
Insertion Techniques. Allowing initial entry without pain, for women with painful penetration is the purpose of this technique. In this step, women practice pubococcygeus (PC) muscle control techniques. Women allow the entry of a small object (cotton swab, tampon, or finger) into their vagina. Thus, gradually working completely under their control and pace. The step helps in any previous closure of the entrance to the vagina and prevention of penetration by involuntary muscle contractions. Women begin to take full control over their pelvic floor. They subsequently learn how to flex and relax the pelvic floor at will, eliminating unwanted tightness and allowing entry.
Step 6 –
Graduated Vaginal Insertions However, when used properly, vaginal dilators are effective tools to further help eliminate pelvic tightness due to vaginismus. Also, dilators provide a substitute means to trigger pelvic muscle reactions. Thus, the effective dilator exercises in Step 6 teach women certain techniques. However, these include how to override involuntary contractions, relaxing the pelvic floor so it responds correctly to sexual penetration. Subsequently, graduated vaginal insertion exercises allow women to comfortably transition. Hence,this is to set the stage where they are ready for intercourse without pain or discomfort.
Step 7 –
Sensate Focus & Techniques For Couples To Reduce Pelvic Floor Tension. Helping with the transition to pain-free intercourse, this step explains sensate focus techniques. This is for couples to use to reduce pelvic floor tension and increase intimacy. Couples begin to work together during this step as exercises teach how to successfully practice sensate focus (controlled sensual touch). In addition, they prepare for pain-free intercourse using techniques from earlier steps. The exercises build trust and understanding. In addition, they assist in the process to adjust to controlled intercourse without pain.
Step 8 –
Pre-Intercourse Readiness Exercises Finalizing preparations for couples to transition to fully pain-free intercourse, this step completes pre-intercourse readiness. Couples review and practice techniques that eliminate pelvic floor tension and prepare to transition to full intercourse. Preparing ahead of time is the key to this step. This is to manage, control and eliminate pain or penetration difficulties. Hence, the exercises assist with the final transition to pain-free intercourse.
Step 9 –
Making The Transition To Intercourse. Step 9 explains the techniques used to eliminate pain and penetration difficulties while transitioning to normal intercourse. This section includes many troubleshooting topics of great use. Examples include, such as positions to use to maximize control and minimize pain, tips to ensure more comfortable intercourse, etc.
Step 10 –
Full Pain-Free Intercourse & Pleasure Restoration. The final step toward overcoming vaginismus includes penis entry with movement and freedom from any pain or tightness. To educate, build sexual trust and intimacy are the goals of Step 10. They help complete the transition to full sexual intercourse free of pain. Couples can begin to enjoy pleasure with intercourse, initiate family planning, and move forward to live life free from vaginismus.
What are Kegels? Firstly, a Kegel is an exercise specifically designed to strengthen your pelvic floor muscles. This can help you improve erection angle, improve erection quality, give more intense orgasms, indirectly enlarge your penis, cure incontinence, and much more !!! Hence, this is on of the most important ways on how to Increase Sexual Energy for Men.
Kegel History: Firstly, Kegels were invented by Dr. Arnold Kegel, an Obstetrician, in the 1940s. Although, developed for women, it became clear keels are also great for male sexual health !!!
Find your PC (pubococcygeus) muscle: While urinating, contract your muscles so you either slow or stop the flow of urine. Indeed, those are your pelvic floor muscles !!!
Multi-Orgasmic Men? YES ! However, with strong pelvic floor muscles and practice, men CAN become multi-orgasmic !!!
Don’t just Kegel In addition, combine your Kegel with other penis exercises like jells and stretches, to maximize your results !!!
Firstly, have your partner do Kegel too. In fact, you’ll both enjoy a harder erection and a tighter vagina !!!
In addition, within the framework of the World Health Organization’s (WHO) definition of health as a state of complete physical, mental and social well-being, and not merely the absence of disease or infirmity, reproductive health, or sexual health/hygiene, addresses the reproductive processes, functions and system at all stages of life. However, UN agencies claim sexual and reproductive health includes physical, as well as psychological well-being vis-a-vis sexuality.
Therefore, reproductive health implies that people are able to have a responsible, satisfying and safer sex life and that they have the capability to reproduce and the freedom to decide if, when and how often to do so. Therefore, one interpretation of this implies that men and women ought to be informed of and to have access to safe, effective, affordable and acceptable methods of birth control.
Also, access to appropriate health care services of sexual, reproductive medicine and implementation of health education programs to stress the importance of women to go safely through pregnancy and childbirth could provide couples with the best chance of having a healthy infant.
Indeed, individuals do face inequalities in reproductive health services. However, inequalities vary based on socioeconomic status, education level, age, ethnicity, religion, and resources available in their environment.
Finally, it is possible for example, that low income individuals lack the resources for appropriate health services and the knowledge to know what is appropriate for maintaining reproductive health.