Source of this article: Medical Obstetrics and Gynecology ChannelAuthor of this article: Shy Little Potato *This article contains professional knowledge and is intended for medical professionals only
Pain? Frigidity? Some time ago a couple came to see infertility. As soon as the two sat down, the wife said straight to the point:“Doctor, we have been married for three years, and we have never been able to have sex.It’s my problem, I I’m so afraid of the pain.Can we do test-tube babies in this situation?”Three years of marriage, I haven’t had sex. The most important thing is that my husband can not only bear it, but also Also willing to accompany my wife to do test tube baby, it really shocked my jaw. When it comes to couples having difficulty having sex, the first reaction of many people is whether their husband is impotent? Male sexual dysfunction is easy to diagnose, it can’t be hard, the time is too short, and the ejaculation can’t come out, basically it can be seen at once. 
However, according to survey data, women have higher rates of sexual dysfunction than men. So this kind of thing can’t be blamed on men, and it’s not easy for men. In addition to men may “no”, women may also “no”. There are two main reasons for a woman’s “no”. One is that the woman is afraid of pain, and the other is that she doesn’t want to. Q: Doctor, I am afraid of pain, What to do? A: Actually, it’s not as painful as I thought. Pain during sexual intercourse belongs to dyspareunia in the diagnosis of female sexual dysfunction, mainly referring to persistent or recurrent genital pain associated with sexual intercourse. This condition is often related to gynecological diseases or other physiological factors. The more common causes include vaginitis, endometriosis, diabetes, hypertension, post oophorectomy, post hysterectomy, pelvic radiotherapy, etc. . In addition, postmenopausal women and women who have given birth are also prone to pain during intercourse due to changes in hormone levels. 
The lady in front, married for three years, has never had sex, just because she is afraid of pain, you should check the reproductive system first There are abnormalities. In some genital malformations, such as hymen atresia, hymen hypertrophy, vaginal stenosis, congenital absence of vagina, etc., there may be cases of inability to have intercourse due to pain. But if the gynecological examination does not reveal a problem, it may be related to psychological factors. Women do experience pain during the first intercourse due to the rupture of the hymen and the dilation of the penis to the vagina, but this pain is often not very severe, it is also transient, and it soon becomes apparent. In the past, it wasn’t to the point of being unable to have sex due to pain. However, in many books and film and television works, this kind of pain is often exaggerated, and there will be descriptions such as “it feels like the whole person is torn apart”, “the lower body pain is unbearable”, this It will mislead women who have no sexual experience and make them fear sex life. So it is more likely to be related to psychological factors because of fear of pain. Of course, there may not only be “fear of pain” and other ingredients, but more may be “don’t want to”. 
Q: 16px;white-space:”> Doctor, I wonder if I’m a little frigid? A: If it’s frigidity, it’s likely these reasons. The so-called not wanting is what people often say about being cold and not interested in sex. Not only do they rarely initiate sex, but also when their partner actively touches or stimulates them , there is no reaction, the vagina is not wet, and there is no pleasure. This condition is also known as sexual interest or arousal disorder. The regulation of human libido is a very complex process, which depends not only on the regulation of the neuroendocrine system, but also under the influence of sex hormones. Abnormalities in any link may cause frigidity. Endocrine factors:Hypothalamic tumors, premature ovarian failure, long-term oral contraceptives, menopause and other reasons can affect the hypothalamus-pituitary-gonad axis function, resulting in endocrine disorders. Abnormal levels of androgens, estrogens, and progesterone may all suppress libido, arousal, and orgasm. Drug factors:In addition to oral contraceptives, antidepressants and antipsychotics may also affect libido Cause inhibition, appear frigid. Nerve, Vascular Disease: Nerve impulses that affect sexual behavior and genital Blood circulation can also cause sexual dysfunction. In addition to these physical factors, psychological reasons such as shyness, nervousness, anxiety, worry about pregnancy, disharmony between husband and wife, fear of sexually transmitted diseases, lack of self-confidence, etc. may also cause frigidity . 
What should I do in these situations? Treat the primary disease:If sexual dysfunction is due to disease, first To cure the disease, in order to fundamentally improve the problem of incoordination of sexual life. Psychotherapy:Many sexual dysfunctions are related to psychological factors. For good results, it is best to have professional psychotherapy for both spouses at the same time. General treatment:includes introductory knowledge, sexual skills, encouragement to read some related books, movies, etc., And experiment with sexual fantasies, while lube may also be recommended. behavioral therapy: includes self-stimulation training, desensitization therapy, pelvic floor muscle exercises, sexy focus training, and more , Through these methods, it helps to help girls experience orgasm, overcome obstacles, and relieve pain and other discomfort during intercourse. Medications:Men have Viagra, which dilates blood vessels to make the penis stiffer and longer . This drug used on girls can also make the vulva congested and moist, but the stimulation of sexual desire is not obvious. For women’s sexual dysfunction, two types of “Viagra” for women have been approved for marketing. They mainly act on the central nervous system and can better help women arouse their sexual desire. . In addition, antidepressants can increase libido; sex hormones can improve vaginal dryness and increase libido. However, these drugs must not be abused, because abuse will cause certain side effects, so it must be used under the guidance of a doctor. Facing the problem and opening upAlthough many people feel that sexual behavior is like eating and sleeping, it is normal for people Physiology, it’s very simple, but it’s actually a very complicated process to accomplish. In any case, if you are married for three years, you cannot have intercourse. There must be some problems in it. The specific cause of sexual dysfunction needs to be fully examined before it can be identified and symptomatic treatment. Sex isn’t just about inheriting a family, it’s about enhancing your relationship. Being IVF does not solve the problem. If you want to solve the problem fundamentally, you should face the problem and open your heart, maybe the problem can be solved. Source of this article: Medical Obstetrics and Gynecology ChannelThe author of this article: Shy Little PotatoResponsible Editor: Wen span>
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