{
    "success": true,
    "data": {
        "id": 1230079,
        "msgid": "intimacy-issues-may-cause-sexual-dysfunction-1447893297",
        "date": "2002-06-02 00:00:00",
        "title": "Intimacy issues may cause sexual dysfunction",
        "author": null,
        "source": "JP",
        "tags": null,
        "topic": null,
        "summary": "Intimacy issues may cause sexual dysfunction Maria Endah Hulupi, The Jakarta Post, Jakarta Premature ejaculation? Ashamed of your penis size? Do you consider yourself frigid? No problem. Now you can find medication, pills, tablets, herbal concoctions and other treatments, claiming to \"improve\" sexual performance or even cure sexual dysfunction on offer over the counter.",
        "content": "<p>Intimacy issues may cause sexual dysfunction<\/p>\n<p>Maria Endah Hulupi, The Jakarta Post, Jakarta<\/p>\n<p>Premature ejaculation? Ashamed of your penis size? Do you<br>\nconsider yourself frigid? No problem.<\/p>\n<p>Now you can find medication, pills, tablets, herbal<br>\nconcoctions and other treatments, claiming to &quot;improve&quot; sexual<br>\nperformance or even cure sexual dysfunction on offer over the<br>\ncounter.<\/p>\n<p>Despite the wide choice of treatments, however, sex experts<br>\nadvise people who have a sexual dysfunction to avoid trying to<br>\ntreat the problem by themselves. They said the problems might<br>\nstem from different phases of sexual intercourse that might<br>\nrequire different treatments, depending on the cause.<\/p>\n<p>&quot;Further diagnosis is needed to determine the cause of sexual<br>\ndysfunction, which can affect both men and women. This way, the<br>\nproblem can be treated properly,&quot; said Akmal Taher, a urologist<br>\nfrom the University of Indonesia, during a recent symposium to<br>\nmark the 52nd anniversary of the university&apos;s School of Medicine.<\/p>\n<p>Akmal explained that the causes of sexual dysfunction needed<br>\nto be distinguished, based on the phases of intercourse from<br>\nlibido, arousal, ejaculation (for men), to orgasm, during which<br>\nthe problem might occur.<\/p>\n<p>Most over-the-counter cures claim only to improve overall<br>\nsexual performance but they cannot deal with specific problems in<br>\neach of those sex phases.<\/p>\n<p>&quot;People with lack of libido don&apos;t need treatment for inability<br>\nto ejaculate, for example,&quot; Akmal explained.<\/p>\n<p>In the initial phase, the problem that affects men and women<br>\nis mainly the loss of libido, which result in a reduced sexual<br>\nappetite. This condition can arise because of hormonal changes,<br>\nstress or depression, a traumatic sex history or after<br>\nprostectomy.<\/p>\n<p>In the arousal phase, men may suffer from erectile<br>\ndysfunction, which renders them unable to have or sustain an<br>\nerection for vaginal penetration. It can be triggered by organic<br>\nproblems, caused by vascular disease, diabetes mellitus,<br>\nhypertension, certain medications, or psychological problems,<br>\nsuch as marital difficulties or stress.<\/p>\n<p>&quot;It&apos;s also advisable to quit smoking because people who smoke<br>\nare also prone to develop erectile dysfunction,&quot; Akmal warned.<\/p>\n<p>He also identified another rare factor, priapism, (abnormal<br>\nand often painful erection, even without erotic stimulus). This<br>\nis usually caused by disease.<\/p>\n<p>Sexual arousal disorder in women is &quot;dry vagina&quot; or inability<br>\nto obtain adequate lubrication, which makes penetration painful.<br>\nAkmal said this condition often occurred with postmenopausal<br>\nwomen.<\/p>\n<p>Women may also develop sexual pain disorders caused by<br>\ndyspareunia (a genital pain that makes intercourse almost<br>\nimpossible) and vaginismus (involuntary spasms in the perineal<br>\nmuscles that hamper penetration).<\/p>\n<p>In the ejaculation phase for men, problems that may arise are<br>\neither premature, inhibited or retrograde ejaculation. The latter<br>\nis a term for a condition in which the ejaculate is propelled<br>\nback into the bladder rather than through the urethra. It is<br>\noften suffered by men with diabetes.<\/p>\n<p>And at the end of the phase is failure to reach orgasm. This<br>\ncondition affects both men and women and can be a result of<br>\nsurgery, hormonal deficiencies or trauma, among other things.<\/p>\n<p>Estimating that the national total of people with sexual<br>\ndysfunction was about 6 million people, Akmal said, however, that<br>\nthe number seeking professional help was very low.<\/p>\n<p>&quot;Many people are still reluctant to consult anyone over sex-<br>\nrelated problems, and many blamed their situation on a stressful<br>\nroutine and thought that their sexual performance would<br>\nautomatically improve when the stress was over,&quot; he added.<\/p>\n<p>According to another speaker, sex expert Wendie Pangkahila,<br>\nproblems in sexual intercourse have prompted many people to<br>\nresort to ridiculous and often dangerous acts in their attempt to<br>\nplease their partner.<\/p>\n<p>Desperate men think that soaking their penis in lukewarm tea,<br>\ndrinking certain potions, having a silicon or collagen injection<br>\nor pumping their penis to enlarge it is the solution to their<br>\nsexual problems. Other men have been reported to use penis<br>\naccessories, or place something, like a pearl, under their penis<br>\nor insert a goat feather onto the frenulum, the membrane<br>\nsupporting the penis, to satisfy their partner.<\/p>\n<p>Women also commit similar acts. As vaginal lubrication is<br>\nconsidered dirty by local men, frustrated women have been<br>\nreported to insert herbs, wooden sticks or cleanse the vagina in<br>\ntheir attempt to become &quot;dry&quot;. &quot;They are not aware that their<br>\nactions could expose them to painful infection,&quot; Wendi explained.<\/p>\n<p>He said that boredom could lead to sexual problems. But that<br>\ncould be prevented through a little creativity and variety, to<br>\ncreate something different in the surroundings, the erotic<br>\nstimulus, new positions or even appearance. &quot;Anything pleasant<br>\nbut not dangerous that has been mutually agreed to can be done,&quot;<br>\nhe said.<\/p>\n<p>Wendi also advised sexually active people to maintain their<br>\nphysical health (especially that of their sexual organs) by not<br>\ntrying to cure themselves without prior consultation.<\/p>\n<p>Another piece of advice includes never to consider sex as<br>\nroutine, don&apos;t bring other problems to the bedroom and if you<br>\nhave sexual problems don&apos;t expect them to disappear overnight.<\/p>",
        "url": "https:\/\/jawawa.id\/newsitem\/intimacy-issues-may-cause-sexual-dysfunction-1447893297",
        "image": ""
    },
    "sponsor": "Okusi Associates",
    "sponsor_url": "https:\/\/okusiassociates.com"
}