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Sexual Anomalies and Ailments

A great many sexual anomalies and ailments exist, some of them rare and some fairly common. A number of the most important and interesting of these conditions will now be discussed.

          Dyspareunia. Dyspareunia or painful intercourse is normal in some females when they are first getting used to coitus but is unusual if prolonged for more than a few week. In the female, it may result from various physical causes, such as a small vaginal entrance, inflammations of the sex organs , a thick or inelastic hymen, an infected ovary or tube, shrinkage of the vagina (in older females), sagging of the pelvic structure, lack of lubrication, or poor sexual technique.

          As mentioned previously, Dr. Sophia Kleegman (1959) believes that about eight-five year percent of the women who are afflicted with persistent Dyspareunia have small and undetected lesion of the genital tract which are usually correctable by minor surgery or other medical measure.

          Some women who are afflicted with Dyspareunia make their own conditions worse by consciously or unconsciously closing their thighs tights just prior to sexual contact because they fear having main position intercourse. They may even thereby fear having painful intercourse. They may even thereby bring on spasms of vaginismus (see below) and increase their own difficulties immensely.

          Dyspareunia occasionally exists in the male and may arise from an inflamed urinary opening , a too tight or irritated foreskin, other sensitivities of the penis, or psychological causes. In both males and females, psychological origins of dyspareunia may include fear of intercourse, general tenseness, fear of pregnancy, hostility to ward the spouse, and a host of similar reasons.

          Any male or female who experiences pain in intercourse should first consult a medical specialist (especially a closes no reason for the pain and an attempt to employ better sex technique and lubrication does not ameliorate it, psychological consultation should be sought. The longer the condition continues, the harder it often becomes to cure it.

          Vaginismus. Vaginismus consist of strong spasmodic contractions of the muscles at the entrance of the vagina and resultant blocking of penile vaginal intromission. Like Dyspareunia in females, it is not an unusual occurrence, provided that it persists only a short time after initial intercourse. If it lasts for some period of time, it is pathological and tends to have very similar causes to feminine Dyspareunia. In most instances, it results from extreme fears of having intercourse and or poor personal relations between mates. Before any self-cure is attempted, medical and psychological examination should be sought.

          Priapism. Priapism, or prolonged erection of the penis or clitoris that is not accompanied by sexual desire and cannot be relieved by orgasm, is a rare anomaly. It is usually caused by neurological disease or genito-urinary irritation and may accompany such afflictions as leukemia, tularemia, sickle-cell anemia, syphilis, and multiple sclerosis. It may be mildly or intermittently experienced and in the latter case is sometimes troublesome but not too serious. In its more severe manifestations it is a serious ailment and requires specialized medical attention.

          Nymphomania. Nymphomania exists when a woman has intense desire which is not  relieved by intercourse or orgasm and which may drive her  to near madness. In its true from it is exceptionally rare and, like most anomalies of this type, seems to be caused by unusual conditions of neuromuscular disease.

          The vast majority of women who are described in the literature as "nymphomaniacs" are nothing but highly  sexed females who are quite promiscuous and whose  behavior would hardly be noticed if they were males. True nymphomaniacs are seldom found outside the disturbed wards of mental hospital.

          Satyriasis.The masculine form of nymphomania  is called satyriasis  and consists of intense, uncontrollable, and insatiable desire on the part of a male.  Like nymphomania, it generally results from severe neuropsychiatric disease or disorder.  It is quite rare and requires medical treatment. What often passes for "nymphomania"  and "satyriasis" (or Don Juanism) is a psychological rather than a physical disorder, where the individual keeps restlessly seeking for heterosexual acceptance and love, mainly  to relieve his or her own severe feeling of inadequacy, lack of masculinity or femininity, or general feelings of emotional  disturbance.

          The classic Freudian position is that a Don Juan is actually a latently homosexual individual  who is merely trying  to reassure himself of his own masculinity.  A more sensible position would be that he is an emotionally weak, though not necessarily homosexual, individual who is trying to reassure himself of how "strong" or "masculine" he is.

          Dysmenorrheal.It is normal for many women  to experience some amount of pain during their menstrual periods; but when this  becomes quite  intense or disabling it is not longer in the normal range.  Dysmenorrhea, or painful menstruation, may be caused by an incomplete  development of the uterus, hormonal imbalance, ovarian  tumors, endometriosis, and  various other  pathological conditions.   It calls for prompt medical diagnosis and treatment and, in some instances, for psychological consultations.

          Leucorrhoea Normal females may have a small amount of discharge from   their vaginas  as they secrete mucous from the walls of the vaginal  tract.  When    this discharge, it is called leucorrhoea and is usually a symptom of some physical or emotional  upset. Leucorrhoea may result from a variety of causes, including infection of the reproductive tract, displacement of the uterus, erosion of the cervix, over-vigorous use of douching, venereal infection, etc.  It requires prompt medical and sometimes  psychological  attention.

          Trichomaniasis. Trichomoniasis  is a common disease of the female vaginal tract and, less  commonly,  an affliction of the male's urethra.  It is caused by an organism called trichomonas and seems to exist independently of penile-vaginal relations but may be spread by such relations.  In the female it cause burning, itching, odorous discharge, and  other local sensations;  and in the male may cause urethritis, prostatitis,  or vesiculitis.  It can be cured, though sometimes  with difficulty in the female by proper medical  treatment (Williamson , 1958).

          Urethritis.Non-specific  urethritis, or inflammation of the urethral tract which is  not related to gonorrhea or other infections, is a fairly common ailment that is not necessarily sexual in origin but may be related to sex activities.  Males, in particular, may develop or aggravate it by having sex relations in a violent, frequent, or under lubricated manner. It is usually symptomatized by a light colored, moderate discharge from the meatus and by itching, burning, or mild pain at urination.  Under proper medical treatment, it usually clears up within a short time.

          Cryptorchidism. Cryptorchidism or cryptorchism occurs when a male has one or two undescended testicles. If both testicles are undescended, atrophy, and lose their sperm producing and hormone producing function, the male may develop eunuchoidism, or absence of the major masculine physical characteristics. Where only one testicle is undescended, no important consequences may result and the may be quite potent and fertile.

          Cryptorchidism may often be successfully treated by waiting for the male's testicles to descend (if he is quite young when the condition is discovered), by hormonal treatments, or by surgery.

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