





Understanding the sexual problems in different age-groups will help people… Since the people always avoid consulting a sexologist doctor for personalized support, treatment and medication, in this situation; they should understand that sexual problems are other normal condition where both men and women can improve by working together make their married life stronger.
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Burning topics:
Causes of sexual problems in the 20-30 age group
Causes of sexual problems in the 30-40 age group
Causes of sexual problems in the 40-50 age group
Premature ejaculation (PE): Although it is often cited as the most common ejaculation disorder in men, it is a fairly prevalent problem in all adult age groups, including young men (2030). This problem is characterized by ejaculation occurring earlier than the person expects, with minimal sexual stimulation, which causes discomfort in their sexual life.
Regarding the cause, Dr. Sunil Dubey explains that psychological factors such as performance anxiety, stress and relationship issues are the main contributors in young men of this age-group (20-30), but biological factors (e.g., serotonin levels, penile hypersensitivity) can also play a role in this problem. In today's problem, the problem of premature ejaculation can be seen in about 35-40% of the people of this age-group.
Low libido (decreased sexual desire): Although the problem may vary, a persistent or recurrent decrease in sexual desire may be a cause of concern for their sexual life. The main causes include stress, depression, fatigue, depressed mood, depressive disorder (other types are less common in this age group without significant effects), and uncertain diets.
Premature Ejaculation (PE):
Erectile Dysfunction (ED):
Lower Sexual Desire (LSD):
Erectile Dysfunction (ED): Erectile dysfunction which is seen as impotence in our society is a common problem. Although it has been overgrown with age, it has become surprisingly common in men in their 20s and 30s today. The man associates the problem with his inability to achieve or maintain a firm erection autonomously for his domiciliary sexual intercourse. Especially penetrative intercourse.
Causes: In young men, ED is followed by following factors:
•Erection factors: Fear of not being able to perform), stress, depression, guilt and psychological factors are very important contributors. Which leads a person to start disturbing his erectile function.
•Lifestyle factors: Smoking, excessive alcohol consumption, use of recreational drugs, unbalanced diet, obesity and lack of exercise. All these are vales thetic factors of the individual that affect his overall health.
• Early warning sign of a real health problem: Although it is less common than in older men, erectile dysfunction (ED) can be an early warning sign of a condition such as diabetes, high blood pressure, hypertension, or heart disease, even in younger men.
• Effects of medications: Some medications (e.g., antidepressants) can cause ED as a side effect. It can occur in people of any age group.
(FSIAD): This problem in women's lives is a combination of disorders that were previously separate (hypoactive sexual desire disorder and female sexual arousal disorder).
It involves a loss or significant reduction in sexual interest or arousal, which causes distress. It is often reported as the most common female sexual dysfunction overall. Women in India as well as other countries suffer from this sexual problem.
Regarding the cause, Dr. Dubey says there is a complex interplay of psychological issues (stress, anxiety, depression, body image issues), interpersonal (relationship problems, communication problems, lack of trust) and lifestyle factors (fatigue and irregular routines). Hormonal factors are less likely to be the primary driver in this age group, unless there are underlying conditions involved (e.g., PCOS, thyroid problems).
Female Orgasm Associated Disorders (FOD): In this condition, women experience persistent or recurrent inability, delay or absence of their orgasm (orgasm) despite intense sexual arousal, leading to significant personal distress.
Causes: May include psychological factors (anxiety, selfconsciousness), obesity or abnormal obesity, lack of sexual arousal, eating disorders and certain medications (particularly antidepressants). It is the third stage of the sexual cycle that is disrupted.
Female Sexual Interest/Arousal Disorder (FSIAD)
Female Orgasmic Disorder (FOD)
Genito-Pelvic Pain/Penetration Disorder (GPPPD)
Dyspareunia
Genito-pelvic pain/penetration disorder (GPPD): In this condition, women have persistent or recurrent difficulties in their vaginal area, including frequent or recurrent difficulties in or during vaginal penetration, marked pain during vaginal penetration, fear or anxiety accompanying the pain, and/or Genitopelvic pain/penetration disorder, and/or pain in the pelvic floor muscles.
Regarding the cause, Dr. Sunil Dubey says women may have physical problems (e.g., infection, endometriosis, vulvodynia, prior stroke, insomnia lubrication) or psychological (anxiety, fear, previous negative sexual experience). Sometimes a combination of medical and psychological factors is also known to be responsible for this problem.
Pain during intercourse (dyspareunia): This problem can be a part of GPPPD but can also occur independently. It completely depends on the nature and pathology of the individual. Causes: Inadequate lubrication in women, infections, endometriosis, muscle spasms or psychological factors are considered responsible for this condition.
Erectile dysfunction (ED)/prolonged erection:
Although premature ejaculation (early ejaculation) may still be present in some men, erectile dysfunction (ED) becomes more noticeable and prevalent in this age group. As men age, erections may become less firm, and they may take longer than before to get and maintain.
Causes: In addition to psychological factors (stress, performance anxiety, depression, relationship issues), physical causes become more common in men of this age, such as –
• Lifestyle factors: Smoking, excessive alcohol consumption, unbalanced diet, obesity and the continuing or worsening effects of a sedentary lifestyle are common in this age group.
• Emerging health conditions: This decade often sees the onset or progression of conditions such as high blood pressure, high cholesterol, diabetes and early signs of heart disease, all of which can impair or disrupt the blood flow and nerve function necessary for erections.
• Stress and fatigue: Work pressure, family responsibilities (especially with young children), and financial stress can cause a person considerable fatigue and mental stress, which can affect their desire and performance.
• Testosterone levels: While testosterone levels typically decline rapidly after the age of 40, some men may experience a very gradual decrease in testosterone levels within this decade, which can affect libido and erection quality.
Premature Ejaculation (PE):
Delayed Ejaculation (DE):
Erectile Dysfunction (ED):
Lower Sexual Desire (LSD):
Low libido (decreased sexual desire): This becomes more noticeable due to stress, fatigue and physical and mental disorders in the individual. All these conditions, especially in this age-group, play a vital role in reducing their sexual desire.
Causes: In this age-group, high demands of the spouse and family, financial pressures, chronic stress, lack of sleep and business problems (such as communication breakdown, lack of stellar interpersonal coordination) are the main problems. Diabetes medical conditions such as diabetes or thyroid problems can also contribute to this problem.
Premature Ejaculation (PE): This disorder peaks at a young age, however premature ejaculation may still persist or emerge in some men of this age group (30-40), however it is mainly affected by psychological disorders such as anxiety and stress.
Delayed Ejaculation (DE): Although this problem is less common than PE in men, some men experience imbalances to the point of being equal despite being equal. This may be due to certain medications (e.g., antidepressants), neurological concerns or psychological disorders that create delayed sensation in their sexual function.
Low Libido/Female Sexual Interest/Arousal Disorder (FSIAD): In women of this age-group, this is a very common sexual problem. The demands of this life stage often affect women’s sexual desire to a great extent.
Causes:
• Hormonal changes after pregnancy/lactation: If women of this agegroup have recently given birth to children, hormonal changes (low estrogen during breastfeeding), fatigue from child care and body image concerns can significantly reduce their sexual function and libido and also cause vaginal dryness.
• Stress and fatigue: Managing career, parenting, household management and other responsibilities often leads to chronic exhaustion, stress and lack of mental space for intimacy in women.
• Relationship problems: Lack of emotional intimacy due to communication problems, busy schedules and unresolved conflicts can lead to a decrease in sexual interest in women.
• Mental health: Persistent depression and anxiety can remain significant contributors.
• Contraception: Some birth control methods can sometimes affect women's libido.
Women
Female Sexual Interest/Arousal Disorder (FSIAD)
Female Orgasmic Disorder (FOD) Genito-Pelvic Pain/Penetration Disorder (GPPPD)
Dyspareunia
Female orgasmic disorder (FOD): Difficulty or inability to achieve orgasm is common in women in this age group.
Causes: Causes for this condition are often associated with inadequate or inappropriate stimulation, psychological factors (e.g., anxiety, selfconsciousness, stress), fatigue, and sometimes side effects of medication (especially antidepressants). Lack of open communication about sexual needs and relationship issues may also play a role.
Genital pelvic pain/penetration disorder (GPPPD)/dyspareunia (painful intercourse): This can occur for a variety of reasons.
Causes:
• Vaginal dryness: Although full menopause may still be many years away, hormonal fluctuations (e.g., perimenopause, which begins in the late 30s for some people, or postpartum hormonal changes) can cause women to lose their natural lubrication.
• Pelvic floor problems: Pregnancy and childbirth sometimes cause the pelvic floor muscles to tighten, which can cause pain or tightness in women.
• Infections or conditions: Untreated infections, endometriosis, or other gynaecological conditions can cause pain.
• Psychological factors: Past trauma, anxiety, or fear of pain may contribute.
Causes:
Erectile dysfunction (ED): This becomes the most common and frequently reported sexual concern for men in this age group. Although psychological factors such as stress and performance anxiety may still contribute, underlying physical causes become more prevalent in this age group.
• Heart disease: This is a major physical factor. Conditions such as high blood pressure, high cholesterol and hardening of the arteries (atherosclerosis) impair blood flow to a man's penile, making it difficult for him to get and maintain an erection. ED can often be an early warning sign of heart disease.
• Diabetes: Diabetes damages blood vessels and nerves, significantly increasing a man's risk of ED.
• Obesity and metabolic syndrome: These conditions are highly associated with ED.
• Low testosterone levels: Although testosterone levels gradually decline after age 30, this decline becomes more noticeable in the 40s. Having significantly low testosterone levels (hypogonadism) can lead to decreased libido, energy and contribute to ED.
• Lifestyle factors: Frequent smoking, excessive alcohol consumption, poor diet and lack of exercise further compound the physical causes of ED.
• Medications: Certain medications for conditions such as high blood pressure, depression and prostate problems can cause ED as a side effect.
• Stress and fatigue: The constant demands of career, family and financial pressures contribute to chronic stress and fatigue, which can directly affect sexual function and desire.
Erectile Dysfunction (ED):
Lower Sexual Desire (LSD):
Ejaculation Disorder (EJD): Early or Late Ejaculation
Decreased libido (decreased sexual desire): This problem is often associated with a drop in testosterone levels, but is also greatly influenced by life's stresses.
Causes: Low testosterone, chronic stress, fatigue, depression, relationship problems and underlying medical conditions. All these factors greatly affect a person's libido.
Changes in ejaculation (premature or delayed): Although premature ejaculation can occur from a young age, some men in this age group may experience delayed ejaculation, where it takes a long time or is difficult for a person to reach their orgasm. The main causes of this are side effects of medications (especially SSRI antidepressants), nerve damage, or psychological factors.
Women in this decade are significantly affected by perimenopause, which is considered to be the transition period leading them to menopause (which usually occurs around the age of 51).
Hormonal fluctuations and a drop in estrogen levels are the primary drivers of sexual changes.
Low libido/female sexual interest/arousal disorder (FSIAD): This is considered to be the most common sexual complaint for women of this age group. This is because women in this age group go through a lot of changes.
Causes:
• Hormonal changes: The drop in estrogen and testosterone levels during menopause has a significant impact on desire and arousal.
• Fatigue and stress: Demanding careers, raising teenagers or young adults, caring for aging parents (the “sandwich generation”), and other stresses of life contribute to excessive fatigue and stress, leaving women with little energy for their sexual intimacy.
• Body image concerns: Changes in body shape and appearance due to aging can affect self-confidence and sexual desire.
• Relationship dynamics: People in long-term relationships may experience changes in intimacy and communication, which can affect their sexuality.
• Sleep disturbances: Hot flashes and night sweats can severely disrupt sleep, leaving women exhausted which lowers their libido.
• Depression and anxiety: Mental health challenges are common during menopause which can directly suppress women's sexual desire.
Female Sexual Interest/Arousal Disorder (FSIAD)
Genito-Pelvic Pain/Penetration Disorder (GPPPD)
Female Orgasmic Disorder (FOD)
Genital-pelvic pain/penetration disorder (GPPPD) / Dyspareunia (painful intercourse) / Vaginal dryness: This sexual problem is increasing in women of this age-group due to the decline in their estrogen levels, affecting their vaginal health.
Causes:
• Vaginal atrophy (genital syndrome of menopause - GSM): Estrogen deficiency leads to thinning, dryness and loss of elasticity of vaginal tissues of women, leading to dryness, burning, itching and pain during intercourse. It is also a major symptom of perimenopause.
• Inadequate lubrication: This is directly related to estrogen deficiency.
• Pelvic floor dysfunction: Problems may persist or worsen after childbirth, causing pain.
• Infections: Changes in vaginal pH and thinning of tissues increase susceptibility to vaginal and urinary tract infections.
Female orgasmic disorder (FOD): Causes: Decreased clitoral and vaginal sensitivity due to decreased estrogen and blood flow, psychological factors (anxiety, self-consciousness about changes in the body) and side effects of medication.
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Broad themes for people in the 20-30 age group:
• Psychological factors are important: Physical factors are more dominant than older age psychology, psychological issues (anxiety, stress, depression, body image, relationship conflict) often appear as the major contributing factor to sexual anxiety in the younger age group.
• Physical relationship impact: Sexual health can be negatively affected by imbalanced diet, lack of exercise, or imbalanced diet in this age range.
• Relationship specificity: Sexual function and satisfaction of communication, trust, and interrelationship in a relationship can be significantly affected. Mentally this also leads to status concerns in relationship issue for biography life.
• Lack of education/knowledge: Sometimes, lack of real sexual knowledge, lack of real knowledge from media (e.g., pornography), or sexual communication as well as sexual communication lead to problems. Basically, one needs to gather as much information as possible about correct sexual education. The effect of which is seen in the personal global life.
• Socio-cultural factors: Social pressure, cultural versions of discussing sexual topics and art can help to curb the sexual concerns of young people. Basically, always start from this situation by getting the help of correct sexual relations.
Broad themes for people in the 30-40 age group:
• Increased life stress: This decade often involves high demands from careers, young children, financial responsibilities, and aging parents. These stresses can drain energy and mental resources to a great extent, leaving little room for sexual intimacy. While this may not apply to all individuals, it is a common phenomenon that is seen in all individuals throughout life.
• Lifestyle effects: The cumulative effect of less healthy habits (e.g., less sleep, more processed foods, less exercise) from the 20s can begin to manifest physically, affecting sexual health.
• Relationship development: Relationships mature in this age group, and communication about sexual needs and desires becomes even more important as there may be less spontaneity.
• Early health indicators: For men, ED can be an early indicator of underlying cardiovascular problems. For women, chronic pain or severe fatigue warrants testing for underlying health conditions.
Broad themes for people in the 40-50 age group:
• Hormonal changes: Perimenopause for women and a more significant drop in testosterone for men are the main causes of many sexual changes for people in this age group.
• Accumulated health problems: Chronic health conditions (diabetes, heart disease, obesity) that develop in the 30s often become more pronounced at this age and directly affect sexual function.
• Intense life demands: This decade can be the most demanding in terms of career, family, and personal responsibilities, causing a person to experience high levels of stress and fatigue that directly affect their sexual desire and opportunity.
• Body image and self-esteem: Physical changes associated with aging can affect how a person feels about themselves sexually.
• Relationship development: Long-term relationships may require a renewed focus on communication and adapting to changing sexual needs.
Dr. Sunil Dubey is a world-renowned Ayurvedacharya and a specialist in male and female sexual problems… He is a qualified Ayurvedic doctor and has expertise in sexology medical science and sexuality disorder treatment. In his treatment, he uses both modern medical science and traditional system of medicine which helps in providing evidence-based treatment for every sexual problem. In his medication, he provides clinically proven herbal remedies, ayurvedic Bhasma, naturopathy, natural tablets, oil, and home remedies. For the past three and a half decade, he is the best sexologist doctor in Patna, Bihar providing services all over India....
People from different places in India connect with Dubey Clinic and get a consultation with Dr. Sunil Dubey. He helps all of them in accordance with their problems and provides them personalized treatment that is panacea for all the time being. More Info: +91 98350 92586 Honored with Bharat Gaurav Award, International Ayurveda Ratna Award, Asia Fame Ayurvedic Sexologist Award, India Best Sexologist Award, Gold Medal, Bihar Shree Ratna Award, Bihar Jyoti Award, Best Ayurvedacharya Award, and many more
Dubey Clinic (Ayurveda & Sexology Medical Science)
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