How different diseases affect your sexual life

How different diseases affect your sexual life

Issues I work with.

  • Are you or you to work with the relationship after a tough course of disease
  • Are you / you to break the relationship because it is too tough.
  • Need help with better communication in the relationship
  • Have sexual issues you wish to discuss with others / Experience one crisis in relations
  • You want to be greeted as a unique human being of others as well as your partner
  • Want to keep your integrity.
  • Want to get relevant information about the disease and treatment can affect the sexual part of your life.
  • Want to get the opportunity to tell about the limitations the disease has given you.
  • Want to get information about treatment and resources that can improve your sexual health.

Sensuality and sexuality is an important part of human life, whether they are sick or healthy. For most people who live in a couple relationship is sexuality and sensuality is an important part of their cohabitation. Sex drive can be of great joy and pleasure, but it also proves that it can be a source of frustration and conflict. Problems in sexual life can also lead to challenges in the relationship. Although the sexual is the most intimate, most intimate to share with his partner, a many who have difficulty communicating clearly with each other on this subject, and for many it becomes a taboo area. Both know that it is a topic they should talk about, but no one dares to take it up. The clearer we can be ourselves and our partner, the better conditions we have to achieve a great sex life.

Cancer and Sexuality

By telling his partner about pleasures and experiences, insecurity and fear and what they like and do not like, you can make sex more than that to ejaculate. First prerequisite to resume their sex life after a cancer is to dare to try, but many people find that this is the hardest. Maybe you’re afraid of being rejected, that it is painful or that you find it difficult to deal with a changed body. It may take time to adjust to a body which in some way is different, both you and your partner. It is allowed to fumble, feel clumsy and even laugh a little of himself.

What do the different forms of treatment with sexual life?

surgical treatment Kirugisk treating cancer is to remove as much tumor tissue as possible, preferably all. A number of cancer surgeries can intervene directly in nerve tissue which is important for sexual function. Operations in the pelvic area can cause problems such as urinary leakage and stool leaks, which makes it harder to have a sex life. If the operation has led to damage to the nerves, which in turn has led to reduced sensitivity or no sensitivity in the genitals, there are a lot of advice, but first of all, to address the issue with a professional. It is not always the problem will persist. For prostate cancer, surgical intervention destroying bladder closure so that it can not withstand the pressure at a partner’s vagina. This allows the sperm up into the bladder so that you get a “dry” orgasm. You can still carry out a sexual intercourse, but you can not have children without medical help. If the entire prostate gland must be removed, this can damage nerves so that you get erection problems. Surgical treatment of intestinal can provide the same kind of nerve damage. Nerves also has an ability to form new paths and “repair” itself. Do not give up, but browse to what feels good. Remember that a good sex life can not be counted. It’s not about the number of sexual encounters, but the closeness and satisfaction. Many cancer operations interferes with body and self-image, it is important to remember just this. Some experience pain during intercourse after surgery in the abdomen. Try to identify the sexual positions that feel pleasurable. Maybe the quest for a better position shared with the partner, and become part of the sex play? Leaks from the rectum may seem difficult to combine with sex. You can be slightly ahead, try to schedule when you want sex as compared to when you have at least the toilet. There is also an anal plug that makes it possible to have sex without leakage. If urinary leakage can PFMT be helpful. Another piece of advice is to empty your bladder just before sex, you will not have a bit of concern.

Chemotherapy

Chemotherapy can lead to decreased function of the ovaries and testes, with consequent reduction in sex hormone production. However, this is dependent on both the type and amount of chemotherapy, as well as age. In women it can cause menstruation absent for a period. One can also get in early menopause and mucous membranes of the vagina may become dry and thin. In men, chemotherapy, depending on the type and quantity, lead to decreased function of the testicles with subsequent changes in sperm production and hormone production. This can lead to a reduced desire and erection difficulties (erectile dysfunction). Chemotherapy gives immunity large stresses, so that the body is more susceptible to infections than otherwise. To avoid infection in the genital area can you use a condom or female condom (female condom).

Hormones and hormone therapy

Many types of cancer therapy may act directly or indirectly on hormone production, which in turn may affect sexual ability and desire. Sex hormones are produced mainly by the ovaries in women and testes in males. Menopause Symptoms, bleeding, decreased sexual drive, depression and erectile difficulties can all be possible results of the treatment and cause problems with sexuality. It may be difficult that the body obeys although the desire for sex is present. Problems associated with the hormone treatment lasts as long as the injections are made, and for a while after the last injection. Being open with your partner about the problems, will make it easier to find other aspects of sexual life that is good and rewarding in these periods. For persistent problems, it is always good to take it up with a sexologist.

The ability to have children

Several types of cancer treatment may make it difficult for men to be the biological father later. Stored sperm can be used for treatment with assisted reproductive technology by a spouse or partner in stable cohabitation (duration more than two years). Offers of freezing and storing sperm gives no automatic right to treatment with assisted reproduction. Women who have cancer and will undergo treatment can get frozen ovarian tissue. The freeze usually not the eggs, because then the woman must be stimulated through several weeks of hormones. Clinicians and gynecologist contemplates such cryopreservation in girls before puberty, and women of reproductive age before chemotherapy or radiation. Rikshospitalet has provisionally country function when it comes to freezing of ovarian tissue. Such freezing has been done in Norway since 2004. Chemotherapy and radiation therapy leads to cell death in ovarian follicles and increase the risk of impaired fertility or infertility. Ovarian tissue transplants generally to the place where it was taken from, either to a remaining ovary or in the area for a removed ovary. Thus, the possibility of spontaneous pregnancy present. The experience of transplanting ovarian tissue where both ovaries are removed are still limited, but the first child who was born after such treatment was born in Belgium in 2004. There are now no lower age limit for freezing ovarian, but the upper limit is 35 years.

Body image

It is common for cancer patients may have problems with self-esteem as a result. Disease and treatment often puts its mark on both the appearance and physical features, and in all cases one sees a difficult time that could easily trigger depression. “Today you have seen your wound for the first time. You asked to see it when they shift bandage: Where there used to be a soft, shapely and gorgeous breasts, shone a bloody scar on you. From the middle of the chest wall to far behind forearm. You get tears in my eyes when I come to visit. I grab your hand and squeeze it, to comfort: It was not the right chest I fell in love there on the beach in Italy 25 years ago, I say helplessly – It was you .. “(From” The Way to the Big Dipper “Jon Magnus, p.30). Illness suddenly becomes an important part of life, and it is not strange if it arises thoughts about themselves and their body. It is especially easy to feel insecure and afraid in front of an intimate encounter with another man. How will your partner react to visible and noticeable trace the disease has left behind, and what will I even be able to provide? Am I still attractive, I can satisfy my partner? All have the ability to a great sex, whatever one has been subjected to the intervention and treatment. The obstacles are often on the mental level, patient and partner. To get started again with sexual life is therefore a matter of working with self-esteem and attitudes, and the first step is to try and accept ourselves as the one is, with the track disease has gone. Put words on it, involve your partner. Some benefit greatly from professional help from a psychologist, psychiatrist or sexologist. You can also get in touch with others in the same situation through chat or self-help groups, which are arranged by patient associations for different diagnostic groups. By weight gain or loss of weight may advice from nutritionist or physical therapist may be useful.

Single with cancer diagnosis

If you are not in a relationship, or the relationship your ended after receiving the cancer diagnosis, it means you might meet a new and must tell about the cancer diagnosis your person. There is no definitive answer on how and when to do this. Are you open and willing to talk about it, you will often be able to clear the misunderstandings of the way. It is often the case with us humans that imagination is far worse than reality. You are still you, but with illness experience. As with other difficult obstacles it is important to rely on themselves and please rate. If you meet a partner who will love you, do not be afraid to tell it like it is.

Youth and sexuality

Some are affected by cancer as children or adolescents. More young people are cured of cancer, but long-term follow can strike hard at a time when you develop from childhood to adulthood. Adolescence is characterized by great expectations and changes. Youth should secede from parents, maybe get an education and become established. Many feel constantly tired and weary after they are processed and bear less than before. Other struggling with concentration and memory. Anxiety, depression, isolation, loneliness or inability to carry out a plan is one of the many young cancer patients’ experiences. Knowledge about the long-term follow is fortunately increasing. Most consequences arising is often related to the strength of the cancer treatment. Chemotherapy usually provide less sequela than radiotherapy, but some chemotherapy types can cause problems with having children later and some can damage the heart muscle. From experience we know that many people who have had cancer as children and adolescents struggling with parts of their sex lives later. It may be because of changes in the body and self-image, to tell a sexual partner about what you’ve gone through, persistent adverse effects in the form of fatigue (fatigue is well known among people who have or have had cancer. Fatigue is described as a sense of fatigue, weakness and lack of motivation) or by disturbances in the ability to feel desire or to have an orgasm. If you got cancer and treatment in childhood before debuted sexually, it may not have any positive sexual experiences before you became ill. Having problems with sexuality after undergoing cancer treatment or suspect that the problems you are experiencing is due to previous cancer treatment, it is important that you seek professional help. Have a good relationship with your doctor, you can take it up there. Several hospitals have also own sexologists who can help you. There are also some private practice sexologists, but it usually costs a bit. If not it is possible to do something medically, there are many aids on the market. When it comes to problems with body and self-image may also want to talk to someone, get help to cope with it.

For you as a partner

Being partner of a developed cancer involves major upheavals in life. Relationship changes, and you may feel guilty over emotions and sexual needs.

Feelings

Is it possible to be angry at someone who has cancer? Your boyfriend is going through, or have gone through his life struggle in which the thought of death has flash. You still have sexual needs, but life is so changed that the needs must be suppressed? Maybe you’re afraid to hurt your partner, or are afraid that it will hurt? Maybe cancer treatment changed the body of your partner, and you do not quite know how to deal with it? All this is common thoughts and reactions. It is possible to be angry at cancer and disease. In the first stage of the disease thinking a maybe not so much on sex, but as things calm down reports often needs again.

Communication

Changes can make it hard to get started again. Experience shows that we believe that the others do not want, tolerate or are willing to talk about the situation. If we dare to check it out with one another, it is often not to conform to reality. Are you open about what you feel, it can help the other to speak. Openness often leads to a greater sense of community and closeness. Unless intercourse is a choice, there are many alternative. Love, closeness and tenderness are important. It can be easy to fall into the trap if one stops to caress each other, because one is afraid that it will be perceived as a pressure to intercourse. Sexuality is a vulnerable issue. It may seem hurtful when conventional method does not work anymore. A good rule might be that one will agree to never argue about sex, but set aside time to talk quietly about it. No one can claim to be entitled to sex with your partner, but everyone has the right to be heard and listened to. If everything freezes and feels insurmountable, talk to a sexologist.

Aids

There are a number of utilities that can contribute to a better sex life. There are special tools that are particularly aimed at people who have ailments during and after treatment, but often you can benefit from the aids and toys that most people use. If you have received poor or no sexual disability due to illness or injury, and the problem can be solved by sexual assistive technology.

Sexual Technical aids for women 

Incontinence

If you are plagued with urinary incontinence, try FemAssist. It gets you on the prescription. FemAssist is recommended for those who have mild to moderate incontinence. It is also useful to train the pelvic floor muscles by pinching exercises. If you are unsure if one gets it right, Can you try out acting tion of pelvic pack or book single hour. Some may have great benefit from a elektrostimulator or a biofeedback device. Vaginal Weights yoni eggs are small beads / stones of different weight, calculated on the rehabilitation of the pelvic floor muscles. They work by moving the ball is placed inside the vagina. For that it will not fall out pinch one and trainer thus muscles.

Faecal incontinence

Have stool incontinence try an anal plug. The expanding and molding the intestinal wall, and protects against leakage without any side effects. The escaping air but not stools. Plugs can be purchased at pharmacies and in surgical stores.

Reduced sensitivity in the genitals

If you have undergone cancer treatment that have led to reduced sensitivity in the genitals, leading some erotic stores vacuum pumps designed for women. These works by the blood drawn into the genitals and leads to increased sensitivity. A dilator is also a tool that you can benefit from. FEMMAX ™ dilators inserted into the vagina to keep it healthy and soft, and to reduce the risk of a rigid and inflexible sheath after radiation therapy or surgical intervention. There are several vendors selling vagitrimkuler, finger vibrator and various types of massage sticks. Vibrators are equipped with battery to create vibrations that stimulate the nerves. Klitorisstimulator and vibrator can work.

Vaginal dryness

Glidants can be bought a lot of places, such as the pharmacy, in the erotic business, some grocery stores and on the Internet. There are water-based and silicone-based lubricants. The water-based irritates normally vagina and can be easily washed away.

Sexual Technical aids / drugs for men

Erectile Dysfunction

Vacuum pumps operate by penis is inserted into a pipe and a pump into a vacuum erection is achieved. When the penis is hard enough for sexual intercourse, put consecutive penis ring around the base of the penis. It is important to know that such a call should not sit on more than 30 minutes before it is taken off due to lack of blood circulation to the penis. Other funds are called PDE5 inhibitors (agents for erectile dysfunction). These are drugs in tablet form, taken before intercourse. As of today, there are three different types on the market, Cialis®, Levitra® and Viagra®. They act similarly, but have slightly different action. Which of these types of suits, determined in consultation specialists. In some cases of erection problems may be considered to operate in penile implant. This is a lasting surgical intervention.

Reduced sensitivity

Vibrators can also be used by men on sensitive areas of the penis or nerve around. There is also, among other penis rings with vibrating bullets. Such must buy themselves, but they are not that costly. You can find them in erotic business.

Incontinence

If urinary leakage is useful to train the pelvic floor muscles through pinch exercises. If it is difficult to achieve this, one can consult a sexologist for more spec got knowledge. Elektrostimulator or biofeedback device can also be used.

Faecal incontinence

Some may at stool incontinence try an anal plug. The expanding and molding the intestinal wall, and protects against leakage without any side effects. The escaping air but not stools. They can be purchased at pharmacies and surgical supplies. Some may also have the effect of rehabilitation of muscles in the pelvic floor. To get to the healthcare professional needs a referral from a doctor. By anal intercourse is recommended the use of silicone-based lubricant. It can be purchased via the internet, the pharmacy or in erotic shops.

Other aids: Bondil® is a gel that is inserted into the urethra. Caverject® is an agent which is inserted by injection in the penis. Bondil® and Caverject® contains the same active ingredient. This active ingredient expands blood vessels, increases blood flow and gets the smooth muscles in the penis to relax and leads to erection. These funds can be covered. You must take care of receipt from the pharmacy with the name, doctor’s name, medicine name, price, date of purchase and the pharmacy’s stamp. 

Pakinson and sexuality

According Neuro Plan 2015 (Ministry of Health, 2011) estimated that between 110,000 and 150,000 people have a neurological injury or disease in isolation or as part of another illness. Neurological injuries and illnesses can be both congenital or acquired, and these often lead to weakening of the functions in several areas. Parkinson’s disease is one of the most prevalent neurological damage, and is a disease that gives severe disabilities (Ministry of Health 2011). Forwards Neuro Plan 2015 (Ministry of Health, 2011) that neurological injuries and illnesses means that people often have a very complex illness with functional impairment in several areas. Furthermore, it says that sensory loss is one of the most common outcomes for neurological injuries and diseases. In addition, a number of complications such as pain, spasms, organ failure […] which reduces the quality of life for many, and that leads to disability over time.

People who are afflicted by Parkinson has decreased dopamine production, and when dopamine is a transmitter substance, this will inhibit impulse transmission. When a change occurs in the momentum transfer will result in disruptions in the movement system and other functions. Nevertheless dopamine production, the stronger the patient’s ailments (Espeset, Mastad, Johansen & Almås, 2011). Women with Parkinson has anorgasmia as the most common sexual dysfunction (Kotkov & Weiss 2013), but they have a lower sexual dysfunction than men (Brown et al., 1990). Some men have a tendency to achieve orgasm, but it is uncertain whether the men unable to control ejaculation her, or whether it is premature ejaculation (Celikel et al., 2008), while other men acknowledge that they have problems with their erections and that they actually have premature ejaculation (Kotkov & Weiss 2013). Men also explains that their orgasm was significantly impaired (Yu et al., 2004). The orgasm is problematic, says some women (Kotkov & Weiss, 2013; Bronner et al., 2004). The delights of orgasm in women is reduced (Celikel et al., 2008). Men also report on problems getting orgasm (Bronner et al., 2004, Sakakibara et al., 2001), but not as much as women (Sakakibara et al., 2001). In some male patients is the biggest problem the satisfaction of intercourse (Kotkov & Weiss 2013). Yet men a strong need for sexual intercourse, even if they practice masturbation. They think masturbation is not sufficient or satisfactory compared with intercourse. The type of sexual activity are significantly affected by the energy (Basson, 1996). Female patients report that they have more changes in their sexual activity, and explains that the sexual activity was reduced after they were diagnosed with Parkinson (Wermuth & Stensager 1995). Both men and women report that they rarely have sex (Brown et al 1990), but women are not equal decrease in intercourse as men (Sakakibara et al., 2001), although there are some women who complain that they rarely have intercourse (Brown et al., 1990). And some say that the sexual appetite and members initiating sexual intercourse is not seen as a problem (Kotkov & Weiss 2013) When Parkinson’s disease progresses and various symptoms become clearer, it may be difficult to maintain confidence, even if you are still sexually active. For example, self-confidence weakened when neither the person who has the disease or partner manages to interpret the bodily signals arising from the disease. This can make it difficult to know when your partner wants. Such an impact on self-image can adversely affect the sexual life.

Sexual problems in people who have Parkinson’s disease may have multiple causes, and usually one or more of the following:

• Physical changes in the central or peripheral nervous system affecting sexual function directly.

• Changes in the body’s functions by the disease affects indirectly sexual function (for example, reduced mobility, increased muscle tension, insomnia, bladder disorders).

• Psychological, emotional and cultural factors. The dopaminergic nervous system, is affected in Parkinson’s disease, is probably important in the control of sexual function and normal erection.Moreover, the disease affects the nervous system, allowing control of the genitals changed. Studies have shown that the most crucial factors predisposing to sexual problems are increasing age, severity of disease and depression. Depression is common in Parkinson’s disease, and often decreased sexual interest, but not necessarily decreased sexual capacity. Other more general causes of sexual dysfunction, divorce, other illness, illness of spouse or sexual dysfunction in a partner. Besides, it can happen that your partner seems a person with Parkinson’s disease are less physically attractive because of disease symptoms. Both involuntary movements, increased perspiration and increased salivation may contribute to this. Poor facial expression can be interpreted as low interest and movement difficulties with rigidity, tremor, immobility in bed and poor fine motor skills in hands can inhibit opportunities to take the initiative and implement sex. Various sleep disorders are very common in Parkinson’s disease. Therefore sleeping part of the couples where one has the disease in each of their bedrooms, which unfortunately reduces the opportunities for more spontaneous sexual activity. The centers for sexual function are closely linked to the centers for bladder and bowel. That may explain why sexual problems often occur simultaneously with disorders of bladder and bowel function. Such difficulties can affect their body experience and reduce the sexual interest of both parties. Psychiatric problems as a result of anxiety for deterioration or lack of understanding of the changes that have occurred can enhance. Fear of being disappointed can cause one or both to avoid sexual contact. This is often aggravated by lack of or poor communication around this for many sensitive and difficult subject. Other problems in the relationship often leads to impaired sexual function in both partners. In order to help the individual must issue mapped, and it is an advantage if one can talk openly about sexual challenges. It is not always enough with conversations about the issues. Further measures may be required in the mapping process:

• Medical examination of the abdomen and genitals

• Neurological examination • Nevrourologisk survey

• Routine blood tests and hormone assays

• Urine sample

• X-ray examinations

Symptoms that affect sexual function in both sexes

Changed sexual desire (libido) Sexuality is an excess phenomenon, and everyone does not always produce the same profit to sexual activity. This applies to both fresh and for people with a chronic illness. For people who have Parkinson’s disease is reduced or lack of desire is the most common sexual problem in both sexes. This occurs in well over half of those with the disease. Some shortcomings active sexual interest, but can respond when your partner takes the initiative. Other also rejects the initiative of the partner. In a few increases sexual desire in a way that makes it a problem. Decreased sexual desire is related to age, the incidence of depression and disease severity. Decreased sexual desire affects both sexes but is more common in women. There is no specific treatment for diminished sexual desire. Treatment will largely have to be directed towards the individual cause. Physical contributing factors might try to improve, and depression can be treated. Decreased sexual desire is often also a psychological problem. Then it is important understanding and acceptance of your partner, good communication between the partners and a mutual desire to try to find a new solution. Fatigue Fatigue can best be translated as fatigue or increased fatigue. Typically, an experience of unnatural fatigue without depression, physical exhaustion without paralysis, but a lack of energy. Fatigue is a common problem in Parkinson’s disease and sometimes the most troublesome of the disease. During periods when this symptom is prominent influence is obvious sexuality. Treatment of fatigue is not easy, but coping strategies can make it easier to deal with in everyday life. It is important to find out what induces or exacerbates fatigue, such as heat, stress, prolonged rest, heavy physical activity, afternoon / evening, and avoid sexual activity in those situations. Stress reducing environment may be the solution for some. Often pleasurable activities that relieve fatigue best. For that your partner should not feel rejected and perceive who has Parkinson’s disease as uninterested, it is important to be open about the problem of fatigue. Disorders of bladder and bowel function Involuntary departure of urine, air or feces during intercourse affects naturally the sexual act. The fear of this happening may inhibit unfolding further. Both the one who has Parkinson’s disease and your partner can choose away from this problem by abstaining from sexual activity, but it is probably the worst solution. Openness and understanding between partners can make fear less and ability to cope with such situations better.

Before intercourse should bladder be emptied. Bowel function can be improved by high fiber diet, plenty of fluids, exercise and, if necessary, drug treatment. With poor or weakened pelvic floor muscles (involuntary flatulence, decreased pinch ability) can some simple exercises help. Please ask a professional / sexologist for advice. Increased muscle tension and restricted mobility. Reduced mobility in hips or muscle cramps in the thighs and legs can be an obstacle to sexual activity but relaxation techniques, sensual massage and use of oils can help. Replace happy position several times not to tense the same muscle groups all the time. Sexual play requires openness between the partners in a safe environment and plenty of time for that pleasure to be able to be optimal. It is important to remember that one should not demand anything of the partner is perceived as unnatural for him or her. Sexual dysfunction in men The most common sexual problems in men is reduced desire, erection difficulties, hypersexuality, impaired orgasm and ejaculation disturbance. Male sexual dysfunction is a sensitive subject, and many men find it difficult to talk to their partner about the issues. Erectile failure (impotence) Erectile failure, also called erectile dysfunction, is the inability to achieve or maintain an erection sufficient to complete satisfactory sexual activity. Erectile dysfunction is common and increases with age. To understand what causes the failure must know how erection occurs. The formation of an erection is a complicated process, and is a close interaction between the brain, nerves in the spine and in the penis and blood vessels that carry blood into and out of the penis.

The aim of the erection process is to fill the penis with blood and keep it there. The process starts with the man is sexually aroused. Signals will go between the brain and local nerves in the penis. Then nerves secrete neurotransmitters that causes the years to manage blood into the penis expands. Meanwhile, veins, arteries that carry blood out of the penis, close and prevent blood from flowing out. Increasing amounts of blood trapped in the penis, thereby grows and becomes hard. In Parkinson’s disease can be the disturbance of nerve impulses to the penis be the cause of failure, impaired or inadequate ereksjon.Det is also not uncommon for men with impaired erection ability gets amplified problems because of performance anxiety and various psychological conditions. High blood pressure, diabetes and heart disease increases the risk of erectile dysfunction. Treatment of erectile dysfunction 1. Drug Therapy In recent years there have been several medications used to treat erectile dysfunction. Viagra came on the market a few years ago. The drug revolutionized the treatment of impotence, and contributed to an increased focus on sexuality. There are other medications that can be given in the form of syringes and gel. Viagra, Cialis, Levitra These medications are tablets, and the effect of the tablets requires sexual stimulation. Several studies have shown a positive effect of Viagra erectile difficulties in Parkinson’s disease. There have been no studies of the other medications in people with Parkinson, but generally considered drugs to be relatively equal. The effect of the drugs occurs within an hour, usually after 30 minutes and lasts for several hours. The variations may be large from person to person, and the tablets are available in several strengths. The most common side effects with these medications are mild and, usually, harmless. The most common side effects are headache, nasal congestion, flushing, dizziness, and mild, transient visual disturbances, such as increased sensitivity to light or color distortion. The funds will not be used by those who use preparations containing Nitroglycerin. In severe heart / artery disease, heart failure or fresh myocardial infarction can not use medicines. Hypersensitivity to drugs is also reported.

Caverject This is a drug that is injected directly into the corpus cavernosum of the penis shaft. The injection increases blood flow to the corpora cavernosa and gives erections regardless of sexual stimulation. Erection occurs after 10 minutes. The effect lasts from about 20 minutes to several hours, depending on the dose. The most common side effects are bleeding, injection site pain in the penis during erection. This is the most effective agent on the market, but to inject the penis scares many from using it. Serious side effects are rare and the drug is well tolerated by most. Papaverine, Prostaglandin E and similar medications These sprayed also directly into the penis shaft and all have about the same effect. The effect of Prostaglandin E occurs after approximately 20 to 30 minutes and lasts from one to several hours, depending on the dose. The medicine has a slightly weaker effect on erection, but in return side effects were mild and short-lived. MUSE This product contains an active substance with an effect similar Caverject. The medicine is supplied in pre-filled syringes of gel that is injected directly into the urethra, and increases blood flow to the penis. After 10 minutes occurs the impact, but the variety is great in terms of action and effect. In most works the medication for about 30-60 minutes. The advantage of MUSE is that you do not prick, but as with Caverject users of this remedy experience pain or burning in the penis or urethra during erection. The side effects are transient and somewhat milder than using Caverject. Tablet Treatment of erectile dysfunction does not erection without sexual stimulation, and some get performance anxiety because they anxious about the effect is not good enough. In permanent relationships are often partners safer at each other and did not experience as much this problem. By comparison comes erection with Caverject and MUSE without prior sexual stimulation.

Technical aids It has become very common to use sexual aids to satisfy himself, but also for use in sexual play in relationships. Some utilities can also contribute positively in reducing the sexual challenges. In case of momentary or inadequate erection may aids penis ring and erection pump can help. They both regarded as harmless by judicious use. There are several shops and sites that sell such equipment. Kondomeriet is one of those chains, and is available in both shops and online store. Kondomeriet provide help and guidance so you can get the aid that suits you. Besides selling stores various massage oils and lubricants. If you do not want advice and guidance, or if there are no such stores where you live, you can shop in a store. Online stores send the goods to your home in discreet packaging. 3. Surgical treatment is not always medication helps. Upon complete and lasting erection failure will in some cases be appropriate to insert an erection prosthesis. Ejaculation disorders Ejaculation is like ejaculation or ejaculation. Ejaculation usually occurs simultaneously with orgasm experience, but orgasm can occur without ejaculation. The simplest treatment of ejaculatory disorders, using technical means, such as a vibrator which stimulates the penis head. Sexual dysfunction in women In studies of healthy women is hypoactive sexual desire and orgasm disorders sexual problems reported most frequently. Women with Parkinson’s disease are less satisfied with their sex lives than the general population, and sexual activity has slowed in the majority. In addition, women with the disease less satisfied with their own appearance and less satisfied with their partners than healthy women of the same age. In women, the most common problems decreased sexual desire, vaginal dryness, impaired orgasm and pain during intercourse.

Vaginal dryness During sexual arousal will woman’s vagina secrete moisture. A frequent disturbance of sexual function in women are vaginal dryness as a result of decreased production of fluid in the vagina. Often this occurs concurrently with missing sexual desire (libido). Vaginal dryness can make successful intercourse difficult and painful for both parties. Use of lubricants in the form of cream or ointment during intercourse alleviates the problem. The funds make friction during intercourse more natural. Yet protect the lining of the vagina against wound thereby preventing pain. Detfinnes waterborne, silicon-based and oil-based lubricants. Silicone based lubricants retain their moisture longer and is therefore recommended as the first choice. Women after menopause may need local treatment with hormone creams or hormone suppositories to achieve normal moisture in the vagina. Orgasm disorders Orgasm is the maximum light experience by sexuality. This experience is located in the brain. Orgasm depends on several impulses: sensory organs, stimulation of the genitals and erogenous zones, sexual desire and, not least, a well-functioning nervous system. Women can also achieve orgasm through stimulation of other body parts than the genitals. Orgasm disorder exists when, despite strong sexual arousal does not achieve orgasm, or intensity of orgasm is greatly reduced. Orgasm disorders are common, and 10% of women report that they have never had an orgasm, while half of all women experience situations or life stages where they have problems with orgasm. Most of orgasm can be altered or impeded in subjects with disease of the nervous system, such as Parkinson’s disease. The problems may be exacerbated by performance anxiety, marital harm, drug side effects and other inhibitory psychological factors. There is no drug treatment of orgasmic disorders, and the important thing is to learn more about their own bodies in order to understand what is needed to achieve orgasm. Often it is necessary to play before intercourse and optimal sexual stimulation during intercourse. To try out alternative positions can help someone. Most women need clitoral stimulation to achieve orgasm, and therefore it is of most importance that this is contained in sexual activity. In addition, it is important to recognize that sexuality is more than orgasm. Aids It has become very common to use sexual aids to satisfy himself, but also for use in sexual play in relationships. Some utilities can also contribute positively in reducing the sexual challenges, and there are a number of physical and electrical utilities that can be used by sexual dysfunction. These are used to increase sexual stimulation through increased blood flow in both men and women. The aids can also relieve pain at the sexual act. The most common aids are various massagers and vibrators, which runs on regular batteries. There are several shops and sites that sell such equipment. Kondomeriet is one of those chains, and is available in both shops and online store. Kondomeriet provide help and guidance so you can get the aid that suits you. Besides selling stores various massage oils and lubricants. If you do not want advice and guidance, or if there are no such stores where you live, you can shop in a store. Online stores send the goods to your home in discreet packaging. Hypersexuality It has long been known that dopaminergic drugs used in the treatment of Parkinson’s disease has stimulating effect on sexual function. In some cases this effect is advantageous and desirable. In other cases, the effect is too palpable, and when we talk about hypersexuality. By hypersexuality person has increased urge to have sexual intercourse, and to such an extent that it is considered a problem. Hypersexuality is above all occurring at drug treatment with dopamine agonists (Sifrol, Pramipexole, Requip, Neupro and Cabaser). Other factors predisposing to hypersexuality are male sex, early onset, motor fluctuations, involuntary movements and abuse of various drugs.

Hypersexuality can be expressed in several ways, such as increased sexual interest and desire, increased sexual demands on partner, more masturbation, increased interest in pornography, infidelity or jealousy. Hypersexuality can also prove in ufin speech. Occasionally occur hypersexuality and other behavioral changes involving loss of control, such as uncontrolled gambling, shopping or substance abuse. Especially if it is pronounced, you hypersexuality cause significant problems, both personally and in relationships. If we are to reduce hypersexuality, it is important to talk about the issue to the doctor, so that the drug treatment of Parkinson’s disease can be changed. Generally, decreasing the dose of dopamine agonist first, but it may also be necessary with other medication adjustments. In addition, it is important to be open about the problems and discuss it with their partner. Communication Humans act based on their own life experience. The learned action way that is completely natural for one person, another may seem incomprehensible. Karsten Isachsen describes it this way: << – There is never a single wall between people, there are two >>. When challenges arise, it is easy to reinforce these walls instead to collaborate on solutions. << We must recognize and accept that a relationship requires time, space, energy, commitments and a lot of sour toil – and fun work.

Good communication between partners is characterized by mutual respect is the most important tool in a relationship. Partners does not always speak the same language, but they can and should still learn more about what the others think or feel. Parkinson’s disease can challenge communication between partners in several ways. The disease gives physical symptoms that reduce their ability to communicate. Both voice, body and movement can be reduced, and it may be difficult to convey feelings and thoughts.

One of the most important tools for expressing emotions is the voice. Parkinson changing voice to varying degrees, both volume and pitch, it loses some of the nuances and can be experienced monotonous. Various shrieks of voice used to ascribe words specific opinions. An altered voice may therefore allow for misinterpretation and misunderstanding between the partners. Communication between partners is comprised of much more than words and voices. Small touches, caresses and flirting with body signals are important parts of a sensual communication. The partners can send each other signals by expressions, gestures, certain body positions, smile or small touches to communicate their desires. With Parkinson weakened facial expression and movement, and the ability to express themselves with bodily signals is reduced. It can make it difficult to signal their sexuality and desires towards your partner and cause the parties misunderstand each other and become upset or self-blame. When such a situation arises, knowledge about the disease is a necessary prerequisite for being able to talk about uncertainty, questions, desires, lack of response and the fear it brings. Communication is the hardest activity people can do together, and sometimes not partners on your own.

It is easier to overcome the problems that could arise because of disease and treatment, if both partners are aware of it. Therefore, it is helpful if both are present during the conversation sexologist. Surveys show that sexuality and relationships is the topic that is rarely discussed during consultations with professionals and sexologists. It may be that these areas intervene in some of the most personal and intimate with a man, and healthcare professionals may find it difficult to take up issues related to sexuality and sexual relations, therefore it may be easier for jellyfish to seek out people who work with sexuality daily. Whether because of issues with each individual, or for fear of making it harder for those who are experiencing the problem. It may also be difficult or embarrassing for the person who has the disease to address the problems, and fear of not being met in a satisfactory manner can be an inhibiting factor. In one sexologist can claim that.