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A sexual problem, or sexual dysfunction, refers to a problem
during any phase of the sexual response cycle that prevents the individual or
couple from experiencing satisfaction from the sexual activity. The sexual
response cycle has four phases: excitement, plateau, orgasm and resolution.

While research suggests that sexual dysfunction is common (43%
of women and 31% of men report some degree of difficulty), it is a topic that
many people are hesitant to discuss. Fortunately, most cases of sexual
dysfunction are treatable, so it is important to share your concerns with your
partner and doctor.

What Causes Sexual Problems?

Sexual dysfunction can be a result of a physical or
psychological problem.

• Physical causes: Many physical and/or medical conditions can cause
  problems with sexual function. These conditions include diabetes, heart
  disease, neurological diseases, hormonal imbalances, menopause, chronic
  diseases such as kidney disease or liver failure, and alcoholism and drug
  abuse. In addition, the side effects of certain medications, including some
  antidepressant drugs, can affect sexual desire and function.
• Erectile dysfunction new drugs
  causes: These include guaranteed lowest price viagra
  stress and anxiety,
  concern about sexual performance, marital or relationship problems, depression,
  feelings of guilt and the effects of a past sexual trauma.

Who Is Affected By Sexual Problems?

Both men and women are affected by sexual problems. Sexual
problems occur in adults of all ages. Among those commonly affected are those
in the geriatric population, which may be related to a decline in health
associated with aging.

How Do Sexual Problems Affect Women?

The most common problems related to sexual dysfunction in women
include:

• Inhibited sexual desire: This involves a lack of sexual desire or
  interest in sex. Many factors can contribute to a lack of desire, including
  hormonal changes, medical conditions and treatments (for example cancer and
  chemotherapy), depression, pregnancy, stress and fatigue. Boredom with regular
  sexual routines also may contribute to a lack of enthusiasm for sex, as can
  lifestyle factors, such as careers and the care of children.
• Inability to become aroused: For women, the inability to become
  physically aroused during sexual activity often involves insufficient vaginal
  lubrication. The inability to become aroused also may be related to anxiety or
  inadequate stimulation. In addition, researchers are investigating how blood
  flow problems affecting the vagina and clitoris may contribute to arousal
  problems.
• Lack of orgasm (anorgasmia): This is the absence of sexual climax
  (orgasm). It can be caused by sexual inhibition, inexperience, lack of
  knowledge and psychological factors such as guilt, anxiety, or a past sexual
  trauma or abuse. Other factors contributing to anorgasmia include insufficient
  stimulation, certain medications and chronic diseases.
• Painful intercourse: Pain during intercourse can be caused by a
  number of problems, including endometriosis, a pelvic mass, ovarian cysts,
  vaginitis, poor lubrication, the presence of scar tissue from surgery or a
  sexually transmitted disease. A condition called vaginismus is a painful,
  involuntary spasm of the muscles that surround the vaginal entrance. It may
  occur in women who fear that penetration will be painful and also may stem from
  a sexual phobia or from a previous traumatic or painful experience.

How Is a Female Sexual Problem Diagnosed?

The doctor likely will begin with a thorough evaluation of
symptoms and a physical exam. The doctor may perform a pelvic examination to
evaluate the health of the reproductive organs and a Pap smear to detect
changes in the cells of the cervix (to check for cancer or a pre-cancerous
condition). He or she may order other tests to rule out any medical problems
that may be contributing to the problem.

An evaluation of your attitude regarding sex, as well as other
possible contributing factors (fear, anxiety, past sexual trauma/abuse,
relationship problems, alcohol or drug abuse, etc.) will help the doctor
understand the underlying cause of the problem and make appropriate
sildenafil citrate and discount for treatment.

July 12, 2006 — The FDA today warned consumers not to purchase or consume
seven products that are promoted and sold on web sites as “dietary
supplements” for treating erectile dysfunction
(ED) and enhancing sexual performance.

The products — Zimaxx, Libidus, Neophase, Nasutra, Vigor-25, Actra-Rx, and
4EVERON — are “illegal drugs that contain potentially harmful undeclared
ingredients,” states an FDA news release.

“These products have not been approved by FDA, and there is no guarantee
of their safety and effectiveness, or of the purity of their ingredients,”
the FDA’s news release continues.

The FDA is advising consumers who have used any of these products to
discontinue use and to consult their health care provider. The FDA also
encourages anyone experiencing ED to seek guidance from a health care provider
before purchasing a product to treat this medical condition.

Stealth Ingredients

“These products threaten the public health because they contain
undeclared chemicals that are similar or identical to the active ingredients
used in several Impotence new treatment erectile dysfunction drugs drug products,” says Steven
Galson, MD, MPH, in the FDA’s news release. Galson directs the FDA’s Center for
Drug Evaluation and Research.

“This risk is even more serious because consumers may not know that
these ingredients can interact with medications and dangerously lower their
blood pressure,” Galson continues.

The banned products contain chemicals similar to those in the prescription
ED drugs Viagra and Levitra. The FDA analyzed the products and found that
Zimaxx contains sildenafil, Viagra’s active ingredient. The other illegal
products contain chemical ingredients that are similar to either sildenafil or
vardenafil, Levitra’s active ingredient.

“There is no mention of any of these ingredients in any of the illegal
products’ labeling,” states the FDA.

Health Risk

The illegal products’ undeclared ingredients may interact with nitrates
found in some prescription drugs (such as nitroglycerin, Isordil, and Imdur)
and lower blood pressure to dangerous levels.

People with diabetes, high
blood pressure, high cholesterol, or
heart disease
often take nitrate medications. ED is a common problem in men with those
conditions, the FDA notes.

Those men may seek ED products that claim to be “all natural” or
that claim to lack the active ingredients used in FDA-approved ED drugs, states
the FDA. But those claims are false, misleading, and potentially dangerous,
according to the FDA.

The FDA also warns that because it doesn’t know where the illegal products
are made, there is no assurance that the ingredients are safe, effective, or
pure.

The FDA has sent warning letters to the products’ marketers, is working to
stop Libidus and 4EVERON from entering the U.S., and may take other treat erectile dysfunction the best
actions.

The FDA’s actions follow its first survey of 17 dietary supplements marketed
on the Internet to treat ED and enhance men’s sexual performance.

“Our survey found that many of the so-called ‘dietary erectile dysfunction pills

marketed as treatments for erectile dysfunction actually contain nondietary
chemicals, including chemicals used as active ingredients in FDA-approved
drugs,” says Margaret Glavin, the FDA’s associate erectile dysfunction treatment
for
regulatory affairs, in the FDA news release.

“The claims made for these products were in fact claims made for the
undeclared nondietary chemicals they contain, which rendered them illegal
drugs,” Glavin continues. She adds that the FDA “is committed to
protecting the public health by removing such illegal and dangerous products
from the market.”

Has the “free love” generation lost its mojo?

If you talk to baby boomer gals, it seems the answer is yes. Indeed, as
millions of women enter perimenopause and then
transgress to menopause and beyond,
many say they check their sex drive at the door and most are not happy about
it.

“I don’t think a day goes by when at least one patient and usually
more complain that their sex drive is dropping off and want to know what they
can do about it,” says Laura Corio, MD, a gynecologist and clinical
instructor at Mt. Sinai Medical Center in New York City.

Clinically known as HSDD (hypoactive sexual desire disorder) Corio says she
doesn’t think more women are affected now than in the past, but she does
believe more are coming forward — prompted, at least in part, by the success
male potency drugs like Viagra.

“The man gets a prescription for Viagra and he’s ready to rock and roll
while she’s thinking ‘Hey, where’s my pill?’ If she’s not ready to jump in the
old van and join him for a ride, there can be real problems,” says
Corio.

Discovering What’s Wrong

While male sex drive is easy to define — and relatively easy to restore –
that’s often not the case for women. Because the female sex drive is
erectile dysfunction remedy
, the desire to make love is not only influenced by physical
issues, but emotional ones as well.

“Part of the desire to make love is clearly physical, but part is also
emotional depression can make a
difference, so can any emotional issue in a woman’s life; female sex drive is
very multidimensional,” says Glenn D. Braunstein, MD, an cialis generic lowest price viagra

and chair of the department of medicine at Cedars Sinai Medical Center in Los
Angeles.

While emotions are frequently behind a loss of sex drive in younger women,
doctors say it is frequently the agingprocess itself that’s at
when desire changes in women over age 45.

“The very fact that a woman is no longer ovulating regularly, or not
ovulating at all, automatically takes her sex drive down a few notches,”
says Steven Goldstein, MD, professor of ob-gyn and NYU Medical Center in New
York City.

Nature’s Design for Sex

Indeed, as many women are aware, Mother Nature built in a natural increase
in the desire for sex beginning just prior to ovulation, and lasting several
days afterwards — not coincidentally, the only time of the month conception is
possible.

Stop ovulating, says Goldstein, and you automatically lose that regularly
scheduled boost in your sex drive that has been present since puberty — and
you’re probably going to notice.

“There’s nothing wrong with you; it’s just the way nature works,”
says Goldstein.

Moreover, around menopause, when there
is also less estrogen circulating in your body, that too can bring your sex
drive down for the count.

“Estrogen is a mood elevator, it works in the brain to maintain interest
in sex, but it also works at the level of the genitals, helping to increase
sensation and just making sex more pleasurable,” says Corio.

Without it, she says, not only can desire take a dive, vaginal tissue begins
to dry and shrink. As a result, intercourse can become buy entry this url viagra, or even
painful. Problems with desire, say experts, are easy to understand.

“Who wants to make love when making love hurts?” asks Goldstein.

Moreover, he says, avoiding sex because of pain only leads to more pain. The
old “use or lose it” theory really does apply.

“From a strictly physical standpoint, the less sex you have the more
painful it is when you try to have it,” he says.