It is well known that sexual dysfunction is one of the main causes of male infertility. In fact, female sexual anxiety can sometimes lead to infertility. Unlike male sexual response, female sexual desire is short-lived and not lasting. Here we only discuss female sexual dysfunction that affects pregnancy.
(1) Vaginismus: Refers to the outer 1/3 of the vagina and the muscles surrounding the vaginal opening. During sexual intercourse, the woman contracts spasmodically involuntarily, forming a ring. It is a muscle mass that closes the entrance to the vagina, making it impossible to have sexual intercourse, and even doctors cannot insert a speculum and perform intravaginal examination. The spasms are involuntary and the patient cannot control the spasms. The incidence accounts for 13% of female sexual dysfunction. Patients are afraid of sexual intercourse and cannot complete sexual life as a couple, so they cannot conceive. The main manifestation is vaginismus, which can be divided into 4 degrees according to its degree. Vaginismus is sometimes associated with painful sexual experiences, such as incest, rape, or when the woman had intercourse that was timid and against her conscience. For vaginismus, it is advisable to use a vaginal dilator or the couple\’s fingers to expand the vagina to relax sexual intercourse tension, re-stimulate the vagina, and evoke pleasure. During treatment, attention should be paid to the coordination of psychological and physiological adjustments and appropriate psychotherapy techniques. For organic causes of dyspareunia, effective treatment should be given, such as eliminating inflammation.
(2) Inability to have sexual intercourse:In addition to vaginismus, the reasons why the penis cannot enter the vagina also include various congenital abnormalities, such as congenital absence of a vagina or vaginal hypoplasia ( Only 1 to 4 cm long), vaginal atresia or stenosis, vaginal diaphragm, hymen atresia or toughness. In men, it includes congenital hypospadias, giant oblique hernia, oversized or undersized penis, diphenasis, penile curvature, etc. It also includes penoscrotal rubber swelling, traumatic deformation of the penis, and hip ankylosis caused by severe rheumatoid arthritis. In addition, mechanical obstacles caused by inflammation of the female vulva and vagina, ulcers, tumors, trauma, etc. will also affect the normal progress of sexual intercourse. These conditions are not difficult to diagnose through clinical examination.
(3) Improper sexual intercourse position:Clinically, it can be seen that after several years of marriage, individual women’s hymens are still intact, and some women have abnormal symptoms such as dilation of the urethral opening. It shows that their sexual knowledge is too poor. This requires specific guidance for patients. Improper sexual intercourse position or posture may also cause the woman to be infertile. In fact, sexual intercourse position is not the decisive factor. The key is that the woman raises her buttocks and lies on her back for 0.5 to 1 hour after sexual intercourse. This will help the cervix to immerse into the posterior vaginal fornix.The semen pool helps sperm swim into the cervix. However, for those with posterior uterus, sexual intercourse in the knee-chest position makes it easier for the cervix to come into contact with semen.
(4) Improper timing of sexual intercourse: Some couples’ sexual life is too frequent or too infrequent, which will affect the quality of semen. When you have too little sex, it is not conducive for sperm to meet the mature eggs released, and the chance of conception is naturally lower. Because human eggs are only capable of fertilizing within 24 hours after ovulation, they then \”age\” rapidly and no longer have the ability to fertilize. After ejaculation, sperm remains fertile within the female reproductive tract for approximately 48 hours. Even if the sperm stays in the cervical crypt, it can only survive for 3 to 5 days, and whether it still has the ability to fertilize is still questionable. Therefore, the choice of time for sexual intercourse is very critical, especially for those who are not naturally fertile. However, the current methods for determining ovulation have many shortcomings and insurmountable obstacles. It remains to successfully develop a simple, economical, and accurate means of self-monitoring ovulation. There is a couple, the man is 47 years old and the woman is 37 years old. The man has low sexual desire and can only have sex once a month. The woman’s menstrual cycle is not regular. As a result, she has not become pregnant for several years after marriage. Doctors can only guide patients based on their current level of knowledge to master the basal body temperature method and cervical mucus method to infer the ovulation period, and try to have sexual intercourse during the ovulation period to increase the probability of successful pregnancy. Some women have a small amount of bleeding during ovulation and mistakenly think it is their period, so they artificially avoid sexual intercourse. This will undoubtedly result in the loss of a great opportunity during ovulation, and of course they will not lead to pregnancy.
(5) Orgasmic disorder: Women can become pregnant without orgasm, but having an orgasm can increase the chance of pregnancy. This is because: ① Experimental studies have found that during orgasm, the pressure in the uterus is positive, and after orgasm, the pressure drops sharply to negative pressure, which causes the uterus to inhale sperm; ② During sexual arousal, 2/3 of the vagina expands in a spherical shape. , the outer 1/3 is narrowed due to the contraction of blood vessels and the muscles surrounding it, forming an \”orgasmic platform\”, resulting in the formation of a semen pool after sexual intercourse, making it difficult for semen to flow out of the vagina, which is conducive to pregnancy; ③ The normal vaginal environment is acidic, Not conducive to sperm survival and activity. During orgasm, the leakage fluid from the blood vessels in the vaginal wall increases and tends to become alkaline, which is conducive to sperm activity. When orgasm occurs during normal intercourse, the uterine and vaginal sphincter muscles contract strongly, which will help the sperm to ascend. Some people describe that this contraction produces a strong \”sucking\” effect, assisting the sperm to enter the uterine cavity and move to the fallopian tube. fertilization. Women with decreased sexual desire, inability to reach orgasm, and dyspareunia lack this contractile activity to assist sperm movement, thus affecting the pregnancy process. This is one of the possible reasons for the lower success rate during artificial insemination. However, many scholars hold different views on this, believing that when the uterus contracts, it expels it outward rather than sucking. They believe that there is no necessary link between sexual abnormalities and infertility. However, these couples may have less frequent sexual intercourse due to erogenous abnormalities or dyspareunia, thereby affecting their chances of conception. By taking medical history and gynecologyExamination helps to understand and determine the history and type of sexual intercourse disorders. If the basal body temperature measurement and semen examination are normal, but repeated post-coital tests show that sperm is rarely found in the vagina, the influence of sexual intercourse factors on infertility should be highly suspected, and the medical history can be inquired in detail, with special attention being paid to questioning both parties separately. Medical history, trying to identify the cause so that symptomatic treatment can be provided.
(6) Sexual panic: People with vaginismus may be accompanied by sexual panic, which is another form of female sexual dysfunction. Sex panic occurs even in women who desperately want to become pregnant. Sexual panic has two manifestations: one is extreme fear and avoidance of sex, and the other is strong resistance due to disharmony in sexual life. The identification of the two helps to select treatment. Sexual panic, unlike sexual resistance, can be effectively treated with some drugs. Previous sexual intercourse history, pregnancy history and excessively intimate movements may cause sexual panic in both or one of the couples. Strengthening personal cultivation and choosing a suitable career can contribute to sexual harmony.
(7) Pain during sexual intercourse: Pain during sexual intercourse refers to pain in the vulva, vagina or lower abdomen caused by sexual intercourse. Most common among female sexual dysfunctions. The degree of pain varies. In mild cases, it can be tolerated, but it also affects sexual pleasure; in severe cases, sexual intercourse is impossible, resulting in infertility and affecting the relationship between husband and wife.
(8) The impact of infertility on sexual problems: Infertility is a kind of mental pressure for both couples, who often feel depressed and melancholy, which in turn aggravates sexual problems. disfunction. For example, searching for ovulation makes couples feel that sexual intercourse has become a task rather than a pleasure, and may even lead to a reduction in the number of orgasms and a separation of feelings. This is also one of the issues that must be properly addressed in infertility clinics. As for using artificial lubricants in the vagina or frequently douching the vagina, it can create an environment that is not conducive to sperm and lead to infertility.
This article is provided by Baidu Reading and is excerpted from \”The Clear \”Conception\” Plan\” Author: Sun Jianqiu and Xie Yingbiao