A study involving 109 couples showed that a man's own anxiety is more strongly associated with his erection than the psychological state of his partner. In men with reduced erection, anxiety scores were significantly higher, and this association persisted even after accounting for age and diagnosis. However, anxiety and depression in women in this sample did not show a significant association with male erection. Nevertheless, the study was cross-sectional, so it cannot be stated that anxiety ca...
A decrease in desire that upsets you is already a reason to talk to a doctor, preferably a sexual health specialist. According to a review of 33 studies, testosterone is indeed associated with improved libido in women, and after menopause there is notably more evidence than before it; in perimenopause it is also considered an option. Usually it involves a gel or cream in a female dosage, but it should be used only under a doctor's supervision — due to possible heart and liver problems and signs...
Refusal of sex in itself is not manipulation: no one owes sex to a partner, neither in marriage nor in long-term relationships, and even a one-time consent does not mean consent in the future. Manipulation begins where refusal becomes part of a control scheme — when a person is deliberately deprived not only of sex, but also of affection, attention, communication, in order to punish, subdue, or make them feel guilty. If a partner simply does not want intimacy due to fatigue or stress, this is a...
Sex and sexuality are a deep part of us, and if for years you aren't getting the closeness you need in a closed relationship, that's a major loss. Ending a relationship for this reason is just as legitimate as it is because of disagreements about wanting to have children or a lack of emotional connection. But divorce isn't the only way out: to start with, it's worth talking honestly with your partner about what's happening and hearing each other. It's helpful to ask yourself and your partner qu...
Simenafil is a new drug from the group of PDE5 inhibitors, and in a trial of 84 men with mild to moderate erectile dysfunction it showed some effect: the time of maintaining rigidity increased by a few minutes compared with placebo. However, the results turned out to be modest and contradictory — for some doses and sites, the difference with placebo was statistically insignificant. This is only the second phase of clinical trials: the study is short, there are few participants, so it is still f...
Sexual relationships do not have a mandatory frequency or set of practices—what matters is what you and your partner invest in this concept. Often people consider relationships sexual by default and do not discuss expectations, and then are surprised that they do not match. If sex is important to you, its absence is not a minor inconvenience but a real cause for sadness and loneliness, and these feelings have the right to exist. Try talking to your partner not in the format of 'you don't want m...
There is no universal sign, but there are warning signals: someone has stopped initiating, one always wants it while the other refuses, sex has become a topic you both avoid, or intimacy happens only out of obligation. The most reliable indicator is your own feeling: if it seems to you that the relationship has stopped being sexual, most likely it has. The reasons can vary — unresolved conflicts, resentment, loss of desire, digital overload, stress, depression, or medical problems. This can hap...
Scientists analyzed studies in which women with endometriosis followed rehabilitation programs, and assessed their sexual function using the FSFI index. On average, those who participated showed a slight improvement, but the difference with the control group was statistically insignificant — only 0.12 points, and the authors themselves consider the results preliminary. The reason is that there are few such studies, the programs vary, and endometriosis manifests differently in everyone, so no de...
According to a study of the histories of 484 women, the strongest associations with sexual distress were decreased desire, as well as anxiety and depressive symptoms — but their independent effect disappeared when all factors were considered together. A history of trauma, including sexual abuse, was found to be an independent predictor of severe distress. Pain during sex in this analysis did not itself show a significant association with distress — possibly it is masked by other factors. If thi...
Do not wait and do not try to endure it: sudden severe pain in the scrotum, nausea, and inability to stand upright are red flags for testicular torsion, in which the spermatic cord twists and cuts off blood flow. The count truly is in hours: if a surgeon does not intervene within approximately six hours from the onset of the first symptoms, the chance of saving the testicle drops sharply. Therefore, call an ambulance or go straight to the emergency department — do not Google it and do not wait ...
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