Unable to consummate marriage? Know most common reasons (2)

----- Continued from Part 1 of the series -----

Dr Rajan Bhonsle gives ten most common reasons that stop couples from consummating their marriage...

6. Psychogenic Erectile Dysfunction
Erectile Dysfunction is the inability to achieve or maintain an erection. In majority of cases, the cause is psychogenic, such as stress, anxiety, guilt, anger, mood disorders, relationship difficulties and past traumatic events. The treatment depends on the cause. Sex counselling and therapy is needed for psychogenic causes.

7. Organic Erectile Dysfunction
Whenever a man is unable to attain or maintain erection of penis (and thus unable to consummate his marriage) due to biological causes, it is called as organic erectile dysfunction. Organic causes may include endocrine conditions such as diabetes (50% of diabetic men suffer from ED), disorders of pituitary, thyroid or adrenal glands, diminished testosterone levels, reactions to certain medications especially hypertension medications, and many more.

8. Performance Anxiety
Fear of failure or anxiety about impotence ranks first in order of prevalence, in all the sexual fears that men bear. Ironically, the fear itself is the greatest cause of impotence and thus non-consummation of marriage. If a man is more focused on how well he is performing with a partner, rather than on enjoying the sensations in the sexual act, it may be difficult to attain or maintain an erection. This can become a vicious cycle. The remedy is to learn to relax. A couple needs to know that there is no possible way that a man can have an erection at will. When a man is involved in foreplay, without 'examining' the organ, erection happens on its own. The wife's cooperation plays a very important role in getting over such psychogenic impotence.

9. Premature Ejaculation (pe)
PE is the most common complaint amongst men. It is not a physical problem, but a 'learning disability' found very commonly in newlyweds. Ejaculating early is a 'learned reflex response' that can be effectively re-conditioned when a man and a woman actively learn ejaculation control together. The 'squeeze technique' or the 'stop-start technique' can benefit in this case.

10. Fsad
FSAD stands for Female Sexual Arousal Disorder. Female arousal is as much necessary as male erection for a couple to engage into intercourse. The physical causes of the same include many hormonal, and other organic causes that cause erectile dysfunction in men. Psychological issues that contribute to FSAD are physical or psychological abuse, low self-esteem or distorted body image. Unrealistic expectations from the partner and unresolved emotional and relational issues in the couple also can cause FSAD. Certain medications can also impair female sexual arousal.