Coitus syncope, male sexual psychological disorders, and self-assessment of erectile function

30.

Symptoms of sexual syncope

A small number of young people, especially women, suddenly break out in a cold sweat, turn pale, and lose consciousness during their first hug, kiss, or sexual intercourse. They usually recover and regain consciousness on their own after several tens of seconds, which can cause panic for their partner.

This is actually a normal phenomenon – sexual syncope.

During normal sexual intercourse, most people experience a brief period of loss of consciousness for a few seconds when they reach orgasm. However, this phenomenon is often not noticed by people because it is masked by the excitement of orgasm.

However, some people exhibit this behavior particularly strongly, resulting in the aforementioned situation.

This type of fainting is mostly caused by excessive emotional excitement, high excitement, or excessive tension and fear during sexual intercourse. The nerves reflexively cause the peripheral blood vessels in the body to dilate, resulting in a transient lack of blood supply to the brain tissue. It does not harm the body and is not life-threatening, so it does not require rescue or treatment.

This type of fainting is not caused by organic disease, unlike the coma and sudden death caused by cerebral hemorrhage or myocardial infarction during sexual intercourse in middle-aged and elderly people due to cardiovascular disease.

31.

Manifestations of male sexual psychological disorders

Male sexual psychological disorders, also known as paraphilias, are numerous and generally refer to gender identity disorders, sexual preference disorders, and sexual orientation disorders. They often manifest in the following ways:

(1) Fetishism: This type is more common in men. The fetish objects they choose are often women's underwear, bras, menstrual belts, hair clips, necklaces, socks, hair, etc., in order to satisfy their sexual desire. They have little interest in the opposite sex themselves, but achieve sexual arousal through certain objects.

These people often lose self-control and steal recklessly. They become agitated and anxious before they succeed.

After being discovered, they felt remorse, depression, and pain for their actions.

They are often not interested in new, unused items.

The reason may be that a certain object is associated with sexual arousal, and this object becomes the object of fetishism.

It may also be related to the possessions of certain people with whom they had close contact and special feelings during their childhood, as well as to social and cultural customs.

(2) Nude vulva syndrome: refers to the act of arbitrarily exposing one's genitals in front of others, mainly women, and obtaining sexual satisfaction by causing the onlookers to be startled, annoyed, surprised or scolded.

In reality, they use the exposure of their sexual organs as a means to satisfy their sexual desires. They generally maintain a considerable distance from their victims, do not make threatening remarks, and do not engage in aggressive behavior.

It is generally believed that genital exposure is a substitute for genital intercourse, indicating a reluctance to engage in normal sexual activity.

Exhibitionism in women is extremely rare. If it occurs, it usually involves complete nudity and can also be associated with epilepsy or certain mental illnesses.

(3) Peeping: refers to men taking the risk of secretly watching women's naked bodies or watching others' sex life, or watching women urinate or defecate, without any motive for rape or adultery.

The purpose of peeping is to induce sexual arousal; some people masturbate while peeping, and they rarely use violence against the opposite sex.

(4) Fetishistic transvestism: refers to men wearing women's clothing and accessories, such as bras, to arouse sexual excitement and obtain satisfactory sexual pleasure.

They usually take place secretly at home or in certain safe places, and are rarely discovered. Such people's sexual partners are often normal.

The causes often begin in childhood, when they are treated as girls, leading to psychological abnormalities, or are related to genetic factors.

(5) Sadism and masochism: Sadism is more common in men and refers to obtaining sexual satisfaction by physically torturing a sexual partner; masochism is obtaining sexual satisfaction by being tortured or tormented by others and is more common in women.

When the severity is mild, it is not frightening, but when it develops into a serious condition, it manifests as highly dangerous acts of violence, such as biting or cutting off the victim's breasts or genitals.

Some people believe that these are all due to congenital genetic defects.

(6) Homosexuality: Throughout history, attitudes toward homosexuality have changed several times.

In some societies, it is recognized to varying degrees; while in others, it is considered evil and punished.

This refers to intimate sexual behavior between individuals of the same sex, characterized by sexual desire and sexual activity occurring with the same sex, predominantly male.

Regardless of gender, homosexuals who play the role of husband are called "active type," those who play the role of wife are called "passive type," and those who combine both are called "hybrid type."

Those who are homosexuals and whose sexual satisfaction is achieved simply by taking a walk or chatting are called "psychological homosexuals"; those who engage in oral sex, hand sex, anal sex, or other sexual behaviors are called "non-psychological homosexuals".

In summary, there are other manifestations of male sexual psychological abnormalities, such as necrophilia, zoophilia, and gender dysphoria.

32.

Self-assessment of erectile function

Many men want to know how to determine if their erectile function is normal, and how to assess the severity of their erectile dysfunction.

Some experts have proposed classifying the severity of erectile dysfunction into four levels, which can be used as a reference:

0° (Normal): Normal libido, rapid erection response, erection lasting until ejaculation or disappearing after interruption of intercourse, erection hardness sufficient for free insertion into the vagina, good sexual pleasure, no significant change in the frequency of intercourse, and normal erection response during masturbation.

I° (Mild): Sexual desire is basically normal, erectile response is relatively rapid, erection duration is unstable, and sometimes it cannot be sustained.

Sometimes, the erection is not firm enough to allow penetration into the vagina. Sexual pleasure is generally normal. The frequency of intercourse has decreased compared to the past. The erection response during masturbation is generally normal.

In patients with grade I erectile dysfunction, psychogenic erectile dysfunction is more common, while in a few cases it is in the early stages of organic lesions.

II° (Moderate): Decreased libido, slowed erectile response, frequent inability to maintain an erection, insufficient erection rigidity for vaginal penetration, and diminished sexual pleasure.

The frequency of sexual intercourse has decreased significantly.

Erectile response during masturbation is weak.

In the second category, psychogenic erectile dysfunction is still more common, but organic erectile dysfunction is also possible.

III (Severe) Loss of sexual desire, no erectile response, therefore no sustained erection, completely unable to penetrate the vagina, no sexual pleasure, sexual intercourse frequency almost stopped, and no erectile response during masturbation.

Grade III erectile dysfunction is more often caused by organic factors.

Therefore, to determine whether a person has erectile dysfunction, one can judge from several parameters such as the speed of their erection response, duration, and hardness. Any difficulty in these aspects can be considered abnormal.

Abnormal changes in libido, sexual pleasure, and frequency of intercourse may also indicate other aspects of sexual dysfunction.