Before entering into the core of the topic “sexual health” one must know the word “SEX” means either of the two main categories (male and female) into which humans and many other living things are divided based on their reproductive functions, this the first explanation was given to the word by Oxford English dictionary. The taboo of sex has been handed over from one generation to another, leaving one to find out “what is sex” by themselves which won’t end up the same for all which eventually expressed in their sexual behavior.

Sexual health encompasses the knowledge about how to have safe sex, measures to prevent unwanted transmission of disease while having sex, various contraceptive measures, and ways to buy the same online. Sex and sexuality are an important part of life that fills one’s life with intimacy, pleasure, and a natural way to reproduce.

Why sexual health matters?

Lack of knowledge about sexual health is evident in all countries whether it is developed or developing and remains as leading problems most associated with mortality, morbidity, and social ailments in the adolescent. A recent study has revealed that some young people in the UK were unaware of how sexually transmitted infections (STIs) are passed on, with nearly 40% thinking HIV can be transferred through kissing and the signs and symptoms of common STIs. Significant advances must be made in undergraduate medical education to prepare future physicians to address critical issues such as sexually transmitted diseases, family planning. Some Northern European embrace a more positive attitude toward adolescent sexuality and they uphold the right to express and enjoy their sexuality.

What are Sexual disorders in men and women?

It has been reported that sexual dysfunction affects 43 % of women and 31 % of men and most of them are hesitant to discuss it.
Sexual disorders can be desire disorders where he/she lacks the desire or interest in sex, it is also known as libido disorders or low libido. In this condition decrease in estrogen and testosterone hormone levels were noted.
Arousal disorders are the inability to become physically aroused or excited during sexual activity, in this disorder, one has an interest in sexual activity, but be unable to get any physical satisfaction from it.

Orgasm disorders causing delay or absence of orgasm (climax) is a common problem with women, but they can also occur in men.
Pain disorders that cause pain during intercourse can affect both men and women. In women, pain may be caused by vaginal dryness, vaginismus (a condition that affects the vaginal muscles), pain due to episiotomy during childbirth, female genital mutilation (where female genitals are deliberately cut, injured, or changed, but there is no medical reason and it is usually done within infancy and 15 years, which is illegal in countries like the UK.

Sexual desire originates in your brain. There are certain chemical mediators called neurotransmitters responsible for this. The release of the neurotransmitter dopamine is responsible for feelings of pleasure, desire, and motivation while oxytocin increases the sense of bond and attachment.
Sexual disorders can be due to a wide variety of causes such as stress, diabetes, alcoholism, smoking, other substance abuse, and certain neurological disorders. Work-related stress and anxiety affect sexual performance. Marital or relationship problems, depression, feelings of guilt, and the effects of past sexual trauma are psychological causes.
Sexual problems in men can be diverse, however, the most common ones are erectile dysfunction, ejaculation disorders, and diminished sexual desire.
Ejaculation disorders are when ejaculation occurs before penetration, soon after penetration, or retrograde ejaculation. Retrograde ejaculation happens when the ejaculate is forced back into the bladder rather than out of the penis through the urethra.

Medical treatment for sexual disorders

Management of sexual problems should be administrated focusing on the condition of the patient as to whether it’s the physical causes, psychological factors, or multi factors that causing the disorder. A framework for evaluation and treatment has to be planed for each patient in different patterns depending on the factors influencing it.
Several pharmacological treatment modalities have been developed aimed at increasing blood flow to the genitals, improving hormonal deficiencies, and enhancing central nervous system stimulation. PDE5 inhibitors increase blood flow to the genitals. With the development of the first marked PDE5 inhibitor, sildenafil is the drug that revolutionized the treatment of erectile dysfunction in men. PDE5 Inhibitors’ functions by inhibiting the enzyme PDE5 (catalyze cGMP, ultimately prevents dilation of the vascular smooth muscle cell) thus increases the dilation of vascular smooth muscles.

Prostaglandins can help!

Prostaglandins are lipids found in almost all tissues and organs. Prostaglandins cause smooth muscle relaxation in the vaginal, uterine, and penile smooth muscle. Prostaglandins have been used effectively in male sexual dysfunction, especially erectile dysfunction (administered through penile injection), it showed positive results for women with genital sexual arousal disorder, which was mostly attributed to increasing secretions in the vagina a facilitating the vaginal smooth muscle relaxation. A synthetic version of PGE1, alprostadil is Administered topically, that do not result in systemic side effects. The application of alprostadil demonstrated positive responses in genital vasocongestion and vaginal erythema.

Nitric Oxide Donor & Combination Therapy

Production of NO is essential in vascular relaxation. NO-donor creams are available (Sensua), as topical therapies. Another L-arginine product has demonstrated positive results in the treatment of female sexual dysfunction. A study has noted that women who lacked sexual desire exhibited statistically significant increases in clitoral sensitivity, sexual satisfaction, increased frequency of sexual intercourse, and decreased vaginal dryness.

Vasoactive Intestinal Peptide

Vasoactive intestinal peptide (VIP) is a polypeptide hormone-containing is produced in many areas of the human body. VIP has potent vasorelaxant effects. By peptidic therapy, it was noted there is an increase in clitoral and vaginal blood flow when sexually stimulated

Hormones play a role too.

Main hormone endocrine hormones, estrogen, progesterone, and testosterone are involved in the sexual response, and deficiencies in the levels of these androgens potentially are involved in female sexual dysfunction. A decrease in testosterone is associated with sexual disorders such as loss of libido and orgasm associated disorders. Testosterone and other hormone therapies (antiestrogen, DHEA, thyroid hormones) for erectile dysfunction showed to be effective.
Regarding the treatment of male erectile dysfunction, PDE5 inhibitors have proven to be very successful, whereas in female sexual dysfunction similar achievements have not been made.

Some common drugs that showed to be effective in treating sex disorders

Most of the drugs used to treat sexual disorders are available online. Sildenafil is the generic name for the drug that is sold commercially in the brand name Viagra which can be bought online in UK, USA, Canada. Viagra belongs to the chemical class of PDE 5 inhibitors. Viagra is a prescription-only medicine used to treat erectile dysfunction in men. Viagra is usually taken only when needed, 30 minutes to 1 hour before sexual activity, and lasts for four hours. The starting dose is one 50mg tablet in 24 hours. Depending on results, adjust to 25mg or 100mg. Viagra should not be taken more than once a day. If you experience any sort of adverse effects such as pain in the chest, numbness, or nausea, visit your physician immediately. This could be an indication of a potentially dangerous side effect associated with Sildenafil.
Tadalafil is the generic name for the drug that is sold commercially in the brand name Apcalis which is a phosphodiesterase-(PDE) inhibitor. Apcalis Oral Jelly contains Tadalafil 20mg and is available as prescription-only medicine. Apcalis oral jelly effective to treat impotency. This agent functions by expanding the blood vessels of the penis by dilating it, this leads to sufficient blood flow into the penis. This procedure continues going until sexual action finishes. The working is like a normal Apcalis pill however the main distinction is that this medication is accessible in fluid shape.

Eriacta 100mg is a drug prescribed for patients suffering from erectile dysfunction. It is a prescription medicine available online. Eriacta contains Sildenafil Citrate which can be bought online in most countries like the UK and the USA. Eriacta works by increasing the lumen of the vessels of the penis that increases the blood flow thus facilitating erection. It is classified under phosphodiesterase type 5 (PDE 5) inhibitors. Eriacta 100mg Tablet may be taken on an empty stomach or with a meal. It should be strictly taken only if it is prescribed by your doctor. One should take it about one hour before you plan to have sex. The time taken for it to become effective varies from person to person, but it normally takes between 30 minutes and 1 hour. You need to get sexually stimulated or the medicine will not help you to get an erection if. However, you should not take this medicine if you do not have erectile dysfunction.
Kamagra Oral Jelly / Kamagra 100mg Tablet is a popular and effective treatment for erectile dysfunction. Kamagra Oral Jelly contains Sildenafil citrate which falls under the family of PDE-5 inhibitors. They increase the blood flow to the penis which helps men attain and maintain an erection. Kamagra jelly has the advantage that it can be easily swallowed and are available in various flavors. The flavors are orange, mango, strawberry, mint, vanilla, and pineapple.

You can take Kamagra 100mg tablets on empty stomach or along with food. Always make sure you take Kamagra as advised by your doctor. Ideally, Kamagra tablets or jelly should be taken one hour before having sex for it to work the best for you. Although it usually takes 30 minutes to 1 hour to get into action, the time taken to act may vary from person to person. Kamagra will only work once you are sexually stimulated, it won’t help you get an erection without sexual stimulation. Avoid taking Kamagra to enhance your experience if you are not suffering from erectile dysfunction. Kamagra 100 mg should be taken only oner a day and overdose may have serious consequences for your body.

Malegra Oral Jelly (Sildenafil Citrate Oral Jelly 100mg ) comes in seven distinct flavors: Orange, Raspberry, Pineapple, Strawberry, Mango, and Butter Scotch – across the board week after week pack. Malegra is the conventional treatment for men grieved of Erectile Dysfunction. Malegra jelly chemically contains Sildenafil citrate which is a type of Phosphodiesterase 5 (PDE 5) inhibitor that works just like other drugs used for treating erectile dysfunction. On taking Malegra, if you experience any sort of adverse effects such as chest pain, you should immediately report to your doctor.
Super P- Force is the combination of Dapoxetine (antidepressant) and Sildenafil citrate. The combination is found to help manage male sexual disorders such as premature ejaculation and erectile dysfunction.
Super Tadarise is a sexual disorder medicine that contains a combination of Tadalafil 20mg and Dapoxetine 60mg. Dapoxetine belongs to a class of drugs known as selective serotonin reuptake inhibitors, tadalafil belongs to the group of phosphodiesterase inhibitors (PDE 5). These combinations are used to treat erectile dysfunction, Premature Ejaculation, or impotence. Dapoxetine prevents premature ejaculation.

In summary…

Sexual health is of greater importance today and the success of treatment for sexual dysfunction depends on the underlying cause of the problem. There are various ways to treat sexual disorders: by medication, mechanical aids, sex therapy, behavioral treatments, psychotherapy, education, and communication. Sexual problems can be treated only if the patient has a positive attitude towards the treatment. He/she should have an attitude to openly communicate the problem they are facing whether it is the physical or psychological cause.
Sexual health status depicts the overall behavior and mental status of a person, where the healthy ones show respect, care, and intimacy towards their partner. Sex is not merely an act to achieve pleasure for one but it’s an exquisite experience on should have with the partner by giving and taking the love for one another, expressing the longing to be together thus evoking the joy and adding fuel for the long run of life together.