Intimacy Health

What is Performance?

Having good, satisfying intercourse is often seen as the hallmark of a full, enriching lifestyle. This impacts both men and women. Unfortunately, this is not always the case. Research has shown that more and more couples are not finding physical fulfillment in their relationships.

For men, in particular, a poor performance can be very stressful. In today’s society, men are singled out as the more active gender and performance is often seen as an indicator of their manhood or virility. Anxiety about performance can negatively impact on performance, which in turn can compound the problem.

Diagnosing Performance Problems

When problems occur, it can affect any phase of the romantic response cycle that then prevents the individual or couple from experiencing satisfaction from intimate activity. This response consists of four phases- excitement, plateau, orgasm and resolution. Medical science has a variety of ways to treat problems with performance, depending on the underlying cause. If an underlying medical condition is the cause for poor performance by either partner, it should be treated first.

What Causes Performance Problems?

Poor or impaired performance can be a result of a physical or psychological problem or a combination of both.

Physical causes

Various physical factors and medical conditions can cause problems with dysfunction and they include:

Heart and vascular disease
Neurological disorders
Hormonal imbalances
Kidney or liver failure
Drug abuse

In addition, the side effects of certain medications such as antidepressants can reduce sex drive and desire and result in a low libido.

Psychological causes

Work-related stress and anxiety
Marital or relationship problems
Financial problems as a result of unemployment or retrenchment
Feelings of guilt
Concerns about performance
Effects of a past traumas

Help for Performance Problems

There are many name brand and heavily advertised medications. Medications can help to increase blood flow to the penis thus improving function however these medications can have side effects. Hormone supplementation or testosterone replacement therapy will also be beneficial for men with low levels of testosterone. 

Psychological or therapy will also help individuals or couples deal more effectively with romantic function and expression. Communication is also very important in a relationship. Talking to your partner about your needs and concerns will help to overcome the barriers of compatibility. In addition, relaxation techniques (such as a calming meditation CD) and anti-stress exercises can also go a long way in helping to relax the body and mind so that natural desires can flourish.
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