Separate neurotic manifestations associated with the functions of the sexual organs, closely intertwined with each other and pass one into another. Different expressions of sexual neurotic Buy Generic Viagra Online disorders can, as it were, separate the separate phases of their development with an emphasis on the dominant actual deviations from the genitals. However, these deviations change and pass into each other. A typical example is the state transition. With violation of ejaculation in a state with an erection disorder.

An analysis of the dynamics of the disorder explains the mechanism of its course. For example, a long-standing neurosis in the form of premature ejaculation causes increasing tension and fear of every next attempt to have sexual intercourse. This fear blocks the flow of positive sexual irritants from the partner. At the same time, the attention of the partner is increasing concentrates on his own genitals. In this connection, the nartner is distracted from the partner and thereby from the stimulating sexual stimulation.

As a result, there is a complete absence of erections in the neurosis, the starting point of which was premature ejaculation. Confirmation of the described dynamic evaluation of sexual neuroses is the data obtained during their treatment. In some cases, the lack of erection during treatment can be observed reverse process, i.e., the disappearance of symptoms from the sexual organ, but only after passing through the “phase” of neurosis, manifested by premature ejaculation.

In some men with disorders of libido, it is possible to identify the dynamic course of sexual neurotic disorders that precedes it. In some cases, it is based on the presence of a primary ejaculation disorder, which is followed by a breakdown of erections, and then a violation of libido. In other cases, the primary is an erectile dysfunction, which is associated with an ejaculation disorder, and then a violation of the libido.

The scheme of neurotic disturbance of the libido, which is the last phase in the dynamics of sexual neurotic disorder, can be represented as follows: type I: violation of ejaculation – violation of ejaculation and erections – a violation of libido; Type II: Erectile dysfunction- Erectile dysfunction and ejaculation violation of libido.

An analysis of the dynamics of the course of the sexual neurotic disorder allows one to try to find out the mechanisms of the flow. In the presence of type I flow can reveal that long-term sexual neurotic disorders in the form of premature ejaculation due to repeated failures in sexual intercourse cause increasing tension and fear of failure at every next attempt to commit sexual intercourse. This feeling increasingly blocks the flow of positive sexual stimuli on the part of the partner.

At the same time, the partner is aggravated by insecurity in his own abilities, and Attention is concentrated on the genitals with simultaneous fears that the next attempt to commit sexual intercourse will be unsuccessful. Concentrating on your own sexual organs distracts him from the partner (which is further enhanced by a sense of fear). As a result, erections are weakened, and then completely disappear, although the starting point of sexual neurotic disorder was premature ejaculation.

In this phase of a neurosis when attempting to have sexual intercourse in general there are no erections, and, despite their absence, can premature ejaculation occurs.

In the further course of the sexual neurotic disorder, a feeling of fear of a new failure, insecurity in one’s own strengths and fear of the next “compromise” are amplified. The attempt to make sexual intercourse is increasingly associated with social insurance before failure and insecurity in one’s own forces. The sexual stimulus, causing sexual arousal, immediately entails a warning signal that the result of this arousal will not be pleasant experiences, but another compromise. There is a state of humility and rejection. And from the moment when the fear of sexual intercourse (which in the understanding of the man means inevitable compromise) will exceed the strength of the sexual stimulus, the libido decreases or at times disappears completely. So there is a violation of libido as the last phase of the development of a sexual neurotic disorders, the first phase of which was with premature ejaculation.

In the second type of course, the initial phase is the violation of erections in the form of insufficiency or complete absence of them. Because of increasingly rare attempts to coexist sexual intercourse, due primarily to the fear of compromise (but sometimes associated with insufficient sexual engagement of the partner, frequent conflicts with her, unwillingness of the partner To maintain sexual contacts), as well as in connection with more and more prolonged periods of sexual abstinence gradually add to the violation of ejaculation in the form of its too early appearance. Further development of the neurosis towards the appearance of a violation of libido occurs in the same way as in type I.

It should be emphasized that the violation of libido, arising in described above, and constituting the last phase of the flow aaia of a sexual neurotic disorder, is characterized by true reduction or total loss of sexual needs. In addition to such cases, sometimes there is an apparent decreased libido, manifested reluctance to commit sexual intercourse or make them rarely. However, in these cases, to identify the expressed sexual needs and aspiration to and unwillingness to have sexual intercourse or its rare realization is explained by the lack of confidence in success.

The correct recognition of the neurotic disturbance of libido in men, which is the last phase of the sexual neurotic neurosis, is of great practical importance. Men seeking help at the first examination complain of a violation of libido as a primary symptom. This can make diagnosis more difficult or significantly delay it. And only the identification in the previous dynamics of the sexual neurotic disorder of earlier phases allows correctly to recognize the violation of libido against the background of neurosis and to undertake adequate treatment.

In the process of treatment, it is possible to follow the reverse dynamics of the phases until the moment of normal sexual intercourse restoration. Of course, in the case of a violation of the libido complained of by a patient, the identification of previous phases of the development of a sexual neurotic disorder can only play a supporting role in establishing a diagnosis and does not relieve of the obligation of a thorough in-depth examination of the patient in order to determine other possible violations that may also cause a decrease or the disappearance of libido

In addition to the above effects, you should always take into account the impact on the course of sexual disorders specific trauma (eg, infection with venereal disease and the subsequent change of attitude towards the opposite sex, networking, and so on. D.), Alcohol and related to its use of characterological disorders , personality changes caused by other factors, mental illness, which for a long time can develop imperceptibly, as well as the impact of a variety of other factors associated with epovtorimostyu individuality and variety of situations in which it may be. Only after that will be fully taken into account these factors, it is possible to try to establish the diagnosis of a sexual disorder and appropriate treatment, which can bring the best effect.