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Managing sexual problems in Parkinson's

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Touch activates oxytocin, a hormone of bonding. And yet we deprive ourselves from touch. We have imposed rules as to what types of touch are acceptable and which sex are not.

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Kissing, bathing and flowing are all watery in nature. It is about your desires and pleasures. Sensuality is about touch and bout opening the heart. You are sebsuality sensual being and you need the touch — so express it! When with friends, hug them. Cuddle with your loved ones and family. Caress each other. Sensuality is sensuality sensuapity that allows to express your deep emotions much better than any word will sec do.

Sensuality more sensuality into your sexual relationships sensuality you will no longer have to sex about the passion fading away.

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How can Parkinson's affect intimacy, sex and sensuality?

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You should do whatever suits you as a couple, but you could try the following:. Allow yourselves to enjoy an intimate or erotic touch without being forced automatically to shift to intercourse. Whatever you do, agree beforehand that your goal is to get close and enjoy time together. The result may be sex, but it may be non-erotic pleasure. Take the pressure off by investing your energy into creating the right environment. The outcome will happen more naturally. Both men and women may experience reduced or absent orgasms.

Some men may experience problems with premature or delayed ejaculation, or not ejaculating at all. These problems are also quite frequent in older men and women as part of natural aging. Some treatments e. Treatments for orgasm problems may include therapies such as psychosexual therapy or cognitive behavioural therapy. This can help individuals or couples find more helpful ways of sexual communication. Ask about the kind of stimulation your partner likes.

When sex is approached in a more relaxed and exploratory manner, orgasm may follow more naturally. Sex aids including vibrators and vacuum devices may be of some use to aid stimulation and orgasm.

If your tremor or dyskinesia disturb the way you touch, you can also use various materials for effective and pleasant touch. When you use massage oil the hand slide gently. You can use gloves e. You can also use body massagers. For some women, pelvic floor exercises may help increase awareness of pelvic floor contractions and improve pelvic tone. These exercises can be tricky, but a physiotherapist, nurse or GP will be able to explain how to do them properly. They might recommend on using vaginal trainers or biofeedback treatment.

A change in medication can often help. Although talking about intimate relations can be awkward — in fact some doctors and healthcare professionals also find it difficult to address sexual issues - seeking help is important to maintain a healthy relationship. There are many professionals who can help so try to overcome any embarrassment and share your concerns so that you find the help you need. Sex therapy treats a wide range of difficulties with sexual function and expression.

Sex therapists help people overcome sexual difficulties and hopefully regain an active and satisfying sex life. In many countries sex therapy involves special training for those who already have professional experience as doctors, clinical psychologists or clinical social workers.

In order to become a sex therapist, these professionals must be trained specifically to evaluate and carry out treatment of sexual disorders. In many countries nurses are trained as sex counsellors too. The basis of sex therapy rests on the premise that sexual behaviour is learned and that difficulties can be alleviated through sex education, sensitisation exercises and improved communication between sexual partners.

Treatment is generally short-term and focused specifically on the sexual difficulties, although in some cases sex therapists may also address underlying issues in the relationship. The treatment is most successful when it includes the patient's sexual partner.

Because the field of sex therapy is relatively new and can be defined in many ways, licensing for sex therapists only exists in a few countries. Anyone seeking sex therapy should therefore check out potential practitioners carefully and choose wisely. A trained counsellor can help you look at your problems in a different way, as a couple or individually, and improve communication in order to overcome challenges you face.

There are various types of counselling or therapy that can help, such as psychotherapy and cognitive behavioural therapy. Ask your doctor for advice if you would like to speak to a counsellor or therapist. You may also find it helpful to send any questions or requests for advice to a Parkinson's related forum or website. If you contact info epda. Diagnosis may affect both partners emotionally, resulting in lack of desire. If you try to have sex or intimate relationships in this tense period, you will probably find it difficult because of anxiety and low mood.

Fear of rejection, a lack of self-esteem and sexual difficulties can be upsetting and unsettling. You may find books and website that give you good advice and enable you and your partner to discuss your sexuality more openly. Seeking medical treatment for depression and anxiety can also help you to regain your previous sexual desire and sexual function. But remember that one of the most frequent side effects of antidepressants is difficulty in reaching orgasm, so talk to your doctor if you think this may be affecting you.

If the use of antidepressants is essential, a good sex therapist can help you maintain a satisfying sexual life. Motor symptoms, such as rigidity, tremor and bradykinesia may influence your flexibility and may mean that you need to take a more passive role. Some couples cope well with these role changes; others need professional support to accommodate changes and physical limitations. Again, discussing the difficulties you experience is important in finding ways to overcome them.

Our thanks to Parkinson's UK for permission to use the following source s in compiling this information:. Home Living well Wellbeing Relationships and communication Intimacy, sex and sensuality. As with all relationships, communication is vital. Intimacy, sex and sensuality. Page contents How can Parkinson's affect intimacy, sex and sensuality? Managing sexual problems in Parkinson's Who can help?

How else can I help myself? Acknowledgement Related reading. The most frequent difficulties are: decreased sexual desire and motivation to engage in intimate activities increased sexual interest, sometimes resulting in a desire discrepancy between partners compulsive sexual behaviour or hypersexuality, a feature of impulse control disorders arousal problems, meaning that you can't respond physically or emotionally to sexual stimulation or you do get aroused but cannot sustain this.

For men this may involve erection difficulties whilst for women vaginal dryness and sexual pain are common orgasmic problems related to medications used for treating depression and anxiety, to physical limitations in maintaining movements or sexual positions, and to concentration difficulties difficulties resulting from the need to change roles in sexual activity limitations or inabilities in intimate touch limited choice of sexual positions difficulties in intimate communication.

How can Parkinson's affect intimacy, sex and sensuality? Bowel and bladder problems Fear of incontinence during sexual activity may have a negative impact not only on self-esteem, but also on sexual arousal, especially in women with Parkinson's or female partners. Medications Your medications should be reviewed for any side effects they may have on sexual function.

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