Clear your doubts about a fulfilling sexuality Clear your doubts about a fulfilling sexuality

Both men and women consult with experts on topics having to do with performance.

Advisor Mario Alberto Peña – Sexologist and psychiatrist

After one overcomes taboos and the religious conception of sex, in which they believed that the only purpose of intercourse was reproduction – the re-population of earth ad infinitum- sex has become the center of life. It appears in advertising, in the movies, in the TV series, in songs. It is well known and it has been proven that enjoying a healthy sexuality is one of the keys to happiness and wellbeing. This is why there is increasing preoccupation in people, both men and women, to offer and receive pleasure, hedonism and desire.

This same dynamics has led individuals to stop worrying about other’s performance as it used to be done years ago when the blame of bad experiences was put on the couple. “Now, processes have become inverted,” says sexologist and psychiatrist Mario Alberto Peña. “More frequently people come for consultation on complaints of the syndrome of diminished desire. This is the loss of interest in sexual life.”

Peña says that numerically speaking the disease has not changed with the passing of time. Nevertheless, there are more questions and more openness to the topic. It is a phenomenon that begins at 40 years of age and the main reason for its appearance is a dysfunction of the production of testosterone, a sexual hormone that may suffer some instability. “It has been this way in every generation. There is a certain change, because people realize more and more that a fulfilling sexuality is important and that life is too long to renounce that essential part of life at 40 or 50 thinking that it finished,” he adds.

Available alternatives

There is a chemical solution to this problem. There is a supplement to try to level testosterone to appropriate levels. “Sometimes you can do it and sometimes you cannot. If this does not work it is necessary to look into other alternatives. Nevertheless, this is usually due to age and the ovarian dysfunctions due to menopause or, in men, because the function of the testicles is directly related to blood circulation,” he says. Sexual appetite and its disappearance is the uncertainty for which men and women most come to consultation,” says the expert, “But in addition, each one is worried about his own performance, for his own sexual health.” What complaints do women consult for? What complaints do men consult for?

The sexologist recommends that men learn to read the body and the necessities of women. In this way they can understand what women want and expect from a sexual relation.


Relation with Pain. Dyspareunia is intense pain during penetration. “There are women with narrowness or that have resulted that way after childbirth because the stitches they got at the closing of the vaginal wound was badly performed.” It can be the result of both physical and psychological causes but also a pelvic disease or a urogenital infection. It is a situation that requires medical treatment.

Failure in lubrication. This is the equivalent to erectile dysfunction in men and “usually presents with age. Many women suffer it during menopause. This is due to a decrease in estrogen levels and tends to appear after childbirth or breastfeeding. There are some that do not lubricate when they are about to have intercourse, maybe also from anxiety or stress.”


Erectile dysfuntion. The sexologist says that this issue is related to age. “When they reach 50 years of age, half the men begin to suffer from dysfunction. There are many variants: people who never get an erection, others that only have them when they masturbate. In some cases it is due to psychological issues such as anxiety or insecurity.

Premature ejaculation. There are different types, men that have them ad portas, the most complex case that can be the result of eager anxiety for intercourse. Another case is hormonal dysfunction due to a hypersensitivity of the glans, ending in a very quick ejaculation. “When someone ejaculates under two minutes time, it is considered premature. Moreover, if someone is going to have a quick relation, in a hurry, it is normal that it ends soon. In every situation perception is fundamental. When is it a problem of time for the patient?

 See also: Sexuality: A conversation that shouldn’t wait