Abu na farko da za ku yi: tuntuɓi likitan ku

Koyaushe wajibi ne a fara tare da duba lafiyar likita da kuma sake duba magungunan da aka sha. Wannan yana iya isa don gano dalilin wahalar jima'i. Lura cewa kwayar hana daukar ciki ko magungunan rage damuwa suna shiga cikin rikice-rikice na sha'awar jima'i akai-akai.

Physiotherapy: Gyaran tsokoki na pelvic

Le physiotherapist ko ungozoma da ta cancanta a gyaran mahaifa na iya zama taimako ga wasu matsalolin jima'i.

Idan akwai wahala wajen isar inzali, horar da ƙarfin mahaifa na iya taimakawa wajen dawo da inzali, musamman a cikin matan da suka haifi yara, amma kuma a cikin manyan mata, ko da ba tare da yara ba.

Idan kana da wani ciwon coital or vaginismus, Yin aiki a kan tsokoki na ƙashin ƙugu (perineum) yana da amfani sau da yawa. Amma ana iya yin shi ne kawai bayan ko a layi daya tare da aikin psychotherapy a cikin yanayin farji.

magunguna

Magance cututtukan da ke tattare da su:

Lokacin da rashin aiki ya kasance mai yiwuwa ga a matsalar lafiya wanda ke shafar al'aura (vaginitis, urinary tract infection, kamuwa da cutar ta hanyar jima'i, da dai sauransu), maganin da ya dace yana yiwuwa kuma yawanci yana taimakawa wajen dawo da rayuwar jima'i mai gamsarwa. Tuntuɓi takardun da suka dace da waɗannan sharuɗɗan don ƙarin koyo game da maganin su.

Magunguna don magance matsalar sha'awa

A halin yanzu akwai wani magani, flibanserin, wanda aka sayar tun 2015 a karkashin sunan Addyi® a Amurka don magance samu da kuma gaba ɗaya hypoactive sha'awar jima'i cuta a cikin premenopausal mata. Duk da haka, yana da rikici sosai: a cikin binciken da ya ba da izinin sayar da shi, matan da ke shan placebo suna yin jima'i 3,7 a kowane wata kuma mata suna shan Flibanserin 4,4, watau 0,7 ƙarin jima'i a kowane wata. A gefe guda kuma, sakamako masu illa sun kasance na kowa (36% na mata a cikin binciken da aka ruwaito) tare da raguwa a cikin karfin jini, barci, syncope, dizziness, tashin zuciya ko gajiya. (Wannan magani ya samo asali ne daga dangin antidepressant).

Gano maganin hormone

Mata waɗanda, bisa yarda da likitansu, sun zaɓi maganin hormonal menopause  Lokacin da suka fuskanci alamun farko na menopause na iya raguwa ko ma bace alamun su na bushewar mucous membranes na farji. Amma wannan maganin ba shi da tasiri a cikin dukkan mata.

Mata masu fama da rage libido nasaba da a rashin isasshen hormonal, likita kuma na iya rubutawa testosterone, amma an san kadan game da tasirin dogon lokaci na irin wannan nau'in maganin hormone kuma amfani da shi ya kasance mai ban sha'awa da kuma jayayya. An sayar da facin testosterone (Intrinsa®), amma an cire shi daga kasuwa a cikin 2012. An ba da izini ga mata masu raguwar sha'awar jima'i kuma an cire ovaries ta hanyar tiyata.

Sabbin magunguna na rashin aikin jima'i na mata

- Laser mai juzu'i. Ana amfani da shi don magance bushewar farji ga matan da ba za su iya ko ba sa so su amfana daga hormones kamar estrogen. Ana shigar da wani ɗan ƙaramin bincike a cikin farji kuma yana aika bugun bugun laser mara zafi. Wannan yana haifar da ƙananan konewa wanda, ta hanyar warkaswa, zai motsa ƙarfin hydration na farji (muna magana game da farfadowa na farji). A cikin darussa uku da aka raba tsakanin wata guda, mata sun dawo da lubrition mai daɗi. Hakanan ana amfani da wannan hanyar a matakin vulvar. Yana ba matan da aka yi wa maganin cutar kansar nono ko mahaifa damar sake samun kwanciyar hankali. Laser juzu'in farji abin takaici ba shi da goyan bayan Inshorar Lafiya a Faransa kuma farashin zaman yana kusa da € 400

– Mitar rediyo. Wani siririn bincike da aka saka a cikin farji yana aika da bugun raƙuman raƙuman radiyo waɗanda ke haifar da zafi mai laushi a cikin zurfin. Matar tana jin dumin gida. Wannan yana da tasirin ƙarfafa kyallen takarda da kuma farfado da iyawar mai na farji. A cikin zaman 3 kamar wata 1 baya, mata suna samun mai mai kyau, da kuma ƙarin jin daɗi da jin daɗi da ƙarfi da sauƙin inzali (godiya ga tightening na kyallen takarda), kuma galibi suna ganin ƙananan matsalolin fitsari suna ɓacewa. (tsirara, ƙaramin digo wanda ke damun…). Inshorar Lafiya ba ta da goyan bayan mitar rediyo kuma har yanzu tana kan farashi mai yawa (kusan € 850 a kowane zama).

Me zai hana ka yi alƙawari da likitan jima'i?

Wani lokacin a multidisciplinary m, wanda ke ba da hanyar shiga tsakani na a likitan mata, yana ba da damar yin magani rashin aiki jima'i^5-7 . A Quebec, yawancin masu ilimin jima'i suna aiki a cikin ayyukan sirri. Yana iya zama zaman mutum ko ma'aurata. Waɗannan zaman za su iya taimakawa wajen kwantar da baƙin ciki da tashin hankali ko rikice-rikicen aure da ke haifar da matsalolin da ake fuskanta a rayuwar jima'i. Hakanan za su taimaka wajen kara girman kai, wanda galibi ana cin zarafi a irin wadannan lokuta. 

Hanyoyi 6 don maganin jima'i:

• La haɓaka-halayyar halayyar juna  yana da niyya ta musamman don karya da'irar munanan tunani game da jima'i (da kuma halayen da ke faruwa daga gare ta) ta hanyar gano waɗannan tunanin da ƙoƙarin rage su; Hakanan ya ƙunshi tsara motsa jiki na sadarwa ko motsa jiki ga ma'aurata. Wannan tsarin kula da lafiyar mutum yana taimakawa wajen ganowa da fahimtar lamarin ta hanyar nazarin tunanin mutum, tsammaninsa da imaninsa game da jima'i. Wadannan zasu dogara ne akan abubuwan rayuwa, tarihin iyali, tarurruka na zamantakewa, da dai sauransu. A matsayin misalan imani masu tursasawa: "kawai kawai inzali na gaskiya shine farji" ko "ta hanyar mai da hankali kan sha'awata don tarawa, zan sami inzali". Wannan yana haifar da tashin hankali na ciki wanda, akasin haka, yana rage jin daɗin jima'i. A yayin da ake samun raguwar sha'awar sha'awa ko rashin iya kaiwa ga inzali, wannan ita ce hanyar da aka fi so. Hakanan zai iya zama da amfani idan akwai ciwon coital, ban da ilimin motsa jiki. Tuntuɓi masanin ilimin halayyar ɗan adam ko likitan jima'i wanda ya saba da wannan hanyar.
• Magungunan rauni. Lokacin da mace ta fuskanci tashin hankali (rikicin iyali a cikin ƙuruciyarta, cin zarafin jima'i, cin zarafi), hanyoyin da ake amfani da su a halin yanzu don warkar da lalacewar tunanin mutum da waɗannan raunuka suka haifar: EMDR, haɗin kai na rayuwa (ICV), Brainspotting, EFT ... suna da yawa. hanyoyin kwantar da hankali.
• Thetsarin tsari, wanda ke duba mu’amalar ma’aurata da tasirinsu ga rayuwarsu ta jima’i;
• THEtsarin nazari, wanda ke ƙoƙarin warware rikice-rikice na cikin gida a asalin matsalolin jima'i ta hanyar nazarin tunani da tunanin batsa;
• Thetsarin rayuwa, inda ake ƙarfafa mutum ya gano yadda yake tunanin matsalolin jima'i da kuma sanin kansa sosai;
• datsarin jima'i-jiki, wanda ke yin la'akari da haɗin gwiwar da ba za a iya raba shi ba - motsin zuciyarmu - hankali, kuma wanda ke nufin jima'i mai gamsarwa duka biyu da kuma dangantaka.

Binciko

Tiyata ba ta da wani wuri a cikin maganin tabarbarewar jima'i.

Ana iya yin shi a cikin matan da ke da endometriosis da jin zafi a cikin shiga don cire cysts da ke ciki.

A wasu lokuta na vestibulitis (zafi mai tsanani tsakanin ƙananan labia biyu a ƙaramin lamba), wasu likitocin sun yi vestibulectomies. Ana yin waɗannan tiyata ne kawai lokacin da duk sauran hanyoyin da za a iya bi suka ƙare ba tare da samun sakamako mai gamsarwa ba.