Endometriosis, diabetes, cardiovascular problems, depression … These conditions seem to have an impact on our sexuality. So, what is it? What can we do to find the desire to make love? Testimonials from concerned people and opinion of an expert sexologist in Delhi.

What diseases have a negative influence on sex life? 

All chronic pathologies can have a negative effect on sexuality, either directly through the lesions they induce in the body (diabetes, cardiovascular disease, neurological conditions …) or indirectly through fatigue and chronic pain, change in body image …

What are their consequences for sex and/or love?  

Among their main effects:

• a lack of desire, which complicates sexuality.
• sexual arousal and orgasm become more difficult and longer to achieve.
• it takes more time between two orgasms to recover.

Can these repercussions be avoided? If not, how to live with it?  

All of our life parameters evolve with us (we get used to glasses for example). Living with a chronic illness requires accepting the new rhythms of your body. People who are in this case reposition their sexuality, which becomes less physical, more emotional, they thus keep sexuality for life.

When this is not possible (depression, too much anxiety, regret from the past, inability to adapt to new physical parameters …), sexual difficulties are at the forefront, we withdraw into ourselves, we distance ourselves from the relationship with the other, in search of a performance that has become impossible, we are moving further and further away from the logic of the body and healing, and from the relationship with two people, which alone nourishes sexuality.

How to diagnose these chronic disorders?  

The diagnosis is self-evident: it involves the occurrence of sexual difficulty in a man or woman suffering from a chronic disease.

How can endometriosis interfere with female sexuality?

Take the testimony of C., who suffers from endometriosis, a chronic disease which is characterized by the presence of fragments of the uterine lining (the endometrium), outside the uterus. Clearly, some cells are no longer in their place and this causes many pains: pain during menstruation (dysmenorrhea) – this is also the most suggestive symptom -, pain during sexual intercourse, especially during penetration (dyspareunia). In addition, hormone therapy is often recommended, in which case the person will experience a decrease in desire and difficult lubrication. To physical pain is therefore often added psychological discomfort:

“The disease had a direct impact on my sexual intercourse, and I was told it was likely that I could not have children, which greatly increased my suffering. You have to review all your sexuality, accept to go through other routes of pleasure (sometimes without penetration), in short, it is far from obvious. However, the sooner we get used to this new state, the better we are. So, I gradually learn to do with, or rather without … At least now I understand what is going on, the hardest part has been to feel that something was wrong, without knowing what. I had never heard of endometriosis. Not a gynaecologist to tell me about this disease which is not so rare. So, I tell myself that if my testimony can help someone, that’s good!

What to do? In all cases, a sex therapy follow-up seems more than welcome. Beyond the psychological support that you will need and that it will bring you, advice will be given to you to adapt your sexual relations to your situation. Like cultivating slow sex, opting for positions with not deep penetration, etc.

Diabetes also affects sexuality. What do the people concerned say?

M. has always learned to live with diabetes: like most cardiovascular diseases, it affects the passage of blood through the vessels and, by correlation, affects erection. Remember that diabetes is the first diagnosed cause of erectile dysfunction. Like C., M. notes that beyond the “technical” sexual problems linked to his illness, his libido and his desire were also damaged:

“I frequently had breakdowns or a shaky sexual desire … From this was born a kind of anxiety related to erection, what are called inhibitions or” psychological blockages “. With time, support and appropriate treatments, I managed to regain the upper hand, both mentally and physically. You have to make efforts all the time, it is certainly not easy, but it is always better than being resigned from your sex life! ”

What to do? A healthy lifestyle will obviously improve your sexual health; however, tobacco and alcohol are particularly devastating for erection. And, here again, it is good to be followed in order to take treatments adapted to one’s ailments.

We could also talk about prostate cancer, genital herpes or even depression, all of the evils that harm our sexuality and on which we must put words to move forward. Also, whatever the scenario, the main thing is to be able to talk about it and to have regular monitoring. The goal being, as the best sexologist in Delhi, explains it nicely, to stay in the logic of the body and healing, because everyone has the right to sexuality.

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