Dr A K Mishra

Some common sexual problems that people may be reluctant to talk about include

1. Erectile dysfunction (ED) - difficulty achieving or maintaining an erection

2. Premature ejaculation (PE) - ejaculating before desired during sexual activity

3. Delayed ejaculation (DE) - difficulty achieving ejaculation during sexual activity

4. Low libido - lack of interest in sexual activity

5. Anorgasmia - difficulty achieving orgasm

6. Vaginal dryness - lack of lubrication in the vagina

7. Pain during intercourse - discomfort or pain during sexual activity

8. Body image concerns - feeling self-conscious about one's appearance during sexual activity.

It's important to remember that these problems are common and can often be treated with therapy or medication. It's important to talk to a healthcare professional if you are experiencing any of these problems.

There are several reasons why people may be reluctant to talk about sexual problems:

1. Embarrassment: Many people feel embarrassed or ashamed about their sexual problems, and may be hesitant to bring them up with a healthcare professional or partner.

2. Stigma: There is still a significant amount of stigma surrounding sexual health, which can make it difficult for people to talk openly about their problems.

3. Fear of judgement: Some people may be concerned that they will be judged or criticized for their sexual problems, which can make it difficult for them to talk openly about them.

4. Lack of education: Some people may not have enough information about sexual health to understand their problems, which can make it difficult for them to talk openly about them.

5. Limited access to healthcare: Some people may not have access to healthcare professionals who are knowledgeable about sexual health, which can make it difficult for them to get help for their problems.

It's important to remember that many sexual problems are common and can often be treated with therapy or medication. It's important to talk to a healthcare professional if you are experiencing any of these problems.

It's also important to note that some people may not feel comfortable talking about their sexual problems because of past negative experiences. For example, if someone has been met with judgement or lack of empathy in the past when discussing their sexual issues, they may be hesitant to bring them up again.

Additionally, some people may not be aware that their problem is a common one and treatable, so they might not seek help for fear of being abnormal.

Moreover, for people in a committed relationship, revealing a sexual problem can lead to feelings of rejection or inadequacy, which can be difficult for them to navigate. They might also worry about how their partner will react, which can make it hard for them to talk about their problem.

It is also worth mentioning that cultural and religious background can also play a role in people hiding sex problems. Some cultures and religions may have strict views on sexuality, which can make it difficult for people to talk openly about their problems.

In summary, people may hide sexual problems due to a combination of reasons such as embarrassment, fear of judgement, lack of education, limited access to healthcare, past negative experiences, and cultural and religious influences. It is important to remember that many sexual problems are common and can often be treated with therapy or medication. It is recommended to talk to a healthcare professional if you are experiencing any of these problems.

Main Reasons of Erectile Dysfunction

Erectile dysfunction (ED) is a common sexual problem that affects the ability to achieve or maintain an erection. There are many different causes of ED, but some of the main reasons as per Dr A K Mishra include:

1. Cardiovascular disease: Conditions such as high blood pressure, high cholesterol, and heart disease can restrict blood flow to the penis, making it difficult to achieve and maintain an erection.

2. Diabetes: Diabetes can cause damage to the nerves and blood vessels that are responsible for erections, making it difficult to achieve and maintain an erection.

3. Hormonal imbalances: Low levels of testosterone and other hormones can cause a decrease in sexual desire and make it difficult to achieve an erection.

4. Psychological factors: Stress, anxiety, depression, and other psychological conditions can affect sexual function, making it difficult to achieve and maintain an erection.

5. Medications: Certain medications, such as antidepressants and blood pressure drugs, can have side effects that affect sexual function.

6. Neurological or nerve disorders: Damage to the nerves or spinal cord can affect the signals that control erections, making it difficult to achieve and maintain an erection.

7. Peyronie's disease: A condition in which a plaque (a hard lump) forms on the penis, causing it to bend or become curved during an erection.

8. Substance abuse: Using drugs or alcohol can affect sexual function and make it difficult to achieve and maintain an erection.

It is important to note that many of these causes can be treated with medication, therapy, or lifestyle changes, so it is important to consult a healthcare professional if you are experiencing ED.

Main Reasons for Premature Ejaculation

The main reasons for pre-ejaculation (also known as premature ejaculation) are believed to be psychological, such as anxiety, depression, and stress, as well as biological factors, such as abnormal levels of hormones or neurotransmitters in the brain, and certain genetic or physical conditions. Other potential causes include certain medications, chronic illnesses, and relationship problems. It's important to note that pre-ejaculation can also be a normal variation in sexual response and may not always be a cause for concern.

1. Psychological factors, such as anxiety, depression, and stress.

2. Biological factors, such as abnormal levels of hormones or neurotransmitters in the brain, and certain genetic or physical conditions.

3. Certain medications, such as antidepressants and blood pressure medications.

4. Chronic illnesses, such as diabetes and multiple sclerosis.

5. Relationship problems, such as lack of communication or trust.

6. Past sexual experiences, such as trauma or abuse.

7. Performance anxiety or fear of failure.

8. Lack of sexual experience or knowledge.

9. Erectile dysfunction.

10. Low levels of testosterone.

11. Abnormal thyroid function.

12. Prostate or pelvic surgery.

13. Substance abuse or excessive alcohol consumption.

14. certain infections such as UTI, STI's

Age-related changes

15. It's worth noting that in some cases, the cause of premature ejaculation may be a combination of physical and psychological factors, or may be unknown.