Reduce Your Anxiety
Second Method for Relaxation
You may find that you get aroused while you do this. In which case, try and focus more on the breathing rather than on the body of your partner. And don’t indulge in any sexual fantasy!
Third Method for Relaxation: Reducing your anxiety about sexual situations
You must be aware of all the sexual situations which cause you anxiety. You can use sensate focus to make them seem less intimidating or to reduce your anxiety while you are facing them in reality.
The ideal way to do this is to link a relaxing picture in your mind that you find tranquil and calming with your physical state of relaxation. Eventually, when you are in the situations that you feel you are afraid of, you can bring the relaxing scene to mind and you will find your anxiety levels lower down right away.
Begin by having thoughts of a picture that you will find soothing. It could be a place, a person or an object, or indeed anything at all that you find calming. Then, use the relaxation techniques 1 or 2 above to achieve a state of relaxation. Bring the image to mind and tell yourself that “whenever I bring this image to mind I will enter a state of deep relaxation, as deeply relaxed as I am now, and deeper every time.’’ This will forge an association between the image and a deep state of relaxation.
The time when you are nervous about the incoming sexual act, you can either use the relaxation techniques described in 1 and 2 above to reduce your anxiety, or you can bring to mind the image of the relaxing scene you developed in this third method. In all cases, you will relax, and your anxiety will significantly diminish. This will allow you to refocus on what you are feeling in your body, not on the anxious and worried thoughts in your mind.
Another good thing to think about instead of having that relaxing “picture" in your thoughts is to find yourself a music that can be very relaxing. This can work for a lot of people because music can really bring people to the mood.
Erectile dysfunction Sildenafil citrate Canada is perhaps the most poorly understood and mismanaged of all medical disorders. Not many people are aware that in most cases physical rather than psychological causes are responsible for impotence, and it is very often eminently curable.
This is most of the time called to as “performance anxiety" or “fear of failure". A husband who is worried about getting an erection cannot settle down his thoughts and probably will not be able to get a hard on. Constant psychological impotence often can be triggered by one incident of sexual failure caused by drinking too much alcohol, anger, worry, fatigue, guilt or any number of other emotional factors.
Sexual and Reproductive Health in Young People with Cystic Fibrosis
Psychosocial development in young people with CF
Growing up with a chronic illness such as CF has both a physical and emotional toll on young people’s psychosocial development. The growth and pubertal delay common in CF has been shown to have a negative effect on young people’s self-esteem and body image and other people’s perception of their age and development. This is further complicated by the other obvious physical markers of CF, such as surgical scars, the visibility of permanent intravenous access ports and body habitus such as a barrel-shaped chest. These can all interfere with young people’s development of peer and romantic relationships, and perception of physical attractiveness and self-worth.
The urinary incontinence experienced by many women with CF has also been shown to affect young women’s social life and intimate relationships negatively. Emotionally, growing up with a life-limiting condition has been shown to influence some young people into more risk-taking activities (e.g. early and unprotected sexual activity), while for others it may lead to lack of emotional development, dependence on caregivers and poor maturity of relationship with peers or intimate relationships. While some studies have found that, overall, groups of young people with CF have the same average age of onset of sexual activity, same level of sexual activity and the same rates of marriage/de facto relationships as otherwise healthy peers, it is worth noting that other studies have found that young people with CF reported an avoidance of close relationships in adolescence and a delay in intimacy due to concern about their partner’s reaction to their illness. Reassuringly, Johannessen et al. also report that the majority of these young people were able to establish intimate relationships as adults.
Male infertility
Approximately 98 per cent of males with CF are infertile. The genetic abnormality that results in CF is associated with aberrant embryological development of the reproductive portion of the mesonephric (wolffian) duct. At birth, this results in variable absence of the vas deferens, seminal vesicle, ejaculatory duct and body and tail of the epididymis. While active spermatogenesis occurs in the testis, sperm are unable to be transported from the testis due to congenital absence of the vas deferens. Neither sex hormone production nor sexual function with are affected.
As a result of this transport defect, men with CF were previously unable to have children. Recent developments in reproductive technology now enable infertile men with CF to achieve biological paternity through aspiration of sperm from the epididymis (microsurgical epididymal sperm aspiration or MESA) or from the testis itself (testicular sperm aspiration or TESA) in association with intracytoplasmic sperm injection (ICSI). The use of these techniques in couples where the male has CF has resulted in pregnancy rates of 30–35 per cent per cycle, with 62.5 per cent of couples achieving pregnancy following the treatment programme.
These are expensive technologies that are only available in specialized assisted reproduction centres (and at variable expense to the affected couple). In a recent survey of males with CF in Australia, nearly 20 per cent of adult men had children. Six had fathered children using assisted reproductive techniques (MESA), nine had used donor insemination and one had stepchildren. Another man was presumed to be fertile having fathered a child without technological assistance.