One main reason this topic is not discussed among Native Americans is due to cultural modesty.
MEN:
Impotence can be caused by psychological or physical problems.
Causes of Impotence:
Disturbance of blood circulation.
Extreme fatigue or jet lag.
Fear of failure at intercourse or loss of interest in sex.
Depression, stress or anxiety.
Alcohol or drug abuse.
Side effects of medication for nervous disorders.
Treatment:
Men who think they may be impotent should get a physical exam.
Psychotherapy, drug treatments, and surgery are all possible therapies for impotence. A doctor should be consulted in order to find the best treatment.
WOMEN:
Type II diabetic women are more likely to have sexual problems than women without diabetes.
The problems may be psychological or physical.
Physical:
Main problems that occur are loss of interest in sex, vaginal dryness or tightness, pain or discomfort during or after sex.
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Glossary Yeast Infection- Inflammation of the vagina tissues. Gynecologist- Physician who specializes in the healthcare of women. |
Frequent yeast infections are common.
If a woman is uncomfortable discussing these matters with her doctor, then she may want to talk with a nurse, gynecologist or mental health professional.
Psychological:
Depression and stress over money, children, work, or sexual abuse in the past may cause problems.
Lack of communication between a woman and her partner is also a factor that may contribute to the problems women face.
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Glossary Estrogen- One group of hormone steroid compounds that promote the development of female secondary sex characteristics. Hormone- A substance formed in some organ of the body, which carries body fluid to another organ or tissue for a specific effect. Hormone Therapy- The treatment of diseases with hormones obtained from endocrine glands or substances that stimulate hormone effects. Progesterone- A natural progestional hormone released during menstrual cycle. |
Treatments:
In order to overcome these problems, there are a couple of treatments, such as hormone therapy. Hormone therapy requires the intake of estrogen every day and progesterone pills the last 10 to 14 days of the menstrual cycle.
Psychotherapy is also a useful treatment if the problem stems from something psychological.
A woman's ovaries stop producing an egg cell every four weeks and therefore menstruation stops; she is no longer able to bear children.
Menopause can occur at any age between the middle thirties and the late fifties.
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Glossary Sex Hormones- Chemical substance produced in the body that causes specific regulatory effects on the activity of organs of the reproductive system. Blood Fat Levels- Cholesterol triglycerides. Osteoporosis- Disorder characterized by an abnormal, rare faction of bone occurring most frequently in post- menopausal women or in immobilized individuals and in patients on long term steroid therapy. |
Some women also may experience emotional disturbances that may be relieved by administering the appropriate estrogenic hormones.
Women with diabetes should know that menopause affects their blood glucose level. They should discuss these issues with a physician.
At the same time as menopause, there is a change in the balance of sex hormones in the body, which sometimes leads to hot flashes and dryness of the mucous membrane lining the vagina.
If a woman's diabetes is not under control, she may have high blood-fat levels, and menopause makes this worse. Because her estrogen level is low, bone loss may occur which eventually leads to osteoporosis.
The physical causes of sexual problems related to diabetes are low hormones and menopause.
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