When does it occur, if it develops? Is it a constant occurrence? What is the specific symptomatology? Should sex-steroid-replacement techniques be employed? What, if any, are the patterns of sexual responsivity engendered by these replacement techniques? So little is known of the male climacteric.
Seminal-fluid volume is gradually reduced during the aging process. In the younger man with 24-36 hours of prior ejaculatory continence, the total, seminal-fluid volume averages 3-5 ml, while with a similar continence pattern, an output of 2-3 ml is within normal limits for the post 50 male.
Composite case studies have been selected to identify and illustrate the dysfunctional characteristics of the male aging process.
The natural aging process creates some specific physiological changes in the male cycle of sexual response. Knowledge of these cycle variations has not been widely disseminated.
There have been three cases referred as problems of dyspareunia in which individual women were involved in gang-rape experiences. In all three instances there were multiple coital connections, episodes of simultaneous rectal and vaginal mountings, and finally traumatic tearing of soft tissues of the pelvis associated with forceful introduction of foreign objects into the vagina.
Many men complain: Burning, itching, and irritation after coital connection with women contending with chronic or acute vaginal infections.
Many men are distracted from and even denied effective sexual functioning by painful stimuli occasioned during or after sexual functioning.
Among the most distressing of the many factors in dyspareunia are the complaints of burning, itching, or aching in the vagina during or after intercourse. The existence of chronic vaginal irritation frequently robs women of their full freedom of sexual expresssion, for they are well aware that any specific coital connection may be severely irritative rather than highly stimulative.
A disease produced by induration and fibrosis of the corpora cavernosa of the penis and evidenced as an upward bowing of the penis, plus a gradually increasing angulation to the right or left of the midline, makes coital connection somewhat difficult, and in advanced stages, coition is virtually impossible.
Yet another advantage of the social-isolation factor is its effect upon the sexual interest of both marital partners. With the subject of sex exposed to daily consideration, sexual stimulation usually elevates rapidly and accrues to the total relationship. This specific psycho physiological support is indeed welcome to the cotherapists dealing with the blocking of sexual stimuli in individuals distressed by sexual inadequacy.
