0405 GMT March 20, 2019
Sexual dysfunction is the main cause of dissatisfaction in more than 50 percent of the cases when couples go to family courts and other judicial authorities on the pretext of [sexual] incompatibility, said the president of Iranian Urological Association (IUA).
In an exclusive interview with Iran Daily, Dr. Abbas Basiri added sexual dysfunction and couples' discontent with one another in this respect is the fifth main cause of divorce.
Although the problem may be experienced by both genders, it is more common in men given the more active role they play in sexual activities, he said.
"Since women play a more passive role in sexual activities, the dysfunction is more noticeable in men and has a more perceptible manifestation."
Basiri said since long, the dysfunction in women was known as 'hypoactive sexual desire disorder' (HSDD), the main cause of which are physical disorders and diseases.
He added women suffering from infections and inflammation in urogenital system, might experience pain during sexual intercourse and, practically, develop a sense of fear towards sexual activities, adding this may make them unconsciously unwilling to have sexual intercourse and, thus, develop a type of HSDD.
"In addition, women normally contract endocrine diseases at younger ages than men. Such diseases can have adverse impacts on their sexual potency and inclination."
He said men's sexual glands secrete considerable amount of hormone until the end of their life which keeps them sexually potent and enables them satisfy their needs.
"Although men's sexual potency or inclination diminishes after the age of 60, they never lose it completely. This is while, when menopause, also known as the climacteric, occurs in women, normally between 45 and 55 years of age, their sexual glands receive a great shock and become almost unable to secrete the same amount of hormone. This leads to a sudden change in their sexual potency and inclination."
Currently, it is impossible to give an exact figure of the number of people suffering from the dysfunction in the Iranian society, Basiri said, adding a large number of people in Iran are afraid of expressing their sexual problems due to a number of cultural issues and refrain from doing so.
"Even a large number of women do not even complain about their husbands' sexual impotence out of shame and prudency."
He listed diabetes, high blood pressure and medications to cure it and psychological factors, respectively, as the three main causes of the dysfunction.
The IUA president added that cardiovascular, renal and urogenital disorders as well as diabetes, kidney stone and prostate are the most common diseases among men.
"Some 10 percent of men in Iran suffer from benign prostatic hyperplasia, of which 10 percent contract prostate cancer. Prostate cancer is not very prevalent in Iran. The prevalence of the disorder is greater in Scandinavian, northern Europe and North American countries. It is not very common among the people of East Asia, such as China and Japan."
The prostate gland is situated at the origin of the urethra, the tube that carries urine out of the body, and is the first part of men’s urogenital system, he said.
"The prostate goes through two main growth periods as a man ages. The first occurs in early puberty, when the prostate doubles in size. The second phase of growth begins after the age of 40. There is no escape from the gland's enlargement. It grows under the impact of hormones."
In 80 percent of the cases, prostate enlarges outwardly and, thus, does not pose any problem to the urogenital system, he added.
"However, in 20 percent of the cases, the gland enlarges inwardly and presses against and pinches the urethra. The bladder wall becomes thicker and, eventually, the bladder may weaken and lose the ability to empty completely, leaving some urine in it."
He underlined that if the disorder is not diagnosed in early stages, even surgical operation will fail to produce favorable results.
In youth, prostate-related problems are manifested as inflammation and development of infection in the gland, he noted.