Encyclopedia of Family Medicine

Chapter 31 Sexual knowledge and eugenics (3)
(1) Middle-aged people should pay attention to sexual differences and decline in sexual function.As middle-aged men grow older, it is inevitable that the secretion of sex hormones will decrease, the function will weaken, and the libido will decrease. At the same time, the experience of sexual life will increase, and the content and methods will become more abundant.Husband and wife understand each other better, cooperate more tacitly, are closely related, and have a close relationship. Even if there is a disharmony once or twice, they can understand each other, support and encourage each other.So as to maintain a harmonious sex life.The married life is happy and happy, which is the same as most happy families.However, a small number of couples are different, and often cause conflicts and conflicts due to sexual differences between the couples.In fact, women have the strongest sexual ability between the ages of 35 and 45. In the past, folks said: "Women are like wolves at thirty and tigers at forty." This shows that middle-aged women have strong sexual requirements. Far more than men, husbands cannot satisfy their wives and often have inferiority complexes and fears.But the wife can't get sexual satisfaction, anxiety, irritability, insomnia, emotional irritability, and often makes excuses for trivial matters, accusing the man of being "incompetent" or "cowardly".At this time, women are most likely to have extramarital sex.There was such a case: a loving couple reached middle age, the husband is the manager of a large factory, the wife is the head of the department of the administrative department, the child has been admitted to university, and the family of three is happy.However, unexpectedly, the couple divorced suddenly, and relatives, friends, colleagues, and neighbors were puzzled, and it was later discovered that it was due to sexual differences between husband and wife.At the beginning, when the wife felt that the sexual life was not satisfactory, she asked to increase the frequency of sexual life. The more frequent the frequency, the worse the sexual satisfaction.But the more the husband is afraid of sex life, he always tries to reduce or avoid sex life, and conflicts begin to form between the two.The wife suspected that her husband was having an affair, and often followed her husband when he went out. Although she didn't find anything unusual, she couldn't understand it: "People say, 'A man doesn't flirt at thirty, he flirts at forty, and he's still flirting at fifty'. He is only 48 years old, he was very strong in the past, why can't he die so quickly now? He must be fascinated by some goblin, and he has done it so cleverly that no one can detect it. If he can do this, why can't I? "So she started cheating and having extramarital sex with her work colleagues.It was later discovered by her husband, causing the dissolution of the marriage.It can be seen that middle-aged human nature education should focus on letting middle-aged people master the physiological characteristics of middle-aged sex.Understanding sexual differences between middle-aged couples is a common physiological phenomenon.It should be understood that her husband occasionally has weak erection and premature ejaculation.Even if the husband suffers from sexual decline or sexual dysfunction, he should be comforted, considerate, and cared for, helping him find the cause, boost his confidence, or actively diagnose and treat him so that he can recover as soon as possible.Never complain, condemn, and despise your husband.Otherwise, it will only hurt his self-esteem, aggravate his low self-esteem and guilt, and make him less confident about sex life. Long-term psychological pressure will lead to impotence, the husband will be unable to do what he wants, and both husband and wife will not be able to get sexual satisfaction, which will affect the physical and mental health of both parties.Only the two sides work together to strengthen emotional cultivation, encourage each other, narrow the middle-aged sexual differences, re-adjust in love and sex, and create a harmonious sex life together.

(2) Sex education for the elderly is also indispensable. The sexual function of the elderly is obviously declining, the secretion of sex hormones is reduced, and the sexual ability is obviously weakened, but the libido still exists.Their bodies are aging and they need other people to take care of them. They need family affection and more love. They also hope to have a sex life so that they can be satisfied both mentally and physically.The elderly are most afraid of loneliness and loneliness. For those who are unfortunately widowed, remarriage is very beneficial to their health.

The nerve conduction speed of the elderly slows down, and the overall response is slow, so the sexual excitement is slow.Men have weak erections and need direct sexual stimulation.Women's vulva has increased folds, poor elasticity, less vaginal secretions, and dryness.These physiological changes often directly affect the sexual psychology and sexual behavior of the elderly, and even lead to psychological disorders and sexual crimes in the elderly.It can be seen from the cases of the elderly adultery that the sexual crime of the elderly is not a lack of sex life, but mainly blames the other party for not being able to obtain sexual pleasure and satisfaction, which leads to psychopathy and the desire to seek new sexual stimulation.Young girls do not understand sexual defense and are easily seduced.It can be seen from this that if the elderly do not conduct sex education, it is also not conducive to physical and mental health.

The content of sex education for the elderly is: to let the elderly understand that the body is aging, and sexual dysfunction is a natural law and a normal physiological phenomenon. If you want to improve the degree of sexual pleasure and satisfaction, you must pay attention to the following points:

① Pay attention to the environment and room temperature. The elderly have poor body adjustment ability and poor adaptability to cold and heat. Sexual excitement decreases when cold, and heat can easily cause profuse sweating. Therefore, the elderly should avoid cold and heat in their sexual life.

②Pay attention to the caress before sexual intercourse. The sex life of the elderly should be based on sexual games, with little or no ejaculation.Full caressing movements should be performed before sexual intercourse to arouse sexual excitement on both sides.Be patient, don't rush, and stay in sync sexually so that harmony and contentment can be achieved.

③ pay attention to sexual intercourse posture.The physical strength and physique of the elderly have declined to varying degrees, and their lung capacity has decreased. It is suitable to choose the side-lying position and the forward entry style, which saves effort and does not affect lung capacity. At the same time, it can cooperate with other caressing movements of the hands to enhance sexual pleasure.

④ Avoid sexual intercourse after a full meal.The reason is that the gastrointestinal motility of the elderly slows down, and the food stays in the gastrointestinal tract after a full meal, and it is squeezed during sexual intercourse, causing food reflux and causing discomfort.

⑤ Avoid strenuous exercise.The elderly are prone to excitement when reunited after a long absence or remarried after a widow, and exercise intensely during sexual intercourse.It can also speed up the exercise frequency when the sexual pleasure is not satisfied.Excessive excitement and intense exercise are not conducive to the health of the elderly, especially those with heart disease, which can easily induce diseases and cause sudden death in severe cases.

⑥ Pay attention to backup drugs.Sexual life during chronic diseases such as hypertension and coronary heart disease should be carried out during a stable condition, and antihypertensive drugs or nitroglycerin should be taken 1 hour before sexual intercourse to prevent sudden rise in blood pressure or angina pectoris during sexual intercourse.At the same time, the usual therapeutic drugs, such as Suxiao Jiuxin Pills, should be kept at the bedside for emergency use.This can not only relieve the psychological pressure caused by the disease, but also be prepared.

In short, the purpose of sex education for the elderly is to let the elderly understand their physiological changes, avoid unfavorable factors, guide them to have a normal sex life, achieve physical and mental health, and spend their old age peacefully.

sexual hygiene

Sex life is human nature.In order to make the sexual life harmonious and happy and beneficial to physical and mental health, we should pay attention to sexual hygiene and prevent the occurrence of functional diseases and sexually transmitted diseases.Sexual hygiene includes sexual organ hygiene, sexual life hygiene and sexual mental hygiene.

1.Sexual Organ Hygiene

After puberty begins, the sexual organs mature gradually, the male penis grows thicker, and the glans is exposed, but many people have too long foreskin, so that the glans cannot protrude, or even the foreskin is narrow and cannot be turned over, and smegma is easy to accumulate in the foreskin.If surgery is not performed before marriage, smegma will be brought into the female vagina during sex, which is extremely unhygienic and affects sexual pleasure.Men should develop the habit of cleaning the penis every day and turning over the foreskin to keep it clean and hygienic.The structure of female external genitalia is complex, with many folds. There is a urethra in front and anus in the back. pollution, leading to the occurrence of infectious diseases.If you do not pay attention to cleanliness, you are prone to bacterial vaginosis, fungal vaginitis, trichomonas vaginitis, increased leucorrhea and other diseases. You must also pay attention to menstrual hygiene. The endometrium sheds during menstruation, and your body's resistance to disease decreases and you are prone to infection disease.Change your underwear frequently. The underwear should be washed and exposed to the sun. The ultraviolet rays in the sun can disinfect and sterilize. Do not put them in a dark corner to dry.Both men and women should pay attention to keeping the sexual organs clean and hygienic, wash them every day, and wash them after defecation.

2.sexual hygiene

Couples must pay attention to hygiene in their sexual life. Before sexual intercourse, both men and women should brush their teeth, wash their faces, take a bath, wash their hands, and cut off their nails to prevent contamination when touching with their hands.Men should pay special attention to turning over the foreskin to clean the foreskin smegma; women should pay attention to cleaning the dirt in the labia minora and clitoral folds.Prevent the dirt on the penis and the vaginal opening from being brought into the vagina during sexual intercourse.cause infection.After sexual intercourse, both men and women should wash the external genital organs, preferably the whole body, and rinse the external opening of the vagina with urination.It is worth noting that most couples pay attention to hygiene before sex, but after sex, they are exhausted, fall asleep, and do not want to get up to wash.Especially for women, if you don't pay attention to post-coital hygiene, it will easily lead to increased leucorrhea, and may have abnormal odors, and even cause vaginitis and urinary tract infections.Therefore, it can be seen that paying attention to sexual hygiene is very important for physical health.

3.Sexual Mental Hygiene

Human sexual life is not only a physiological instinct, but also affected by social and psychological factors such as thinking, language, emotion, and ideology.Maintaining a good mental state during sexual life can promote a harmonious and happy sexual life; on the contrary, adverse psychological effects or psychological obstacles will inevitably affect the harmony of sexual life.According to relevant surveys, more than 90% of sexual dysfunctions are caused by mental and psychological factors.Therefore, paying attention to maintaining sexual mental hygiene is very important for maintaining physical and mental health.

(1) A correct understanding of sex life

Sexual desire and behavior are normal physiological and psychological phenomena of people, and sex life is a natural instinct of people. Normal sex life can increase the emotional communication between husband and wife, add color to life, and is also a bridge and bond to promote family happiness and harmony.However, under the influence of thousands of years of feudal remnants and western ideas of sexual liberation, a small number of people have more or less misunderstandings about sex life, especially in areas with backward cultural life and people with backward cultural education. obvious.

①Sexual repression: Some people are deeply influenced by feudal ideology, and still have a prejudice against sex. They think that sex is inferior, unclean, shameful, or even sinful. It is only natural that the words of the matchmaker are ordered by the parents, and the normal contact between men and women is described as "no three, no four".All of these inhibit and constrain people's normal courtship and sexual desire.What is more prominent is that middle-aged and elderly people who are widowed or divorced often encounter obstacles and opposition from society and families when they remarry.The feudal ideas of "one and one end", "three obediences and four virtues", and "men are superior to women" are still deeply ingrained in some people's minds.It is reflected in the inequality in the sexual life of husband and wife. A few people are machismo, wishful thinking, and do whatever they want, just to satisfy their own sexual desires, regardless of the physical and mental health of the woman, and even have brutal sex life, causing female desires to be suppressed, and even afraid of sex life.Long-term sexual depression can easily lead to malaise, loss of appetite, haggard face, and easy aging, which will have adverse effects on people's physiology and psychology, and damage their physical and mental health.

②Sexual liberation: Its theory was formed at the end of the 19th century and the beginning of the 20th century. The British medical scientist Ellis put forward: "The behavior of sexual intercourse is a physiological fact. It is true for men, but it is also true for women? It is also a spiritual fact. , but it is not a social fact. If society wants to intervene, it must either intervene or meddle in its own business.” Based on this theoretical basis, the philosopher Russell also proposed trial marriage, adultery, and equality between men and women.It is not morally wrong to think that unmarried men and women have sex because they are attracted to each other, but a purely private matter that the government should not interfere with; trial marriage is a step in the right direction, and will produce many advantages; grounds for divorce, adultery should not be taken particularly seriously, etc.Starting from the standpoint of satisfying people's sexual desires indefinitely, it advocates that sexual behavior is unrestricted and has absolute freedom.This theory, represented by Ellis and Russell, has formed a trend of thought of "sexual liberation" and "sexual freedom" in Western society.Affected by this trend of thought, in some Western countries, fundamental changes have taken place in the relationship between the sexes. Indulgent sexual desire has replaced love, and the biological nature of sex has replaced social nature. They are unwilling to organize families and have children. Raising children, they only care about personal pleasure and are unwilling to take social responsibility.

"Sexual liberation" and "sexual freedom" have caused serious social harm to Western countries. All kinds of "pornographic services" have turned the holy sex organs for emotional communication between the sexes into commodities; a large number of teenage mothers have appeared; syphilis, gonorrhea, Diseases such as AIDS seriously threaten people's health; sexual crimes are on the rise.Some enlightened Westerners have realized the dangers of "sexual liberation" and "sexual freedom".In our country, since the implementation of reform and opening up in the 20s, the country has been opened wide. With the tide of market economy, the trend of "sexual liberation" and "sexual freedom" has poured in from the open coastal cities and penetrated into the interior.The ugly phenomenon of prostitution and whoring is on the rise in some places. Sexually transmitted diseases have been eliminated after the liberation of our country, and now they are resurgent, and the incidence is on the rise.The western "sexual liberation" thought has already caused some evil results to our society.Therefore, people must improve their understanding of sex life, not only to get rid of the feudal thoughts of sexual repression and confinement, but also to resist the concept of "sexual liberation" and "sexual freedom" from Western capitalist society, and establish a correct concept of marriage and love.Treat sex life correctly, maintain people's physical and mental health and social stability.

(2) Treat sex life correctly

Sexual life is a complex physical and psychological behavior, which not only requires effective close contact between male and female sexual organs, but also requires spiritual caress and psychological satisfaction.Generally speaking.A man's sexual desire can be satisfied through effective contact with the sexual organs during sexual intercourse.For women, simple sexual organ contact is not enough to satisfy their sexual desires, they need hugs, caresses and verbal emotional communication in the process of sexual life.This is the key to the difference between humans and animals in sexual behavior.It can be seen that men should fully care and considerate the woman in their sexual life, and at the same time give psychological satisfaction to make their sexual life harmonious and happy.

However, often a couple with a very harmonious sex life will inevitably have occasional dissatisfaction with their sex life.This phenomenon is not uncommon, because it is difficult for a man and a woman to give the other party sexual satisfaction when their sexual desire is at a low ebb due to factors such as physical discomfort, depression, job failure, and environmental interference.At this time, both parties need to understand each other, cooperate closely, treat each other frankly, and actively seek the reasons, instead of forcing and accusing each other too much, let alone complaining and quarreling, or even insulting and discriminating against each other.This will inevitably cause psychological stimulation to the other party, increase the psychological burden, and even further cause sexual dysfunction.Severe cases lead to emotional discord between husband and wife or family breakdown.Therefore, it is very important to treat sex life correctly.Especially when one party's sexual function is low, it is easy to have inferiority complex. The other party's caring, encouragement and support, and patient waiting will help the recovery of sexual function and benefit physical and mental health.

(3) Compliance with sexual ethics

Sexual morality is a kind of sexual behavior norms that people have agreed upon.It was originally a custom, constantly supplemented and perfected in people's lives, refined and sublimated in life practice, and elevated to a theory, thus becoming a code of conduct that people should abide by in the relationship between the sexes.Every country and nation has its own sexual ethics.This kind of sexual morality dominates and restricts sexual activities and concepts, and regulates the behavioral norms in people's sexual relations.The root of sexual morality is love, and only love is the only basis for the two sexes to have sex.From this, it extends to social, legal, cultural and other fields.Whether sexual behavior is moral or immoral depends not only on whether there is a form of marriage, but also whether there is a foundation of love.CCTV's "Today's Statement" program once broadcast a couple of young men and women who got married in the local area. Relatives and friends attended the wedding, but they did not receive a marriage certificate. After that, the man asked to have sex with the woman, but the woman refused. After having sex, the woman filed a complaint and brought the man to court. The court sentenced the man to rape and sent him to prison. This case shows that marriage and sexual relations without love are immoral.Even for couples who have obtained a marriage certificate, it is immoral to have sex against the wishes of women.Engels once pointed out: "For the evaluation of sexual relations, a new moral standard should be asked not only whether it is marriage or adultery, but also whether it is out of love." Engels' words are to inspire people to pursue the true love of sex life .Those premarital sex, unmarried pregnancy, extramarital sex, prostitution and whoring are incompatible with sexual morality.The sexual morality we advocate is: falling in love—marriage—sex life.Abide by sexual ethics, maintain and guide a pure and dedicated sex life with sexual ethics, so that people can achieve the harmony and unity of sex and love, body and spirit.

(4) Correction of Sexual Psychological Disorders
Sex life is human instinct, people get great joy and psychological satisfaction from sex life.Contradictions and psychological conflicts caused by unsatisfactory sexual life due to marital problems or other problems, cannot be resolved in time, and long-term depression leads to sexual psychological disorders, also known as sexual perversion or sexual inversion, mainly abnormal sexual desire or sexual object, or Abnormal behavior to satisfy sexual desire, usually manifested as homosexuality, cross-dressing, exhibitionism, voyeurism, and fetishism.

① Homosexuality: There are more men than women.The common feature is that the sexual desire or sexual object is not of the opposite sex but of the same sex, one of the gay men imitates the female role, and one of the lesbians plays the male role.

Homosexual treatment methods: can be divided into psychological correction, interest transfer, behavioral therapy, drug therapy and so on.

[Psychological Correction]
First of all, it is necessary to educate homosexuals to have a correct understanding of sexual life, to treat sexual life correctly, to abide by sexual ethics, and to make them realize that homosexual behavior is contrary to traditional moral ethics in my country, so as to strengthen self-control, cultivate correct sexual moral concepts, and strengthen reformation. The determination and will of this perverted mind.

[Interest transfer method]

At the same time of psychological correction, through sports, recreational activities, cultural and artistic activities, divert the interest and energy of homosexuals, guide them to engage in some professional and technical activities suitable for their personality, and improve their moral cultivation.

(End of this chapter)