Understanding the impacts of Stress, Depression and Self-confidence on Sexual Health.
Sexual chemistry and attraction is based on how someone feels more about themselves, rather than their partner. So if you feel you are not as attractive, or you feel you’re not investing yourself in growing, or feeling you’re not becoming more and better, it's unlikely you’re going to want to share your body, mind, emotions and heart with anyone else in the most physical and intimate way which is sex.
STRESS
Stress is the natural human response that prompts us to address challenges and threats in our lives, a new job for example, or a new relationship, a difficult task you've been given, etc. So a little bit of stress is good, it helps us perform our daily activities.
Too much stress on the other hand, it doesn't do us any good, it can cause physical and mental health problems, one of them is SEXUAL DIFFICULTIES.
How do you know you're suffering from stress?
- Sleep problems; insomnia, difficulty falling or staying asleep, or restless sleep.
- Excessive sweating especially in hands and feet.
- Change in appetite; eating more or less than usual.
- Feeling overwhelmed: feeling sense of being unable to cope with daily tasks.
- Increase use of substance like alcohol, drugs, tobacco,etc.
- Social withdrawal: avoiding social interactions or activities.
The role of chronic stress in sexual Health
Chronic stress can lead to sexual difficulties in both men and women through physiological, psychological and behavioral mechanisms.
Physiological mechanism:
- Chronic stress can lead to increase in cortisol levels, which in turns disrupt the production of sexual hormones, i.e. testesterone in men, estrogen and progesterone in women.
- Chronic stress can lead to neurotransmitters imbalance, i.e. serotonin and dopamine, which they play a vital role in mood regulation and sexual response.
- Chronic stress can also lead to vasoconstriction (narrowing blood vessels), this can decrease supply of blood to sexual organs, causing erectile dysfunction in men, decreased lubrication and arousal in women.
Psychological mechanism:
- Chronic stress can lead to negative self-deception and body image issues, reducing sexual confidence and desire, one may worry about their performance or attractiveness leading to anxiety that inteferes with sexual activities.
- Persistent stress can lead to emotional exhaustion and burnout, reducing overall interest in sexual activity. The mental burden of chronic stress leaves little energy or enthusiasm for intimacy
Behavioral mechanism:
- Individuals experiencing chronic stress may engage in avoidance behaviors, avoiding intimate situations due to fear of sexual failure or discomfort. This avoidance can further exacerbate sexual difficulties.
- Stress can lead to unhealthy coping mechanisms such as excessive alcohol consumption, smoking, masturbation, or substance abuse, which can negatively affect sexual performance and desire. Poor sleep and diet resulting from stress can also diminish sexual health and energy levels.
Interaction and feedback loop
The stress-sexual feedback loop is the cyclic process in which stress leads to sexual difficulties, and these difficulties in turn contributes to futher stress.
Creating a self perpetuating cycle that can be challenging to break.
- Stress and sexual anxiety loop: stress lead to anxiety about sexual performance, which in turn cause more stress and anxiety, further imparing sexual function.
- Reduced intimacy and connection: chronic stress can lead to emotional distance in a relationship, reducing opportunities for intimacy and exacerbating sexual difficulties.
Managing Stress for Better Sexual Health
- Relaxation Techniques: Practices like meditation, yoga, and deep breathing can help reduce stress levels.
- Exercises: Regular physical activities can reduce stress and improve overall energy levels.
- Communication: Open discussion with partner about stress and sexual concerns can alleviate pressure and improve intimacy.
DEPRESSION
Depression can happen to anyone. People who have lived through abuse, severe losses, or other stressful event are more likely to develop depression. It involves depressed mood or loss of pleasure or activities for long periods of time.
How do you know you're suffering from depression?
- Persistent sadness: sense of feeling empty or hopeless.
- Increase irritability, frustration or anger
- Negative thinking: pervasive negative thoughts about oneself, the future and the world.
- Difficulty making decision even about minor everyday choices.
- Recurrent thoughts of death or suicide
- Neglecting responsibilities
Depression Impacts on Sexual Health
Physical effects of depression
- Depression often leads to loss of desire to perform different activities including sex
- It can cause fatigue and disrupt sleep patterns, further diminishes sexual desire and performance.
Emotional effects of depression
- Feelings of worthlessness and low self-esteem associated with depression can lead to decreased sexual confidence.
- Antidepressant medications like citalopram, fluoxetine, sertaline,etc. while helpful for managing depression, can sometimes have side effects like reducing libido or difficulty achieving orgasm.
Managing Depression for Better Sexual Health
- Therapy: Cognitive-Behavioral Therapy (CBT) can help address the negative thoughts patterns associated with depression.
- Medication management: Working with healthcare provider to find the right medication with minimal sexual side effects can be beneficial.
- Support system: Engaging with support groups or talking to trusted friends and family can provide emotional support.
Self-Confidence
How do you know you've low self-confidence?
- Frequent self-doubt: constantly questioning your abilities or decisions
- Fear of failure: intense fear of making mistakes
- Overgeneralization: broad negative conclusion based on single event or experience
- Catastrophizing: expecting the worst possible outcome in every situation
- Perfectionism: setting unrealistically high standards for oneself and feeling dissapointed when they are not met
- Negative self-talk
Self-Confidence role on Sexual Health
Positive body image
- Feeling good about one's body can enhance sexual satisfication and desire.
- Negative body image on the other hand, can lead to sexual anxiety and avoidance of sexual activities.
Emotional well-being
- High self-confidence is associated with better communication with partners, which can enhance sexual relationship.
- Low self-confidence can cause fear of rejection or performance anxiety, impacting sexual health.
Building self-confidence for better sexual health
- Positive affirmations: Regularly practicing self-affirmation can improve self-esteem and body image.
- Healthy lifestyle: Maintaining a healthy diet and regular exercise can boost confidence and body positivity.
- Professional help: Counselling or therapy can assist in addressing deep-seated self-esteem issues and improving sexual confidence.
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