Sexuality is a multidimensional concept .it is an integral part of human nature. It includes gender, sexual orientation, eroticism, pleasure intimacy, and reproduction Sexuality is influenced by the interaction of biological, psychological, social, economic, political, cultural, ethical, legal, historical, religious and spiritual factors.


Sexual health

Sexual health is a state of physical, emotional, mental and social well-being in relation to sexuality; it is not merely the absence of disease, dysfunction or infirmity Sexual health requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences, free of coercion, discrimination and violence. Sexuality is fundamental part of being human.




To be sexual is far more than a matter of physiology and sexual activity. Being sexual is very much about who we are, what we feel, what we value, what we think, and what we desire. It is to understand and experience what it means to be a man or woman. Understanding what it means to sexual involves how women and men, interpret sexuality, what is considered sexual, and meaning and value ascribed to it. Sexuality includes different dimensions of relationships, whether sexual activities involve violence and coercion, but also a sense of self-worth and self-esteem, pleasure and desire.  These definitions widens scope of discussion to unlimited extend.


Sexuality encompasses mind and body. It permeate through physical, emotional Intellectual and spiritual aspect of life. Relation with each sphere is bilateral. For example any sexual dysfunction can upset emotional equilibrium and emotional turmoil can disturb sexual function. This scheme hold true for all domains of life. Sex is most sensitive issue which gets disturbed with trivial disturbance in any area. Body systems like circulatory system, gastro intestinal system, central nervous system, endocrine system, urogenital system are intimately related to sexuality.

Circulatory system which includes heart ,blood and lymphatic vessel  is so  closely associated that any thing beneficial  or detrimental  for one system is   reciprocally favorable or harmful for other .Factor like high blood pressure, athereosclerosis, i, increased  cholesterol, diabetes, smoking, obesity, lack of exercise ,sedentary life style, depression ,high level of stresses and etc are considered as risk factor for various cardiac  problems  are regarded as most important cause of erectile dysfunction. Beneficial things like exercise, low cholesterol, normal blood pressure, and low stress levels are common for cardiac and sexual health. Both cardiologist and sexologist suggest use regular exercise omega 3 containing oils, quit smoking, relaxed and tension free approach toward life.  Only exceptions are use of certain blood pressure medicines like betablockers etc. Would you agree that heart lies between legs.?


Hormones plays important role in maintaining normal sexual health. Hormones like testostestron, insulin, prolectine , DHEA, thyroid are important for both sexologist and endocrinologist  .Diabetes is lethal to the sexual function .It virtually destroy sex through  every possible manner .Apart from impairing   glucose and lipid metabolism it damages blood vessels and nerves. It shatter the person psychologically.





Intact central nervous system is very much needed for normal sex. In patients of stork sexual function are found adversely effected. Sexual functions become much impaired in diseases like Parkinsonism. In case of any insult to spinal chord sexual functions gets seriously disturbed.


Sex organ are very much part of urogenital system. Symptoms of lower urinary tract have strong correlation with sexual dysfunction. It has been studied that benign prostatic hypertrophy , inflammation of prostrate or inflammation in urinary bladder severely effect sexual functions. Reason is the commonality of nerve supply in these organs. In patients on dialysis frequency of impotence as high as 85%

GIT though is in not in close proximity of sexual sex organ yet we find in chronic liver disease sexual functions are disturbed. Testosterone level is low and antisex hormone prolectin is high in such patients. Traditionally constipation is associated with low sexual drive. Perhaps rectum and genital has nerve supply from common source .If one organ is holding back other would remain inhibited.

Emotional disturbance can cause temporary and long term sexual difficulties. Sex is impaired if day is not good in office and if there is simmering anger or anxiety. These sexual disturbances become long term if diseases like anxiety or depression supervene. Sexual problems are twice as common comparing it normal population.  In other psychiatric diseases like schizophrenia or OCD situation is much worse.

One cannot stay complacent while being symptom free while taking drugs Sex would telltale that every thing is not all right .Side effects of these medicines may cause sexual difficulties. Notorious medicines include blood pressure medicine, antidepressant, antipsychotic, and medicines which increase urine out put.

In relationship sexuality is of cardinal importance. It is deepest form of non verbal communication .Good sex need elements of love, intimacy and fidelity with partner. Sex would reveal if any element is missing. Rough edges of life can be smoothening by wholesome sex but sharp edges of sexual problems can cut through matrix of life.

It can safely be concluded that sexuality is an index of physical, emotional, mental, and spiritual health of a person. It requires holistic approach. We have to treat person first. We cannot treat sex with simple pill of Viagra .It can mask the symptoms but is unable to teat underlying pathology. System involved would continue to decline till total collapse become inevitable.  Sex stands for totality of health and would nurture in a healthy person