What is postcoital dysphoria (“post-sex blues”)?

What is postcoital dysphoria (“post-sex blues”)?

Sometimes, people feel deep sadness or agitation after consensual sex. The medical term for these feelings is postcoital dysphoria (PCD), but some call it the “post-sex blues.”

In some cases, people become tearful or depressed after orgasm. In others, they become argumentative with their partner. These feelings occur even if the sexual encounter has been satisfying and enjoyable.

Not much is known about PCD, but research published in the journal Sexual Medicine in 2015 has revealed how common it is among women.

Researchers from the Queensland University of Technology (QUT) in Australia asked 230 female university students to participate in a survey about their experiences with PCD. The women ranged in age from 18 to 55 with an average age of 26 years.

Forty-six percent of the women said they’d experienced PCD in the past. About 5% said they’d had symptoms over the past month. And about 2% reported having PCD “always” or “most of the time.”

However, PCD was not linked to intimacy in close relationships, the researchers reported.

Experts aren’t sure why PCD happens. It may be that the bonding with a partner during sex is so intense that breaking the bond triggers sadness. Childhood sexual abuse may play a role as well.

The QUT researchers noted that their findings may not apply to other groups, as their participants were heterosexual, mostly Caucasian, and university students.

Additional studies with larger, more diverse groups may provide more clues. It is also uncertain to what extent postcoital dysphoria affects men.

People who are concerned about the post-sex blues are encouraged to talk to their doctor or a sex therapist.

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What is penile ultrasound?

What is penile ultrasound?

An ultrasound is an imaging test that uses sound waves to produce pictures of internal organs, giving doctors a more detailed view.

Penile ultrasound can be used to evaluate many conditions affecting the penis, including erectile dysfunction (ED), plaques (such as those caused by Peyronie’s disease), fibrosis, lumps, and even cancer.

Doppler Ultrasound

Men with erection problems often have a Doppler ultrasound, which can show the way blood flows in and out of organs. In a Doppler ultrasound, the sound waves bounce off circulating red blood cells. A change in pitch signals the movement of blood.

Blood flow is critical for a man’s erections. When a man is sexually stimulated, the arteries in his penis widen and the penis fills with blood. This blood is what gives the penis the firmness it needs for sex. Veins in the penis constrict, holding the blood in. When the stimulation stops, or when the man ejaculates, the veins widen again and allow blood to flow back into the body.

Many men with erectile function have problems with this blood flow. The arteries might not widen enough for sufficient blood to flow in. Or, the veins might not constrict enough to keep the blood from flowing out. Both situations can lead to weak erections.

The test begins with an injection of medicine, which causes an erection by widening arteries and increasing blood flow. From there, a doctor moves a small device called a transducer over against the skin of the penis. The transducer sends data to a computer so that the doctor can tell how fast blood is flowing in and out.

A Doppler ultrasound is noninvasive and the test itself shouldn’t hurt. Some men have pain or bruising at the injection site. Men might also feel dizzy for a few minutes. If the induced erection lasts longer than the test, the doctor might give another injection so the penis will become flaccid again.

Men are usually advised not to take any erectile dysfunction medications (such as Viagra, Levitra, or Cialis) for a day or two before the test. They might also be instructed not to have sex or masturbate the day of the ultrasound.

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