Гарник [Garnik] Суренович [Surenovich] Кочарян [Kocharyan]

• MD, PhD
• Professor at Харьковская медицинская академия последипломного образования, Украина

Male patient K, 21, had been living for 1 year with his 22-year-old girl. He sought our medical advice on October 8, 2021. He presented complaints about a periodical appearance of a desire to masturbate using porn with participation of transsexuals/transvestites (“non-normative masturbation”). The rate of development of such a desire depended upon...

The article indicates that sexual desire is considered to result from a complex balance between inhibitory and stimulating factors (neurotransmitters, hormones), which influence functioning of the brain. For example, dopamine, oxytocin, estrogens, noradrenalin, melanocortin, norepinephrine and testosterone produce excitory influence, while serotoni...

Male patient M., 17, a student of the 11th form, consulted on his mother’s request. He felt sex drive mainly to males. If conventionally generalized sexual desire can be accepted as 100%, the proportion of his homosexual and heterosexual components was 75% to 25%. At that time he masturbated using homosexual (in 90% of cases) and heterosexual (in 1...

The article deals with clinical manifestations of diminished libido as well as definitions of hypoactive sexual desire disorder (HSDD) in the International Classification of Diseases, 10th Revision (ICD-10), Diagnostic and Statistical Manual of Mental Disorders, Fourth and Fifth Editions (DSM-4 and DSM-5) (USA). Its corresponding code in ICD-10 is...

Low sexual desire (LSD) is a rather common sexological symptom, which occurs in 33.4% of women, taking the first place among other such symptoms, and in 15.8% of men (Е. О. Laumann et al., 1994). At the same time, hypoactive sexual desire disorder (HSDD) is detected much less often due to the fact that one of its diagnostic criteria consists in dis...

In recent years, some authors made attempts to deny the role of chronic prostatitis in the genesis of sexual dysfunctions by way of somatic mechanisms. This view does not correspond to reality. The article describes models of sexual dysfunctions formation isolated by the author in patients with chronic prostatitis (psychosomatic, psychopathological...

The article contains 3 clinical examples, which demonstrate possible appearance of hypersexuality, caused by premature psychosexual development. The first case (observed by the author) deals with a 13-year-old teenager, who was adopted at the age of 9. His birth mother (BM), who was deprived of parental rights, abused alcoholic beverages. BM had se...

The article deals with hypersexuality, which can be a manifestation of a wide variety of disorders. These include: consequences of a psychotrauma; premature psychosexual development; borderline personality disorder; submaniac and maniac states in bipolar affective disorder and schizoaffective type of the course of schizophrenia; disinhibition of li...

Sexual aversion is the problem, which is little discussed in medical literature. The article contains definitions of sexual aversion in some classifications and dynamics of concepts of this pathology represented in other classifications. In the author’s opinion, its removal from a list of sexual disorders in certain classifications cannot cancel t...

The article describes a case with a 22-year-old female patient, who had been in a “common-law marriage” with a 29-year-old man during 7 months. When she sought medical advice the patient informed that she remained a virgin. She associated it with tough upbringing and a hard set that one must not live a sex life before marriage. From 6 to 16 years o...

Reasons of virgin marriage are named, its clinical examples and experience of correction of the condition are submitted. Keywords: virgin marriage, causes, clinical examples, correction. Названы причины виргогамии, приведены ее клинические примеры и опыт коррекции этого состояния. Ключевые слова: виргогамия, причины, клинические примеры, коррекци...

Results of twin studies are presented; these demonstrate that in a number of cases genetic effects can play a role of mild predisposing factors for the development of homosexuality, but the main part in its formation is accounted for by psychological and social factors. The opinion that genetic factors play the only and dominant role in the genesis...

The article deals with and characterizes degrees of vaginismus expression, present in a number of classifications, and contains characteristics of the phobic and hysteric (conversion) forms of vaginismus. It presents a clinical case, which contains a detailed description of psychotraumatic circumstances that resulted in phobic vaginismus and suppor...

The article presents a clinical case with a 25-year-old female patient A., who has been married for 1 year, but before she was in a “common-law marriage” during 5 years with her present spouse, who is 30. They have not got any children. When she sought medical advice the patient informed that during 1.5 years she had been feeling sexual aversion to...

The article deals with the frequency of vaginismus, its definitions and criteria, which are presented in encyclopaedical sources, the International Classification of Diseases, 10th and 11th Revisions (ICD-10 and ICD-11), the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (USA) (DSM-V), as well as in publications made by some a...

A case of phobic dyspareunia is described. We are talking about a 22-year-old girl whose genital pains first arose 2 years ago during intercourse with a man whose penis length was 25 cm. She had only 5 intercourses with him, and then because of these pains interrupted the relationship with him. Now she is dating a 22-year-old guy who lives in anoth...

Three competing paradigms of female orgasm caused by genital stimulation are isolated and characterized: «the clitorally activated orgasm – infantile, and the vaginally activated – mature»; «there is only one orgasm due to genital stimulation – the clitorally activated orgasm»; «there are different interconvertible orgasms caused by genital stimula...

A case history is presented, where hypersexuality could be conceptualized as a manifestation of persistent genital arousal disorder / restless genital syndrome [PGAD/ReGS]. Female patient Sh., 75, who sought our medical advice on April 16, 2015, presented complaints about a feeling of a “sexual drive in my pubic region”, burning in her legs (along...

The objective: Study of some aspects in the formation of syndrome of anxious expectation of sexual failure (SAESF), chiefly of the neurotic genesis, were studied in 220 males.Materials and methods. Three variants of its formation were separated (premanifest, manifest, postmanifest: acute-subacute and chronic). This was determined by period of their...

The article contains definitions of dyspareunia, data about its incidence and place in the International Classification of Diseases, 10th Revision (code F.52.6 – Nonorganic dyspareunia, code N94.1 – Dyspareunia, which deals with a disorder of the organic origin) and 11th Revision (code GA12 – Dyspareunia, diagnosed in both the psychogenic nature of...

The article submits the definitions of bisexuality, its frequency, A. Kinsey rating scale of hypersexuality-homosexuality, M. D. Storms orthogonal model of heteroerotism-homoerotism, types of bisexuality. Reported data on the mental health of bisexuals, attempts to deny the existence of bisexuality, or, on the contrary, to absolutize it. The author...

The article reports on various pharmacological drugs, the side effects of which can lead to hypersexuality. In addition, observations are given when it was a side effect of surgical interventions. Keywords: drugs, surgical interventions, side effects, hypersexuality. В статье сообщается о различных фармакологических препаратах, побочное действие...

The book written by M.D., Ph.D., D.Sc., Professor of the Department of Sexology, Medical Psychology, Medical and Psychological Rehabilitation of Kharkov Medical Academy of Post-Graduate Education, Academician of the Russian Academy of Natural History Garnik S. KOCHARYAN contains an in-depth and comprehensive coverage of the problem of hypersexualit...

Kocharyan Garnik S. "Orgazm, yego rasstroystva i ikh preodoleniye : monografiya" (Khar'kov: «DISA PLYuS», 2018.-395 s.). ["Orgasm, its disorders and their overcoming: monograph".-Kharkov: DISA PLUS, 2018.-395 p.] [The book in Russian] The book written by M.D., Ph.D., D.Sc., Professor of the Department of Sexology and Medical Psychology of Kharkov M...

The book written by M.D., Ph.D., D.Sc., Professor of the Department of Sexology, Medical Psychology, Medical and Psychological Rehabilitation of Kharkov Medical Academy of Post-Graduate Education, member of the Russian Academy of Natural History Garnik S. KOCHARYAN profoundly and comprehensively characterizes erogenous effects that stimulate libido...

The book written by M.D., Ph.D., D.Sc., Professor of the Department of Sexology and Medical Psychology of Kharkiv Medical Academy of Post-Graduate Education, Academician of the Russian Academy of Natural History Garnik S. KOCHARYAN profoundly and comprehensively analyses the problem of ejaculatory disorders. The conceptual apparatus of these disord...

The article discusses the arguments on the basis of which conversion therapy is declared unacceptable: the congenitality of homosexuality, which is akin to signs of national and racial affiliation, the ineffectiveness of this therapy, and the harm it invariably causes to health. Scientific data are presented that completely refute these arguments....

The article reports on the categories, which are related to hypersexuality and contained in the International Classification of Diseases, 10th Revision (ICD-10), the American Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) (2013) and the ICD-11 project. Also, 4 conceptualizations of hypersexuality are named: obsessive-c...

В статье представлены различные методы психотерапии (когнитивная, когнитивно-поведенческая, поведенческая, гипносуггестивная, психодинамическая, экзистенциальная, парная, групповая), которые используются для лечения больных с гиперсексуальностью, включая 12-шаговую программу восстановления, осуществляемую в группах самопомощи сексоголиков. Обсуждае...

Modern data on physiology and psychology of orgasm in men and women are submitted: its autonomic and somatic manifestations; functioning of brain structures and its neurotransmitter systems during orgasm; its supraspinal and spinal regulation; hormonal changes and experience of feelings during orgasm; traditional (physiological) and new (physiologi...

Data on treatment of patients with persistent genital arousal disorder and persistent genital arousal syndrome by different methods are presented. Influences and therapeutic effectiveness of pharmacotherapy, including injections with botulinum toxin, physiotherapy (manual therapy, transcutaneous electrical nerve stimulation), psychotherapy (hypnosu...

Data on the various factors involved in the formation of persistent genital arousal disorder and restless genital syndrome are presented. Key words: genital arousal disorder, restless genital syndrome, formation. Представлены данные о различных факторах, участвующих в формировании расстройства в форме постоянного генитального возбуждения и синдром...

The article notes that hypersexuality can be eliminated with successful therapy of the pathology that led to its appearance, as well as the need to treat concomitant pathological mental conditions that can directly or indirectly affect problematic sexual behavior. Medications of various groups that are used to eliminate hypersexuality are presented...

The article reports about possible negative effects of masturbation combined with pornography that may result in formation of pathological sexual stereotypes, whose particular manifestation consists in a decrease of sexual activity in married life and a reduction of sexual desire towards the wife. A clinical case is described, where a 35-year-old m...

Data on the frequency of persistent genital arousal disorder, diagnostic criteria for this disorder and restless genital syndrome, clinical manifestations of these pathological conditions are presented. Keywords: persistent genital arousal disorder, restless genital syndrome, frequency, diagnostic criteria, clinical manifestations. Приведены данны...

To study sexological patients' behavior connected with intercourses 118 males with sexual dysfunctions of various phenomenology and genesis were examined. Only patiens with fear of sexual failure (FSF) were included into the group. Seventy-six persons (64.4%) have noted that thay ever used on their own initiative some psychic self-regulation techni...

Abstract. On the basis of special scientific researches and clinical observations the following patterns of behaviour outside intimacy in men with sexual dysfunctions were distinguished and described: 1) avoidance; 2) directed on preservation of the former matrimonial status (the compensatory variant, the manipulative variant); 3) directed on crea...

The terms used to describe different variants of premature ejaculation are presented as well as its various definitions. The approaches to estimate the intercourse duration (biological, biosocial, biopsychosocial) are isolated and characterized. It is noted that the biological approach which, apparently, is fully applicable to the animals for human...

In recent years, some authors made attempts to deny the role of chronic prostatitis in the genesis of sexual dysfunction by way of somatic mechanisms. This view does not correspond to reality. The article describes models of sexual dysfunctions formation isolated by the author in patients with chronic prostatitis (psychosomatic, psychopathological...

A very rare case is presented, when anxious sexual failure expectation syndrome in a male patient was manifested mostly in the form of a fear of libido decrease, the above fear being the real cause for that decrease. The fear appeared after one moment, when the patient noticed libido reduction. Some time later after that decrease he developed thoug...

Transsexuality: diagnostic approaches and clinical observation G.S. Kocharyan A critical analysis of modern approaches to the diagnostics of the sexual indentification disorders is given. The semantic aneligibility of using the term «gender dysphoria» is substantiated, instead of which, in the author’s opinion, the term «sexual dysphoria» should be...

Приводится критический анализ складывающихся совре- менных подходов к диагностике расстройств половой иден- тификации. Обосновывается семантическая неправомоч- ность использования термина «гендерная дисфория», вме- сто которого, по мнению автора, следует применять термин «половая дисфория». Обсуждается научная необоснован- ность существующей тенден...

The article submits some aspects of the hypersexuality problem: the terms used, its reflection in modern classifications (ICD-10, DSM-5, ICD-11 project), different models of pathological hypersexuality: obsessive-compulsive, addictive, caused by the lost of impuls control, and also associated with persistent genital arousal disorder and restless ge...

В статье описаны различные проявления гиперсексуальности, ее критерии, признаки сексуальной аддикции, ее неблагоприятное влияние на психологическое, психическое и соматическое здоровье сексуальных аддиктов и их супругов, взаимоотношения между ними. Также представлены различные негативные социальные последствия сексуальной зависимости. Описаны небла...

Приводится критический анализ складывающихся современных подходов к диагностике расстройств половой идентификации. Обосновывается семантическая неправомочность использования термина «гендерная дисфория», вместо которого, по мнению автора, следует применять термин «половая дисфория». Обсуждается научная необоснованность существующей тенденции, напра...

he role of genetic factors in the formation of homosexuality: modern analysis of the problemG.S. KocharyanThe data on the fallacy of ideas about the innate nature of homosexu-ality which are based on information about the human psychosexual development are submitted. The results of twin studies and studies re-lated to determining the participation...

On the basis of special scientific researches and clinical observations the following patterns of behaviour outside intercourses in men with sexual dysfunctions were distinguished and described: 1) avoiding; 2) directed on preservation of the former matrimonial status (the compensatory variant, the manipulative variant); 3) directed on creation of...

Some author’s observations are submitted, which show that hypnotic suggestion during conversion therapy can be effective and harmless, and same-sex attraction can arise in age that is far from the time of birth. Key words: conversion therapy, hypnotic suggestion, effectiveness. Приведено несколько наблюдений автора, которые свидетельствуют о том, ч...

Data of author’s researches on the formation of fear of sexual failure in men, pathogenesis of sexual dysfunctions caused by it, its sexological and nonsexological manifestations are represented. General information about treatment of the fear is reported. Key words: men, fear of sexual failure, formation, pathogenesis, clinical manifestations, th...

Data on the frequency of orgasm imitation in women and men are submitted as well as its causes. Recommendations are given on its realization and identification. Its consequences are analyzed.

Data are submitted on the frequency of premature ejaculation and its definitions in the International Classification of Diseases of the 10th Revision, the Diagnostic and Statistical Manual of Mental Disorders of the 4th and 5th Revisions (USA), and in the recommendations of the special committee of the International Society for Sexual Medicine. The...

The opinions of various authors, the results of scientific researches, hypotheses (poles, bursts, evolutionary) are submitted which attempt to explain the connection or its absence between the female orgasm and the possibility of becoming pregnant. From the presented materials it follows that at present there are no scientific data which could unco...

Factors associated with diseases, consequences of surgical interventions and injuries, impacts of medicines and narcotics that can participate in the formation of orgasm disorders in men and women are submitted as well as psychopathological factors, physiological factors, psychological and social factors which can have such influences. Key words: o...

Various recommendations, techniques and psychotherapeutic approaches are submitted aimed at overcoming difficulties in achieving orgasm and to treat its disorders. Key words: orgasm, disorders, overcoming, men, women. Представлены различные рекомендации, техники и психотерапевтические подходы, направленные на преодоление трудностей в достижении ор...

The treatment of orgasm disorders in women and men with the use of medicines, biologically active nutritional supplements and physiotherapy is submitted. Key words: orgasm, disorders, biological therapy, women, men.

Various definitions of orgasmic disorders in women and men, the terminology used to indicate their different forms, dynamics of ideas on these disorders and the frequency of anorgasmia revealed in various studies are submitted. Key words: orgasm, disorders, definitions, frequency. В статье приведены различные определения расстройств оргазма у жен...

Definitions, classifications of erogenous zones, information about various genital and extragenital erogenous zones, results of special studies concerning the rating of the sensitivity of various erogenous zones in men and women are submitted. Key words: men, women, erogenous zones, classifications, rating. В обзорной статье приведены определения,...

The author’s observation is submitted which show that conversion therapy can be effective, harmless, and same-sex attraction can arise in age that is far from the time of birth.

In the book, written by the MD, PhD, DSc, Professor of the Department of Sexology and Medical Psychology of the Kharkov Medical Academy of Post-Graduate Education, Academician of the Russian Academy of Natural Sciences Garnik S. KOCHARYAN, the problem of human sexual pheromones is produced on the modern level of knowledge development. The history o...

The monograph by the Doctor of Medical Science (M. D., Ph. D.), the Professor of the Department of Medical Sexology and Medical Psychology of the Kharkov Institute of Advanced Training for Doctors Garnik Surenovich Kochairyan. (Kharkov, Ukraine) deals with the formation, physiological and psychologial mechanisms of the pathogenesis, sexological and...