Sexual dysfunction in men and women
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Sexual dysfunction is a problem with the sexual response cycle that interferes with normal,
satisfying sexual activity. There are a number of phases of the sexual response cycle,
including excitement (which includes sexual desire and arousal), plateau, orgasm, and
resolution.
Both men and women can experience sexual dysfunction. It is a relatively common problem,
with more than 40 percent of women and 30 percent of men reporting some level of
dysfunction. It can occur at any age, but most often sexual dysfunction occurs in people
between the ages of 40 and 65.
Many people are embarrassed to talk about sexual dysfunction, so they hesitate to see
a doctor about treatment. If you or your partner are experiencing sexual dysfunction,
there are treatments available. Specialists at Beaumont frequently diagnose and treat
sexual dysfunction, and are available to help you with your concerns.
What is sexual dysfunction?
Sexual dysfunction refers to a problem occurring during any phase of the sexual response cycle
that prevents the individual or couple from experiencing satisfaction from the sexual activity.
The sexual response cycle traditionally includes excitement, plateau, orgasm, and resolution.
Desire and arousal are both parts of the excitement phase of the sexual response.
that prevents the individual or couple from experiencing satisfaction from the sexual activity.
The sexual response cycle traditionally includes excitement, plateau, orgasm, and resolution.
Desire and arousal are both parts of the excitement phase of the sexual response.
While research suggests that sexual dysfunction is common (43 percent of women and 31 percent
of men report some degree of difficulty), it is a topic that many people are hesitant to discuss.
Because treatment options are available, it is important to share your concerns with your
partner and healthcare provider.
of men report some degree of difficulty), it is a topic that many people are hesitant to discuss.
Because treatment options are available, it is important to share your concerns with your
partner and healthcare provider.
What are the types of sexual dysfunction?
Sexual dysfunction generally is classified into four categories:
- Desire disorders —lack of sexual desire or interest in sex
- Arousal disorders —inability to become physically aroused or excited during sexual activity
- Orgasm disorders —delay or absence of orgasm (climax)
- Pain disorders — pain during intercourse
Who is affected by sexual dysfunction?
Sexual dysfunction can affect any age, although it is more common in those over 40 because
it is often related to a decline in health associated with aging.
it is often related to a decline in health associated with aging.
What are the symptoms of sexual dysfunction?
- Inability to achieve or maintain an erection suitable for intercourse (erectile dysfunction)
- Absent or delayed ejaculation despite adequate sexual stimulation (retarded ejaculation)
- Inability to control the timing of ejaculation (early or premature ejaculation)
- Inability to achieve orgasm
- Inadequate vaginal lubrication before and during intercourse
- Inability to relax the vaginal muscles enough to allow intercourse
In men and women:
- Lack of interest in or desire for sex
- Inability to become aroused
- Pain with intercourse
What causes sexual dysfunction?
Physical causes — Many physical and/or medical conditions can cause problems with sexual
dysfunction. These conditions include diabetes, heart, and vascular (blood vessel) disease,
neurological disorders, hormonal imbalances, chronic diseases such as kidney or liver failure,
and alcoholism and drug abuse. In addition, the side effects of some medications, including
some antidepressant drugs, can affect sexual function.
dysfunction. These conditions include diabetes, heart, and vascular (blood vessel) disease,
neurological disorders, hormonal imbalances, chronic diseases such as kidney or liver failure,
and alcoholism and drug abuse. In addition, the side effects of some medications, including
some antidepressant drugs, can affect sexual function.
Psychological causes — These include work-related stress and anxiety, concern about sexual
performance, marital or relationship problems, depression, feelings of guilt, concerns about
body image, and the effects of past sexual trauma.
performance, marital or relationship problems, depression, feelings of guilt, concerns about
body image, and the effects of past sexual trauma.
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