Sexual Dysfunctions

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Sexual Dysfunctions

• Individualized diagnosis
• The sexual response cycle goes awry

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Individualized diagnosis

• Statistics are descriptive, not prescriptive
• Sexual responses vary
• From person to person
• From time to time
• As we mature
• Women learn to have orgasms
• Men learn to control ejaculation

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Diagnostic issues

• Consider developmental level
• Examine the relationship(s)
• Consider the culture and subculture
• Key Individual and couple satisfaction
• Problem must cause significant distress or
  relationship problems

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Is the problem primary or secondary ?

• May be caused by a specific physical problem
• May be substance-induced
• May be secondary to a general medical condition
• May be transient or chronic
• Is always psychologically-related

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Sexual Desire Disorders

• Hypoactive Sexual Desire Disorder
• Lack of initiation of sexual activity
• No statistical criterion
• Sexual Aversion Disorder
• Active avoidance of genital sexuality
• Negative emotional reaction to sexual expression
• May be specific(intercourse) or general

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Sexual Arousal Disorders

• Male Erectile Disorder
• Inability to achieve or maintain an adequate
  erection
• May contribute to aviudance of intimacy
• Female Sexual Arousal Disorder
• Cannot achieve or maintain adequate
  vasocongestion and lubrication
• May contribute to lack of enjoyment

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Orgasmic Disorders

• Premature Ejaculation
• Female Orgasmic Disorder
• Excitement and arousal are normal
• Male orgasmic disorder
• Excitement and arousal are normal
• May be restricted to a particular form of sexual
  activity, such as intercourse

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Sexual Pain Disorders

• Dyspareunia
• Vaginismus
• Postejaculatory Pain (not in DSM-IV)