A person with psychosexual dysfunction is not aroused or satisfied during sex. It can lead to relationship and self-esteem problems.
Psychosexual dysfunction is caused by mental health problems, such as:
- Prior abuse or rape
- Guilty feelings
- Not feeling good about yourself
|Mental or emotional problems are at the center of the dysfunction.|
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Things that may raise the risk of this problem are:
- Having any of the mental health problems that cause it
- Problems at work
- Problems with the people in a person's life
- Hormone changes or postpartum depression from having a baby
- Worrying about your sexual orientation
- Worrying about having sex
- Prior bad feelings or pain
- Conflict with your partner
- Guilt or worry because of religion or the way of life where you live
- Money problems
- Family problems
- Abuse from your partner
Symptoms differ for men and women.
- Not able to keep an erection
- Ejaculate too soon or not at all
- Not able to be aroused at the right moments
- Not able to reach orgasm
- Lessened desire for sex
- Not able to reach orgasm
- Low desire for sex
- Muscles around the vagina that tighten without control and cause pain
- Pain during sex
- Dry vagina
The doctor will ask about your symptoms and health history. A physical exam may be done. A mental health exam may also be done. Blood tests may also be done.
Treatment depends on the cause. One or both of these methods may be used:
- Medicines to balance hormones or treat mental health problems
- Individual or couples therapy
American Psychiatric Association https://www.psychiatry.org
National Institute of Mental Health https://www.nimh.nih.gov
Canadian Mental Health Association https://cmha.ca
Canadian Psychiatric Association https://www.cpa-apc.org
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Female sexual dysfunction. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/female-sexual-dysfunction. Accessed November 19, 2020.
Hatzimouratidis K, Giuliano F, et al; European Association of Urology (EAU). Guideline on Male Sexual Dysfunction. EAU 2019.
Overview of female sexual function and dysfunction. Merck Manual Professional Version website. Available at: https://www.merckmanuals.com/professional/gynecology-and-obstetrics/sexual-dysfunction-in-women/overview-of-female-sexual-function-and-dysfunction. Accessed November 19, 2020.
Premature ejaculation. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/premature-ejaculation-19. Accessed November 19, 2020.
- Reviewer: EBSCO Medical Review Board Adrian Preda, MD
- Review Date: 09/2020
- Update Date: 04/16/2021