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SEXUAL DYSFUNCTIONS
Sexual disorder or sexual
dysfunction in common is defined as the difficulty in any phase of the sexual action including
sexual desire, sexual arousal, sexual orgasm, and resolution which precludes the individual or
a couple from enjoying a sexual activity. Sexual disorder may start prematurely in a person's
sexual life or they can extend after an individual has earlier experienced pleasant and
satisfying sex.
DYSPAREUNIA
There is a relationship of this
disorder with victims of rape and sexual abuse. May also be related to vaginismus.
Symptoms :
Recurrent or persistent genital pain associated with sexual intercourse. Can be diagnosed in
males or females, is not better accounted for by another diagnosis (psychiatric or physical)
and is not the direct effect of substance use.
FEMALE ORGASMIC DISORDER
Some research suggests that
failure to achieve an orgasm for women is related to intimacy issues, feelings of fear and
anxiety, and a sense of not being safe within the intimate relationship or relationships in
general.
Symptoms : Delay
of orgasm following normal excitement and sexual activity. Due to the widely varied sexual
response in women, it must be judged by a clinician to be significant taking into account the
person's age and situation. The condition is persistent or occurs frequently and causes
significant distress. Is not a direct effect of substance use.
FEMALE SEXUAL AROUSAL DISORDER
Some evidence suggests that
relationship issues and/or sexual trauma in childhood may play a role in the development of
this disorder.
Symptoms :
Inability to attain or maintain until completion of sexual activity adequate lubrication in
response to sexual excitement. Must result in significant distress and not better accounted for
by another disorder or the use of a substance.
GENDER IDENTITY DISORDER
Theories suggest that childhood
issues may play a role in this disorder, such as the parent-child relationship at an early age
and the identification a child is able to make with the parents of the same gender.
Symptoms :
Inability to attain or maintain until completion of sexual activity adequate A strong and
persistent identification with the opposite gender. There is a sense of discomfort in their own
gender and may feel they were 'born the wrong sex.' This has been confused with cross-dressing
or Transvestic Fetishism, but all are distinct diagnoses.
HYPOACTIVE SEXUAL DESIRE DISORDER
Some evidence suggests that
relationship issues and/or sexual trauma in childhood may play a role in the development of
this disorder. Life stressors or other interpersonal difficulties.
Symptoms :
Deficient or absent sexual fantasies and desire for sexual activity. This judgment must be made
by a clinician taking into account the individual's age and life circumstances. The lack of
desire must result in significant distress for the individual and is not better accounted for
by another disorder or physical diagnosis.
MALE ERECTILE DISORDER (IMPOTENCE)
Previously referred to as
impotence, medical causes of this disorder must be ruled out first. Short of any physiological
cause, male erectile disorder is typically a result of 'performance anxiety' or fears of not
being able to achieve or maintain an erection.
Symptoms :
Recurring inability to achieve or maintain an erection until completion of the sexual activity.
Must result in significant distress for the individual and is not better accounted for by
another disorder (e.g. drug abuse) or physical diagnosis.
MALE ORGASMIC DISORDER
Although a medical cause needs to
be ruled out first, male orgasm disorder is often thought of as beginning in adolescence or
early adulthood because sexual intimacy becomes related with a negative life event or
aspect.
Symptoms : Delay
or absence of orgasm following normal excitement and sexual activity. Due to the widely varied
sexual response in men, it must be judged by a clinician to be significant, taking into account
the person's age and situation. The condition is persistent or occurs frequently and causes
significant distress. Is not a direct effect of substance use.
PREMATURE EJACULATION
Medical Causes must be ruled out
first. Relationship stress, novelty of a relationship, anxiety, issues related to control and
intimacy can all play a role in the development of this disorder.
Symptoms
: Ejaculation with minimal sexual stimulation before or shortly after penetration and before
the person wishes it. The condition is persistent or occurs frequently and causes significant
distress. Is not a direct effect of substance use.
SEXUAL AVERSION DISORDER
Some evidence suggests that
relationship issues and/or sexual trauma in childhood may play a role in the development of
this disorder.
Symptoms :
Persistent or recurring aversion to or avoidance of sexual activity. The aversion must result
in significant distress for the individual and is not better accounted for by another disorder
or physical diagnosis. When presented with a sexual opportunity, the individual may experience
panic attacks or extreme anxiety.
VAGINISMUS
There is a relationship of this
disorder with victims of rape and sexual abuse, strict religious upbringings, and issues of
control.
Symptoms :
Recurrent or persistent involuntary spasm of the vaginal muscles that interferes with sexual
intercourse. It must cause significant distress and not due to a medical condition or another
disorder.
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