Sexual dysfunction

Overview


Plain-Language Overview

Sexual dysfunction refers to problems that prevent an individual from experiencing satisfaction during sexual activity. It involves the reproductive and nervous systems, affecting physical and emotional aspects of sexual health. Common issues include difficulty with desire, arousal, orgasm, or pain during intercourse. This condition can impact relationships and overall well-being. It may result from physical causes like hormonal imbalances or psychological factors such as stress. Understanding the underlying cause is important for addressing the problem effectively.

Clinical Definition

Sexual dysfunction is a clinical condition characterized by persistent or recurrent disturbances in sexual desire, arousal, orgasm, or pain that cause significant distress or interpersonal difficulty. It involves complex interactions between the central nervous system, endocrine system, vascular system, and psychological factors. Common mechanisms include hormonal deficiencies (e.g., low testosterone), neurovascular impairment, medication side effects, or psychiatric disorders. The condition is classified into subtypes such as erectile dysfunction, female sexual interest/arousal disorder, premature ejaculation, and genito-pelvic pain/penetration disorder. It is clinically significant due to its impact on quality of life and potential indication of underlying systemic disease.

Clinical Presentation


Diagnostic Workup


Pathophysiology


Treatments


Prevention


Outcome & Complications


Differential Diagnoses


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