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Sexual dysfunction

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Created: 13/11/2012
Edited: 02/02/2026
Written by: Carlota Pano

What is meant by sexual dysfunction?

A sexual dysfunction or disorder is a difficulty in normal sexual activity.

 

This can be:

  • A decrease or loss of libido or sex drive
  • Difficulty in performing sexual intercourse, due to vaginismus, dyspareunia or erectile dysfunction 
  • Orgasm disorders, such as premature ejaculation, persistent delays or absence of orgasm

 

Sexual dysfunction is a difficulty experienced by both males and females during any stage of normal sexual activity.

 

What are the symptoms of a sexual dysfunction?

Sexual dysfunction shows different signs in men and women.

 

Men can experience:

  • erectile dysfunction
  • a decrease or loss of libido and sex drive
  • ejaculation problems
  • low testosterone levels

 

Women can experience:

  • pain during sexual intercourse 
  • anorgasmia
  • lack of libido

How is it diagnosed?

The diagnosis for a sexual dysfunction will change according to the specific dysfunction. In some cases, you may have to go for a gynaecological examination or an andrological examination, while in other cases you may need to go for psychological therapy or counselling.

What causes it?

Sexual dysfunctions can be caused by physical or psychological factors. However, even if the underlying causes and triggers are of psychological nature, it is still necessary to rule out any potential physical causes with specific tests and examinations.

How is it treated?

The treatment will vary according to the specific sexual dysfunction you’re suffering from. For example, in case of erectile dysfunction, you may need to see an andrologist, who will help you understand if the cause for the dysfunction is physical or psychological. In case of vaginismus, you may consider undergoing sex therapy or consider the option of surgery.

Which doctor should I talk to?

If you’re suffering from a sexual dysfunction, you can talk to a psychiatrist, gynaecologist, andrologist, or urologist.

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