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Going to a Cleveland Clinic location? Sexual dysfunction is a problem that can happen during any phase of the sexual response cycle. It prevents you from experiencing satisfaction from sexual activity. The sexual response cycle traditionally includes excitement, plateau, orgasm and resolution. Desire and arousal are both part of the excitement phase of the sexual response. Because treatment options are available, though, you should share your concerns with your partner and healthcare provider.
These conditions include diabetesheart and vascular blood vessel diseaseneurological disorders, hormonal imbalances, chronic diseases such as kidney or liver failure, and alcoholism and drug abuse. In addition, the side effects of some medications, including some antidepressant drugscan affect sexual function. Psychological causes : These include work-related stress and anxiety, concern about sexual performance, marital or relationship problems, depressionfeelings of guilt, concerns about body image and the effects of a past sexual trauma.
Some prescription medications and even over-the-counter drugs can have an impact on sexual functioning. Some medicines can affect libido desire and others can affect the ability to become aroused or achieve orgasm. The risk of sexual side effects is increased when an individual is taking several medications. Some over-the-counter antihistamines and decongestants can cause erectile dysfunction or problems with ejaculation. Your provider usually begins with a complete history of symptoms and a physical.
They may order diagnostic tests to rule out medical problems that may be contributing to the dysfunction. Typically lab testing plays a very limited role in the diagnosis of sexual dysfunction. Most types of sexual dysfunction can be addressed by treating the underlying physical or psychological problems. Other treatment strategies include:. Medication : When a medication is the cause of the dysfunction, a change in the medication may help.
Men and women with hormone deficiencies may benefit from hormone shots, pills or creams. For women, hormonal options such as estrogen and testosterone can be used although these medications are not approved for this purpose. Mechanical aids : Aids such as vacuum devices and penile implants may help men with erectile dysfunction the inability to achieve or maintain an erection. Dilators may help women who experience narrowing of the vagina. Devices like vibrators can be helpful to help improve sexual enjoyment and climax.
Therapists are often good marital counselors, as well. Psychotherapy : Therapy with a trained counselor can help you address sexual trauma from the past, feelings of anxiety, fear, guilt and poor body image. All of these factors may affect sexual function. Education and communication : Education about sex and sexual behaviors and responses may help you overcome anxieties about sexual function. Open dialogue with your partner about your needs and concerns also helps overcome many barriers to a healthy sex life.
The success of treatment for sexual dysfunction depends on the underlying cause of the problem. The outlook is good for dysfunction that is related to a condition that can be treated or reversed. Please know that mild dysfunction that's related to stress, fear or anxiety often can be successfully treated with counseling, education and improved communication between partners. Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We Women want sex Eros not endorse non-Cleveland Clinic products or services.
Sexual Dysfunction Sexual dysfunction can be any problems that prevent a person or couple from experiencing satisfaction from sexual activity. What are the types of sexual dysfunction? Sexual dysfunction generally is classified into four : Desire disorders: lack of sexual desire or interest in sex.
Arousal disorders: inability to become physically aroused or excited during sexual activity. Orgasm disorders: delay or absence of orgasm climax. Pain disorders: pain during intercourse.
Who is affected by sexual dysfunction? Symptoms and Causes What are the symptoms of sexual dysfunction? In men: Inability to achieve or maintain an erection hard penis suitable for intercourse erectile dysfunction. Absent or delayed ejaculation despite enough sexual stimulation retarded ejaculation. Inability to control the timing of ejaculation early, or premature, ejaculation.
In women: Inability to achieve orgasm. Inadequate vaginal lubrication before and during intercourse. Inability to relax the vaginal muscles enough to allow intercourse. In men and women: Lack of interest in or desire for sex. Inability to become aroused. Pain with intercourse. What causes sexual dysfunction? What medications can cause sexual dysfunction? Sexual side effects have been reported with the following medications: Non-prescription medicines Some over-the-counter antihistamines and decongestants can cause erectile dysfunction or problems with ejaculation.
Antidepressants Tricyclic antidepressants, including amitriptyline Elavildoxepin Sinequanimipramine Tofraniland nortriptyline Aventyl, Pamelor Monoamine oxidase inhibitors MAOIsincluding phenelzine Nardil and tranylcypromine Parnate Antipsychotic medications, including thioridazine Mellarilthiothixene Navaneand haloperidol Haldol Anti-mania medications such as lithium carbonate Eskalith, Lithobid Selective serotonin reuptake inhibitors SSRIs such as fluoxetine Prozacsertraline Zoloftand paroxetine Paxil.
The following medications may cause erectile dysfunction: Anti-hypertensive medications used to treat high blood pressure Diuretics, including spironolactone Aldactone and the thiazides Diuril, Naturetin, and others Centrally acting agents, including methyldopa Aldomet and reserpine Serpasil, Raudixin a-Adrenergic blockers, including prazosin Minipress and terazosin Hytrin b-adrenergic beta blockers, including propranolol Inderal and metoprolol Lopressor The following medications may decrease sexual desire: Hormones Leuprolide Lupron Goserelin Zoladex.
Diagnosis and Tests How is sexual dysfunction diagnosed? Management and Treatment How is sexual dysfunction treated? Other treatment strategies include: Medication : When a medication is the cause of the dysfunction, a change in the medication may help. A note from Cleveland Clinic Please know that mild dysfunction Women want sex Eros related to stress, fear or anxiety often can be successfully treated with counseling, education and improved communication between partners.
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