Diagnosis and treatment
There are different types of sexual dysfunctions, and classifications have evolved over the years. In accordance with the latest American Psychiatric Association (APA) classification, we distinguish: erectile disorder, delayed eyaculation, female orgasmic disorder, female sexual interest/arousal disorder, genito-pelvic pain/penetration disorder, male hypoactive sexual desire disorder, or premature (early) ejaculation.
These disorders may appear since the very first sexual encounters, or be acquired later in life.
Furthermore, they can be generalized or situational (if they only appear under certain circumstances or with certain partners).
Probably the most frequent consultation of this nature is erectile disorder, where there’s a marked difficulty in obtaining or maintaining an erection during sexual activity, or a marked decrease in erectile rigidity, lasting at least 6 months, and that is not explained by severe relationship distress or other significant stressors, a nonsexual mental disorder or due to the effects of a substance or condition.
Many men with this problem can experiment sadness, low self-esteem, low self-confidence, or a decreased sense of masculinity. Avoidance and/or fear of future sexual encounters are common.
With the proper therapy, the individual can recover a full and satisfying sexual life, because it has a psychological origin, and not a physical cause.