Male Sexual Dysfunctions.

Erectile dysfunction or impotence is the most talked about sexual dysfunctions. However, men can face a whole range of sexual dysfunctions. These can broadly be classified as erectile difficultly, ejaculation issues, loss of sexual desire. Erectile dysfunction is commonly linked to diabetes and a predictor of heart disease and this should always be checked by a medical practitioner. It is also important to determine whether sex or porn addiction is responsible for causing the presenting sexual problem.

Erectile dysfunction

Erectile dysfunction affects one in five men and increases significantly with age. When men are tired, stressed or drink too much alcohol they may be unable to maintain an erection. An incidence of erectile failure can become persistent due to anxiety and fear. Erectile dysfunction is also common  with health conditions such as high blood pressure, heart disease and diabetes.

Delayed Ejaculation

Delayed ejaculation usually means that a man takes an excessive length of time to ejaculate (over 30 minutes) or cannot ejaculate at all inside his partner, although he is able to masturbate successfully.

Delayed ejaculation can result from certain chronic health conditions, surgeries and medications. Or it may be caused by substance abuse or a mental health concern, such as depression, anxiety or stress. In many cases, delayed ejaculation is due to a combination of physical and psychological concerns. There are also personality traits that are commonly found in men with a tendency to delayed ejaculation.

It’s normal for men to have delayed ejaculation from time to time.

Premature ejaculation

Ejaculatory difficulties can be divided into three main groups. Rapid ejaculation problems are when you ejaculate too soon. Delayed ejaculation is when it takes longer than you would like to ejaculate. Anejaculation is a failure to ejaculate. Psychosexual therapy or sexual counselling can help with improving satisfaction with ejaculation function.

Inhibited sexual desire

Sometimes, loss of sexual desire is an indicator of life problems causing stress or anxiety, or of there being problems in the relationship.It may also be an indicator that there is another dysfunction such as erectile problem or premature ejaculation. the loss of satisfaction or embarrassment means that the problem also becomes one of loss of desire. Loss of desire may also indicate that a man has a problem with porn or sex addiction.

Female Sexual Dysfunctions.

Loss of desire

For many women, it is important for them to feel emotionally connected to their partner in order to feel sexual desire. Resentment and anger towards a partner may result in loss desire for sex. Some women experience responsive sexual desire, which means that when their partner approaches them for sex ,they will respond, but rarely feel spontaneous desire sufficient to be the one to make the first move. This often causes problems as the partner who generally makes the approach may want to be approached. Psychological and physical causes of loss of desire can both be addressed in sex therapy


Failure to reach orgasm during intercourse can cause anxiety. Many women do not achieve orgasm through penetration alone. Approximately ten percent of women experience anorgasmia. This is an inability to reach orgasm despite being sufficiently aroused to have sex. Some causes of anorgasmia can be  sexual inexperience, difficulty losing control and performance anxiety. Women can sometimes feel pressure to be orgasmic as their partner may judge their own success as a lover by the ability of their partner to orgasm.

Painful Sex or Dyspareunia

Painful sex may arise for a number of reasons, both physical or psychological. A medical consultation is generally advised prior to therapy to rule out infection or other organic causes. Sex therapy is an extremely successful treatment when the pain is caused by psychological issues.

College of Sexual and Relationship Therapists

British Association for Counselling and Psychotherapy