Sexual dysfunction

Common concerns

Many people experience sexual concerns at some point in their lives. In the medical profession these are referred to as sexual dysfunctions. The most common reason that people seek help for are : vaginal pain / vaginismus and orgasmic responses for women, while for men they are erectile difficulties and premature ejaculation. It is also common to have concerns around libido and sexual behaviour, be it too much or too little.

While these problems may have a medical cause, often these are triggered by emotional issues such as anxiety, depression or relationship difficulties. Other times they are just natural responses to ageing or life circumstances, or normal variations in human sexuality.

Broad impacts

These disruptions in sexual life can lead to frustration or a lack of confidence. They can also cause distress relationship distress where one or other partner may feel rejected or insecure. This may also trigger embarrassment, shame or insecurity. This can result in feeling stuck, unsure if there is a problem, and not knowing where to get help. This can impact self-esteem and limit experience of deeper and fulfilling relationships.

Seeking help

A psychotherapist experienced in working with sexual difficulties can help figure out what's going on and work with you to find a resolution. This can be in individual therapy or in couples therapy. They can also help you explore any underlying issues contributing to the sexual difficulties. Very often unidentified deep-seated feelings like grief or anxiety may be a significant cause. The other source of sexual difficulties may be in relationship dynamics, as emotional intimacy can affect physical expression.

(When experiencing any of these problems, it is may also be useful to see your GP or a specialist in a sexual health clinic in order to exclude physiological conditions.)