
Sexual dysfunctions include lack or loss of sexual desire, failure of genital response, orgasmic dysfunctions, premature ejaculation and sexual pain disorders.
When we say disorders of libido, basically what we are trying to convey is that there is either a reduced desire or an exaggerated sexual desire within an individual. Having said this, there is no gross statistical normal. Has there been a decrease in your interest in sex, Is it that you no more look forward to sex, Have the sexual dreams and fantasies reduced off late, Is it that you do not get turned on easily as compared to your earlier self. If you feel that you have been facing any of these issues, it would be wise to get an early assessment & treatment.
Let’s say you have a decent libido, but when it comes to performance you are not able to attain arousal (erection for males). There can be either difficulty attaining an erection or maintaining an erection or both. Ask yourself when was the last time you had a satisfactory erection? Are you able to initiate an erection with sexual stimulation? Are you able to maintain an erection with sexual stimulation? Do you experience morning or night time erections? Is your erectile problem related to specific partner or situation? Do you lose erection before penetration or before climax? Is it that you have to concentrate to maintain an erection? Do you experience difficulty in certain sexual positions? If any of these questions raises a doubt within you it’s time to seek a consult.
When we talk about ejaculation or an orgasm, some people might attain it relatively early while others may experience a delayed ejaculation. Since there are two people involved in the sexual act, both early as well as delayed discharge may affect your sex life and thus your emotional well being. Unnecessary concerns pertaining to the sexual act or perceiving it as a measure of performance rather than a playful intimate activity may be rather detrimental. If you have any concerns pertaining to early or delayed discharge, it would be wise to stop scrolling the net, stop analysing yourself, stop being critical about yourself and seek an expert.
Orgasmic dysfunction is quite common in females. There may either be an absence of orgasm or a very delayed or markedly reduced intensity of an orgasm. For females apart from physical intimacy, emotional intimacy is really important. It is pertinent that your partner feels safe and comfortable around you in bed. Sometimes the fear of letting go of control might impact the orgasmic stage. Nevertheless, if you or your partner feels that there is something missing out there and orgasms are absent or no ,ore blissful; connect to one of our experts, hey will guide you in your journey towards rediscovering happiness.
Sexual dysfunctions can be generalized or situational. In case the disorder is generalized it is pervasive across all kinds of situations, stimulation or partners. On the other hand, when the sexual disorder is situational its manifestation gets limited to a certain situation, stimulation or partner.
Often disturbances in sexual functioning occur due to psychological factors that either predispose or precipitate the dysfunctions. Factors like traumatic sexual experiences, inadequate sexual information, negative attitude towards sexuality, disturbed psychosexual roles, unrealistic expectations, discord in relationships, poor intimacy are the examples of some of such factors.
The management of a sexual dysfunctions is an extensive process and requires adequate time, assessment and evaluation. The specialist first discerns whether the individual/ couple has a sexual dysfunction, then the evaluation is done to judge if it is primarily organic or psychological. Further assessment is done to explore the presence of a psychiatric disorder and determine the role of psychological factors in an organic disorder. Severity of the sexual dysfunction and overall impairment and distress related to it is ascertained. The management plan is designed based on the motivation and preference for different modalities of treatment.
Psychiatric disorders are often closely intertwined with sexual dysfunctions. Often a primary psychiatric disorder like mood or anxiety disorders lead to sexual dysfunctions. However often sexual disorders give rise to psychiatric symptoms like depression and anxiety.
The mental health specialist approaches the management of sexual dysfunctions in a comprehensive manner encompassing detailed medical and psychiatric examination, carrying out investigations and assessment, taking a detailed psychosexual history. Based on the etiology of the dysfunction and the role of psychiatric disorders in the presenting complaints of the patient, the psychiatrist starts a combination of pharmacological and non-pharmacological measures for management.
The management of sexual dysfunctions includes detail evaluation and identification of the complaints presented by the patient/couple, the expectations, priorities and preferences in treatment. There are varied treatment options for sexual dysfunctions including pharmacological and psychological interventions, the selection of treatment is done based on the comfort and willingness of the patient.

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The causes behind erectile dysfunction include psychological conditions, medical/health conditions, certain medications, trauma, hormones, and lifestyle factors. A physical examination, psychological exam, diagnostic tests such as blood and urine tests, and symptom assessment allows a doctor to diagnose male erectile dysfunction.
Various medical treatments can help improve premature ejaculation. Individuals can learn to control their ejaculation for sexual satisfaction through medical remedies, supplements, and exercise. Surgical options such as dividing the nerves to reduce the penile sensations are still considered experimental.
Sexual disorders are much more common than many realize. They can affect relationships emotionally and psychologically. However, addressing sexual dysfunction with a professional can help both partners.
Sexual dysfunction is a broad term that explains persistent discomfort or difficulty with sexual response, desire, or orgasm. Conditions such as erectile dysfunction and premature ejaculation fall under the sexual dysfunction category. Evidence-based and clinically proven sexual dysfunction treatments may include oral tablets, VED (vacuum erection device), injections, and/or surgery – the choice is dependent on the patient’s medical history and treatment plan.
Porn addiction refers to a person becoming excessively dependent on pornography leading to a disruption in their everyday life. This could include their job, relationships and at times, their day-to-day lifestyle. It is addiction that consists of compulsive sexual activity with the use of any forms of pornographic material, despite the negative consequences.
Porn addiction can negatively impact an individual’s sex life. For example, it can lead to less satisfying sexual experiences and having high and unreasonable expectations from their partner. Some indicators reveal a porn addiction, such as:- Porn is negatively impacting an individual’s life: putting their job or relationship in jeopardy
One of the side effects a porn addiction is said to have is sexual dysfunction. While it wouldn’t be accurate to say that a porn addiction causes sexual dysfunction, it can have a significant impact on an individual’s sexual experiences.
Porn is notorious for leading individuals to have fantasy world expectations of sex, and what they or their partner can or can’t do. In most cases, individuals find themselves unable to perform to the capacity that they see in porn. It has been revealed that men that have a porn addiction are more likely to experience porn-dependent erectile dysfunction.
Smoking affects the levels of testosterone in both males and females. This is because it raises carbon monoxide levels in the body which leads to lower production of testosterone which can lead to sexual dysfunctions such as low libido and premature ejaculation. Furthermore, smoking can affect fertility as well making it harder to conceive along with negatively impacting a pregnancy. Men who are smokers commonly have low sperm counts and slow-moving sperm along with concerns about sperm function. Women who are smokers experience egg loss, disruption in ovarian cells responsible for making oestrogen/estrogen, and an increased incidence of genetic abnormalities in their children.
Yes, in the majority of the cases, a physical examination is not required. With technology allowing for the ability to bring about effective solutions, Psymate solves for demand in the sexual wellness space. An online consultation reduces unnecessary obstacles such as research, commute, waiting in line, etc without compromising anything for the consumer.
The causes behind erectile dysfunction include psychological conditions, medical/health conditions, certain medications, trauma, hormones, and lifestyle factors.
The exact cause of premature ejaculation is still not known, but some experts suggest low levels of serotonin can be a causative factor. The psychological causes could be depression/anxiety, relationship problems, and unrealistic expectations.
Erectile dysfunction refers to the inability to attain or maintain an erection. For premature ejaculation, the consensus among specialists is: if a man lasts less than 2 minutes after penetration (all or most of the time), and/or if it leads to frequent dissatisfaction for him or his partner, he may have PE.
Due to the stigma and rumors associated with “ideal” penis size, many men tend to feel insecure about their manhood. Men commonly worry that the size of their penis is “too small.” However, the fact is that a micro penis is one that is less than 3 inches when erect – anything above 3 inches when erect is normal. While it is common for men to feel insecure about this, most women do not care about size. Penile lengthening is considered to be an unsafe and ineffective procedure as per the American Urological Association (AUA).
Sexual performance anxiety is an anxiousness or panic that occurs before, or during sexual intercourse. There are various male performance anxiety solutions – the condition can be treated after a consultation with a professional; some of which include: learning relaxation techniques to help with stress management, managing mental health disorders, seeking couples therapy to aid in interpersonal concerns, and modifying lifestyles such as regular exercise and a healthy diet.
Vaginismus is a condition that causes involuntary muscle spasms during sexual intercourse. The psychologically dependent condition disrupts penis-vaginal penetration as the vaginal muscles contract resulting in pain while attempting penile penetration.
Testosterone, the male hormone, is closely associated with a male’s sex drive and sexual performance. Low levels of this hormone can cause sexual dysfunction symptoms and disorders such as low libido and erectile dysfunction.
Anorgasmia is a condition in which individuals are unable to orgasm despite medical intervention or sexual stimulation. It is much more prevalent in females/women and is commonly caused by psychological factors. However, there are medical conditions or medications/treatments for medical conditions that can cause anorgasmia.
Women experience hormone fluctuations as they age and when estrogen levels drop very low (commonly during the 40s and 50s), they go through menopause. The low levels of estrogen can lead to a negative impact on sexual wellness – for example, it can lead to low libido, vaginal dryness, or lack of lubrication leading to painful sex and disrupted mood and sleep patterns.