Sexual Dysfunction in Men and Women

Sexual dysfunction can take many forms — it’s not limited to erectile dysfunction or lack of interest in sex, often referred to as a low libido.

Sexual dysfunction can involve pain during intercourse, an inability to maintain an erection, or difficulty experiencing an orgasm.

Though there are many causes of diminished libido and sexual dysfunction in men and women, there are also many ways to increase libido and rekindle the joy of sex once you identify the problem, including vaginal rejuvenation and enhancement.

Sexual Dysfunction in Women
Sexual dysfunction in women is grouped into different disorders: sexual pain, problems with desire, arousal problems, and orgasm difficulty. Changes in hormone levels, medical conditions, and other factors can contribute to low libido and other forms of sexual dysfunction in women.

Specifically, sexual dysfunction in women may be due to:

• Vaginal dryness. This can lead to low libido and problems with arousal and desire, as sex can be painful when the vagina isn’t properly lubricated. Vaginal dryness can result from hormonal changes that occur during and after menopause or while breastfeeding, for example. Psychological issues, like anxiety about sex, can also cause vaginal dryness. Additionally, anticipation of painful intercourse due to vaginal dryness may, in turn, decrease a woman’s desire for sex.

• Low libido. Lack of sexual desire can also be caused by lower levels of the hormone estrogen. Fatigue, depression, and anxiety can also lead to low libido, as can certain medications, including some antidepressants.

• Difficulty achieving orgasm. Orgasm disorders, such as delayed orgasms or inability to have one at all, can affect both men and women. Again, some antidepressant medications can also cause these problems.

• Pain during sex. Pain is sometimes from a known cause, such as vaginal dryness or endometriosis. But sometimes the cause of painful sex is elusive. Known as vulvodynia or vulvar vestibulitis, experts don’t know what’s behind this mysterious type of chronic, painful intercourse.

Sexual Dysfunction in Men
The types of sexual dysfunction men may experience include:

• Erectile dysfunction (ED). ED can be caused by medical conditions, such as diabetes or high blood pressure, or by anxiety about having sex. Depression, fatigue, and stress can also contribute to erectile dysfunction.

• Ejaculation problems. These include premature ejaculation (ejaculation that occurs too early during intercourse) and the inability to ejaculate at all. Causes include medications, like some antidepressants, anxiety about sex, a history of sexual trauma (such as a partner being unfaithful), and strict religious beliefs. Wearing tight underwear or exposure to heat for long periods of time (truck drivers and athletes, among others, are prone to this) can also cause problems.

• Low libido. Psychological issues like stress and depression, as well as anxiety about having sex also can lead to a decreased or no sexual desire. Decreased hormone levels (particularly if testosterone is low), physical illnesses, and medication side effects may also diminish libido in men.

Improving Sexual Health
All couples should be able to enjoy a healthy sex life — an important part of a relationship. If you are experiencing sexual dysfunction, bring up your concerns to your doctor. You can often correct your problem easily.

Good communication can unlock closed doors in the bedroom, so start by talking to your partner about physical and emotional intimacy. And, if you suspect a medical condition, talk to your doctor about what could be going on with your body.

Sometimes, it can be difficult to speak about sensitive subjects to a sexual partner. Shame and negative social conditioning may cause individuals to ignore their needs or those of their partner. In some cases, it may be beneficial to speak to a therapist who is knowledgeable and supportive of sexual health.

A therapist can provide an individual with the tools they need to help them communicate their boundaries and expectations respectfully, and in a safe, judgment-free environment.

It’s also important to speak to a doctor about specific sexual health needs. If you are not sure where to start, you can check out one of the many organizations that exist to support individuals through their sexual health journey.

At IntuneHealth, we provide proactive, preventative care designed to keep you healthy. IntuneHealth takes the hassle out of health care giving you direct access to your primary care physician, a personal care team coordinating all aspects of your care, and an all-in-one app to manage your health. With virtual, in-office, and in-home appointments, access to care is conveniently available when and where you need it. Schedule an appointment today to meet your new partner in health.

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