Sexual Problems

What are sexual problems?

Sexual problems can be described as difficulties at any stage of a sexual act (which can include desire, arousal, orgasm, and resolution) that stops the individual or couple from enjoying sexual activities. Sexual dysfunction' is the clinical term normally used to describe sexual problems.

Sexual problems can start early in a person's sex life or they may occur some time after a person has experienced enjoyable and satisfying sex. A problem may develop gradually or may happen suddenly. The reasons for sexual difficulties can be physical, psychological, or both.

Psychological or emotional factors affecting sexual behaviour can include both interpersonal problems, such as marital/relationship problems, lack of trust and open communication between partners, and psychological problems within the individual, for example depression, sexual fears or guilt, and past sexual trauma.

Physical factors which may result in sexual problems can include drugs (including alcohol and nicotine); injuries to the back, trouble with an enlarged prostate gland, problems with blood supply, nerve damage (for example spinal cord injuries); or disease (diabetics, multiple sclerosis, tumours, and, occasionally, tertiary syphilis); failure of various organs (such as the heart and lungs); endocrine disorders (thyroid, pituitary, or adrenal gland problems); hormonal deficiencies (low testosterone, estrogen, or androgens); some birth defects, and some sexually transmitted infections (STI's).

This section of the website includes information on some of the most common sexual difficulties people may experience. The content of this section, as with the rest of the information on the web site, is to be taken as a guide. It cannot be taken as qualified medical advice. Difficulties experienced with regard to sexual function should be discussed with your doctor, staff at genitourinary medicine (GUM) clinics or qualified counsellors for specific information and advice.

Sexual problems are surprisingly common. Try to overcome any fears or embarrassment you might experience in considering this, and seek some guidance and help.