Listen to a recording of the Weekly Check-Up WSB Radio Program featuring Dr. Colleen Taylor, Dr. Larry Goldstone (Urologist with Georgia Urology) and Dr. Genevieve Fairbrother (OB/GYN and Chief of Staff, Northside Hospital, Atlanta) on the topic of Sexual Dysfunction.
Learning about Sexual Dysfunction
What kind of sexual problem is considered a Sexual Dysfunction?
Problems with sexual desire, sexual arousal or other aspects of the sexual response fall into the category of sexual dysfunction. While one partner may be experiencing the symptoms of a sexual dysfunction, both partners experience the impact on the sexual relationship.
The following are types of sexual dysfunctions:
- Lack of sexual desire
- Lack of arousal
- Female or Male orgasmic disorder
- Painful intercourse
- Erectile dysfunction (Impotence)
- Premature ejaculation
Are some sexual dysfunctions “normal” with aging?
While sexual problems occur at every stage of adult life, they are common in mature adults and the elderly. Some estimate that between one quarter to one third of all men, and around 43% of women experience some degree of sexual dysfunction. With age, and with menopause for women, the frequency increases dramatically. The decline in overall health that comes with aging is certainly a contributing factor. That being said, having a healthy and pleasurable sex life at any age is possible!
What are other causes of Sexual Dysfunction?
The sexual response is very complex and sophisticated; physical and emotional factors both play a role. In women and men, the sexual response cycle involves nervous, vascular and hormonal systems which can be impacted by psychological states such as joy, fear, shame and anger.
Unhappiness and tension in a couple’s relationship can be a significant cause of sexual problems. Work or family stresses, depression, anxiety, shame and past sexual trauma are also factors that can contribute to dissatisfaction or dysfunction.
In addition, medical conditions and medications can impair sexual functioning.
- Obesity
- Diabetes
- Prostate enlargement
- Heart disease
- Thyroid disorders
- Neurological disorders
- Severe, chronic disease
- Hormonal imbalances
- Pelvic floor disorders
- Alcohol/Drug abuse incl. steroids
- Menopause
- Pelvic/Prostate Surgery
- Antidepressants
- Drugs to treat high blood pressure
- Antianxiety medications
- Antipsychotic medications
What is the treatment for Sexual Dysfunction?
The good news is that the majority of sexual dysfunctions respond well with appropriate treatment. As a therapist experienced in working with sexual dysfunction, I begin with a thorough assessment of the sexual problems including information from the individual or couple’s medical and sexual history. The vast majority of sexual problems have underlying factors that work on a subconscious level as well as behavioral habits and environmental influences which all serve to maintain the undesired experiences. Successful therapy will address all of these factors simultaneously in a respectful and gentle yet effective multi-faceted treatment approach with the goal of satisfying and healthy sexual functioning. Medical treatments and medication prescribed by the client’s physician along with sex therapy can be recommended in some situations.