Further help What are sex problems? A sex problem, or sexual dysfunction refers to a difficulty that occurs during any phase of the sexual response cycle.
The sexual response cycle is the sequence of emotional and physical changes that take place when a person becomes sexually aroused and engages in a sexually stimulating activity, such as intercourse or masturbation. There are four stages to this cycle - excitement, plateau, orgasm and resolution - and if the body fails to respond during one or all of these, it may signify a sex problem. What causes sex problems? There are many different reasons why someone may develop sex problems, but generally it tends to be due to a combination of physical, emotional, psychological and situational factors.
Physical factors - Disabilities and illnesses such as diabetes, heart disease, alcoholism and drug abuse can contribute to sexual dysfunction. Individuals who have experienced major surgery, pregnancy and the menopause are also more likely to develop sex problems. Psychological - Anxiety, depression and other mental health issues can have a negative impact on sexual responses.
Emotional - Unresolved grief, betrayal, unhappiness in a relationship, and low self-esteem can take a toll on how people feel sexually. For example, if someone has experienced trauma such as sexual abuse, they may feel unable to fully participate during sexual intimacy. Common sex problems Although there is a wide range of sex problems, which may affect each individual differently, generally we are all likely to face similar issues within our gender.
Female sex problems Pain during sex Also known as dyspareunia, pain during sex can be very common - particularly in women who have gone through, or are going through the menopause. Other causes include scar tissue from surgery and sexually transmitted diseases. In some cases women experiencing pain during sex may have vaginismus - a distressing condition characterised by an involuntary spasm of the muscles that surround the entrance of the vagina.
Vaginismus is common in women who fear penetration, and this may stem from a long-term sexual phobia or a previous traumatic or painful experience such as sexual abuse or childbirth.
Vaginismus symptoms may also be linked to relationship problems or fear of pregnancy. Vaginal trainers are usually provided to help women overcome this sex problem, but counselling is considered an effective treatment in addition to medical intervention. Although many women do not need to have an orgasm to enjoy sex, being unable to orgasm may be troubling for some women and their partners. Reasons why women can't orgasm during any form of sexual stimulation vary - from medical causes to deep-rooted psychological issues that may be impacting their ability to 'let go'.
Typical medical causes of orgasmic disorder include neurological, vascular or hormonal problems, while some medications may also have an effect. Mental health issues such as depression or previous traumatic experiences can also contribute to orgasmic disorder. Loss of desire It is common for women to experience lack of sex drive at certain periods in her life - particularly during pregnancy and times of stress - but some women may have it more persistently.
Again, there are several psychological and physical factors that can cause this, including diabetes, relationship problems, hormone disorders, depression, excessive tiredness, traumatic sexual experiences and drug and alcohol abuse.
Lack of sex drive is also linked to a reduction in a woman's natural testosterone levels. In rare cases, women may have what is called 'sexual anorexia' - a condition that is not in itself a diagnosis, but refers to a complete lack of desire for sex. Women with sexual anorexia will constantly avoid sex and may go for years without engaging in sexual intimacy with their partners.
Like the eating disorder, sexual anorexia is predominantly psychologically linked, and counselling is considered essential for helping sufferers to perceive sex and sexual intimacy as something natural and healthy rather than bad and shameful. Male sex problems Ejaculation problems Ejaculation problems are very common and men will typically experience one of three types of disorder: Premature ejaculation - Where a man ejaculates too quickly during sexual intercourse.
The average time of ejaculation is considered five minutes so regularly ejaculating before or within one minute of penetration is regarded as premature.
Also known as male orgasmic disorder. Retrograde ejaculation - The least common of the three, this condition is where the sperm travels backwards and enters the bladder instead of passing through the urethra and head of the penis.
Orgasm is still experienced but there will be no, or little semen. These include stress and previous sexual trauma as well as medical conditions such as diabetes. Erectile dysfunction Also known as impotence, erectile dysfunction refers to the inability to get and maintain an erection that is satisfactory for sexual intercourse.
This is quite common and is linked to hormonal problems and the narrowing of blood vessels inside of the penis due to high blood pressure. Stress, anxiety and mental health issues are further causes of erectile dysfunction, along with sexual boredom and constant worrying about pleasing a partner. Unfortunately, for many men, even when the initial cause of an erection problem has passed, the anxiety of repeated failure may block future erections.
When is the right time to seek help for sex problems? Talking about sex problems is understandably difficult and embarrassing for many, and as a result some people may refrain from seeking help. Suffering in silence however can make the problem worse, and it could lead to a lot of stress and unhappiness in your life and for those around you - particularly your partner. Although sex problems can stem from deeper issues within a relationship, sexual dysfunction can also cause relationships to suffer.
Sex and sexual intimacy is an important part of bonding between two people in a relationship and without it a couple can become disconnected. When this happens it is a good indication that you need to start thinking about getting help.
Some of the signs that sex problems are affecting your relationship include: Sex is the cause of rows. One or both partners are feeling dissatisfied or stuck in a rut. Couples start drifting apart and losing touch.
One or both partners feels taken for granted or neglected. Treatment for sex problems The first step in seeking help for sex problems is to make an appointment with your GP to have your condition diagnosed and appropriate treatment methods explored.
To establish the cause of a sexual dysfunction, your doctor will ask questions about your sexual, social and medical history. Medical tests will also be carried out to identify any physical causes, for which medication can be provided. Psychosexual therapy There are many professionals in the UK specially trained to talk about sex and help people to explore and overcome sexual dysfunction.
Psychosexual therapists in particular are very knowledgeable about a wide range of sex problems and have proven successful in helping individuals and couples of all ages, health and sexuality to realise their sexual needs and desires and work through any negative thoughts that may be affecting their ability to enjoy sex and sexual intimacy.
Psychosexual therapy may involve exploring family myths and cultural taboos that have impacted on the way someone associates with sex and sexual intimacy.
Questions that may be asked include: These encourage the re-examination of deep-set sexual assumptions and beliefs, and in a good therapeutic relationship between client and therapist, there will be the opportunity to find answers and develop a healthier relationship with sex and sexual intimacy.
For more information on this form of treatment, please see our psychosexual therapy page. Relationship counselling Relationship counselling, or couples counselling is effective for helping couples to explore their physical communication and their understanding of what sex means to them.
Sex may have become mechanical and a way to maintain a safe distance for one person. In such cases, the partner may mourn the lack of intimacy and trust which would allow them to feel safe and enjoy sex.
Withdrawal of sex can happen when a person has no alternative way to express their anger and disappointment — so the forbidden feelings are acted out in the bedroom. These are just some of the issues that may be addressed in relationship counselling to help couples become more aware of each other's needs and desires and thus be able to reach a solution that works best for both of them.
For more information on this form of treatment, please see our relationship issues section. What should I be looking for in a counsellor or psychotherapist? Currently there are no official rules or regulations stipulating what level of training a counsellor dealing with sexual issues needs. There are however several accredited courses, qualifications and workshops available to counsellors to improve their knowledge of a particular area, so for peace of mind you may wish to check to see if they have had further training in psychosexual issues.