Sexual Dysfunction

Sexual Dysfunction

Sexual dysfunction is a condition that makes a man or woman sexually unsatisfied. Sexual dysfunction can happen at any time and to anyone. However, the possibility of the emergence of sexual dysfunction is greater in the elderly.

There are various types of sexual dysfunction that can occur in men or women. Sexual dysfunction can be in the form of a loss of desire for sexual intercourse, it can also be in the form of an inability to feel sexual stimulation even though there is a desire to have sex.

In other types of sexual dysfunction, a person has a desire to have sex and can feel sexual stimulation, but cannot reach climax (orgasm). Sufferers of sexual dysfunction can also feel pain or pain during sexual intercourse.

Causes of Sexual Dysfunction

Causes of sexual dysfunction are generally divided into two types, namely physical factors and psychological factors. Sexual dysfunction that occurs due to physical factors can be caused by the following diseases:

  • Hormonal disorders
  • Heart disease
  • Diabetes
  • High blood pressure
  • Neurological diseases, such as Parkinson's disease and multiple sclerosis
  • Injury to the nerves, especially the nerves that control erections
  • Side effects of certain medications, such as antidepressants

In both men and women, hormonal disturbances can lead to sexual dysfunction. For example, decreased levels of the hormone estrogen during menopause can reduce sexual desire in women. While the decrease in testosterone in men can also reduce the desire to have sexual activities.

Not only physical disorders, sexual dysfunction can also occur due to psychological disorders, such as:

  • stress
  • Worry
  • Excessive worry about sexual performance
  • Problems in a relationship or marriage
  • Depression
  • Guilt
  • Past trauma, including sexual abuse

Sexual dysfunction is also at higher risk in people who have any of the following factors:

  • smoking habit
  • Obesity
  • Elderly
  • Alcohol addiction
  • Have you ever had radiotherapy to the groin area?
  • Drug abuse

Symptoms of Sexual Dysfunction

Symptoms of sexual dysfunction depend on the type. In addition, men and women may experience different symptoms. The following are symptoms of sexual dysfunction in women:

  • Loss or decrease of sexual desire
    This type of sexual dysfunction is the most common among women. This sexual dysfunction is characterized by a loss of desire or desire to have sex.
  • Disorders of sexual arousal
    Sufferers of this type of sexual dysfunction still have the desire to have sex. However, sufferers find it difficult to get aroused or maintain stimulation during sexual intercourse.
  • Appears pain
    Pain can appear during sexual intercourse. This condition can occur due to various conditions, such as vaginismus, vaginal dryness, and stiff vaginal muscles.
  • Orgasm disorders
    Women who suffer from this type of sexual dysfunction will have difficulty achieving orgasm even though stimulation and stimulation are carried out continuously.

As in women, symptoms of sexual dysfunction in men also depend on the type, including:

  • Loss of sexual desire
    Men who suffer from this type of sexual dysfunction feel a loss or decrease in the desire to have sex.
  • Erectile dysfunction
    Erectile dysfunction or impotence will make it difficult for men to keep their penis erect during sexual intercourse.
  • Ejaculation disorders
    . This condition causes men to ejaculate too quickly ( premature ejaculation ) or take too long during sexual intercourse.

When to go to the doctor

Interruption during sexual intercourse is normal if it only occurs occasionally. However, if it occurs repeatedly, you should consult a doctor. Please note, at the time of the consultation, the doctor can talk to the patient and the patient's partner.

Diabetes is one of the factors that increase a person's risk of experiencing sexual dysfunction. Therefore, diabetics need to regularly check with the doctor to prevent complications, one of which is sexual dysfunction.

Sexual dysfunction is also prone to occur in drug users. Therefore, stay away from drugs and immediately go to a rehabilitation facility if you are addicted.

Sexual Dysfunction Diagnosis

Diagnosis of sexual dysfunction begins with a thorough questioning of the patient's sexual activity. The doctor will also ask about the patient's activities and medical history, including possible events or trauma in the past.

Next, the doctor will carry out a physical examination, including physical changes that can affect sexual activity. During a physical examination, the doctor will examine the patient's genitals.

After that, the doctor will perform the following tests to determine the cause of sexual dysfunction:

  • Blood tests, to check hormone levels and blood sugar levels
  • Ultrasound, to check blood flow around the genital organs
  • Nocturnal penile tumescence (NPT) test , to monitor erections when the patient sleeps at night using a special tool

Sexual Dysfunction Treatment

Diagnosis and treatment of sexual dysfunction requires the cooperation of several experts, such as urologists , endocrinologists, obstetricians , andrologists, neurologists, psychiatrists , and sexual therapists. The goal is for patients to get the right diagnosis and treatment options.

Sexual dysfunction treatment aims to address the problems that cause sexual dysfunction. Therefore, the treatment will be tailored to each of these causes.

Here are the methods of treating sexual dysfunction:

Consumption of 'powerful drugs'

Many people take 'powerful drugs' or blue pills to treat sexual dysfunction. These drugs can indeed improve performance during sexual intercourse, but can cause side effects such as headaches to visual disturbances.

Consumption of 'strong drugs' should only be done with the approval of a doctor, because it can cause interference with the work of the heart organ, especially in patients who already have heart disease before.


Psychological therapy is carried out by a psychologist or psychiatrist to help someone overcome psychological disorders that cause sexual dysfunction. An example is therapy to deal with anxiety, fear, or guilt that affects the patient's sexual function.

In addition, doctors or psychologists will provide understanding to patients about sex and sexual behavior. An understanding of sexual relations is necessary for the patient to overcome anxiety about his sexual abilities.

Therapy sessions can also be done together with your partner to find out about each other's needs and anxieties. That way, obstacles in sexual activity can be overcome.

Medication to treat hormonal disorders

For women with low estrogen levels, estrogen hormone replacement therapy may be given. The goal is to help the elasticity of the vagina by increasing blood flow and lubrication to the vagina. This therapy can be given in the form of a vaginal ring, cream, or tablets.

As for men with low testosterone levels, doctors can provide testosterone hormone therapy to increase testosterone levels in the body.

Medication to deal with physical problems

To deal with sexual dysfunction due to an illness is to treat the underlying disease. For example, diabetics will be given metformin or insulin to control blood sugar levels.

Lifestyle changes

To overcome sexual dysfunction, patients also need to adopt a healthy lifestyle, such as exercising regularly, stopping smoking, and stopping consuming alcoholic beverages. This activity can help improve the quality of sexual activity.

Some assistive devices, such as pumps (vacuum) and vibrators, can help a woman or a man deal with sexual problems. In addition, penile implant surgery can also be considered to help men overcome erectile problems.

Sexual Dysfunction Complications

Sexual dysfunction can cause sufferers to experience complications, especially in their psychological condition. Sufferers of sexual dysfunction can experience the following conditions:

  • Dissatisfaction with sexual activity
  • Problems with spouse to divorce
  • Stress, anxiety, and low self-esteem

Sexual Dysfunction Prevention

To prevent sexual dysfunction, you can change your behavior and lifestyle to be healthier, namely by:

  • Quit smoking and consuming alcoholic beverages
  • Maintain ideal body weight
  • Manage stress and anxiety well
  • Undergoing rehab for drug abuse

Please note, sexual dysfunction is also a part of the aging process, so it is sometimes difficult to avoid.

Back to blog