Psychosexual Disorder

Disorder of sexual problems, where there is no pathological or organic cause but reasons are mostly psychological are called psycho sexual disorders

Male psychosexual disorder:

• Premature ejaculation ( PME )
• Erectile dysfunction
• Dhat syndrome
• Masturbation addiction
• Sex desire disorders

Female psychosexual disorders

• Female hypoactive sexual desire disorder
• Vaginismus
• Dyspareunia

These disorders are very common and often very distressing to the patients, and more often than not they do not know whom to discuss this issue.
Premature ejaculation (PME) is among the most common sexual dysfunctions in men with a prevalence rate of 20–30%. It can cause severe psychological distress, reduced self-esteem, anxiety, and depression, significantly impairing the quality of life for the patient as well as his partner.
Overall, studies conducted worldwide have reported the prevalence of sexual disorders in the range of 10-25% among men and 25-64% among women
Psychogenic ED may be attributed to stress in relationship, performance anxiety, decreased self-esteem, stress or shame arising due to chronic or infective dermatological diseases, such as genital vitiligo and herpes, or overt psychological disorders such as depression and anxiety.
Misinformation, including that from the media, unpleasant sexual experiences, and feelings of inferiority may inhibit sexuality. It is also seen with relationship changes between the genders, wherein strong women can elicit conflicts in the male self-esteem, which may be expressed as ED.

Treatment

• Assessment and consultation with doctor
• Investigation ( blood test and imaging eg ultrasound , penile Doppler)
• Medicines
• Psychotherapy / behavioural therapy