Patients with desire-phase disorders have little interest in seeking sexual stimuli but often retain the ability to become sexually aroused and experience orgasm if they are approached sexually by their partner. This disorder usually develops in adulthood, often after a period of adequate sexual interest and functioning. Some individuals may experience sexual aversion, which is complete avoidance of all sexual activity with a partner. Desire-phase disorders are often accompanied by another sexual dysfunction like dyspareunia or anorgasmia. Physiologic causes of hypoactive sexual desire include medications, chronic medical illnesses, depression, Orgasmic Dysfunction Orgasmic dysfunction in women is characterized by persistent or recurrent delay in or absence of orgasm after a normal sexual-arousal phase.
Orgasmic dysfunction is more prevalent in younger and less sexually experienced women.
A woman with orgasmic dysfunction may be so busy monitoring her own and her partner's Numerous programs have been proposed for the treatment of orgasmic dysfunction. The most effective treatment for primary anorgasmia is a program of directed masturbation with erotic fantasy. Several excellent self-help books are available to help women learn how to become orgasmic through masturbation. Many women with vaginismus have an extreme fear of penetration and Treatment of vaginismus is directed toward extinguishing the conditioned involuntary vaginal spasm. The repeated experience of pain during intercourse can cause marked distress, anxiety, and interpersonal difficulties, leading to anticipation of a negative sexual experience and eventually to decreased frequency of intercourse or to sexual avoidance.