Sexual dysfunction can have physical or psychological causes, or a combination of both.
For both men and women, a history of being unable to initiate, participate in, or enjoy sex can lead to a crippling loss of confidence. You can find more information on my Links page under Sexual Dysfunction. A new theory is emerging that female sexual dysfunction is vascular in origin, just as it is for men. Inadequate blood flow to the genital area prevents the vagina from dilating and lubricating sufficiently to tolerate intercourse. Add depression on top of this, and you've got a real problem.