Sexual problems are conditions that are common in society and they deteriorate the quality of life. Since sex is still considered taboo, many people with sexual dysfunction go undiagnosed. However, both the mental and physical health of people are closely related to the quality of their sexual life. Like eating, drinking water, and sleeping, sex is a natural need of the body.

Erectile dysfunction and premature ejaculation in males, anorgasmia, lack of sexual desire, and vaginismus in females are the most common sexual problems. For example; for a man with erectile dysfunction or for a woman who has anorgasmia, the situation will always be a source of unhappiness, and unless the problem is solved, family relations will also get harmed. However, it is possible to treat many sexual problems seen in men and women. What is important is that these people could demonstrate the desire, willpower, and courage necessary for solving these problems.

What is Sexual Dysfunction?

It is studied under the title of Sexual Dysfunctions in men and women. It does not refer to any particular disease, rather, it is a general definition with many subtitles.

How do Sexual Dysfunctions occur?

There are specific phases during sexual intercourse, both for men and women. These are:

  • Sexual desire (arousal)
  • Plateau
  • Ejaculation/orgasm
  • Resolution (relaxation)

If a person is dissatisfied with their sexual life as a result of any problems encountered during any of these stages, and the situation persists, then sexual dysfunction comes into question. A lack of desire, not being able to have sexual intercourse for any reason, experiencing pain during sex, ejaculation problems, anorgasmia, etc. are all generally named as sexual dysfunction.

Many psychological factors can lead to sexual dysfunction, including trauma experienced in childhood, unsuccessful first sexual intercourse; also feelings of guilt, or performance anxiety. Apart from these, conditions and diseases, or surgical operations that may physically harm the veins or nerves may also cause problems in sexual functions. Moreover, any change or disorder that may occur in hormones may also disrupt any of the phases mentioned before, causing sexual dysfunctions.

Unfortunately, sex is perceived as a serious taboo in our country and sexual problems cannot be discussed frankly. However, both the mental and physical health of people are closely related to the quality of their sexual life. Therefore, when couples or individuals feel any problem regarding their sexual life, they must seek help from a specialist.

What are reasons for sexual dysfunctions?

Sexual dysfunctions may have so many reasons. And, these reasons are examined under two headings, which are:

  • Organic reasons, and
  • Psychological reasons.

Organic reasons for sexual dysfunctions occur as a result of physical problems in the body functions. This group includes the effects of diseases that affect the entire body, such as diabetes, obesity, damage to vessels and nerves after previous surgeries, congenital or acquired anatomical problems, and disorders that may occur in the body’s hormonal system. Patients in this group are frequently followed up by a urologist or a gynecologist, or by an endocrinologist if there are hormonal problems.

Psychological reasons of sexual dysfunctions covers a broader field. Many situations such as childhood trauma, misinformation, or biases due to not having an adequate and right sex education, unsuccessful first sexual experience, and poor family relationships may cause problems in both women’s and men’s sexual functions. In addition to these, obsessions about penis size or performance concerns arising from the mission (potency) imposed on men, masculinity, and the penis can be included in the primary psychological reasons experienced by men. On the other hand, even if the problems in sexual functions stem from organic reasons, these problems often bring psychological problems with them, turning the situation into a knotty problem. The treatment of sexual dysfunctions caused by psychological reasons is often carried out by a psychologist or a psychiatrist trained in this field.

What is a holistic approach to sexual problems?

Sexual problems may arise from many reasons, which may be organic or psychological. And, each of these problems is treated by specialist doctors using different methods. However, the problem is that the person experiencing sexual problems is not likely to know the reasons for their problems. The person may lack desire for sex, have problems having an orgasm, ejaculate early, have pain during sex, or experience erectile dysfunction. As the person is not likely to know whether these problems result from hormones, veins, or psychological reasons, and sex is considered a taboo and talking about sex is not that easy, having so many appointments for sexual problems mostly makes the person spend their time and money on unnecessary tests.

A holistic approach to sexual dysfunctions, on the other hand, is a treatment approach that can be applied by urologists and gynecologists that are trained in sex therapy for treating sexual dysfunctions, completed their training in the diagnosis and treatment of hormonal disorders affecting sexual functions, and also developed themselves in these fields. This approach is based on diagnosing the primary reason causing problems, among many other reasons mentioned above, and treating these problems appropriately in only one treatment center.

In other words, a holistic approach to sexual dysfunctions is a treatment approach according to which the problem is treated using methods of sex therapy if the problem is occurring due to psychological reasons, or problems stemming from physical reasons are treated by administering medicine or hormone treatments, making lifestyle changes, by making the patient lose weight (if necessary), and by performing surgical operations.

What are male sexual dysfunctions?

Sexual desire disorders

  • Lack of sexual desire
  • Sexual aversion disorder
  • Hypersexuality

Sexual arousal and erectile disorders

  • Erectile dysfunction (impotence)

Orgasm/ejaculation problems

  • Premature ejaculation
  • Delayed ejaculation
  • Inability to ejaculate (anejaculation)
  • Retrograde ejaculation (dry orgasm)
  • Ejaculation without erection

Sexual pain disorders

  • Painful intercourse (dyspareunia)
  • Non-sexual genital pain

Sexual dysfunctions caused by the general state of health

  • Diseases such as cancer, cirrhosis, kidney failure that affect the whole body

Other unnamed sexual dysfunctions

  • Sexual phobias, disorders related to sexual satisfaction, etc.

Sexual dysfunctions due to drug use

Penis size problems

What are female sexual dysfunctions?

Sexual desire disorders

  • Lack of sexual desire
  • Sexual aversion disorder
  • Hypersexuality

Sexual arousal disorders

  • Lack of vaginal wetting (dryness)
  • Lack of excitement

Ejaculation/Orgasm disorders

  • Anorgasmia
  • Random anorgasmia
  • Coital anorgasmia
  • Premature orgasm

Sexual pain disorders

  • Dyspareunia (painful intercourse)
  • Vaginismus (inability to have sexual intercourse)
  • Non-sexual genital pain

Other unnamed sexual dysfunctions

  • Sexual phobias
  • Disorders related to sexual satisfaction
  • Masked disorders
  • Headache after sexual intercourse

Sexual dysfunctions due to drug use

Sexual dysfunctions caused by the general state of health

Treatment of female sexual dysfunctions

Sexual dysfunctions seen in women may also result from organic or psychological reasons, as in male sexual dysfunction. However, vaginismus and orgasm disorders, the most common sexual dysfunctions seen in women, are mostly psychogenic, and the patients in this group greatly benefit from sex therapy.


Shock Wave Therapy (ESWT)

In medicine, shock waves were firstly used to break down kidney stones in the 1980s. The shock waves used for this purpose are of high intensity and bear such a high energy that they can shatter a stone.


Erectile Dysfunction

Penis is an anatomically porous organ. These pores are filled with blood with sexual stimulation, and the penis enlarges and gets hardened.