Sexual dysfunctions, nothing to be ashamed of

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People who suffer sexual dysfunctions,  come to consultation with a  sexologist  feeling very embarrassed and guilty about it . When we talk about other disorders or diseases, this usually does not happen. It does not occur to anyone to feel guilty for suffering from kidney failure or otitis.

What are we ashamed of?

There is a strong relationship with the sex education we have received. From the moral point of view and culture, traditionally sexual relations have been linked to guilt and shame, both to desire and to live it.

Sex has also been associated with certain gender roles . The woman “must” be submissive, complacent and dedicated, always ready for man. Man “must” be very capable, virile, strong and strong in sex. Often, perhaps unconsciously, we feel that we do not fulfill these roles or roles according to our gender. If not fulfilling what is expected is due to a sexual dysfunction, it can cause feelings of guilt and shame. 

Sexual dysfunctions can have a serious impact on the perception of the person’s quality of sexual life. For that reason, assessing anxiety, guilt, stress and worry is fundamental in any treatment for sexual dysfunction.



Sexual dysfunctions can be classified into four categories:

  • Disorders of  sexual desire  or anaphrodisia: It  may be due to a decrease in the level of estrogen production in women or testosterone in men. Other causes are: age, fatigue, pregnancy, medication or psychiatric illnesses, such as depression or anxiety.
  • Disorders of  sexual arousal :  Formerly called ” impotence ” in men and ” frigidity ” in women.
  • Disorders of  orgasm : As the delay in reaching it or the absence of orgasm after a usual phase of sexual arousal. These disorders occur in both men and women.
  • Sexual pain disorders  :  Affect almost exclusively women. They are known as dyspareunia (painful intercourse) and vaginismus (involuntary spasms of the vaginal wall that hinder or prevent intercourse).

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