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لم يتم حل الحزن / الخسارة



  • Adult victim of non-domestic sexual abuse

  • Adult victim of sexual abuse

  • Alcohol-induced sexual dysfunction

  • Amnestic disorder due to medical disorder

  • Amphetamine-induced sexual dysfunction

  • Anxiety disorder due to a general medical condition

  • Articulation disorder due to hyperkinesis

  • Child victim of maltreatment

  • Child victim of nutritional neglect

  • Child victim of physical abuse

  • Circadian rhythm sleep disorder due to alcohol

  • Cocaine-induced sexual dysfunction

  • Degenerative brain disorder due to alcohol

  • Disorder due to alcohol abuse

  • History of adult sexual abuse

  • History of child sexual abuse

  • Memory disorder due to organic brain damage

  • Mental disorder due to drug

  • No diagnosis on Axis III

  • Opioid-induced mood disorder due to opioid abuse

  • Opioid-induced mood disorder due to opioid dependence

  • Opioid-induced sexual dysfunction

  • Premature ejaculation

  • Psychotic disorder due to amphetamine

  • Sedative, hypnotic AND/OR anxiolytic-induced sexual dysfunction

  • Sexual aversion disorder

  • Situational hypoactive sexual desire disorder



  • Increase desire for and enjoyment of sexual activity.

  • Attain and maintain physiological excitement response during sexual intercourse.

  • Reach ejaculation with a reasonable amount of time, intensity, and focus to sexual stimulation.

  • Eliminate pain and achieve a presence of subjective pleasure before, during, and after sexual intercourse.

  • Behavioral Definitions

  • Describes consistently very low or no pleasurable anticipation of or desire for sexual activity.

  • Strongly avoids and/or is repulsed by any and all sexual contact in spite of a relationship of mutual caring and respect.

  • Recurrently experiences a lack of the usual physiological response of sexual excitement and arousal (attaining and/or maintaining an erection).

  • Reports a consistent lack of a subjective sense of enjoyment and pleasure during sexual activity.

  • Experiences a persistent delay in or absence of reaching ejaculation after achieving arousal and in spite of sensitive sexual pleasuring by a caring partner.

  • Describes genital pain experienced before, during, or after sexual intercourse.



  • Hypoactive Sexual Desire Disorder

  • Sexual Aversion Disorder

  • Male Erectile Disorder

  • Male Orgasmic Disorder

  • Dyspareunia

  • Premature Ejaculation

  • Male Hypoactive Sexual Desire Disorder Due to Axis III Disorder

  • Male Erectile Disorder Due to Axis III Disorder

  • Male Dyspareunia Due to Axis III Disorder

  • Sexual Dysfunction NOS

  • Sexual Abuse of Child, Victim

What is Chronic Pain? 

Male sexual dysfunction (MSD) is a term used to describe a variety of problems that can affect a man's sexual health and ability to enjoy sex. It can encompass issues with desire, arousal, erection, orgasm, or ejaculation. Here's a breakdown of MSD:

Symptoms: Men with MSD may experience one or more of the following difficulties:


  • Low libido (sex drive)

  • Difficulty getting or maintaining an erection (erectile dysfunction)

  • Delayed or premature ejaculation

  • Difficulty achieving orgasm

  • Pain during sex

Causes: The causes of MSD can be physical, psychological, or a combination of both. Here are some common contributing factors:

Physical factors: Age-related hormonal changes, medical conditions (e.g., diabetes, heart disease), neurological disorders, certain medications, and surgeries can all affect sexual function.

Psychological factors: Stress, anxiety, depression, relationship problems, past sexual experiences, and performance anxiety can all contribute to MSD.

Lifestyle factors: Smoking, alcohol abuse, drug use, and lack of exercise can also play a role in MSD.

Diagnosis: There is no single test to diagnose MSD. Doctors typically diagnose it based on a man's history and symptoms. They may ask questions about his sexual history, general health, and any medications he is taking. A physical exam may also be performed to rule out any underlying physical causes.

Effects of Male Sexual Dysfunction

Here's a closer look at the potential effects of MSD:

Physical Effects:

Erectile Dysfunction (ED): Difficulty getting or maintaining an erection can make sex physically impossible or frustrating.

Painful Sex: Pain during intercourse can make sex uncomfortable and deter men from wanting to be intimate.

Reduced Sexual Satisfaction: Difficulty achieving orgasm or experiencing other sexual problems can decrease a man's overall satisfaction with sex.

Emotional Effects:

Frustration and Disappointment: Struggling with sexual dysfunction can be a source of frustration and disappointment for men, leading to feelings of inadequacy or insecurity.

Loss of Self-Esteem:  MSD can negatively impact a man's self-esteem, particularly if he feels like he's failing to meet societal expectations or his partner's needs.

Anxiety and Stress:  The worry and pressure surrounding sex can lead to anxiety and performance anxiety, further hindering sexual function.

Relationship Effects:

Communication Issues: MSD can create communication problems within a relationship as couples may struggle to talk openly about their sexual difficulties.

Decreased Intimacy:  Sexual dysfunction can lead to a decrease in overall intimacy within a relationship, impacting emotional connection and closeness.

Relationship Strain: Unresolved MSD can put a strain on a relationship, potentially leading to resentment, frustration, and even infidelity in some cases.

How does Male Sexual Dysfuntion affect your life?

Here's a breakdown of the potential consequences:

Physical Health: MSD can manifest in physical ways like difficulty achieving or maintaining an erection, or pain during sex. This can make sex physically uncomfortable or even impossible.

Mental and Emotional Health:  The frustration, disappointment, and performance anxiety associated with MSD can negatively impact a man's self-esteem, leading to feelings of inadequacy or insecurity. It can also contribute to stress, anxiety, and even depression.

Relationships:  MSD can create communication problems and strain within relationships.  Men might hesitate to communicate their struggles, fearing judgment or rejection. This can lead to a decrease in intimacy and overall relationship satisfaction.

Self-Esteem:  Sexual function is often tied to ideas of masculinity and self-worth.  Experiencing MSD can negatively impact a man's self-esteem, especially if he feels like he's failing to meet societal expectations or his partner's needs.

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