Psicoterapia Soteldo
A Person-Centered Approach to Healing from Narcissistic Abuse and Codependency
by Raquel Soteldo RP
A Certified Narcissistic Abuse Treatment Clinician
(343) 312-5283
Duelo/pérdida no resuelta
SNOMED Terms
-
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
Goals
​
-
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.
Diagnoses
​
-
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.