Sexual dysfunction is difficulty experienced by an individual or a couple during any stage of a normal sexual activity , including physical pleasure, desire , preference, arousal or orgasm. According to the DSM-5 , sexual dysfunction requires a person to feel extreme distress and interpersonal strain for a minimum of six months excluding substance or medication-induced sexual dysfunction. A thorough sexual history and assessment of general health and other sexual problems if any are very important. Assessing performance anxiety , guilt , stress and worry are integral to the optimal management of sexual dysfunction. Many of the sexual dysfunctions that are defined are based on the human sexual response cycle , proposed by William H. Masters and Virginia E. Johnson , and then modified by Helen Singer Kaplan. Sexual dysfunction disorders may be classified into four categories: sexual desire disorders , arousal disorders , orgasm disorders and pain disorders. Sexual dysfunction among men and women are specifically studied in the fields of andrology and gynaecology respectively.


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