Sexual Dysfunction & Intimacy Concerns

Difficulties with sexual desire, arousal, orgasm, pain during sex, or overall sexual satisfaction that cause personal distress or interpersonal difficulty. Includes desire discrepancy, erectile dysfunction, anorgasmia, vaginismus/genito-pelvic pain, and intimacy avoidance. Often intertwined with relational dynamics, body image, trauma history, medical factors, and cultural/religious messaging about sexuality.

Prevalence: ~30-40% of adults report some form of sexual difficulty; prevalence varies by specific condition, age, and gender

6 Therapeutic Approaches

Sorted by evidence tier: guideline-recommended first, then RCT-supported, then emerging/limited evidence.

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