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Sexual dysfunction

Study sheds light

A study published in the Feb. 10, 1999, issue of the Journal of the American Medical Association (JAMA) offered insights on the frequency and causes of sexual dysfunction among Americans. In interviews with thousands of people between the ages of 18 and 59, researchers discovered that 43 percent of women and 31 percent of men regularly experienced sexual dysfunction — including lack of interest in sex, problems with arousal, not enjoying sex, problems related to climaxing and ejaculation, pain during intercourse and anxiety about sexual performance.

One of the study’s main findings was that overall well-being had a significant impact on sexual function. Respondents who reported being dissatisfied with their relationships, physically unhealthy or generally unhappy were more likely to report experiencing sexual dysfunction. Past experiences with sexual violence were also associated with a higher reporting of sexual dysfunction.

What is significant about this study? What about it might people be able to apply to their own lives?

This study confirms that sexual desire and sexual ability don’t exist in isolation from other aspects of our lives. Our total life history forms the context in which our sexuality develops. The sexual aspect of our lives is linked to changes in health, our sense of emotional well-being, the status of our relationships, stress and the impact of events we have experienced. To maintain the sexual part of our lives, we need to preserve our health through regular checkups, exercise and a good diet. We need to take care of our emotional lives by dealing directly with situations that bother us and by seeking help when problems appear out of control. We can’t always reduce stress in our lives, but we can learn ways to manage and cope with it. We need to develop and maintain our relationships as sources of happiness and satisfaction.

What are some approaches to resolving sexual dysfunction caused by emotional and mental problems?

When sexual dysfunction is caused by fear of failure to perform, a therapist can offer direct suggestions for overcoming the problem. If depression, generalized anxiety or long-standing emotional problems are contributing to sexual dysfunction, these underlying problems need to be treated before sexual desire and performance are likely to improve. Psychotherapy can help with some emotional problems and may also lead to personal changes that have a beneficial effect on sexuality.

This study points out that people who have been victims of sexual aggression are much more likely to develop sexual problems than people who haven’t been traumatized. Psychotherapy can be quite helpful in dealing with issues resulting from victimization.