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Sexual Dysfunction & Orgasmic Disorder

Updated: Feb 18

We’re talking about sex, but don't run away! Sexuality is a fundamental human right and is a core aspect of being human. (WHO)

You may not feel comfortable discussing problems concerning the more intimate parts of your body, but know that you are not alone! About 40% of women and 30% of men have sexual dysfunction. (Rosen)

If you, or someone you care about, is having trouble in the bedroom speak up and find help. We want to help get you back to peak performance, so let’s talk about how pelvic floor therapy can help. We will talk about where to find help later in blog.


Sexual dysfunction prevents an individual or couple from satisfaction with sexual desire, arousal, or orgasm. Both physical and mental factors can affect these functions, and although symptoms vary, it affects people of any age; however, it is more common as we get older, especially for those over forty years old. (Jenkins)

Sexual Dysfunction in Females

The primary types of female sexual dysfunctions include:

· Lack of desire (decreased libido)

· Impaired or absent arousal

· Difficulty achieving orgasm (anorgasmia)

· Painful sex (dyspareunia)

· Urine leakage during sex or with orgasm

· Vaginismus (muscular closing of the vaginal opening)

Female sexual dysfunction is more common in women with: (van der Velde, Constantini)

· Pelvic pain

· Urinary leakage

· Overactive bladder

· Cancer

· Infertility

· Endometriosis

· Physical or emotional abuse

· Substance abuse

As women get older, these dysfunctions are often associated with pelvic floor disorders. They can cause the pelvic floor muscles to become weak, uncoordinated, and unable to perform the necessary functions of helping with clitoral erections, orgasm, and support.

In many instances of pelvic pain, the pelvic floor muscles are overactive and unable to “let go” and relax. Consequently, this can make it difficult, or sometimes impossible, for penile insertion and penetration. This can also be a cause of painful sex or penetration. When the muscles are overstretched, female vaginal tone and sensation may be decreased. When the muscles are tight, vaginal tone and sensation may be too much.

Sexual Dysfunction in Males

There are several types of mal