Risk Factors include
Ø
Psychological problems, e.g. depression, substance abuse
Ø
Relationship/family problems
Ø
Sexual stress and anxiety
Ø
Physical ill-health of either partner
Ø
Job and financial stress
Ø
Endocrine causes, menopause, diabetes, etc.
Ø
Drugs, antiandrogens, antidepressants, etc
Ø
Religious and family pressures
Ø
Dysfunctional current and past relationship
Ø
Sexual Desire/Arousal disorders
Ø
Orgasmic disorder, anorgasmia/premature ejaculation
Ø
Pain disorder, vaginismus, phimosis, dyspareunia
Assessment and
Management is often complex and takes time. Patients are encouraged to attend
as a couple although there is a place for either partner being seen
independently.
Treatment is successful
and the first important and brave step is to accept a problem exists and seek
help.
The
counsellor need not be medically qualified although any possible physical
problem may need to be addressed before progress is made.
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