Psychiatric aspects of male sexual dysfunction

Sexual problems are highly prevalent in Western society. Most people in this culture are vulnerable to sexual concerns that may arise out of ignorance, cultural inhibitions, unrealistic expectations, and anxiety about performance. Because of the importance attached to sexual competence, the physician's efforts to improve the quality of a patient's life through prevention, treatment, or referral are worthwhile. Principles of therapy for psychiatric aspects of male sexual dysfunction tend to be simple and easily applied. Therapy is most effective when both partners are treated together. The physician stresses learning and encourages the couple to focus on pleasure rather than on performance. With minimal effort, the physician who is willing to try can do a great deal to help patients with sexual dysfunction.