Sexual dysfunction affects both men and women and can include erectile dysfunction (impotence), low sex drive and painful intercourse.

Often, the symptoms of sexual dysfunction can be the result of one or more underlying conditions such as diabetes, heart disease, insomnia or hormone imbalance. Many prescription and nonprescription drugs can also cause sexual side effects.

In women, painful intercourse can be caused by a variety of factors, from vaginal infections to life-threatening conditions such as ectopic pregnancy. If a woman has sudden, severe pelvic pain, she should see a doctor right away.

Other factors contributing to sexual dysfunction include:

• Conditions affecting the lungs, liver, kidneys, nerves, arteries or veins
• Conflicts or lack of communication between partners
• Endocrine disorders
• Excessive tobacco use (especially in men)
• Health problems that can inhibit the sexual act, such as Parkinson's disease, stroke and spinal cord injury
• Hormone deficiencies
• Insomnia or lack of sleep
• Medications such as antihistamines, blood-pressure medicines, antidepressants and others
• Previous sexual trauma
• Psychological factors such as stress, anxiety, guilt and depression
• Surgery that has affected the pelvic organs, genitals, or hormones

UT Southwestern Medical Center offers a variety of therapies to help men and women overcome sexual dysfunction, including:

• Education and counseling
• Genital reconstructive techniques
• Medication
• Penile prostheses
• Penile vascular procedures
• Treatment of existing medical conditions

Please visit the Health Library to learn more about sexual dysfunction.