Psychosexual dysfunction

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• Causes & risk factors
  • Marital/relational stress, conflict
  • Major psychosocial trauma (loss of job or loved one)
  • Severe medical illness (stroke, myocardial infarction)
  • Mood, anxiety disorders
• Features
  • Abrupt onset, clear precipitating event or stressor
  • Situational erectile dysfunction (normal nocturnal/nonsexual erections)
  • Impaired or premature orgasm
• Management
  • Cognitive-behavioral therapy
  • Couples/relational therapy