Disorders of sexual behavior have an extremely negative impact on the psycho-emotional state of a person.

Sexual realm violations in males are often expressed as a lack of sexual desire, erectile dysfunction, a lack of ejaculation, premature ejaculation, and pain in the genitals during an erection.

A person who does not have a permanent sexual relationship or has no sexual experience at all, when faced with problems in sexual behavior, may withdraw into himself, develop depression, or anxiety disorder, and avoid potential partners, thereby reinforcing the course of the disorder.

Causes of Sexual Behavior Disorders

According to statistics, 80% of men with problems with sexual intercourse with psychologists, sexologists, or psychiatrists are associated with organic disorders.

Such patients either did not pay enough attention to checking their physical health or rushed to contact a sexologist or psychologist. Such patients need from the very beginning to make an appointment, for example, with a urologist or undergo an MRI examination.

Therefore, when a person turns to a specialist with problems in sexual behavior, first of all, it is necessary to make sure that the patient has at least been checked by a urologist.

Sometimes treatment by a psychotherapist does not bring any results, because the cause of the disturbances is an organic problem. This is very critical in this area.

In the field of sexual dysfunctions, experts do not find a genetic predisposition. Usually, the causes are either organic or psychological.

For example, the cause may be anxiety, which has grown into psychosomatics, for example, in the form of impotence.

Psychological reasons may be related to sexual trauma that occurred to the patient in the past. The most popular problems that have non-organic causes are impotence and early ejaculation.

It can appear due to anxiety, psychotrauma, or natural aging of the body. In some cases, problems with potency can also be caused by systematic violations of the physiological cycle of sexual intercourse.

This form of sexual dysfunction develops over time, beginning to manifest as orgasm blunting, premature ejaculation, or inability to ejaculate.

Sexual behavior disorders in men, which are symptoms of severe mental illness, are often the result of side effects from medications. For example, impotence appears due to the use of antipsychotic drugs, which are prescribed, for example, for psychosis during schizophrenia or bipolar disorder. 

In this case, the level of prolactin rises in a person. An increase in prolactin levels leads to a decrease in sexual appetite, weakening of erections, and early ejaculation. 

When a person with schizophrenia or bipolar disorder complains of impotence, doctors first check the effect of drugs, and if necessary, change the dosage and frequency of taking the drugs.

After all, mental disorders already violate a person’s life comfort, and a decrease in sexual appetite can bring even greater inconvenience.

Types of Sexual Behavior Disorders in Men

Disorders of sexual behavior are divided into organic and inorganic disorders of sexual intercourse. If we divide sexual intercourse into four stages, then for each of them we can distinguish separate disorders of sexual behavior.

 The first stage is preparation for sexual intercourse when there is no sexual desire for a woman or a man. The second is the presence of problems with potency. 

In the third stage, pain in the genitals may be present, and in the fourth stage, premature ejaculation is possible. According to these stages, certain sexual dysfunctions may appear. For disorders of each stage, special psychotherapy is prescribed

Diagnosis and Treatment of Sexual Disorders

Before the advent of drugs like Viagra, Levitra, and others, such disorders were treated exclusively with sexual therapy. 

In the very beginning, various sexual dysfunctions were tried to be treated with the help of psychoanalysis. Very quickly, the physiologist Ivan Pavlov, and later the psychologist Burres Frederick Skinner, developed a behavioral theory that in the 1960s, thanks to William Masters and Virginia Johnson, developed into a very coherent therapy for the treatment of sexual disorders. 

Thanks to this therapy, many sexual disorders in men began to be treated very effectively and quickly.

Until Viagra appeared, there were no options for effective drug treatment, but only behavioral therapy, sometimes combined with cognitive techniques. 

Occasionally, medications were added to the treatment, which was prescribed by psychiatrists to reduce stress and anxiety. 

As soon as drugs like Viagra and Cialis appeared, they helped to solve the problem of the second stage of sexual behavior but still did not solve the problem of the first – the lack of urge or sexual desire.

Working with a psychotherapist

After the patient has been ruled out for organic causes of the disorders of sexual behavior, the patient is referred for a clinical interview with a psychiatrist. 

The specialist collects a detailed history of the patient’s sexual life and, if necessary, prescribes additional instrumental checks. 

Psychotherapy is commonly prescribed as a treatment for disorders of sexual behavior in men. As a rule, this is a combination of two approaches: behavioral therapy and interpersonal therapy. 

The psychotherapist discusses with the patient every aspect of his Disorders of sexual behavior, considering all the feelings, thoughts, reactions, and sensations in the body at every stage.

It also studies interpersonal behavior and finds out at which stage of interaction with a partner a problem appears and the process is disrupted. After that, the patient is offered various behavioral-communicative tools.

After that, the patient is taught to apply these techniques in life, in real interpersonal relationships, and determine what needs to be changed with the help of communicative behavioral therapy. 

This type of therapy was developed in the 70s by several very famous American psychotherapists: Virginia Satir, Jay Haley, Paul Watzlawick, and others. Communicative behavioral therapy is used in the treatment of sexual disorders to this day.

By the time it comes time to apply these techniques in life, it is necessary that the patient had a partner or partner. Serious work is also taking place in this direction. 

It happens that a patient has problems at the first stage of sexual intercourse, that is, a lack of sexual appetite, as well as impotence – and this is all against the background of increased shyness towards women. 

A psychotherapist also works with these problems so that the patient can meet with a woman or a man and apply new techniques for himself. For this, there is a direction in treatment, in which specially trained people – surrogates – portray pseudo-partners.

The main difficulties usually occur in patients before the onset of sexual intercourse, during the courtship and flirting stages. 

The patient learns to give flowers, look a partner or partner in the eyes, compliment, and also learn the correct body language on dates. 

This is a type of behavioral therapy when, with the help of special behavioral techniques, sexual interaction is built on the example of a loving relationship.

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