1. Sexual Function Difficulties
Goals
To explore sexual “dysfunction” and sexual dissatisfaction
To discuss treatment approaches for sexual issues

2. Sexual Functioning: What Can Go Wrong?
Sexual dysfunction or dissatisfaction?
Reconceptualizing sexuality
The Working Group for a New View of Women’s Sexual Problems
National Health and Social Life Survey
National Survey of Sexual Health and Behavior

3. How Do We Break Down Definitions?
Factors that encompass sexuality and sexual functioning (National Institutes of Health)
“Sexuality is a complex interplay of multiple facets, including anatomical, physiological, psychological, developmental, cultural, and relational factors.”
DSM Categories

4. What are the DSM V Categories?
1. Delayed ejaculation 2. Erectile disorder 3. Female orgasmic disorder 4. Female sexual interest/arousal disorder 5. Genito-pelvic pain/penetration disorder 6. Male hypoactive sexual desire disorder 7. Premature ejaculation 8. Substance/medication-induced sexual dysfunction

5. What Are Some Societal Myths About Sex?

6. What Are Some Physical and Psychological Issues Associated With Sexual Functioning?
Illness
Communication
Structural issues
Priapism
Phimosis/Paraphimosis
Peyronie’s Disease

7. What Are Some Treatments for Sexual Issues?
Who conducts therapy?
Michigan
Surrogate Partners
What treatments are out there?
Cognitive-behavioral tx
Sensate focus
PLISSIT
Exploration
Medications
Medical devices