SUMMARY :
Sexual dysfunction is extremely common in psychological disease. It can be caused by the disease, its treatment, or by its social and relationship consequences. Sexual dysfunction can cause significant psychological morbidity in its own right, it is usually multifactorial, and unravelling contributing causes may be complex, and time consuming.
Any assessment of sexual dysfunction must start with a careful history-medical, psychological, social and sexual. Direct questioning will often elucidate previously undiagnosed depression or anxiety disorders. Such diagnoses will allow a more holistic treatment programme for the presenting sexual problem.
As our understanding of psychological disease and neuro-transmitter modulation improves,
it becomes apparent that sexual function is dependent on the same chemicals. Most psychological diseases and psychotropic medications are associated with particular sexual problems.
Sexual and psychological function is intimately related both at a neurochemical, practical and relationship level. Adequate diagnosis and management of sexual dysfunction in patients will greatly enhance their overall care. Revealing underlying psychological disease in sexual dysfunction patients will allow appropriate treatment.