Most common sexual problems
Impotence
Impotence is the failure to achieve an erection, a condition faced
by an increasing number of men. In order to diagnose the potential
problems that lead to this condition, it is useful to describe what
conditions must be present for erection to take place. The first
component you need to achieve an erection is a normal, intact male
sexual organ. Secondly, a normal amount of circulating hormones is
necessary. Third, a man must have an intact nerve supply and blood flow
to the male sex organ. Finally, normal erections require a healthy
psychological response to the arousing stimuli, coupled with a relaxed
state of mind.
What can I do about loss of sexual desire?
If you have experienced loss of desire for only a short time, it may
take care of itself. Getting out of stressful or anxious situations may
also alleviate the condition. Try to think about what the cause may be
for you personally. It could be your partner, your environment, or a
number of other factors listed below. If the loss of desire persists,
ask your doctor to refer you to a sex therapist who can help.

Why do some women have difficulty in achieving orgasm?
There are a number of reasons why a woman may not be able to achieve
orgasm, some physical others psychological.
Possible physical issues:
inadequate stimulation
medication treating another illness
injury or accident which affects genital
receptiveness
conditions which interrupt nerve supply to the
genitals
Possible psychological issues:
stress or anxiety
relationship problems
depression
cultural or religious guilt associated with sex
Becoming Orgasmic
This provides you with overview of some of the issues surrounding
orgasmic difficulty. If you're interested in a more detailed discussion
we suggest Becoming Orgasmic. Successful for 95% of women in clinical
trials, this video will provide many of the answers you're looking for.
Dyspareunia (painful intercourse in women)
Sex should never be painful. If you are having pain during sex, stop.
Sex is supposed to be pleasurable, and pain indicates that something is
wrong.
In many cases, your partner's actions can cause pain, such as going too
fast or penetrating from an awkward position. Never hesitate to ask
your partner to slow down or move to make you more comfortable.
Another common cause of pain during sex is the lack of natural
lubrication in the vagina. Antihistamines or other medication may be
the cause of this problem. Additionally, natural changes in the vagina
during menopause may cause a reduction in natural lubrication. Or, in
some cases, more foreplay may be required to produce a sufficient
amount of vaginal lubrication. Adding a water-based lubricant to the
proceedings may help alleviate this problem. We recommend Astroglide.
It's a wonderful lubricant with a consistency that most couples truly
enjoy.
Failure of the vagina and uterus to respond to sexual arousal can also
cause discomfort. The vagina may be too snug for intercourse or the
uterus may not be raised so that the penis comes in contact with the
cervix during penetration. Use manual penetration to explore the level
of arousal before engaging in intercourse.
Priapism
Priapism is a condition in which a male develops a permanent
erection. If your erection lasts for an unusual period of time and is
unrelated to sexual contact, go directly to the emergency department of
the nearest hospital. Although this can be a potentially embarrassing
situation, waiting to correct priapism may result in permanent damage.