Sexual Dysfunction and Paraphilic Disorders

Dr. Muktesh Daund – Sexual Dysfunction and Paraphilic Disorders Specialist


Sexual dysfunctions are divided into ten disorders that are related to change in sexual desire or performance.

  1. Delayed Ejaculation:

Delayed ejaculation is the inability or marked delay in the ability to ejaculate during coitus or masturbation.

  1. Erectile Disorder:

Erectile disorder is the inability to achieve or maintain an erection sufficient for coital penetration.

  1. Female Orgasmic Disorder:

Female orgasmic disorder is the absence of the ability to achieve orgasm or a significant reduction in the intensity of orgasmic sensations during masturbation or coitus.

  1. Female Sexual Interest/Arousal Disorder:

Female sexual interest/arousal disorder is absent or decreased interest in sexual fantasy or behavior that causes distress in the individual.

  1. Genito-Pelvic Pain/Penetration Disorder:

Genito-pelvic pain/penetration disorder replaces the terms vaginismus and dyspareunia (vaginal spasm and pain interfering with coitus). It is the anticipation of or actual pain during sex activities, particularly related to intromission.

  1. Male Hypoactive Sexual Desire Disorder:

Male hypoactive sexual desire disorder is absent or reduced sexual fantasy or desire in men.

  1. Premature or Early Ejaculation:

Premature ejaculation is manifested by ejaculation that occurs before or immediately after intromission during coitus.

  1. Substance/Medication-Induced Sexual Dysfunction:

Substance/medication-induced sexual dysfunction is impaired function due to substances (e.g., fluoxetine).

  1. Other Unspecified Sexual Dysfunction:

These include sexual disorder due to a medical condition (e.g., multiple sclerosis).