Desire

• Characteristics: Focuses on drives, motivation, and desires
• Disorder: Hypoactive sexual desire, decreased fantasies, decreased desire Sexual aversion
• Treatment: Individual Psychotherapy.  Feelings, guilt, self esteem, Homosexual impulse, marital conflicts

Arousal

• Characteristics: Sense of sexual pleasure with physiological changes
• Psychological: Fear of failure Disorder
• Female: Failure to achieve adequate lubrication during the act
• Male: Persistent or recurrent inability to attain/sustain erection until completion of the act.
• Selective impotence: Erection with girlfriend, not with wife
• Treatment: Individual psychotherapy to deal with guilt, anxiety and fear.  Medication for vaginal dryness, marital conflict resolution.

Orgasm

• Characteristics: Physiologic state in which sexual tension is released and contractions are produces in various organs.
• Disorder: Female anorgasmia – recurrent or persistent inability to achieve an orgasm either through masturbation or sexual intercourse.
• Premature ejaculation: Ejaculation before the man wishes to do so, before penetration, or just after penetration.
• Treatment: Individual Psychotherapy to deal with issues of guilt fear of impregnation, vibrators, education, & fantasy, Couples marital conflict resolution.  Behavioural techniques, e.g., squeeze & stop-and-go.
• Pharmacology: SSRI, Prozac retards premature ejaculation, the partner squeezes.

Pain

• Characteristics: Subjective sense of pain associated with sexual act. Most likely due to dynamic factors.
• Disorder: Dyspareunia – pain associated with sexual intercourse in either male or female. No diagnosis is there is organic cause, e.g., UTI, and lack of vaginal lubrication
• Vaginismus – involuntary construction of the outer one third (1/3) of the vaginal wall that interferes with the sexual act.
• Treatment: Individual therapy to help the woman deal with issues of anxiety & tension about sexual intercourse Treat marital conflict,  Behaviour therapy, e.g., dilators,  Individual therapy to deal with issues of fear of impregnation, strict upbringing or religious beliefs.

Sourced from: www.sikhwomen.com/Sexuality/Common_Sex_Definitions.htm