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Questions

Sexual Function: Common Questions

Difficulties with desire, arousal, pain or orgasm, in any gender.

Last revised

Sexual Function: the questions people actually ask, answered from published guidance.

Key takeaways

  • Common contributors: medication, depression, relationship factors, hormonal change
  • Antidepressants: a very common and reversible cause
  • Most useful single change: Raise it with a GP; it is a common consultation and they will have heard it.
  • Commonest mistake: Buying treatments from unregulated websites.
  • See a doctor if any of the signs under "When to get help" below apply to you.

What is Sexual Function?

Difficulties with desire, arousal, pain or orgasm, in any gender.

Why does it matter?

These are common, frequently have a physical or medication cause, and are rarely raised in consultations.

Common contributors for Sexual Function?

Medication, depression, relationship factors, hormonal change.

Erectile dysfunction for Sexual Function?

Can be an early cardiovascular marker.

Painful sex for Sexual Function?

Always warrants assessment; it is not something to tolerate.

What is the single most useful thing to do?

Raise it with a GP; it is a common consultation and they will have heard it.

What is the most common mistake?

Buying treatments from unregulated websites.

When should I see a doctor?

See a GP for painful sex, which always warrants assessment, or for new erectile dysfunction, which can be an early marker of cardiovascular disease or diabetes. Never take PDE5 inhibitors such as sildenafil with nitrate medicines. Seek urgent help for an erection lasting more than four hours.

Where to go next

When to get help

See a GP for painful sex, which always warrants assessment, or for new erectile dysfunction, which can be an early marker of cardiovascular disease or diabetes. Never take PDE5 inhibitors such as sildenafil with nitrate medicines. Seek urgent help for an erection lasting more than four hours.

Where this comes from

  • NICE — Erectile dysfunction clinical knowledge summary
  • NHS — Sexual health

How this page was put together

Every figure, recommendation and warning above is taken from the guidance named in Where this comes from. Nothing on this page is inferred, summarised or generalised beyond what those bodies publish: where they give a number, it is their number, and where they are silent, so are we. Pages are rebuilt whenever the underlying record changes. Sign-off by a named clinician, where it has happened, is shown at the top of the page along with the date.

Medical disclaimer

This article is general information, not medical advice. It cannot account for your own history, medication or circumstances. Always speak to a GP, pharmacist or another qualified health professional before making changes that affect your treatment, and never delay seeking medical advice because of something you have read here. In an emergency, call 999.

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