Sexual disorders can take many forms and have various underlying causes. They are broadly classified into four categories: gender identity disorders, paraphilias, psychopathological disorders of sexual development/maturation, and sexual dysfunctions. Common types of sexual disorders include lack of sexual desire, difficulties achieving or maintaining arousal/erection, premature ejaculation, and pain during sex. Factors contributing to sexual disorders can be physical, psychological, or social in nature. Treatment depends on the specific disorder but may involve counseling, therapy, or medication.

1. SEXUAL
DISORDER
Presented by: Omshree Deshlahre
BSC NURSING 3RD YEAR

2. CONTENT
• INTRODUCTION
• DEFINITION
• CLASSIFICATION
• ETIOLOGY
• DIAGNOSIS

3. INTRODUCTION
• Sexual dysfunction is one of the most
common Psychiatric disorder but it is
often ignore in assessment.
• Humans are sexual being.

5. DEFINITION
•Sexual disorder is difficulty
experience by an individual or a
couple during any stage of our
normal sexual activities including
physical pleasure desire, preference
,arousal or orgasm.

6. •Any disorder involving sexual
functioning ,desire or performance.
According to PUBMED
OR

7. ETIOLOGY AND PSYCHOPATHOLOGY
PHYSICAL FACTORS
•Anomalies of the body.
•Irritations of the vagina that
cause pain that making love
operation on genitals

8. PSYCHOLOGICAL FACTORS
•Feelings, thoughts and perception that
cause sexual problems.
•Negative feeling for the partner or
shame for one's own body.
•Unpleasant event of past.
•Fears and restraints related to sex.

9. SOCIAL FACTORS
•May be values and standards that you
have received in your education.
•Traumatic events or the behaviour of
the partner.
•Stress factor.

10. PSYCHOPATOHOLOGICAL FACTORS
•Finding your partner unattractive.
•Having negative thoughts about
making love.
•Negative emotions.
•Stress and fear.

11. CLASSIFICATION OF SEXUAL
DISORDER
•Gender Identity Disorder
•Psychopathological and behavioural
disorders associated with sexual
development and maturation.
•Paraphilias
•Sexual dysfunction

12. Classification
l

13. GENDER IDENTITY DISORDER (F6)

14. GENDER IDENTITY
DISORDER
•Strong feelings of being born with the
wrong gender.
• INCIDENCE
•One out of 11900 men and one out of
30400 women.

15. • TYPES
1.Transexualism
2.Gender identity disoder of
childhood
3.Dual role Transvestism
4.Intersexuality

16. TRANSEXUALIS
M

17. •Discomfort regarding one's anatomic sex
and feeling that it is inappropriate to one's
perceived gender.
•The person will be pre occupied with the
wish to get rid of one's genitals and to
adopt the sex characteristics of the other
sex

18. GENDER IDENTITY DISORDER OF
CHILDHOOD
• Similar to transexualism with a very early
age of onset.

19. DUAL - ROLE OF TRANSEXUALISM
• Being sexually aroused by fantasies about
wearing clothes of the opposite sex .

20. INTER-SEXTUALITY
• The patients have anatomical or physical
features of other sex. ( Turner's syndrome,

21. TREATMENT
• TRANSEXUAL GENDER IDENTITY DISORDER
• Psychotherapy ( changing the feelings)
• Sex reassignment surgery (SRS) (changing the
body).
• GENDER IDENTITY DISORDER OF CHILDHOOD
• Help the child avoid peer ostracism( exclusion
from society or a group) and humiliation, be
comfortable with is or her own sex.
• Avoid the development of adult gender

22. Classification
ll

23. Psychopathological and behavioural
disorders associated with sexual
development and maturation.
•HOMOSEXUALITY
In this, sexual relationship are
maintained between persons
of same sex .
Female homosexual are called
as "LESBIANS " and male
homosexual are called "GAY".

24. TREATMENT
• FOR SEEKING A CHANGE IN SEXUAL
ORIENTATION
• Behaviour therapy, aversion therapy (rarely
used), covert senitization, supportive
psychotherapy.
• FOR SEEKING REMOVAL OF DISTRESS
ONLY
• Antidepressants and benzodiazepines

25. Classification
lll

26. PARAPHILIAS (ICD10-F6)
A paraphilias is a
recurring sexually exciting
fantasy, impulse or
behaviour related to non -
human objects e.g things,
fabrics , designs, the
suffering or humiliation of
oneself or the partner,
childern or other non-

27. INCIDENCE
No statistics available,much more frequently in
men than women.
DISODERS INCLUDE
• Fetishism
• Transvestism
• Sexual saddism
• Sexual masochism
• Exhibitionism

28. • Voyerism
• Frotteurism
• Pedophilia
• Zoophilia
• Other paraphilias

29. Getting sexually
aroused by non living
and generally not
sexually arousing
objects e.g SHOES ,
LINGERIE, SOFT
FABRICS , etc.
FETISHISM

30. TRANSVESTISM
•Gets sexually
aroused by
fantasies about
wearing clothes
of the opposite
sex.

31. The person is
sexually aroused by
physical and
psychological
humiliation,
suffering or injury
of the sextual
SADISM

32. The person is sexually
aroused by physical
and psychological
humiliation, suffering
or injury inflicted on
self by others.
MASOCHISM

33. EXHIBITIONISM
•Getting aroused by
the idea of showing
the genitals to an
unsuspecting
stranger to achieve
orgasm (usually a
female child or adult
)

34. VOYEURISM
• Getting sexually
aroused by fantasies
about secretly
watching others
permission during
sexual activities or
being naked .
• This picture describes
about electronic

35. FROTTEURISM
•Getting sexually
assaulted by
touching and
rubbing oneself
against non-
consenting person(
usually other sex)
•E.g Crowded place

36. Getting sexually aroused
by a child in pre- pubert
or child younger than 13
years old.
PEDOPHILIA

37. ZOOPHILIA
•Getting
sexually
aroused by
fantasies about
sexual

38. TREATMENT
•BEHAVIOUR THERAPY
•AVERSION THERAPY
•PSYCHOANALYSIS
•DRUG THERAPY: Antipsychotic
have been used for severe
aggression associated with
paraphilias.

39. Classification
l∆

40. SEXUAL DYSFUNCTION (F5)

41. SEXUAL DYSFUNCTION
CAUSES
•Physical stimulation
•Psychological factors
•Social cause

42. COMMON DISORDES:-
•Frigidity
•Impotence
•Premature ejaculation
•Non- organic vaginismus
•Non- Organic dyspareunia

43. Absence of desire for sexual activity
FRIGIDITY

44. IMPOTENCE
Inability to have or
sustain penile
erection till the
completion of
satisfactory sexual
activity.

45. PREMATURE EJACULATION
•Ejaculation before the
completion of satisfactory
sexual activity fir both
partners.

46. NON - ORGANIC VAGINISMUS
• An involuntary spasm of
lower1/3rd of vagina , interfering
with coitus.

47. NON- ORGANIC DYSPAREUNIA
• Pain in the genital area of either male
or female during coitus

48. TREATMENT
•Both Men and Women
there are no standard
treatment for a reduced
interest in sex.

49. •Counseling about reduced desire in
stressful situations like death,
unemployement, being chlidish, disease
of the partner or stress at work.
•If all sexual interest has disappeared, the
hormaonal regulation should be
examined.

50. DIAGNOSIS
•NURSING DIAGNOSIS 1 : Sexual
dysfunction related to depression and
conflict in relationship; biological or
psychological contributing factors to
the disorder evidence by loss of sexual
desire or function.

51. •NURSING DIAGNOSIS 2 : Ineffective
sexuality patterns realted to conflicts
with orientation or varient preference
evidenced by expressed dissatisfaction
with sexual behaviours.

52. •NURSING DIAGNOSIS 3 : Low self
esteem realted to rejection by peers
evidenced by difficulty accepting
Positive reinforcement , self negating
inability to form close personal
Relationship.

53. THANK
YOU