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INHIBITED SEXUAL AROUSAL
At various times in their lives, most women and men are unable to become sexually aroused. The causes include fatigue, alcohol use, anxiety about impressing a sex partner, anger with the sex partner, stress, boredom, and illness. Women and men with sexual arousal disorder, however, are unable to become aroused over long periods of time.
Women and men with inhibited sexual arousal may be unable to become sexually aroused and unable to enjoy sex play, despite their sexual desires. Women may be unable to become lubricated for intercourse; men may be unable to become erect. If they are able to lubricate or become erect, people with sexual arousal disorder may not be able to enjoy the physical sensations of sexual activity.
Women with inhibited sexual arousal may be able to become aroused with some partners or sex-play activities they desire, but they may not be able to become aroused with others that they desire. Women who cannot lubricate may yet be able to have vaginal intercourse by using other lubrication.
Inhibited arousal disorder in men is also called erectile dysfunction. Men may be unable to become erect with their partners, or they be unable to maintain their erections during intercourse. Most men with erectile dysfunction can become erect, however, during masturbation. Erectile dysfunction most often occurs after a long period of normal sexual arousal. It becomes increasingly common in men over 60. Erectile disorders can be very frustrating for gay and straight men because they may be rejected by their partners.
The causes of inhibited sexual arousal in women and men are usually psychological. They are very like those of inhibited sexual desire: fear and anxiety about sex, anxiety about pleasing the partner, depression, anger with a sex partner, divorce and other losses, stress, illness, and difficulty accepting one’s sexual orientation. Women, who have been sexually abused, especially during childhood, are likely to experience inhibited sexual arousal. They may feel helplessness, guilt, shame, or anger, or they may even experience flashbacks of the abuse that prevent them from becoming aroused.
No matter the cause, persistent inhibited sexual arousal is considered a sexual dysfunction. Fantasy, relaxed sex play, open and frank communication with sex partners, and the use of outercourse can be very relaxing for women and men with inhibited sexual arousal and can help them overcome their anxieties and inhibitions. Like other sexual dysfunctions, it can also be treated with professional counseling that includes psychotherapy and sex therapy. Anti-anxiety medications may be helpful in some cases.
Although most of us do not have a sexual arousal disorder, many of us may have anxieties and inhibitions that make sexual arousal more difficult than it might be. Open communication with our partners can help reduce our anxieties and inhibitions.
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