Sexual Dysfunction in Men and Women: Causes, Symptoms & Treatment in Melbourne

Talking about sexual health can feel difficult or embarrassing for many people. It’s a deeply personal topic, and when things aren’t working as they should, it can affect your confidence, your relationships, and your overall quality of life. At Capstone Medical Centre, we want you to know two things: you are not alone, and help is available.

Sexual dysfunction is a common medical issue that affects men and women of all ages. It’s not a sign of personal failure but rather a health concern that often has treatable underlying causes.

Our goal with this article is to provide clear, compassionate information about the causes of sexual dysfunction, the common symptoms in both men and women, and the effective treatments we offer here at our sexual health clinic in Southbank.


Understanding Sexual Dysfunction: What Is It?

Sexual dysfunction refers to any persistent problem that occurs during any phase of the normal sexual response cycle, preventing an individual or couple from experiencing satisfaction from sexual activity.

The sexual response cycle has four phases:

  1. Desire (Libido): Your interest or desire to have sex.
  2. Arousal (Excitement): The physical and emotional changes that occur in your body as it prepares for sex.
  3. Orgasm: The climax of the sexual response cycle.
  4. Resolution: The body returning to its normal, unaroused state.

Dysfunction can occur at any of these stages and can be a lifelong issue or one that develops later in life. Because it’s a broad term, the symptoms and experiences can vary significantly between individuals.


Common Symptoms of Sexual Dysfunction

Recognising the signs is the first step toward finding a solution. Symptoms often differ between men and women due to physiological and hormonal differences.

Symptoms in Men

For men, dysfunction often relates to performance and ejaculation. The most common concerns our GPs discuss include:

  • Low Libido: A significantly decreased interest in or desire for sexual activity.
  • Erectile Dysfunction (ED): The inability to get or maintain an erection firm enough for sexual intercourse. This is a very common issue, and seeking erectile dysfunction treatment in Melbourne is a proactive step many men take to restore their sexual health.
  • Ejaculation Disorders: This includes:
    • Premature Ejaculation: Ejaculation that occurs too quickly, often before or shortly after penetration.
    • Delayed or Inhibited Ejaculation: Taking a very long time to ejaculate, or not being able to at all, despite adequate stimulation.

Symptoms in Women

Female sexual dysfunction in Melbourne is incredibly common, though often under-discussed. The challenges women face can be complex and are frequently related to desire, pain, and arousal.

  • Low Sexual Desire: The most prevalent form of female sexual dysfunction, characterised by a lack of sexual interest and motivation.
  • Sexual Arousal Disorder: Difficulty becoming physically aroused, which may include a lack of vaginal lubrication, making intercourse uncomfortable.
  • Orgasmic Disorder: Persistent difficulty in reaching orgasm, even with sufficient stimulation.
  • Sexual Pain Disorder (Dyspareunia): Experiencing pain during or after sexual intercourse. This can be caused by issues like vaginal dryness, vaginismus (involuntary muscle spasms), or underlying medical conditions.

Exploring the Main Causes of Sexual Dysfunction

Sexual dysfunction rarely has a single cause. More often, it’s a complex interplay of physical, psychological, and lifestyle factors. A sexual dysfunction GP in Southbank is trained to explore these interconnected areas to find the root cause.

Physical and Medical Causes

Your sexual health is closely linked to your overall physical health. Many chronic conditions can impact nerve function, blood flow, and hormone levels.

  • Chronic Diseases: Conditions like diabetes, heart disease, high blood pressure, and high cholesterol can damage blood vessels and nerves crucial for arousal.
  • Hormonal Imbalances: Low testosterone in men, or changes related to menopause (e.g., lower estrogen) and pregnancy in women, can significantly impact libido and physical response.
  • Neurological Conditions: Disorders like multiple sclerosis, Parkinson’s disease, or spinal cord injuries can interfere with the brain’s communication with the reproductive organs.
  • Pelvic Health Issues: Conditions like endometriosis or prostate problems can cause pain or interfere with function.

Psychological Causes

The mind plays a powerful role in sexual response. Emotional and psychological factors are often significant contributors to dysfunction.

  • Stress, Anxiety, and Depression: These are among the most common psychological triggers. Work stress, financial worries, or mental health conditions can suppress libido and create a cycle of performance anxiety.
  • Performance Anxiety: Worrying about your ability to perform sexually can become a self-fulfilling prophecy, making it difficult to relax and become aroused.
  • Relationship Problems: Unresolved conflicts, poor communication, or a lack of emotional intimacy can diminish sexual desire.
  • Past Trauma: A history of sexual abuse or other negative experiences can create deep-seated anxieties around intimacy.

Medications and Lifestyle

  • Medications: Many common prescription drugs can have sexual side effects, including certain antidepressants, blood pressure medications, and antihistamines. It is crucial not to stop taking your medication—always speak to your GP first. They can often suggest an alternative.
  • Lifestyle Factors: Habits like smoking, excessive alcohol consumption, and recreational drug use can impair blood flow and nerve function. A sedentary lifestyle and obesity are also significant risk factors.

How Is Sexual Dysfunction Diagnosed?

The thought of discussing these issues can be daunting, but the diagnostic process is straightforward and always handled with sensitivity and complete confidentiality.

When you see a GP, they will typically:

  1. Have a Detailed Conversation: Your doctor will ask about your symptoms, medical history, medications, and lifestyle. This discussion is the most important part of the diagnosis. It helps them understand the full context of your concerns.
  2. Perform a Physical Examination: This helps rule out any obvious physical causes.
  3. Order Simple Tests: Blood tests may be used to check hormone levels (like testosterone), blood sugar, and cholesterol.

This comprehensive evaluation allows your GP to identify the likely contributing factors and develop an effective treatment for sexual dysfunction tailored to you.


Finding the Right Path: Treatment Options

The good news is that most cases of sexual dysfunction are treatable. Treatment is not one-size-fits-all and is often most effective when it combines several approaches.

  • Lifestyle Modifications: Simple changes can have a huge impact. This includes improving your diet, getting regular exercise, quitting smoking, and reducing alcohol intake.
  • Medication: For men with ED, oral medications (PDE5 inhibitors) are highly effective. For women, hormonal treatments like estrogen creams can help with vaginal dryness and pain during menopause.
  • Counselling and Therapy: A psychologist or sex therapist can help address underlying psychological issues like anxiety, depression, or relationship problems. This is often a key component of successful treatment.
  • Medical and Mechanical Aids: Devices like vacuum pumps for ED or dilators for vaginismus can be effective tools.
  • Specialist Referrals: If needed, your GP can refer you to a specialist, such as a urologist, gynaecologist, or endocrinologist, for further evaluation.

Our Approach at Capstone Medical Centre in Southbank

We believe that everyone deserves a fulfilling sex life and the confidence that comes with good sexual health. At our sexual health clinic in Southbank, we provide a safe, non-judgmental, and professional environment to address your concerns.

  • Discreet & Confidential Care: Your privacy is our utmost priority. All consultations are handled with the strictest confidence.
  • Patient-Centred Approach: We listen. Your concerns, experiences, and goals are at the heart of every consultation.
  • Holistic Evaluation: We look at the bigger picture—your physical health, mental well-being, and lifestyle—to create a truly comprehensive picture.
  • Tailored Treatment Plans: We work collaboratively with you to design a treatment plan that fits your specific needs and comfort level.

There is no reason to continue struggling in silence. Taking the first step to speak with a doctor is an act of strength and self-care.


Frequently Asked Questions (FAQ)

Is sexual dysfunction common in women?

Yes, it is very common. Studies suggest that around 40% of women experience some form of sexual dysfunction in their lifetime, with low sexual desire being the most frequent complaint. It is a real medical issue, and effective treatments are available.

Can stress cause sexual dysfunction?

Absolutely. Stress is one of the leading psychological causes of sexual dysfunction in both men and women. The stress hormone, cortisol, can suppress sex hormones, reduce libido, and contribute to performance anxiety, creating a difficult cycle.

What treatments are available for erectile dysfunction in Melbourne?

There are several highly effective treatments. A GP will typically start by recommending lifestyle changes (exercise, diet). The most common medical treatment involves oral prescription medications, which have a high success rate. Other options, which can be discussed with your GP, are also available.

Is sexual dysfunction permanent?

For most people, no. The vast majority of cases are treatable or can be effectively managed once the underlying cause is identified. Whether the cause is physical, psychological, or lifestyle-related, there are strategies and treatments that can restore sexual function and satisfaction.

Can a GP in Southbank help with sexual dysfunction?

Yes. A General Practitioner is the ideal first point of contact. A sexual dysfunction GP in Southbank can diagnose the issue, provide treatment, manage prescriptions, and refer you to a specialist if necessary, all while providing ongoing, confidential support.


Take the First Step Towards Better Sexual Health

Your sexual well-being is an important part of your overall health. If you are experiencing any of the issues discussed in this article, we encourage you to start a conversation with one of our trusted doctors.

Book a confidential consultation at Capstone Medical Centre in Southbank Melbourne to discuss sexual health and treatment options.