Diagnosing Sexual Performance Problems When sexual problems occur, it can affect any phase of the sexual response cycle that then prevents the individual or couple from experiencing satisfaction from sexual activity. The sexual response consists of four phases- excitement, plateau, orgasm and resolution. Medical science has a variety of ways to treat problems with sexual performance, depending on the underlying cause. If an underlying medical condition is the cause for poor sexual performance, it should be treated first. What Causes Sexual Performance Problems? Poor or impaired sexual performance can be a result of a physical or psychological problem or a combination of both. Physical causes Various physical factors and medical conditions can cause problems with sexual function and they include: Diabetes Heart and vascular disease Neurological disorders Hormonal Imbalance   Kidney or liver failure Aging   Alcoholism Drug abuse Obesity   In addition, the side effects of certain medications such as antidepressants can reduce sex drive and desire and result in a Low Libido Psychological causes Work-related Stress and Anxiety Marital or relationship problems Financial problems as a result of  unemployment or retrenchment Depression   Feelings of guilt Concerns about sexual performance Effects of a past sexual trauma

Help for Sexual Performance Problems Medications such as Viagra, Cialis or Levitra can help to increase blood flow to the penis thus improving sexual function however these medications can have side effects. Hormone supplementation or testosterone replacement therapy will also be beneficial for men with low levels of testosterone. In addition, mechanical aids such as penile implants and vacuum devices may help men with erectile dysfunction. Psychological help for sexual problems - Psychological or sex therapy will also help individuals or couples deal more effectively with sexual function and expression. Communication is also very important in a relationship. Talking to your partner about your needs and concerns will help to overcome the barriers of sexual compatibility. In addition, relaxation techniques (such as a calming meditation CD) and anti-stress exercises can also go a long way in helping to relax the body and mind so that natural sexual desire can flourish