Introduction 
Sexual Dysfunction Is the repeated inability to experience the stages in human sexual response i. e (Excitement, Plateau, Orgasm and Resolution phase) after appropriate stimulation in other words, it is the difficulty experienced by an individual or a couple during any stage of normal sexual activity, including physical pleasure, desire, preference, arousal or orgasm. Sexual dysfunction affects both men and women. It occurs in adults of all ages. For women and men it could be physical or psychological. Physical  Problems :In women Physical problems such as hormonal imbalances, cardiovascular diseases, endocrine disorder such as diabetes and other chronic diseases such as kidney diseases or liver failure and alcoholism or drug abuse. Side effects of some certain drugs e.g Antidepressants can affect the libido and function. 
Psychological Problem :These is related to work or stress and anxiety, concern about sexual performance, loss of body function e.g hysterectomy as a result of vesico vigina fistula, infertility concern, marital relationship problems, depression, feeling of guilt or pain or effect of past sexual trauma. 
In men sexual dysfunction can manifest in presentation as follows :
Erectile Dysfunction, Premature Ejaculation, Retarded Ejaculation, Priapism, Anorgasmia and Lack of desire. 
Erectile Dysfunction :Is the inability to attain or maintain an erection that allows satisfactory sexual performances. Impotence :This is the failure to have an erection cause may be physical, psychological, or combination of both. Physical e. g changes in blood flow to the penis or neurogenic dysfunctions due to diseases and stress, Trauma to the pelvic area, Psychological factors e. g fear, anxiety, anger, frustration, performance anxiety and effect of alcohol could be the cause.
Major signs and symptoms of Impotence or erectile dysfunction 
Inability to have an erection. 
Inability to sustain an erection. 
Inability to have an erection form enough for penetration (incomplete erection) . 
Premature Ejaculation :This is a very quick ejaculation, faster than explained in the human stages of response cycle and usually uncontrollable by the person. It is characterized by its persistence or recurrence. In this case a man is unable to exert reasonable voluntary control of his ejaculatory response. The lasting time for ejaculation is 1.8 minute these could be caused by infection of urethra and prostrate, untreated gonorrhea, uncircumcised foreskin. 
Retard Ejaculation :This is prolonged period between excitement and climax resulting in late orgasm. 
Priapism :This is painful, purposeless, prolonged penile erection (longer than 4-6 hours). This can result in penile ischaemia causing permanent Impotence necrosis of the penis. 
Anorgasmia :This refers to a persistent or recurrent delay absence of orgasm following a normal sexual excitement. 
Lack of Desire :This is characterized by infrequent sexual activity or loss of desire, including few or no sexual fantasies. Research suggests that sexual dysfunction is common (43% of women and 31% of men report some degree of difficulty). It is a topic people feel reluctant and embarrassed to discuss. Sexual dysfunction requires a person to feel extreme distress and interpersonal strain for a minimum of 6 months (excluding substance or medication - induced sexual dysfunction). Often level of anxiety increases as sexual dysfunction persists. Couple are therefore advised to talk about it and seek medical treatment as communication with one's partner is important. If there is any type of sexual dysfunction take measures to seek medical treatment. Fortunately, most cases of sexual dysfunction are treatable. Treatment would save you from all the  consequences that usually comes with sexual dysfunction. And you will be able to live a normal sexual life. 
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