Sexual Difficulties
Because many men mistakenly believe that every sexual encounter must lead to intercourse and ejaculation, a temporary failure can become a major contributor to sexual avoidance. Fortunately, effective medical treatments currently exist for the most common cause of impotence: problems in the blood supply to the penis. In addition, therapy that includes both partners can treat premature ejaculation. Women, too, may experience sexual difficulties, including an inability to become aroused or to achieve orgasm, uncomfortable intercourse, or vaginal spasm. At some time in their lives, 70 percent of all women experience problems reaching orgasm during intercourse. Once medical causes have been treated or ruled out, counseling
can help address psychological issues that may be contributing
to decreased desire. 
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decreased interest in sex may stem from one or both partners
considering the act to be uncomfortable or difficult. For men,
premature ejaculation or impotence understandably lessens sex
drive. And problems such as these are not uncommon. In fact,
an estimated 10 to 20 million American men suffer from impotence.