There are many ways to treat sexual dysfunction, including counseling, treatment of other physical problems, mechanical devices, prescription and over-the-counter medicines, and dietary supplements. Here is a quick overview of some of these different options.

The cause of sexual dysfunction can be physical or psychological. Examples of physical causes include diabetes, heart disease, brain disorders, surgery or injury, adverse effects of medicines, kidney disease, liver failure, hormonal imbalances, alcohol abuse, drug abuse, and smoking. Examples of psychological causes include stress, anxiety, marital problems, depression, and previous traumatic sexual experiences.

Whether it affects arousal, performance, or climax, sexual dysfunction is a real problem for people who have it. Once the problem is identified, most cases of sexual dysfunction are treatable.

Sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra) are all used to treat erectile dysfunction in men. However, those who take nitrate medicine should be aware that taking both nitrates and these sexual enhancement drugs can cause a life-threatening drop in blood pressure.

Certain natural remedies may be helpful for sexual dysfunction. For example, the herb Korean red ginseng may be helpful for men who have erectile dysfunction, and the hormone DHEA may be helpful in improving sexual function in older women.

Note: Since the US Food and Drug Administration (FDA) does not regulate these products, their purity and safety is often in question. Talk to your doctor first before taking any herbs or supplements.

In addition to medicine and natural remedies, examples of other treatment options include:

• Couples therapy sessions to address emotional and relationship issues that may be causing sexual dysfunction
• Vacuum devices for men to increase blood flow to the genitals to help with arousal difficulties
• Hormone therapy to treat hormonal insufficiencies that are involved in some cases of sexual dysfunction

If you are concerned about sexual dysfunction, your doctor can identify the cause of the problem and create a treatment plan that is right for you.