Sexual Dysfunction

Appointment New Patient Appointment or 214-645-8300

At UT Southwestern Medical Center, our urology specialists have years of experience in diagnosing and treating sexual dysfunction in women and men. Our specialists and their teams provide compassionate care in a comfortable setting to help improve our patients’ lives.

Advanced Care for Sexual Dysfunction

Sexual dysfunction describes any difficulty that prevents a person or couple from wanting or enjoying sexual activity. Although sexual dysfunction is quite common, affecting 43 percent of women and 31 percent of men, it is highly treatable.

Our specialists conduct research to understand the causes of sexual dysfunction in men and women with the ultimate goal of improving treatment. This research, combined with our extensive clinical experience, enables UT Southwestern to provide our patients with the best possible medical care.

Types of Sexual Dysfunction

Four categories of sexual dysfunction include:

  • Desire: Lack of sexual desire or interest in sex
  • Arousal: Inability to become physically aroused or excited during sexual activity
  • Pain: Pain during intercourse
  • Orgasm: Delay or absence of orgasm (climax)

Causes of Sexual Dysfunction

Sexual dysfunction can result from physical issues such as:

Gynecological problems can also cause sexual dysfunction such as:

Urology conditions in men can lead to sexual dysfunction:

  • Blood flow problems
  • Ejaculation problems
  • Injury to the penis
  • Nerve disorders
  • Peyronie's disease

Sexual dysfunction can result from psychological or emotional issues such as:

  • Mood disorders, including anxiety or depression
  • Past sexual abuse
  • Relationship problems
  • Stress

Diagnosing Sexual Dysfunction

People who are having sexual problems should see their doctor if they suspect a physical cause. Our experienced specialists talk with patients to understand what they are experiencing. We begin with a thorough evaluation that includes a:

  • Physical exam
  • Review of personal and family medical history
  • Discussion of symptoms

Sometimes, we might recommend one or more additional tests, such as:

  • Blood tests to check for underlying conditions that could be causing sexual dysfunction
  • Pelvic exam for women, to assess any physical issues

During the evaluation and treatment planning, UT Southwestern specialists take into account factors such as:

  • Conditions affecting the lungs, liver, kidneys, nerves, arteries, or veins
  • Conflicts or lack of communication between partners
  • Endocrine disorders
  • Excessive tobacco use, especially in men
  • Health problems that can inhibit sex, such as Parkinson's diseasestroke, and spinal cord injury
  • Hormone deficiencies
  • Insomnia
  • Medications such as antihistamines, blood pressure medicines, and antidepressants
  • Previous sexual trauma
  • Psychological factors such as stress, anxiety, guilt, and depression
  • Surgery that has affected the pelvic organs, genitals, or hormones

Treatment for Sexual Dysfunction

To help our patients overcome sexual dysfunction, we typically begin by ensuring that patients are receiving appropriate treatment for any underlying medical conditions. Our specialists also offer a variety of therapies specifically designed to improve sexual function, such as:

  • Education and counseling to enhance intimacy between partners
  • Education and counseling on lifestyle habits such as healthy diet, exercise, smoking cessation, and adequate sleep
  • Estrogen therapy, either local (inserted into the vagina) or systemic (taken in pill form)
  • Medications for erectile dysfunction that increase blood flow to the penis
  • Reconstructive urology procedures to restore function after injury, illness, or other problems affecting the genitals
  • Surgery to implant penile prosthesis for men with erectile dysfunction who cannot be treated with medications or counseling
  • Vascular procedures to treat blocked arteries and improve blood flow to the penis

Find a Clinical Trial

Search for opportunities to participate in a clinical research study.


Award-Winning Care

We’re one of the world’s top academic medical centers, with a unique legacy of innovation in patient care and scientific discovery.  

Why UT Southwestern


Our secure online portal for patients makes it easy to communicate with your doctor, access test results, and more.

Log In

Showing 5 locations

UT Southwestern Medical Group at Lewisville - Urology

541 West Main Street, Suite 150
Lewisville, Texas 75057
972-420-8500 Directions

UT Southwestern Medical Group at Sherman – Urology

600 E. Taylor Street, Suite 201 Suite 201
Sherman, Texas 75090
903-957-1104 Directions


at UT Southwestern Frisco 12500 Dallas Parkway, 3rd Floor
Frisco, Texas 75033
469-604-9000 Directions Parking Info

Urology Clinic

at West Campus Building 3 2001 Inwood Road, 4th Floor
Dallas, Texas 75390
214-645-8765 Directions Parking Info