Depression / Anxiety: Mind is almost invariably involved in sex and also sexual dysfunctions. Depression, anxiety characterised by irritability, loss of mood or low mood, decreased interest in pleasure, over thinking, worrying about the condition, future and insecurities about partner and their behaviour is commonly seen in people suffering from any sexual dysfunction. This is a vicious cycle, where the mood and anxiety problems may cause sexual dysfunction and vice versa. Thus a sexual medicine specialist can help you to segregate the issues and help you deal with the problems in a phase wise manner with the help of therapy, support and medications when needed.
Homosexuality: Though not anymore considered a sexual dysfunction, there are many issues associated with liking for the same sex for sexual pleasure. The many issues seen may be fluctuating interests in the partners, cheating, and insecurity, STDs / STIs, drug abuse, mood problems and anxiety which needs help in understanding the current situation and further directions to understand the overwhelming feelings.
Gender identity issues:Gender identity disorder describes people who experience significant discontent with the sex they were assigned at birth and/or the gender roles associated with that sex.