Psychological aspects and sexual problems

Abstract

Psychological issues are commonly encountered within sexual health. They may be as a result of embarrassment or anxiety regarding the consultation/examination/procedure or due to being given a diagnosis, suffering a chronic or recurrent problem, or concern about a possible diagnosis. Mental illness can contribute to sexual dysfunction and vice versa. This chapter discusses psychosexual problems and sexual dysfunction in men and women, and how best to manage them. People living with HIV have a high prevalence of mental illness and people with mental illness are at increased risk of HIV acquisition. Stigma and isolation are commonly experienced amongst people with HIV and a multidisciplinary approach with psychology, social work, peer support is important for providing holistic care.