Which is more important in determining sexual problems, physiological factors or psychological factors? Why?
I believe that both physiological and psychological factors are important when determining sexual problems, although I think that the psychological aspect may be the most common cause. Physiological issues seem to be the easiest to diagnose and fix. One can get more exercise, stop drinking, stop smoking, eat healthier foods, and even consume medications that help with sex drive and erectile issues.
Psychological issues are harder to diagnose and overcome. Partners will need to really take a good and honest look at themselves and their roles in their relationship to get down to the problem or problems. The couple may not be as close and comfortable with each other anymore. They may not trust each other. They may be holding in some sort of resentment or grudge against one another that negatively impacts their intimacy. “The tenderness, the protection, the feeling of emotional security and permanence and dependability, the broadening and deepening of your personality through its lifelong and trustful union with that of another who is a part of you and yet sees everything differently; the commitment of the partners to a common purpose in the maintenance of a home and the creation of a family, — all these are just as much a part of sex as is the mere act of sexual intercourse.”(Popenoe, 1943.) Once the couple figures out the psychological issues they must try to remedy them which may be a journey in itself. In conclusion, physiological and psychological factors are both important and may vary from case to case, but psychological factors seem to be more pertinent.
Source:
Popenoe, Paul.(1943). Marriage Before and After
Although both important, psychological factors are more than likely the root for most sexual problems. For example, physiological factors may include the inability to become aroused or male erectile dysfunction, or even dyspareunia (which is painful sex, typically for women). All of these problems can often be noticed by their symptoms easily; even if the individual is unaware of what dyspareunia is, they can identify that it physically hurts for them to engage in sex (Crooks, 2017). This allows them to know something is physically wrong and seek help. Additionally, there are many common medications available for these problems. In some cases, physiological problems can be solved or helped with simply obtaining a better quality of health, through exercise and eating right.
Psychological problems, on the other hand, can include a lack of desire to have sex, desiring a different amount of sex than another partner, or having depression or anxiety that may or may not include sexual intercourse. Psychological problems can occur due to a lack of trust, not feeling “romantic”, or may have been caused by previous experiences. These previous experiences could be sexual assault or rape, or could be as simple as poor body image or negative views of their genitals from childhood (Crooks, 2017). Psychological problems, like any emotion, are difficult to understand and explain. Many people don’t understand the root of those problems and take it personally. This makes it difficult for them to seek help. They may also blame their partner for difficulties or feel guilty and allow the problem to become even worse. Psychological problems are more important than physiological problems since they are much harder to understand and get help for initially. They also cannot be solved simply by changing a diet or adding more exercise, like some physiological problems can.
Crooks, R. L. & Baur, K. (2017). Our sexuality (13th ed.). Boston, MA: Cengage Learning.
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