Sex is a biological need and one of the most intimate and pleasurable of all human experiences. However, it can become a major concern for some persons who face recurrent sexual problems. Almost every person faces sexual or relationship problems at some time or other during his/her lifetime and is really bothersome if it is continual in nature. Some couples require many weeks or a few months and sometimes even 1-2 years or more to sexually adjust with each other. A few couples never become sexually compatible and unfortunately if they never seek professional help, the problem is never resolved.

These days, many couples find it hard to fit sex into their busy schedules. And its perfectly normal for people to go through periods when they are just not in the mood for lovemaking.

There are probably a lot of people out there who could use therapy but don't come because they're embarrassed. They may go through years of needless pain or dissatisfaction," says Dr Mayank Agrawal a sex therapist at Surat.

But if you chronically lack desire for sex - for emotional or physical reasons - you may want to consider sex therapy. Seeking treatment for sex problems has become more socially acceptable today.

COMMON SEXUAL PROBLEMS

• Ejaculating too quickly (premature ejaculation)
• Erectile dysfunction
• Concerns about sexual desire or arousal
• Dhat syndome
• Concerns about sexual interests or sexual orientation
• Compulsive sexual behavior
• Trouble reaching orgasm (anorgasmia)
• Painful intercourse (dyspareunia)
• Intimacy issues related to a disability or chronic condition
• Concerns regarding past sexual trauma

Premature ejaculation occurs when a man ejaculates sooner during sexual intercourse than average expected time. Premature ejaculation is a common sexual complaint. As many as 1 out of 3 men say they experience this problem at some time. As long as it happens infrequently, it's not cause for concern.

Always or nearly always ejaculate within one minute of penetration Are unable to delay ejaculation during intercourse all or nearly all of the time Feel distressed and frustrated, and tend to avoid sexual intimacy as a result Both psychological and biological factors can play a role in premature ejaculation. Although many men feel embarrassed to talk about it, premature ejaculation is a common and treatable condition. Medications, counseling and sexual techniques that delay ejaculation - or a combination of these - can help improve sex for you and your partner.

Erectile dysfunction (impotence) occurs when a man can no longer get or keep an erection firm enough for sexual intercourse. Having erection trouble from time to time isn't necessarily a cause for concern. But if erectile dysfunction is an ongoing problem, it may cause stress, cause relationship problems or affect your self-esteem.
Talk with your doctor about erectile dysfunction, go in for an evaluation. Problems getting or keeping an erection can be a sign of a medical condition that needs treatment, such as heart disease or poorly controlled diabetes. Treating an underlying problem may be enough to improve your erectile dysfunction.
If treating an underlying condition doesn't help your erectile dysfunction, medications or other direct treatments may help.

Female sexual dysfunction (FSD) occurs when a woman experiences distress due to problems with sexual desire, arousal, orgasm, or pain. Hypoactive sexual desire disorder (HSDD), also known as "low libido" or "low sexual desire," is the most common complaint among women experiencing sexual dysfunction. HSDD is defined as the deficiency or absence of sexual fantasies and desire for sexual activity that causes significant personal distress or interpersonal difficulty (American Psychiatric Association, 1994). Women have reported that a lack of sexual desire negatively affects their quality of life, physical and emotional satisfaction, and overall happiness.

It is a semen-loss related physical and psychological distress seen mainly in people of Indian subcontinent.
It is commonly seen in young men. Common symptoms are weakness, anxiety, sleeplessness and guilt which is attributed to semen (Dhatu) loss. Loss of semen through nocturnal emissions and masturbation frightens the individual as he believes it to be harmful to the body. Some patients report a white discharge in their urine which they feel is semen. Sexual dysfunction may or may not be present.
There is no known physical cause for the illness. It occurs due to wrong beliefs and misconceptions about normal sexual functions.
Effective treatments in the form of medications and counseling - psychotherapy are available. Psychotherapy: aimed at reassurance and correction of wrong beliefs.Medication: To relieve anxiety and sad mood that is often present in such situations

Sex therapy is a type of counseling - a general term for treating mental health problems by talking with a mental health provider. Through sex therapy, you can address concerns about sexual function, sexual feelings and intimacy - either in individual therapy or in joint therapy with your partner. Sex therapy can be effective for adults of any age, sex or sexual orientation. Sex therapy can help you resolve various sexual issues, from concerns about sexual function or feelings to the way you relate to your partner