ABSTRACT
Do desire problems cause sexual dysfunction, or does sexual dysfunction cause desire problems? For the great majority of males, the causation is clear-sexual dysfunction results in desire problems. The main male sexual dysfunctions are premature ejaculation, erectile dysfunction, and ejaculatory inhibition. For males, sexual desire problems are almost always secondary. In other words, he once had desire, but it is now inhibited, low, or nonexistent. The destructive cycle is anticipatory anxiety, performance anxiety resulting in dysfunctional sex, and sexual avoidance due to embarrassment and failure.
