Treatment should focus on providing specific information regarding desire and variations with age, relationship duration, lifestyle changes or the female sexual response cycle
, including motivations for sexual intimacy.
Masters & Johnson, pioneering sex therapists, defined a classic sexual response cycle
in the mid-1960s.
Some elements of sexual response cycles
including arousal, lubrication, and orgasm are positively and significantly correlated with higher plasma levels of oxytocin (Salonia et al.
5) Such criteria would reflect the fact that desire problems are usually associated with difficulties in all phases of the sexual response cycle
This is debated in the literature without conclusion being drawn (Palmer 1999) although it is suggested that a sexual response cycle
dependent on all possible (factors) causes may explain sexual dysfunction in renal failure (Ayub & Fletcher 2000).
Sexual dysfunction is persistent or recurrent problems throughout the sexual response cycle
and include low sexual desire, low arousal and orgasmic problems, pain and other dysfunctions.
The sexual response cycle
(excitement, plateau, orgasm, and resolution) varies from woman to woman and from disability to disability.
A Manual On Sexuality For Men With Spinal Cord Injuries is a practical manual on sexuality for men with spinal cord injuries which addresses issues ranging from dating and understanding the sexual response cycle
to sex alternatives.
In terms of the short-term impact of smoking on sexual function, it is important to understand that the physical aspects of the arousal phase of the human sexual response cycle