(a) Both species in parallel, four-phase sequential physiological and subjective to be warned (sexual response cycle);
(b) in the formation of sexual dysfunction and performance anxiety and misinformation in the riding, mainly coming in front of psychogenic factors;
(c) Sexual dysfunction in most of the short, the problem-oriented approach to the treatment (ie sensory exploration, such as sensate focus) to respond better.

In recent years, the model decreased sexual desire disorder and sexual trauma or abuse as a result of problems arising in the treatment have been used. On the other hand since the early 1980s, sex therapy, and biomedical factors in the role of organic growing has begun to focus on. Although this situation is most applicable to the treatment of erectile disorder and decreased sexual desire disorder as, premature ejaculation and sexual pain disorders also started to gain importance. In addition, chronic disease in the elderly and those on sexual dysfunction has begun to focus more. In terms of psychological factors in the initiation of sexual problems and concerns rather than riding in the cognitive processes-perception and attention-related processes are discussed on the role. Sexual desire and will be set out here often evoked the underlying causes of disorders, which are performance-related challenges, or “desire to be sexy” in the treatment of the focal points should be addressed. Relationship factors in the formation of sexual dysfunction is still one other area of focus creates. Communication problems, lack of trust or intimacy, and power conflicts most often accompanied by sexual problems are the problems. Cultural and social factors are also important. The role of men and women reap also seems to affect the frequency of sexual problems.
The treatment of sexual dysfunction in general, if we take;
A. General principles of treatment:

     1) Patients who have sexual relations.
     2) Communication is handled through the sexual history of the re
     3) in the treatment of learning skills will be highlighted.
     4) Training, support, advice and insight to work through.
     5) To provide for spouses and pleasures proximity omaksızın concerns are targeted.

B. Sexual behavioral therapy techniques:

     1) Education: to understand the sexual response
     2) sensory discovery: to reduce performance anxiety, to learn the partner’s sexuality, sexual intercourse outside of focus, to improve communication
     3) Self-stimulation: to learn their own sexuality, to reduce anxiety
     4) Relaxation training: reducing anxiety
     5) Stop / start technique: in particular premature ejaculation is applied.
     6) For more advanced behavioral methods

C. Cognitive Therapy: the mind occupied with thoughts away, focus on sexual pleasure and intimacy

     1) sensory discovery: mental focus
     2) anxiety reduction: stop thinking, attention is turning to another direction
     3) Sexual attitudes re-adaptation
     4) Story therapy

D. Dual therapy: Mushy in relation to the diagnosis of underlying dysfunction, couples communication to help

     1) Conflict resolution
     2) Proximity to raise
     3) to increase communication
     4) Relations for the solution of other issues

E. Individual therapy:

     1) Sexuality and / or proximity to resolve feelings about the dual
     2) Mapping the bilateral understanding of emotions
     3) depression or anxiety treatment
     4) Sexual-related self-image change

Treatment of erectile disorder: the medical causes of erectile disorder, we consider the case in recent years in the medical and surgical treatment approaches were replicated. Some of these

     (a) surgery and penile prosthesis implants,
     (b) into the penis (intracorporal) vasoactive drugs are injected,
     (c) tightening (constriction) ring and vacuum pump,
     (d) orally applied drugs.

In addition, lack of blood flow or venous leakage from surgical procedures are performed for the correction to be turned. In recent years, significant progress in placement of penile prosthesis are. Widely used today among the semi-rigid penile prosthesis, silicone-type ones and can be inflated or hydraulic prostheses can be considered. These devices are inflated sexual intercourse the time, relationships can get after the previous case. Inflatable prostheses are more expensive and post-operative complications such as infection may be longer. On the other hand sexual partner are more satisfied.

Surgical prosthesis placement based on organic cause (diabetes, hypertension) and severe (pre-medical therapy, vasoactive drug injection to the penis, vacuum devices tested whether the patients did not respond) is recommended for erectile disorder. Penis into papaverine, prostaglandin E1, vasoactive substances such as Phentolamine be injected to increase blood flow and arterial blood pressure increases, for the purpose of erection occurs. Activity may be as high as 75% in the beginning.

Wife of sexual satisfaction is high. Long-term erectile, penis and testicles, pain, hardening of tissue in the penis, disorders of liver function and general complications such as infection can occur. Vacuum devices and penile rings to squeeze blood to the penis by creating a vacuum filled helps. Fasteners must be no more than thirty minutes. Different from other methods of sexual partners, but not accepted by the acceptance of patients in sometimes difficult and in practice are indicated. Coldness in the penis, pain, numbness, or lack of ejaculation is painful, side effects such as bruising may occur. Medications widely implemented. The central nervous system effects of a drug through both organic and psychogenic origin that Yohimbine is used in erectile disorder. Constantly in use, insomnia, headache, palpitations, mild elevation of blood pressure used in the treatment of depression görülebilir.Trazodon a serotonergic drug. Must use a long time. Side effects as drowsiness, nausea, vomiting, dizziness, stiffness, and priapism can make urine. Sildenafil in the smooth muscle of the penis by increasing blood flow to the penis relax and then will have an effect. In order to obtain the effects of this drug have sexual excitation. Does not increase sexual desire in men. Should be taken 1 hour before sexual activity. Is effective in patients with both organic and psychogenic origin. Headache, facial flushing, indigestion, runny nose, vision disorder (disorder Detection of blue, bright light sensitivity), and diarrhea may occur. With nitrate drugs used in conjunction sudden blood pressure drop and hence lead to death. If the deficiency is identified in the treatment of male sexual dysfunction can also be used testosterone. Lipid and weight control can be done should be used. To decreased libido can be effective. Sexual side effects of antidepressants related fixes Gingko biloba have been reported. Effect of blood flow in the genital region is thought to be due to an increase.

Sexual treatment: Hardening disorder only partner of the individual activities are seen in the other cases (morning he woke up during the day itself or in masturbation) full erection if this problem is the psychological aspect is an important clue. The methods applied in the success of your treatment and the therapist’s professional skills as the couple’s treatment compliance, improvement of desire and effort to have a role. Usually in the treatment of sexual therapy sessions are held the couple together. However, sometimes a regular sexual partner or individual therapy also can be arranged. Based on cognitive therapy and education initiatives are important. In this regard the problem as the nature of the individuals often sexual stimulation, sexual partner of skills and expectations about sexual satisfaction has the wrong idea. In addition, couples communication skills and interest in sexuality also very definitive.

The therapist first interview since the couple’s wrong with revised sexual knowledge, in places giving accurate sexual information, sexual myths and explains discuss the role educators play in teaching sexual techniques. Both cognitive processes and interpersonal therapy focuses on a five-digit model, cognitive restructuring, reduction of performance anxiety, sexual expectations arrangement, the couple’s communication in terms of education and prevention are repeated. Each spouse and sexual feelings about sexuality is important to talk about. From the combination does not consist of sexual relationships, is not absolutely necessary to enjoy erection, an erection sufficient for sexual desire and excitement as needed, but easy to do that may affect care should be known. Single men between the initiatives for the treatment of sexual attitudes change, exercise and social skills training is wank. In general, when an increase in self-esteem and sexual satisfaction from turning into recovery is hard. As a result, for most people, medical / surgical solutions that require time and the result is not significant compared to psychological treatment is quick solution seems to be promised. However, recent studies have pointed to the importance of cognitive and interpersonal factors. What is important is the individual / couple of good reviews, which approach would benefit from a holistic approach is to take. Early discharge: discharge control is to learn to gain control over the look of urine retention. Beginning in adolescent males with sexual intercourse or masturbation usually learn self-control ejaculation. But rarely masturbation, sexual intercourse regularly, there is no possibility, limited situations, such as relations within the period for payment to provide control over the ejaculation reflex will increase the likelihood of inability to learn.

A regular sexual life and permanent sexual partner without premature ejaculation in men is diagnosed should not hurry. Regular sexual experience to learn ejaculation control is required. The traditional treatment approaches Stop / Start or Crimping techniques, cognitive-behavioral techniques and medications are included. Stop / start or squeeze techniques with high treatment rates reported at the beginning olduça Although the return in the next follow-up was also common. In recent years, fluoxetine, serotonergic antidepressants such as clomipramine in treatment often is recommended. However, these drugs reduce sexual desire or be warned should be kept in mind in. In addition, dry mouth, drowsiness, constipation may occur as side effects such as. Decreased sexual desire disorder treatment: First, medical (hormonal imbalance, such as drug use and diabetes) and psychiatric conditions (depression, etc.) should be outside.

Psychogenic aspects of sexual desire disorder cognitive-behavioral and psychodynamic approaches to integration can be treated. Patients for sexual problems in that time is given behavioral homework assignments. Deeper emotional problems and the resistance to treatment must also be addressed. Orgasms and active cognitive evoked behavioral disorders related initiatives are less active in sexual desire disorder. Sexual desire disorders are more resistant to treatment and treatment is much longer. Resistance is more pronounced in the treatment of patients. Focus on the negative rather than positive patients to the therapist tries to provide. Relaxation techniques are helpful. Talk about feelings or interests to increase the communication is constructive. From time to time may be necessary to recommend anxiety relieving medication. Spouses should avoid sexual intercourse if they are not evoked. Couple can share their fantasies with each other. Erotic videos and magazines can be useful. Mapping the masturbation is recommended. Partner evoked decreased sexual desire period until the spouse’s sexual organs will warn, then people will reach orgasm by stimulating himself. Training in skills not good wank couples is important. In addition, massage, erotic zones (breasts, buttocks, neck, ears, etc.) such as kissing the importance of physical warning is highlighted.

As a result, be warned as to learn by giving and receiving, vibrators, sexual lubricants, and other tools to foster passion and outside bedrooms nice, be polite or flörtöz is important. Disorders of orgasm in men or late discharge: are relatively rare. In some surgical or medical condition (multiple sclerosis, spinal cord injury, prostate surgery, etc.) or can be seen as connected to drug use. Performance anxiety, fear of conception, sexual desire and decreased depending on conditions be seen. Between the treatment interventions to reduce performance anxiety, genital stimulation can be considered to be to increase. In men, painful sexual intercourse is very rare. Information about treatment are very limited.

Conclusion:
1) At the end of Masters and Johnson treatment success rate 80% and the rate of recurrence within 5 years is given as 5%.
2) Recent studies of issues that challenge the success rate of the technical implementation of the different shows, depending lower.
3) Female orgasmic disorder, male erectile disorder Vaginismus and response to treatment is very good. The results are quite good for premature ejaculation. However, especially sexual desire in men is not a very good response to treatment of scarcity.