Paul and Fatima are in their late 20s and have been married for 2 years. Their sexual intimacy includes various sexual behaviors. Paul has noticed that while he has no difficulty getting an erection, he does have difficulty ejaculating when he and Fatima are having intercourse. Fatima rarely feels sexually satisfied after intercourse and often relies on self-stimulation to achieve an orgasm. Fatima doesn't see her lack of orgasm with Paul as a problem; however, Paul does. Paul is beginning to make excuses for not having sex.
-The cause of Paul's sexual dysfunction is most likely

Question

Quizplus · Accepted Answer

Paul's difficulty ejaculating during intercourse and his making excuses for not having sex suggest that he may be experiencing performance anxiety, which can cause sexual dysfunction. Reduced blood flow or low testosterone may contribute to erectile dysfunction, but Paul has no difficulty getting an erection. There is no information about psychosexual trauma in the scenario.

Paul and Fatima Are in Their Late 20s and Have