# Concern or Fear of Sexual Dysfunction

- Category: chronic
- Review status: reviewed (every claim checked against a document named on this page)
- Sources: ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class GS91 - condition scope only, no dose · Illness Anxiety Disorder - StatPearls - NCBI Bookshelf (NBK554399) - https://www.ncbi.nlm.nih.gov/books/NBK554399/ · No dose - referral pathway, no medicine given in primary care
- Verified date: 2026-08

## Verified against

- No dose - referral pathway, no medicine given in primary care
- Erectile Dysfunction - disease-level clinical article (fear-of-sexual-dysfunction-clinical.txt)

## Treatment metadata

- No drug therapy in primary care (Recognition & Referral)

## Complete treatment card

```text
CONCERN OR FEAR OF SEXUAL DYSFUNCTION
Sources: ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class GS91 -
         condition scope only, no dose · Illness Anxiety Disorder - StatPearls - NCBI Bookshelf
         (NBK554399) - https://www.ncbi.nlm.nih.gov/books/NBK554399/ · No dose - referral pathway,
         no medicine given in primary care
Review status: REVIEWED against No dose - referral pathway, no medicine given in primary care,
               Erectile Dysfunction - disease-level clinical article (fear-of-
               sexual-dysfunction-clinical.txt)  (2026-08)

1. NO DRUG THERAPY IN PRIMARY CARE (RECOGNITION & REFERRAL)[1st line]
   Adult    A patient presenting with performance anxiety or fear of sexual dysfunction requires a
            confidential, culturally sensitive medical and psychosexual assessment to differentiate
            performance anxiety from organic etiologies (cardiovascular disease, diabetes,
            hypogonadism, neurogenic disease, or medication adverse effects). Address performance
            anxiety through psychoeducation, reassurance regarding normal physiological variability,
            and basic lifestyle modifications. If organic disease is excluded and anxiety persists,
            refer for specialized psychosexual counseling or cognitive behavioral therapy. - Refer
   Peds     Children follow the same pathway: recognise and refer. No primary-care medicine is
            implied.
   Source   No dose - referral pathway, no medicine given in primary care
   Why      A patient presenting with performance anxiety or fear of sexual dysfunction requires a
            confidential, culturally sensitive medical and psychosexual assessment to differentiate
            performance anxiety from organic etiologies (cardiovascular disease, diabetes,
            hypogonadism, neurogenic disease, or medication adverse effects). Address performance
            anxiety through psychoeducation, reassurance regarding normal physiological variability,
            and basic lifestyle modifications. If organic disease is excluded and anxiety persists,
            refer for specialized psychosexual counseling or cognitive behavioral therapy.
   Caution  No medicine is prescribed for this in primary care - this entry is for recognition and
            referral. Anything given is decided by the service it is referred to.
            RED FLAG - ED or sexual dysfunction may be the initial presentation of occult
            cardiovascular disease or diabetes.
            RED FLAG - The clinical features pointing to psychogenic etiology are sudden onset, high
            erectile variability, and the presence of morning erections or erections with
            masturbation.
            RED FLAG - Underlying depression, relationship distress or an anxiety disorder driving
            the concern, or an actual dysfunction emerging on closer questioning, which would move
            this to a different, treatable condition.

Prices are indicative (dataset snapshot 2026-06); verify with the pharmacy.
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