#sexual dysfunction

• Anorgasmia — A sexual dysfunction characterized by the persistent or recurrent absence of orgasm following a sexual stimulation considered clinically, structurally, and emotionally adequate. This disorder can be primary, secondary, generalized, or situational, with complex etiologies that include psychological factors (stress, trauma, anxiety), neurological causes, endocrine dysfunctions, or drug side effects (such as antidepressants).
• Apareunia — The physical, pathological, or psychological impossibility of performing the sexual act (coitus). This severe structural or functional condition can be caused by congenital anatomical anomalies, intense involuntary muscle spasms (vaginismus), or profound psychological trauma, requiring a multidisciplinary medical approach.
• Aspermatism — A medical condition characterized by the total inability to secrete or ejaculate semen during the sexual act, although the sensation of orgasm and erection may be present; it represents a severe form of male infertility caused either by neurological dysfunctions, mechanical obstructions of the ejaculatory ducts, congenital disorders, or deep psychological factors.