The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) conceptualizes sexual disorders as "disturbances in the processes that characterize the sexual response cycle or by pain associated with sexual intercourse" and includes: (1) sexual desire disorders, (2) sexual arousal disorders, (3)
orgasmic disorders, and (4) sexual pain disorders, which include dyspareunia, vaginismus, and noncoital sexual pain.
The influencing factors might be physiological, psychological, negative experiences in relationships, low levels of happiness and overall well-being, emotional distress, sexual desire disorders, sexual arousal disorder,
orgasmic disorder, sexual pain disorders, beliefs, past and present experiences/relationships, lifestyle, and other mood disorders (2-32).