Understanding Post-Coital Dysphoria

Have you ever come across the term post-coital dysphoria? It’s a fascinating phenomenon that clinical psychologists classify as a female functional disorder. Essentially, it refers to the experience of negative emotions—such as sadness, anxiety, irritability, or even anger—immediately following sexual activity. While it’s predominantly reported among women, there are rare instances where men have also experienced this condition.

What Causes Post-Coital Dysphoria?

According to Dr. Rullo, post-coital dysphoria arises from a combination of physiological and emotional factors. Physiologically, it can be linked to the aftermath of the neurotransmitters released during intimate moments, akin to a “crash” once the experience is over. Emotionally, it may result from a diminished sense of excitement or intimacy after the act.

Exploring Sexual Aversion Disorder

Another intriguing condition to consider is Sexual Aversion Disorder (SAD). Previously classified as a sexual desire disorder in the DSM, it was eventually removed due to a scarcity of evidence and infrequent diagnoses. Experts believed that SAD often overlapped with other disorders such as vaginismus and sexual desire disorders. However, Dr. Goerlich points out that labeling it as a disorder can carry stigma, potentially pathologizing natural variations in libido and asexuality.

The Reality of Sexual Avoidance

Although SAD may no longer be officially recognized as a clinical diagnosis, the issue of sexual avoidance remains significant. This avoidance can often be traced back to trauma or negative experiences associated with sex. Dr. Rullo notes that individuals who have strong aversions to sexual activity might find relief through exposure therapy techniques, such as sensate focus. This approach involves engaging in sensual and sexual exercises with a partner to foster comfort and intimacy.

Addressing Sexual Anxiety

Feeling anxious about sex is something many people encounter from time to time. The societal narratives surrounding sex, sexuality, and relationships can significantly contribute to this anxiety. Tanner emphasizes that sexual anxiety isn’t necessarily a sign of pathology; rather, it reflects our thoughts and feelings about sexual experiences. By delving into and addressing these underlying beliefs, we can enhance our sexual encounters and overall well-being.