<unk>  is recurrent or persistent pain with sexual activity that causes marked distress or interpersonal conflict. It can affect men but more common among women. It can be due to psychological factors, physical factors, or combined factors among both males and females.<unk>  and vaginismus have been grouped as genito-pelvic pain/penetration disorder in DSM-5. This is defined as persistent or recurrent difficulty in vaginal penetration, marked pelvic or vulvovaginal pain during or while attempting penetration, fear or anxiety about pain before, during, or after penetration, and tightening or tensing of the pelvic floor muscles when penetration is attempted.. It may be classified into two types among women that include  superficial and deep<unk> . Causes are divided into three groups according to onset and frequency. Onset can be divided primary or secondary. Primary causes often include psychological issues. Based on the frequency,<unk>  can be persistent, and possibly due to physical or psychological factors, or conditional<unk> . Abdomino-pelvic disorders such as endometriosis, imperforate hymen, vaginal septum, vulvar and vaginal infections, lichen sclerosis, prolapse, trauma, or vaginal dryness can cause<unk> . It may also be caused by gastrointestinal disorders and scarring from previous pelvic surgery. Male<unk>  is divided into broad categories based on the underlying causes, and ranges from anatomic anomalies to psychosocial problems. Male<unk>  can be divided into four broad categories: Isolated painful ejaculation, Chronic prostatitis/chronic pelvic pain, medical causes, and psychological causes. The management is based on identifying the underlying cause. Treatment ranges from psychosexual therapy, medications or surgery. Multimodal sex therapy, consisting of individual and couples therapy and other interventions such as cognitive–behavior techniques, is an important part of the multidisciplinary approach to these disorders.
Dyspareunia
Delayed ejaculation
Hyperesthesia
Logorrhoea
Penis pain
Dysmenorrhea
Premature ejaculation
Andropause