Have you ever come across the term “post-coital dysphoria”? This intriguing phenomenon is recognized by clinical psychologists as a female functional disorder. Essentially, it’s when individuals experience a wave of negative emotions—such as tears, sadness, anxiety, agitation, or even anger—after engaging in sexual activity. Although it’s predominantly reported among women, there are noteworthy cases where men have also encountered this emotional aftermath.
Dr. Rullo sheds light on the dual origins of post-coital dysphoria, highlighting both physiological and emotional factors. On the physiological side, it relates to the “come down” from the surge of neurotransmitters that occurs during intimate moments. Emotionally, it may arise from a diminished sense of excitement or connection following sex.
Another fascinating condition to consider is Sexual Aversion Disorder (SAD). Previously classified as a sexual desire disorder in the DSM, it was ultimately removed due to insufficient evidence and infrequent diagnoses. Experts believed that SAD overlapped with other conditions like vaginismus and sexual desire issues. However, Dr. Goerlich points out that labeling it a disorder can carry a stigma, as it tends to pathologize variations in libido and asexuality.
Even though SAD is no longer recognized as a clinical diagnosis, the avoidance of sexual intimacy is a significant concern that can often be linked to past trauma or negative experiences associated with sex. Dr. Rullo notes that individuals who struggle with strong aversions to sex might find benefits in exposure therapy techniques such as sensate focus, which encourages engaging in sensual and sexual activities with a partner.
Feeling anxious about sex from time to time is entirely normal. The messages we receive from society regarding sex, sexuality, and relationships can intensify these feelings of anxiety. Tanner stresses that sexual anxiety isn’t inherently pathological; rather, it often reflects our own thoughts and beliefs about sex. By tackling these underlying perceptions, we can enhance our sexual experiences and overall well-being.
