Female Sexual Aversion Disorder

Definition of Sexual Aversion Disorder (SAD)

Sexual Aversion Disorder is phobic aversion to and avoidance of sexual contact with a sexual partner, which causes personal distress.

This is the most severe form of sexual desire disorder. It involves a fear of sexual intercourse and an intense desire to avoid sexual situations completely.


Common contributing factors are:

  • Sexual abuse
  • Rape
  • Incest
  • Genital Pain
  • Anxieties about a person’s sexual performance
  • Unresolved sexual identity issues
  • Relationship problems
  • Fear of transmission of STI’s
  • Fear of pregnancy
  • Parental sexual attitudes

Consequences of Sexual Aversion Disorder (SAD)

Women usually report anxiety, fear, or disgust when given the opportunity to be involved sexually. In some cases any form of touch; kissing, hugs may be avoided.

Sexual encounters, the person may experience:

  • Anxiety
  • Fearfulness
  • Panic Attacks
  • Physical symptoms, such as:
    • Rapid heart rate
    • sweating
    • dizziness
    • nausea
    • trembling
    • diarrhea
    • faint

Avoidance to Sexual Experiences may include the following

  • Penetration
  • Oral sex
  • Anal sex
  • Masturbation
  • Any form of touching
  • Looking at genitals
  • Undressing
  • Vaginal lubrication
  • Semen

Treatment of Sexual Aversion Disorder (SAD) may include:

  • Cognitive Behavourial Intervention
  • Anatomical & Physiological education
  • Enhancing communication
  • Promoting sexual intimacy
  • Rehabilitative advice
  • Home exercises

Sex therapy /counselling is recommended for the treatment of Sexual Aversion Disorder.

Sexual Health Relationships WA is a confidential counselling service, specialised in sexual health and relationship issues. If you are experiencing sexual aversion distress and would like to make and appointment with Raelene or seek further information please email: info@sexualhealthrelationshipswa.com.au.

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