PHYSICAL
FACTORS 

Endocrine

-Diabetes Mellitus
- Hypothyroidism
- Hypogonadism
- Hyperpro-
  lactinemia

 Developmental Issues

- Family of Origin
  Effects
- Religious Effects
- Cultural
  Effects

Relationship Discord

- New couple
- Infertility
- Pregnancy
- Post-Partum
- Parenthood
- Adolescent
  Family Stress
- “Empty Nest”
- Loss Of Spouse

Neurological

- Multiple Sclerosis
- Stroke
- Spinal Cord Injury

 Anxiety Disorders

- Generalized
- Phobias
- Performance
  Anxiety

Sexual Experience

- Meaning of Sex to
  each Partner
- Different Sex
  Drive
- Family & Culture

Vascular

- Hypertension
- Coronary Artery
  Disease
- Vascular
  Insufficiency

Post Traumatic Stress

- Sexual Assault
- Sexual, Physical & Emotional
  Abuse

 Social Stressors

- Financial & Work
- Support Systems
- Family Needs

Substance Abuse

- Alcohol
- Tobacco
- Mood altering
  drugs:
- Narcotics,
  Cocaine,
  LSD, etc.

Psychosis

Schizophrenia

Affairs

Limited Information

Medication Side-Effects

- Antidepressants
- Antihypertensives
- H2 Receptor
  blockers
- Antipsychotics
- Antineoplastics

Depression

- Unipolar
- Bipolar

Uroligical

(Not detailed here)

Gynecological

(Not detailed here)

 Sexual Orientation Issues

- Homosexuality &
  Bisexuality
- Gender Dysphoria