Excitement: consists of the initiation of subjective sense of sexual pleasure and accompanying physiological changes, consolidation of arousal. Resolution: peaking of sexual pleasure; release of sexual tensions and rhythmic contraction of the perineal muscles and reproductive organs, consists of a sense of muscular relaxation, general well-being. Persistently or recurrently deficient (or absent) sexual fantasies and desire for sexual activity: diagnosed by what is considered normal. Masturbation, sexual fantasies, and intercourse are rare in this disorder. Accounts for half of all complaints at sexuality clinics. 11% of women and 5% of men suffer from this disorder. Depressive disorders (depressed people derive little pleasure from all areas of their life) Persistent or recurrent extreme aversion to, and avoidance of, all (or almost all) . Panic attacks in response to sexual stimuli: 10% of males report panic attacks during attempted sexual activity, note: do not diagnose phobia if panic attacks occur exclusively in context of sexual interaction.