This chapter reframes “sexual disorders” not through DSM labels but as field phenomena that signal a difficulty integrating sexuality (fusion, pleasure, intimacy) with aggression (initiative, boundary-setting, individuation). Symptoms are read as creative survival strategies—stimuli that expose conflicts between original and substitute intentionalities—best understood relationally rather than as isolated organ failures. Lack of desire is explored in two forms: a dyadic decline driven by habituation and loss of novelty (remedied by reintroducing risk, separateness, and co-created “new eyes”), and a one-sided loss often rooted in dominance/objectification dynamics or protective identifications; therapy privileges empathy, role reversal, and responsibility over prescriptions. Erectile and lubricatory dysfunction are reframed as alienated refusals of genital contact (“I can’t” masking “I won’t/don’t want”), maintained by performance demands and fear; interventions include restoring identification with the genitals, tracking field conditions, and shifting from adaptation to authentic confrontation. Premature ejaculation/early orgasm reflects anxiety at high arousal and a flight from intimacy via speed; effective work slows breath and movement, couples pause inside penetration/vagination to speak vulnerably, and arousal is re-linked to contact rather than fantasy alone. Orgasmic impotence/delayed ejaculation is read as a refusal to surrender boundaries in an unsafe field; the task is to cultivate safety, delay discharge, and privilege intimacy over outcome. Vaginismus and painful erection highlight alienation, anger, and shame around the perineum; therapy legitimizes anger, exposes fielded shame, and develops active “vagination” or penetrative agency without violence. Finally, jealousy is unpacked as homophobia (disgust toward one’s own sex mirrored in the partner’s contact with “the other”) and as possession of genitals as property; moving beyond ownership reveals unment intimacy needs and allows aggression to serve love rather than destroy it. The chapter closes by pointing to a body-grounded, perineal perspective that bridges anatomy and lived experience.