Female sexual disorders

A more recent article on sexual dysfunction in women is available. See related patient information handout on sexual dysfunction in women , written by the author of this article. Related Editorial. Sexual dysfunction includes desire, arousal, orgasmic and sex pain disorders dyspareunia and vaginismus. Primary care physicians must assume a proactive role in the diagnosis and treatment of these disorders.
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Sexual Dysfunction

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Female Sexual Dysfunction: Evaluation and Treatment - American Family Physician

Sexual dysfunction includes painful intercourse, painful contraction spasm of the vaginal muscles, and problems with sexual desire, arousal, or orgasm that cause distress. Depression or anxiety, other psychologic factors, disorders, and drugs can contribute to sexual dysfunction, as can the woman's situation, including relationship difficulties. To identify a problem, doctors often talk to both partners separately and together, and a pelvic examination is often necessary when the woman has pain or problems with orgasm. Improving the relationship, communicating more clearly and openly, and arranging the best circumstances for sexual activities can often help, regardless of the cause of sexual dysfunction. Cognitive-behavioral therapy, mindfulness, or a combination of the two, can also help, as can psychotherapy.
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Female Sexual Dysfunction: Evaluation and Treatment

Persistent, recurrent problems with sexual response, desire, orgasm or pain — that distress you or strain your relationship with your partner — are known medically as sexual dysfunction. Many women experience problems with sexual function at some point, and some have difficulties throughout their lives. Female sexual dysfunction can occur at any stage of life. It can occur only in certain sexual situations or in all sexual situations.
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FSD is more typical as women age and is a progressive and widespread condition. Common symptoms associated with FSD include diminished vaginal lubrication, pain and discomfort upon intercourse, decreased sense of arousal and difficulty in achieving orgasm. Only a small percentage of women seek medical attention. In comparison to the overwhelming research and treatment for erectile dysfunction in males, specifically with the development of phosphodiesterase type 5 inhibitors, significantly less has been explored regarding FSD and treatment is primarily limited to psychological therapy. Several cardiovascular diseases have been linked with FSD including atherosclerosis, peripheral arterial disease and hypertension, all of which are also pathological conditions associated with aging and erectile dysfunction in men.
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