Female sexual dysfunction

What is Female Sexual Dysfunction?
Persistent, recurrent problems with sexual response or desire that cause you distress or strain your relationship.

Key Point: It is only considered "dysfunction" if it causes you distress. Many women go through phases of lower desire naturally (e.g., after childbirth or during menopause) without it being a medical issue.

Types & Symptoms

You may experience more than one type of dysfunction at the same time:

• Low Sexual Desire: Diminished libido or a lack of interest in sex.
• Arousal Disorder: Your desire is intact, but your body cannot become aroused or maintain arousal/lubrication.
• Orgasmic Disorder: Persistent difficulty reaching orgasm despite sufficient stimulation.
• Sexual Pain Disorder: Pain associated with stimulation or vaginal contact (Dyspareunia).

Causes

Sexual response is complex. Problems often stem from a mix of physical and emotional factors.

1. Physical & Hormonal

• Menopause: Lower estrogen levels thin the vaginal lining and reduce lubrication, causing pain.
• Postpartum: Hormone shifts after birth and during breastfeeding can kill libido and cause dryness.
• Medications: SSRIs (antidepressants), blood pressure meds, and antihistamines are notorious for killing sex drive.
• Illness: Diabetes, arthritis, cancer, or heart disease can affect blood flow and nerves required for arousal.

2. Psychological & Social

• Stress & Anxiety: It is hard to be aroused when your mind is preoccupied.
• Relationship Issues: Unresolved conflict, poor communication, or infidelity often manifest as sexual dysfunction.
• Body Image: Feeling unattractive can inhibit sexual response.

Complications

This is more than just a physical issue. Untreated dysfunction can lead to:

• Relationship Strain: Misunderstandings (e.g., a partner feeling rejected).
• Emotional Distress: Anxiety, depression, or loss of self-esteem.
• Avoidance: Avoiding intimacy altogether to prevent feelings of inadequacy.

Diagnosis

Doctors will discuss your sexual and medical history. While it may feel awkward, being honest is key.

• Pelvic Exam: To check for physical changes like thinning tissues or scarring.
• Review of Meds: Checking if your current prescriptions are the culprit.

Treatment

Treatment is often a combination of medical and lifestyle changes.

1. Non-Medical Strategies

• Communicate: Talking openly with your partner sets the stage for intimacy.
• Lubricants: Use vaginal lubricants to combat dryness and pain.
• Devices: Vibrators can help improve blood flow and clitoral stimulation.
• Counseling: A sex therapist can help address underlying relationship or psychological barriers.

2. Medical Treatments

• Estrogen Therapy: Vaginal creams, rings, or tablets release small amounts of estrogen to improve tone, elasticity, and blood flow.
• Medication Adjustment: If an antidepressant is causing the issue, your doctor may switch your prescription.
• Sildenafil (Viagra): While designed for men, it may help some women who have sexual dysfunction specifically caused by antidepressants (SSRIs), though results vary.

Disclaimer: The content provided on this blog is for informational purposes only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician regarding any medical condition.