• Lack of interest in sex
• Unwillingness to enter into any sexual activity
• Inability to feel any arousal
• Not reaching orgasm
• Pain during sex

• Hormonal changes after giving birth or after menopause
• Major diseases like cancer, Parkinson’s, etc.
• Drugs to combat depression, hypertension drugs, chemotherapy, allergy medication, etc.
• Reduction in estrogen levels
• Mental disorders like anxiety
• Chronic stress
• Differences with partner

• Might cause relationship issues with partner
• May affect women mentally

• The doctor will take into account the patient’s medical history. The patient is encouraged to be honest with the doctor while answering questions.
• A pelvic examination to rule out any physical changes that might be causing sexual dysfunction.
• Blood tests to pinpoint other conditions which might indirectly lead to sexual dysfunction.

Treatment depends on the cause of the issue.

• Estrogen/androgen therapy
• Medication to stimulate desire – side effects should be discussed beforehand
• Open conversation with partner is encouraged
• Vaginal lubricant can be tried
• Stop drinking - alcohol has been shown to limit sexual response
• Exercising is a known mood elevator
• Adopt various stress reduction techniques
• Counselling

• Exercising regularly
• Eating nutritious food
• Quitting alcohol and smoking
• Refraining from illegal/recreational drug consumption
• If any prescription medication is suspected of causing dysfunction, alternatives can be discussed with the doctor.