Female Sexual Dysfunction

Overview

When women experience problems like pain during sex, absence of desire or orgasm or if they are unable to respond sexually, it is called female sexual dysfunction. It can affect all age groups. Lifestyle, environmental factors, past experiences, etc. all play a role.

Signs and Symptoms

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

Causes and Risk Factors

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

Complications

Might cause relationship issues with partner
May affect women mentally

Diagnosis

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/Surgery

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

Prevention

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.