Female Sexual Dysfunction

On October 31st, 2011, posted in: Blog by

Female sexual dysfunction has been described in medical literature but the four most commonly known stages of sexual function in females include: platue, arousal, orgasm, and the resolution stage.  According to World Health, the definition of FSD includes lack of sexual desire, failure of genital response and orgasmic dysfunction, vaginismus or dyspareunia  (pain during intercourse).  Any combination of all stages may be physical or psychological.  Consequently there are three different types of problems in three different stages of dysfunction: Desire, Arousal and Orgasm.

Caplets medical and sexual history is crucial in making a diagnosis about whether a physical desire problem in a younger age group could be temporary or prolonged.

Desire: Loss of interest or lack of desire can trigger lack of orgasm or vaginismus. A long list of medications such as Antihypertention drugs, sedatives, trycyclic antidepressants, cancer medication or even depression itself can create a lack of desire. It is clear that after menopause women have significantly lower desire, but it is important that some women can still maintain their sexual function but with slower pace.  After menopause, many factors play important roles in maintaining sexual function, such as utiftre. Some of these factors include menopausal life styles with a prior or present sex partner and other psychosexual factors, along with an individual’s general health condition.  Lack of vaginal lubrication (lowpr estroc, prog), diabetic, arthritis, kidney dysfunction and metabolic disease also can disturb both pre and post menopausal sexual function in women.

Arousal problem: Lubrication may exist alone or with a combination of two stages. Less vaginal blood circulation and lack of lubrication due to low hormone rates (due to lack of estrogen vaginal flora) has a higher PH, infection and decrease vaginal folds and even length, therefore vaginal dryness, atrophy (become smaller) pelvis surgery and other systemic diseases (cancer ms medication are just a few causing fambulatory).

Orgasmic Problems: Most women are able to reach orgasm with stimulation. Dysfunction of women who cannot reach orgasm without clitoral stimulation are a very small percentage. Nevertheless though, a small percentage cannot get orgasm even with stimulation, postmenopausal women have lower genital contraction and even if orgasm occurs, it may be painful. Psychological causes may include medicines like serotonin  reuptake and almost all antidepressant, although these patients need to take their antidepressant but research is going on to use of oral sildenafil (Viagra) for these group of patient and result are promising, since nitrate oxide has significant role on both and women: other causes of lack of orgasm are cardiovascular deficiency. Hysterectomy and multiple sclerosis and spinal cord injury are few of many reasons that cause a lack of orgasm.

The scope of FSD is so wide that we cannot brief it in this short and narrow space, we hope we will describe the issue in future however if you have any questions of related issues please call 301 428 3040 Dr. Allen Farsaii MD.

No Responses to “Female Sexual Dysfunction”

Leave a Reply