Female sexual dysfunction, FSD, actually is a disorder that
is multifaceted, ambiguous, and mystifying at all stages of women's lives. It
encompasses the various complaints or issues related to low libido, decreased
arousal, and difficulties with orgasm. Understanding FSD is more than essential
for females and their partners as well as for providers and health care
professionals to ensure appropriate treatment and care for those
affected. Here in this blog we will discuss female sexual dysfunction causes, symptoms;
treatment, and some often-asked questions.
What is Female Sexual Dysfunction?
Female sexual dysfunction is said to be conditions that interfere with the woman's ability to function at any stage of the sexual response cycle including desire, arousal, orgasm, or satisfaction. These often result in personal distress and even relationships. FSD manifests as follows:
- Low sexual desire is a decrease or want to engage in any
sexual intercourse.
- Arousal disorders refers to a problem concerning becoming or
staying aroused during any sexual activity.
- Orgasm Disorders: Failure or marked difficulty in
experiencing orgasm-anorgasmia.
- Pain Disorders: Painful coitus or other sexual
encounter-dyspareunia
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Causes of Female Sexual Dysfunction
FSD has multiple etiologies, which arise from a combination
of physical, psychological, relational, and cultural causes. It is often that
cause of FSD which then determines how treatment should be directed.
1. Physical Causes
- Hormonal Changes: The change in hormones, in this case
estrogen and testosterone changes the sex desire and erotic feeling. These occur when the woman is undergoing menopause time or when she is pregnant
and even while she is lactating.
- Medical Conditions: Sexually may be affected by chronic diseases
like diabetes, heart conditions, and neurological diseases. For instance,
sexual activity can become aching for women with conditions such as
endometriosis or pelvic inflammatory disease.
- Medications: There are medications including antidepressants,
antihistamines, and blood pressure drugs that have side effects that easily
impair their will and sexual functions.
2. Psychological Causes
- Stress and Anxiety: Conditions of generalized anxiety or
high stress may dash sexual desire and arousal. Anxiety about performance can
also be the reason for dysfunctional orgasm.
- Depression: Sexual desire and pleasure is highly disturbed
due to depression, and decreased interest in sex further complicates the
situation.
- Past Abuse: If she has some previous experience of abuse or
trauma, then she can't lead a normal life of sex, and in turn, she will only
have dysfunction.
3. Relational Causes
- Lack of Proper Communication: If either of the partners
fails to communicate with each other regarding sexual desire and need, then a
conflict arises and thus their satisfaction level becomes low.
- Lack of or Inadequate Emotional Intimacy: The sexual desire
as well as the sexual pleasure usually has a lot to do with the healthy amount
of emotional bonding or intimacy that is proper or appropriate.
4. Cultural Factors
- Cultural Beliefs: Cultural beliefs about women's sexuality
play a large role in most individuals' taking up a sound attitude towards the
sexual act. Most cultures mark shame and guilt with sexual activity.
- Education: Sexual ignorance leads to the opportunity for
misconceptions about sex and sexual health, a cause of dysfunction.
Female Sexual Dysfunction Symptoms
Symptoms of FSD may vary among individuals; some common
symptoms include:
- No sexual interest or markedly reduced sexual desire.
- Absent or markedly reduced sexual arousal/maintaining
arousal during sexual activity.
- Inability to reach orgasm.
- Genital pain associated with sexual activities.
- Sexual activities provoke distress, frustration, sorrow, or
anxiety. Diagnosis of Female Sexual Dysfunction
Diagnosis of Female Sexual Dysfunction
The diagnosis of FSD often is elaborate in which a health
care provider considers the following;
Some of the aspects that may be assessed in this kind of evaluation include;
- Medical History: The condition may be on account of the
diseases, medicines, and many more psychological factors that the individual
may have had in the past.
- General Physical Examination: A general overall physical
examination may be prescribed out to rule out any underlying clinical
condition.
- Some special questionnaires are carried out to assess the
degree and effect on the quality of life due to sexual dysfunction
Treatment of Female Sexual Dysfunction
FSD treatment depends on the causes behind the medical
disease and will be either physical or psychological in nature and it includes
drugs and psychotherapy.
1- Drugs
- Hormone Therapy: If the patient has the hormone-balanced
condition, then estrogen or testosterone treatment is given to the patient for
the patients.
- Medications: At times it is taken just to increase the
sexual desire or to make someone turned on. For instance flibanserin marketed
under Addyi has recently been approved to be sold in the United States to treat
low sexual desire in premenopausal women.
2- Psychotherapies
- Psychological
counseling: In some instances, seeking individual or couples therapy may be
considered to address the psychogenic cause of FSD.
- Sexual treatment: It is therapy specialized to sexual issues
and therapy intended to improve sexual relations
3- Lifestyle Changes
- Stress management: The practice of mindfulness, meditation, and
yoga may make a person stress less and get healthy overall.
- Communication Skills: Improving communication with a sexual
partner may allow for increased intimacy and to work with sexual concerns.
4- Other therapies
- Pelvic Floor Therapy: It is a form of physical therapy that works out the pelvic floor muscles and makes them stronger; this will make the
pain encountered during intercourse minimal.
- Herbal Supplements: Some women sought herbal supplements,
although they had to get a prescription from a health care provider first.
Conclusion
Female sexual dysfunction is a multi-dimensional phenomenon that has affected many women silently and with stigma. Awareness of all such aspects of FSD - its causes, symptoms, and treatment options-is essential to raise awareness and allow women to seek medical help. Provided with appropriate support and treatment, most women overcome sexual dysfunction for happy sexual experiences.
These open conversations
have to be encouraged with health care providers on sexual health and with
partners on their needs so that the stigma attached to women's sexual health
may dissolve, making the environment healthier for all.
Please book an appointment with the Best Gynecologist in Lahore, Karachi, Islamabad, and all major cities of Pakistan through InstaCare, or call our helpline at 03171777509 to find the verified doctor for your disease.