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WMH

Home / Sexuality and Sexual Dysfunction

SEXUAL DISORDERS IN WOMEN

While Sexual dysfunction is common (43% women and 31% men) it is a topic that people are reluctant to come and discuss in open. Fortunately most cases are treatable.

The most common sexual problems found in women include:

  • Inhibited sexual desire: many factors can be responsible for a lack of sexual desire like hormonal changes in menopause, medical conditions and treatments like diabetes, cancers, depression, pregnancy, stress, fatigue, lifestyle factors like career, parenting etc.
  • Inability to become aroused: inability to become physically aroused during sexual activity causes insufficient vaginal lubrication
  • Lack of orgasm: absence of sexual climax can be caused by a women’s sexual inexperience, inhibitions, lack of knowledge, or past sexual trauma or ideas of guilt, shame or anxiety associated with sexual activity.
  • Painful intercourse: pain during intercourse can be caused by a number of local pathologies like endometriosis, cysts, vaginitis, scar tissue from surgery etc. Vaginismus a more severe form of dyspareunia stems out of anxiety and fears.

Evaluation

Assessment is best approached on a bio- psycho- social model. Apart from a physical examination from a gynaecologist, a detailed sexual history of the client to identify biological factors ( disease, medication, aging), psychological factors ( depression, anxiety, trauma and abuse, substance abuse etc), socio cultural factors ( upbringing, cultural norms and expectations, religious influences) and interpersonal factors ( relationship status/ quality, life stressors) is done.

Treatment

Treatment is multimodal varying with the underlying cause. Treatment strategies include education, enhancing stimulation, encouraging non coital behaviours, positions to minimize pain,   hormone replacement therapy.


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