Female sexual problems – Diagnosis and Types

Female sexual problems or female sexual dysfunction is defined as recurrent or persistent problems with sexual desire or response seen in women. Women experience sexual problems at some points of their lives and it is quite common with 30 – 50 % of women experiencing it globally.

There are a number of causes that are held responsible for sexual problems in women like traumatic injury to the pelvic region or genitals, extensive bike riding, surgical intervention, hormonal imbalance, medication side effects, and medical conditions. Psychological factors can also cause sexual problems in women.

Types
Sexual problems in women are mainly of the following types viz.
Hypoactive Sexual Desire Disorder
This is characterized by the lack of libido in women or the lack of desire to have sexual intercourse. This is may be a result of emotional distress or other psychological factors. It can also be caused due to hormonal imbalance and surgical or medical interventions. Inhibited sex drive can also be due to any disruptions in the hormonal system due to menopause or endrocrine disorders.

Sexual Aversion Disorder
As clear from the term itself, this disorder is characterized by aversion towards sex. This is generally caused due to emotional or psychological problems like childhood trauma or sexual abuse.

Sexual Arousal Disorder
In this case, sexual response is not felt in the body or the person is unable to maintain the arousal.
Some of the common causes of sexual arousal disorder in females are lack of vaginal lubrication, decrease labial or clitoral sensation, lack of vaginal muscle relaxation. These are often caused due to a lack of clitoral or vaginal blood flow due to injury or fracture of pelvic bone or it can also be due to side effects of certain medications.

Orgasmic Disorder
This is the absence or delay or orgasm after ‘normal’ arousal.
This might be both a primary or secondary condition due to hormonal deficiencies, surgery or trauma. Lack of orgasm can be due to sexual abuse or trauma. Physical and medical factors can also contribute to this problem.

Dyspareunia
This is a medical term used for indication genital pain while having sexual intercourse or after that.

Vaginisms
This is term used to define recurrent or persistent spasm of the muscle on outer vagina that interferes with penetration.

Diagnosis
The diagnosis depends on the symptoms. Pelvic examination or complete examination consisting of tests like vagina pH test, vaginal photoplethysmograph etc. to diagnose any problem.

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