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SEXUALITY

Female sexual dysfunction is a complicated problem of sexuality difficulties in women and the causes can be vascular, neurological, hormonal/endocrine, or psychogenic. Much research needs to be done, but disorders are based on the following classifications. You may fit into more than one category. Placing a diagnosis on your condition will help us treat you.

Hypoactive sexual disorder: Decrease or absence of sexual thoughts, decreased interest in sexual activity, which causes personal stress or relationship difficulties.

Sexual aversion disorder: Aversion to and avoidance of sexual contact; may result from childhood trauma and/or physical or sexual abuse.

Hypoactive sexual desire disorder: Emotional or secondary to a medical problem, such as hormonal deficiency. May be due to menopause and endocrine disorder or other surgical or medical intervention.

Sexual arousal disorder: Inability to attain or maintain sexual excitement. May exhibit lack of lubrication or swelling.

Orgasmic disorder: Difficulty, delay, or inability to attain orgasm. Also includes primary (never orgasm) or secondary (due to trauma, illness, etc.).

Sexual pain disorder: Painful intercourse (dyspareunia or involuntary vaginal spasms (vaginismus). Vaginismus can be so dramatic that vaginal penetration may be painful.

Sexuality Evaluation and Education

Female arousal disorder: Inability to attain or maintain sexual excitement; may exhibit lack of lubrication or swelling.

Vaginismus: Involuntary vaginal spasms, which can be so dramatic that vaginal penetration may be painful.

Treatment of Anorgasmia

Anorgasmia is defined as the inability to achieve orgasm; although the term anorgasmia includes women who are medically unable to reach orgasm, the majority of anorgasmia are caused by psychological social, cultural, or relationship variables. Treatment includes both medical and therapeutic counseling.

Hormonal treatments: Include hormone replacement therapy, which is indicated for postmenopausal women, as well as other hormonal treatment options for your specific diagnosis.