Female Sexual Issues
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Female Sexual Dysfunction
Sexual dysfunction in women may involve a reduction in sex drive, a strong dislike of sexual activity, difficulty becoming aroused, inability to achieve orgasm, or pain with sexual activity or intercourse.
Considerations
Traditionally, sexual dysfunction in women was thought to be largely due to psychological problems. Recent research is beginning to uncover many physical causes for sexual problems in women. While many sexual problems have an underlying psychological component, possible physical causes must be ruled out in the initial examination.
Causes
Anxiety or depression
Changes related to menopause
Communication problems with partner
Damage to nerves due to surgery or trauma
Fear of pain, infection, or being pregnant
Feelings of guilt and shame about sex
History of sexual abuse
Infection or gynecological disease
Lack of appropriate stimulation
Lack of lubrication
Medication
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Inhibited Sexual Desire
Inhibited sexual desire (ISD) refers to a low level of sexual interest. A person with ISD will not start, or respond to their partner's desire for, sexual activity.
ISD can be primary (in which the person has never felt much sexual desire or interest), or secondary (in which the person used to feel sexual desire, but no longer does).
ISD can also relate to the partner (the person with ISD is interested in other people, but not his or her partner), or it can be general ( the person with ISD isn't sexually interested in anyone). In the extreme form of sexual aversion, the person not only lacks sexual desire, but may find sex repulsive.
Sometimes, the sexual desire is not inhibited. The two partners have different sexual interest levels, even though both of their interest levels are within the normal range.
Someone can claim that his or her partner has ISD, when in fact they have overactive sexual desire and are very demanding sexually.
Causes
ISD is a very common Read More...
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Orgasmic Dysfunction
Orgasmic dysfunction is when a woman either can't reach orgasm, or has difficulty reaching orgasm when she is sexually excited.
CAUSES, INCIDENCE, AND RISK FACTORS
The condition is called primary orgasmic dysfunction when a woman has never had an orgasm. This is the case in 10 - 15% of women. It is called secondary orgasmic dysfunction when a woman has had at least one orgasm in the past, but is currently unable to have one. Surveys suggest that 33 - 50% of women are dissatisfied with how often they reach orgasm.
Many factors can contribute to orgasmic dysfunction. They include:
A history of sexual abuse or rape
Boredom and monotony in sexual activity
Certain prescription drugs, including fluoxetine (Prozac), paroxetine (Paxil), and sertraline (Zoloft)
Hormonal disorders and chronic illnesses that affect general health and sexual interest
Medical conditions that affect the nerve supply to the pelvis (such as multiple sclerosis, diabetic Read More...
Additional Resources
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