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SEXUAL PROBLEMS AND DISEASES

When women experience problems with their sexual function, it is known as female sexual dysfunction. This is a persistent and recurrent problem where low sexual desire and sexual response and pain can strain a relationship. Female sexual dysfunction can occur at any time in a woman’s life. It can occur either in certain sexual situations or all of them.

Signs and Symptoms :
  • Disorder with sexual arousal :
    • Unable to become aroused
    • Unable to maintain arousal during sexual activity
  • Lack of sexual interest :
    • Sexual desire is fairly low
    • No willingness to be sexual
  • Orgasmic disorder :
    • No orgasm achieved even after sufficient arousal
  • Pain with vaginal contact or sexual stimulation :
Causes of Female Sexual Dysfunction :
  • Female dysfunctions can occur due to :
  • Medical conditions such as cancer, heart disease, multiple sclerosis, bladder problems
  • Medications such as anti-depressants, chemotherapy drugs, antihistamines
  • Hormonal changes such as decreased oestrogen levels after menopause
  • Genital issues – vaginal lining becomes less elastic and is thinner and can lead to dyspareunia or pain during intercourse
  • Psychological problems – anxiety and depression, long-term stress, history of sexual abuse
  • Other cultural and religious issues
Risks of increasing sexual dysfunction :
  • Heart disease
  • Depression and anxiety
  • Antidepressant medications
  • Kidney and liver failure
  • Neurological conditions
Treatment at Jacobs Hospital

Treatment modalities include both non-medical and medical.

  • Non-medical treatments include :
    • Adopting healthy lifestyles and habits
    • Regular physical activity to increase stamina and mood
    • Obtaining a counsel from a therapist who specializes in sexual and relationship issues
  • Medical treatments involve :
    • Prescriptive medication such as Addyi or flibanserin for pre-menopausal women
    • Change intake of current medications to those that have lesser sexual side effects
    • Treat anxiety and depression
    • Relieve pain and other pelvic problems
    • Oestrogen therapy – improves vaginal tone and elasticity
    • Androgen therapy – to increase the amount of testosterone in women

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