Female Sexual Dysfunction Explained | Op. Dr. Ebru Ünal

Sexual difficulties become a clinical concern when they persist and cause distress. Causes are usually multifactorial: hormonal changes, medication effects, pelvic floor problems, stress and relationship dynamics all contribute. Assessment combines medical evaluation with psychological and relational factors.

Female Sexual Dysfunction

What counts as sexual dysfunction?

Female sexual dysfunction refers to persistent difficulties with desire, arousal, orgasm, or pain during sexual activity that cause personal distress. It's important to differentiate between occasional issues and those that are enduring and distressing enough to warrant professional attention.

Difficulties with desire and arousal

Issues with sexual desire and arousal can stem from various sources, including low libido, which may be influenced by stress, hormonal changes, or medication side effects. A comprehensive evaluation considers all possible contributing factors.

Pain during intercourse

Painful intercourse, also known as dyspareunia, is a common concern that might indicate underlying issues such as pelvic floor dysfunction or hormonal imbalances. Understanding the root cause is essential for effective intervention.

Hormonal and medical contributors

Hormonal fluctuations, medical conditions, and medications can all impact sexual function. According to ACOG, conditions like diabetes or thyroid disorders and medications such as antidepressants may contribute to these difficulties.

The role of medication side effects

Medications prescribed for other health issues can sometimes result in decreased libido or other sexual dysfunctions. It's crucial for healthcare providers to consider these effects when evaluating symptoms.

Psychological and relational factors

Emotional wellbeing and relationship dynamics often play significant roles in sexual function. Stress, anxiety, and unresolved relationship issues can contribute to problems with sexual desire or performance.

When to involve a partner

Involving a partner in the assessment process can be beneficial. Relationship counseling or therapy may be recommended to address communication and intimacy concerns.

Multidisciplinary care

Addressing female sexual dysfunction often requires a multidisciplinary approach, integrating medical, psychological, and relational expertise. Collaboration among healthcare providers ensures comprehensive care.

What an assessment involves

An assessment typically begins with a detailed medical and sexual history, followed by physical exams and potentially hormone evaluations. Psychological factors are assessed to provide a holistic treatment plan.

Frequently Asked Questions

Is low desire always hormonal?

Not always. While hormonal imbalances can be a factor, psychological and relational issues often play a significant role as well.

Can contraception affect libido?

Yes, some hormonal contraceptives may affect libido. It's important to discuss options with a healthcare provider if changes are noted.

Is painful intercourse ever normal?

Pain during intercourse should not be considered normal. It's important to seek medical advice if this discomfort persists.

What happens during an assessment?

An assessment involves medical history, physical examination, and possibly hormone testing. Psychological and relational factors are also evaluated.