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Sexual dysfunction includes painful intercourse, painful contraction spasm of the vaginal muscles, and problems with sexual desire, arousal, or orgasm that cause distress. Depression or anxiety, other psychologic factors, disorders, and drugs can contribute to sexual dysfunction, as can the woman's situation, including relationship difficulties. To identify a problem, doctors often talk to both partners separately and together, and a pelvic examination is often necessary when the woman has pain or problems with orgasm. Improving the relationship, communicating more clearly and openly, and arranging the best circumstances for sexual activities can often help, regardless of the cause of sexual dysfunction.


Female Sexual Dysfunction: Evaluation and Treatment




Sexual Problems in Women | Dyspareunia | MedlinePlus
Back to Sexual health. Many women have problems with sex at some stage in their life. To identify the reasons behind sexual dysfunction, both physical and psychological factors have to be considered, including a woman's relationship with her partner. Libido can also fall if a woman's natural testosterone levels drop. Testosterone is produced in the ovaries and adrenal glands, so levels can drop if these are removed or they're not functioning properly.



Sexual Dysfunction in Women: A Practical Approach
These problems may have physical or psychological causes. Physical causes may include conditions like diabetes, heart disease, nerve disorders, or hormone problems. Some drugs can also affect desire and function. Psychological causes may include work-related stress and anxiety. They may also include depression or concerns about marriage or relationship problems.





This is a corrected version of the article that appeared in print. Sexual dysfunction in women is a common and often distressing problem that has a negative impact on quality of life and medication compliance. The problem is often multifactorial, necessitating a multidisciplinary evaluation and treatment approach that addresses biological, psychological, sociocultural, and relational factors.

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