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Female Sexual Dysfunction

The symptoms of female sexual dysfunction can include lack of desire for sexual intercourse, an inability to enjoy sexual activity, insufficient reaction to sexual stimulus, inadequate vaginal lubrication, or repeated inability to achieve orgasm.

Insufficient response to sexual stimulation and difficulty in reaching a sexual climax is a common but complex problem in females. It’s a problem that can be caused by several different factors. Studies show that 40 to 45% of all adult females experience some sort of sexual dysfunction. This may be due to sickness or by the absence of physical response from the sex organs. It might also be a result of psychological distress.

The female equivalent of male erectile dysfunction is termed Female Sexual Arousal Disorder (FSAD).

When men and women are become sexually aroused, there is an increase in the blood flow into their sexual organs.  Consequently, these organs become engorged with blood. In women, this results in:

  • Enlargement of the clitoris and surrounding tissues (similar to penis erections in men)
  • Secretion of vaginal fluid for lubrication
  • Relaxation and widening of the vaginal opening to facilitate the entry of a penis for intercourse.

Women troubled by FSAD have the desire for sex but their sexual organs fail to respond in the normal way, thus making sexual intercourse painful or, in some cases, impossible.

Underlying Medical Condition

FSAD can be caused by various underlying medical conditions, which include but are not limited to:

  • hypertension or high blood pressure
  • diabetes
  • irritations, infections and growths in the vaginal area
  • reactions to contraceptive devices.

Medications used to treat hypertension (high blood pressure), peptic ulcers, depression or anxiety and cancer may also cause problems.  Another relevant factor is the physical, hormonal and emotional changes that occur during or after pregnancy or while breast-feeding.

FSAD can also result from psychological issues, such as:

  • Relationship problems with the male partner
  • Depression Low self-esteem
  • Past sexual abuse or incest
  • Prudish upbringing causing shame or guilt feelings about sex
  • Fear of unwanted pregnancy
  • Stress and fatigue

Orgasm Difficulties

There are women who, despite being sufficiently aroused to have sex, are unable to reach orgasm. This condition is known as Female Orgasmic Disorder (FOD)

There is a basic difference between women and men as far as orgasm is concerned. For men, orgasm is an automatic response to adequate sexual stimulation. For women, on the other hand, orgasm is a learned, not an automatic, response. About 5 to 10% of women never reach orgasm through any type of sexual activity - a condition called Anorgasmia. Anorgasmia is usually caused by sexual inexperience, performance anxiety, sexual trauma in the past or a prudish upbringing creating negative feelings about sex and sexual pleasure.

There are women who do enjoy sexual activity in spite of reaching a climax only occasionally or even never. However, for such women, sexual relationships would be far more satisfying and fulfilling if they could experience orgasm on most occasions of sexual activity.

Treatments

On-going research suggests that any medication that increases blood flow to the clitoris-vagina area will help overcome many sexual dysfunction problems in women by increasing physical response to stimulation in the area. Herbal topical gels or creams like Vigorelle or supplements that enhance blood flow, such as Provestra, have shown promising results. Some doctors also recommend that Kegel exercises, which help to develop the muscles around the outer portion of the vagina that are involved in pleasurable sensations.

In many cases, masturbation with vibrators has shown remarkable success in overcoming both arousal dysfunction and orgasmic disorder in women. This is because very often the clitoris and vagina have simply not learned how to respond to sexual stimulation. In such situations vibrator masturbation can successfully train the sex organs to respond to sexual stimulation.

The renowned sex therapist and educator, Helen Singer Kaplan, M.D., Ph.D., suggested the use of vibrators in the treatment of non-orgasmic females. She advised that for those women who have never had an orgasm (primary absolute orgasmic dysfunction), should manual masturbation not be sufficient to reach orgasm, a vibrator is indicated.

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