What do you think when you hear the term “sexual dysfunction”? Most people think this refers to male erectile dysfunction. In 1998, Viagra hit the market, and the sexual revolution occurred. Prior to this most research in this field was an unmanned and then generalized to the female population. Contrary to popular belief more women than men report sexual concerns: 43% comparable to 31%. I’m going to give you a brief overview of some common sexual complaints in women.
Hypoactive sexual desire disorder or low libido is deficiency or absence of sexual fantasies and thoughts for sexual activity. 31% of women report this condition.
Female sexual arousal disorder is deficiency or absence of genital tingling and vaginal lubrication with sexual activity. And 21% of women report decreased vaginal lubrication.
Sexual aversion disorder is a fully conversant to sexual contact with a sexual partner. This can be full-fledged intercourse or can even just be in any intimate contacts.
Persistent genital arousal disorder is the unwanted, unwarranted genital tingling and sensation in the absence of sexual activity. There is no prevalence of this condition yet.
Female orgasmic disorder is a delay and/or complete absence of orgasm following sufficient sexual stimulation. The most important piece of this is that there must be sufficient sexual stimulation. And 25% of women report this condition that is pretty significant compared to only 8% of men.
Moving on to some pain conditions in women. Dyspareunia is just a general term for pain with intercourse. More specifically vestibulitis is a painful inflammatory condition at the vaginal opening that can lead to a burning sensation with initial penetration weather with intercourse or even sometimes just with pelvic exams.
Vulvodynia is a non-sexual condition where there is a pain in the external genital structures. Vaginismus is painful muscles spasms that inhibits the penetration during intercourse or once again with pelvic exams.
14% of women report pain with intercourse. This often inhibits consummation of marriage which is quite a significant problem with the newly married couples.
Men and women function very differently when it comes to sexuality. Hence why there is no current FDA treatment for women in this field. The good thing is that there are ongoing research and a much better interest in female sexuality, even comparable to just a decade ago. At this point, treatment guidelines are holistic and multidisciplinary in nature as it is important to take into consideration the entire picture with women. Women a bit more complicated when it comes to treating low libido due to this facts.