Female sexual dysfunction is the difficulty or inability to having some women to get a relationship or satisfactory sex life. This is the most common hidden problem that exists in Gynecology, if it were women who personnel should access the gynecologist would find that half of them suffer from some form and degree of DSF.
What is its frequency?
Sexual dysfunction is more common in women (43%) than males (31%) with the aggravating circumstance that the problem is much more complex and multifactorial in the first. The emergence of a "blue pill" (as happened to the man) to cure sexual dysfunction in women this far be developed given the complexity of female sexuality; However, there are some drugs and strategies that can improve some areas of the very varied which could be involved in sexual dysfunction female DSF)
Classification and diagnosis of female sexual dysfunction
- Hypoactive sexual desire disorder: it is the decrease in libido, or the desire, fantasies, thoughts and desires of having sex.
- Disorder of female sexual response: is the lack of excitement and their associated physiological responses such as lubrication, psychological expectation, genital sensitivity. There are several types of disorders described during excitation: Disforica (sexual arousal is correct but not pleasant reaction, there are strong psychological implications), Anhedonica (the body response is normal and there are relationships sexual but the patient is completely apathetic to this respect. (psychological considerations, partner, etc.), organic or functional (all components are present but there is no lubrication and sexual intercourse becomes displacentero, menopause, hysterectomy, etc.).
- Female Orgasmic disorder: the patient is unable to reach orgasm, it is difficult for him or does late after having been sexually stimulated properly.
- Sexual pain disorder: includes vaginismus (pain, difficulty or impossibility of penetration due to voluntary spasm of the vaginal muscles despite the voluntary and express intention of women to sexual intercourse), dyspareunia (pelvic pain deep during intercourse) and sexual pain no-coital (a rare condition in which the patient concerns during sexual stimulation not coital genital pain).
The diagnosis is done mainly through the medical history and the interrogation of the patient: detailed the use of drugs, chronic diseases of the patient, psychological factors, relationship with the couple and data from physical abuse, abuse sexual e intimidation.
History allows us to classify the patient within one or more of the above categories so we can direct it towards the scheme of treatment most appropriate in each specific case
To facilitate the diagnosis has been used a questionnaire that categorizes the DSF by areas
What treatments are there?
In each case the predominant dysfunctional pattern must set to offer the best possible therapeutic response to the patient and his partner. It is very important to recognize that male sexual dysfunction can be manifested in a reactive manner as DSF: the problem is man but the woman expresses it by diversity of inhibitions. In many cases the DSF is a form of female sexual dissatisfaction due to a male condition, for example: premature ejaculation, erectile dysfunction, anorgasmia, infidelity, etc.
Hypoactive sexual desire disorder: treatment includes control of chronic diseases, treatment of male conditions, changes in medication the patient, hormone replacement, use of androgen therapy and sex therapy (evaluation psychological) to the couple and videos adult among others. He is revive the female libido, that return you to "like" and enjoy their relationships. Study: Flibanserina, an antidepressant, has failed to convince the FDA of its effectiveness; LibiGel (BioSante Pharmaceuticals) is a prepared topic-based testosterone which could get FDA approval by the end of 2011, showed an increase of 238% of rewarding sexual activity events
Disorder of female sexual response (excitation): closely related to the previous it is multifactorial, and they try to correct the obvious conditions. Therapies include intimate lubricants, hormone replacement, Council's partner, psychological treatment, sildenafil (Viagra), sex toys, videos, etc.
Orgasmic disorder: psychological counseling, group therapy and self-help books can be useful since they teach you what you can ignore things like foreplay, anatomical and functional expertise of your genitalia, etc. The management of the disorders mentioned above lead to a resolution of the Orgasmic disorder. In women premenopaúsicas sildenafil (Viagra) has been shown to improve the Orgasmic ability; Testosterone also generated acceptable results under certain conditions., especially if there was a problem of low libido.
Sexual pain disorder: treatment of organic conditions with accurate diagnosis is indicated in each case, including surgery. In the case of vaginismus requires psychological counseling.
What can I do
- Ask your gynaecologist for an open and frank manner, he can guide your case. The visit to the psychiatrist may be necessary.
- Discuss your concerns with your partner.
- Read self-help books, used videos of adults and even sex toys with proper orientation.
- Exchange partner, the separation, if there is no possibility of reconciliation.
What should I do
- Don't use this article for self-diagnosis or automedicarte, the intention is to help you make conscious your problem, get a little certain information and is the necessary step parea that you consult a specialist.
- Excessive use of alcohol and cigarettes and stay away from illegal drugs and other toxins.
- Losing hope.
Considerations
Sexuality is a fundamental part of human life, when this is affected is generated a clear impairment in quality of life. Sexuality is not exclusively young people.
The evidence suggests that sexual desire persists until advanced age but is often assumed as something "bad".
The consciousness of the body appearance, lack of availability of sexual partners, social stigma and chronic diseases limit significantly the interest and sexual response in the elderly woman.
There are differences between men and women with regard to brain and genital responses with respect to sexual desire. Young people are more motivated to genital sex while the girls looking for an emotional connection as a precursor to sexual contact.
Although the feelings and thoughts are important in both sexes lack of subjective arousal in women leads to loss of interest in sex, negative emotions on the relationship of time plays a very important role in the lack of desire.
It is interesting that in men the removal of sexual desire has an unconscious component related to family dynamics during infancy.
The commitment of its elements is essential to achieve success in a couple of sex therapy.
Gender differences in sexual motivation: Janice Hiller BSc, MPhil.
RECOMMENDED reading (English)
Diagnosis and Treatment
of Female Sexual Dysfunction
JENNIFER E. FRANK, MD, University of Wisconsin School of Medicine
PATRICIA MISTRETTA, MPAS, Martin Army Community Hospital
JOSHUA WILL, CPT, MC, USA, Evans Army Community Hospital
Am Fam Physician 2008; 77 (5): 635-642.