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Sexual dysfunction in women

Surveys indicate that 40 to 45% of all women suffer from some form of sexual dysfunction.  The symptoms of female sexual dysfunction can include lack of desire for sexual intercourse, an inability to enjoy sex, inadequate response to sexual stimulation, insufficient vaginal lubrication, or repeated failure to reach orgasm. This might be caused by illness or by lack of physical response from the sex organs, but may also be linked to psychological factors.

The female equivalent of male impotence or erectile dysfunction is known as Female Sexual Arousal Disorder (FSAD). When men and women are sexually stimulated and become aroused, there is an enhanced flow of blood into their sexual organs and their genitals become engorged with blood. In females, this normally should result in enlargement of the clitoris and surrounding tissues (comparable to a male penis erection); secretion of vaginal lubrication; relaxation and widening of the vaginal opening to facilitate insertion of a penis for intercourse.

FSAD can result from various underlying medical conditions including:

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

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

There are women who are unable to achieve orgasm despite being sufficiently aroused to have sex. This condition is known Female Orgasmic Disorder (FOD) Women differ from men in that orgasm is a learned, not automatic, response. About five to ten percent of women never have an orgasm through any type of sexual activity - a condition called Anorgasmia. Anorgasmia is most often the result of sexual inexperience, performance anxiety, or past experiences, such as sexual trauma or a strict and prudish upbringing creating inhibitions about sex and sexual pleasure.

On-going research suggests that any type of medication that increases blood flow to the sexual organs will help to treat sexual disorders in women by increasing physical stimulation in the area. Herbal formulations of gels or creams like Vigorelle or supplements that enhance blood circulation, such as Provestra, have shown promising results.

Trials have been conducted with Viagra on the basis that this drug increases blood flow to the genital areas. However, the scientific community is still waiting for firm evidence to be published that this drug can work on women. A small study published earlier found no positive impact of Viagra on postmenopausal women.

For the moment, doctors concentrate, where possible, on eliminating medications that might have a negative effect on sexual performance. They also review contraceptive methods to ascertain whether this is a factor. Women who suffer from vaginal dryness may be advised to use lubricants or sexual stimulant creams during intercourse. Some doctors recommend that women use 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 learnt how to respond to stimulation. In such situations vibrator masturbation can successfully train the sex organs to respond to sexual stimulation.

Psychological counseling can also play an important part in treating women with sexual problems, as can coaching in sexual foreplay and stimulation techniques.