Sexual dysfunction refers to persistent and recurrent issues with sexual response, desire or orgasm, as well as pain during intercourse. Sexual dysfunction affects many women and can impede their sexual satisfaction. The condition can arise at any stage of the sexual response cycle (excitement, plateau, orgasm and resolution) and can be caused by various physical, social and emotional factors.

Types of Female Sexual Dysfunction

Anorgasmia

Anorgasmia is the inability to achieve orgasm despite adequate sexual stimulation. There are several types of anorgasmia, including:

  • If you have never achieved an orgasm, this is known as primary anorgasmia.
  • Secondary anorgasmia refers to struggling to orgasm even if you have done so before.
  • With general anorgasmia, no orgasm occurs despite high arousal levels and sexual stimulation.
  • Situational anorgasmia (the most common form of this condition) occurs when a woman can only achieve an orgasm in specific situations.

Dyspareunia

Dyspareunia is commonly known as pain during sexual intercourse, a condition that typically affects women more than men. Dyspareunia may occur at any stage of sexual arousal, including after intercourse.

Hypoactive Sexual Desire Disorder

Hypoactive sexual desire disorder (HSDD) is a sexual dysfunction that leads to the loss of desire for sexual intercourse.

Sexual Arousal Disorder

Sexual arousal disorder is characterised by an inability to initiate sexual activity or the failure to experience arousal.

Causes

Sexual dysfunction can be caused by untreated mental health disorders such as stress, anxiety and depression. The condition can also arise due to alcoholism, drug abuse, heart disease, menopause and hormonal imbalances, to name a few. Problems with arousal may also occur as a side effect of certain medications.

Dr Thomas will discuss your symptoms, beliefs and medical history to make an informed diagnosis.

Treatments

Working with Dr Thomas, a treatment plan can be devised to address your specific needs. Treatment can range from hormone therapy to medication and lifestyle changes. Dr Thomas may also refer you to a mental health expert for counselling if necessary.

FAQ

1Is female sexual discomfort permanent?
Dr Thomas will discuss your symptoms to determine if it is acute or chronic. In many cases, the correct treatment plan can help you overcome sexual dysfunction.
2Do I need to stop my medication if it causes sexual dysfunction?
It is imperative that you speak to your doctor before you discontinue any medication.
3How common is sexual dysfunction in women?
Sexual dysfunction is prevalent, with approximately 43% of women having a form of sexual dysfunction.