Female Sexual Dysfunction
The following represents information concerning female sexual
dysfunction, female sexual dysfunction medications, female sexual arousal disorders and
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dysfunction.
Female sexuality is a complex process that is affected by numerous psychological variables including: religion, family values, social beliefs, etc. The female sexual response must also be coordinated by a series of physiological systems including the neurological, vascular, and endocrine system. Variance in a female's age, health, stress levels, environment, interpersonal relationship, etc can all effect to the female sexual response.
Diagnosing female sexual dysfunction can often be a difficult process. A physician must asses a detailed patient medical history that includes the exact problem encountered during the sexual response, pertinent gynecologic conditions or other medical conditions, contributing psychosocial factors including a female's sexual orientation (female's sexual orientation is significant because female gender conflicts are a frequent cause of female sexual dysfunction). Physicians should also define whether the sexual dysfunction is involved with one partner or involves multiple partners.
Female sexual dysfunction often involves multiple variables i.e. a female who discusses decrease libido with her physician may have an underlying gynecological condition that prevents her from wanting to have sexual relations. Therefore treating the underlying gynecological condition would be more beneficial than treating the decrease in libido.
One of the major problem in treating female sexual dysfunction is getting a woman to discuss all of the variables that are affecting her sexual relations in a relatively short office visit. Physicians must be conscientious of this issue and address the situation appropriately.
Female sexual dysfunction is usually divided into four categories including: desire, arousal, orgasmic and sexual pain disorders. Sexual pain disorders include dyspareunia (difficult or painful intercourse) and vaginismus (a prolonged and painful contraction or spasm of the vagina).

Disorders of Desire as a cause of female sexual dysfunction - women who experience sexual dysfunction secondary disorders of desire is often secondary to the monotony of the same sexual routine. Changes in foreplay, sexual positions, sex toys or erotic material can often improve a females desire. Excellent results have also been reported from the use of herbal libido enhancing supplements. Aside from the herbs used to promote an increase in libido, these supplements have herbs that are rich in phytoestrogens that help to restore a natural hormone balance.
Lifestyle factors often influence pre-menopausal women i.e. changes in careers, financial burdens, presence of children or the fear of conceiving more children, time constraints, etc. can all of a negative effect on a woman's desire.
The lack of desire can also be caused by medical conditions that make sexual intercourse painful or unsatisfying (please see below). If no underlying hormonal or medical etiology can be identified individual and/or couple counseling can be beneficial.
In peri- and postmenopausal women, hormones may be the underlying cause of a decrease in sexual desire. Although the relationship between female hormones and sexual desire has not been well documented. Most physicians agree prescription estrogen replacement therapy has proved to be beneficial.. The mechanism of estrogen's effect on desire is thought to be indirect providing improvement in vasomotor symptoms, urogenital atrophy and mood disorders.
Transdermal herbal creams containing arginine have also proven to be a more milder treatment option. The arginine allows for increased circulation to the clitoral region. Oral herbal supplement have also proven beneficial, individuals should look for the following herbal ingredients in libido formulas: Niacin, Yohimbe, Ashwagandha, Asparagus Racemosus, L Tyrosine, Wild Yam, L Histidine, Ginger, Cayenne Pepper.
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Medications as a cause of female sexual dysfunction - studies concerning the role of progesterone in sexual enhancement have not been well established. Initial studies show that progesterone may exhibit a negative effect by decreasing the mood and available androgens.
Over the counter and prescription medication, illegal drugs and alcohol abuse can also contribute to female sexual dysfunction. In addition, cigarette smoking is known to cause erectile dysfunction in men and may have a similar negative effect on both desire and arousal in women.
The following is a list of medications that can reduce the desire for sexual activity: