What
are the most common sexual problems in women?
A sexual problem means that sex is not satisfying or positive
for you. In women, common sexual problems include feeling little or no interest
in sex, having problems getting aroused, or having trouble with orgasm, and for some women, pain during intercourse is a problem.
How
do I know I have a sexual problem? What is the normal sexual response?
Most women have a sexual problem at one time or another. For
some women, the problem is ongoing. But your symptoms are only a sexual problem
if they bother you or cause problems in your relationship.
There is no
"normal" level of sexual response—it is different for every woman. You may also find that what is
normal at one stage of your life changes at another stage or age. For example,
it's common for an exhausted mother of a baby to have little interest in sex.
And it's common for both women and men to have less intense sex drives as they
age. This is linked in part to hormone changes in the body.
What
are some causes of sexual problems in women?
Female
sexuality is complex. At its core is a need for closeness and intimacy. Women
also have physical needs. When there is a problem in either the emotional or
physical part of your life, you can have sexual problems. Among the common
causes are Emotional causes, such as stress, relationship problems,
depression or anxiety, a memory of sexual trauma, and unhappiness with your
body, Physical causes, such as
hormone problems, pain from an injury or other problem, and certain conditions
such as diabetes or arthritis or aging, which can cause changes in the vagina, such as dryness and stiffening.Certain medicines can also cause sexual
problems. These include medicines for depression, blood pressure, and diabetes.
What
are the symptoms?
Symptoms
of sexual dysfunction can present in women in multiple forms, even as
depression, mood disorders and irritability. However in early stages and most
commonly, they present with less desire for sex, having trouble feeling aroused,
not being able to have an orgasm and having pain during intercourse.
How will my problem be diagnosed?
Like all
disorders, sexual dysfunction needs to be evaluated. A complete history with a
basic physical examination and basic tests are done to rule out any other
disorders that may cause your sexual dysfunction. Once your doctor is satisfied
that all physical illness is ruled out, s/he will attempt to get to the bottom
of your problem.
How
are they treated?
Treatment
for sexual problems depends on what is causing the problem. There may be one or
more issues causing the problems. Many sexual problems can be worked out once
you know the cause or causes.
Sex
involves emotional, physical, and relationship issues. Successful treatment
requires a high level of comfort between you and your doctor. Ideally, you and
your partner will also be able to talk openly about sexual concerns. Treatment
may include treating health problems, getting communication counseling, and
learning about things you can practice at home. For example, you might take a
warm bath to relax, have plenty of foreplay before sex, or try different
positions during sex.