Female sexuality

The causes of sexual dysfunction in women are varied and can include physical, psychological and hormonal factors. The most common causes include hormonal changes during the menopause, stress, anxiety, depression, certain medications and chronic illnesses. Anatomical problems, such as vaginal dryness or pain during intercourse, can also play a role.

• Decreased sex drive
• Difficulties with arousal and vaginal dryness
• Pain during sexual intercourse (dyspareunia)
• Difficulty reaching orgasm
• Dissatisfaction with your sex life

Diagnosis is usually made through a thorough medical history and physical examination. Questionnaires such as the Arizona Sexual Experience Scale (ASEX) can help determine the degree of sexual dysfunction. Other diagnostic measures may include hormone testing and imaging to rule out physical causes.

• Conservative: Lifestyle changes, such as regular physical activity and stress management, can help. Pelvic floor exercises and targeted physiotherapy can improve sexual function.
• Medication: Hormone therapies can help with hormone-related disorders. In some cases, antidepressants or other medications can also be used.
• Therapeutic: Psychotherapy or sex therapy can help to break down psychological barriers and improve sexual function. Partnership counseling can also have a supportive effect.
• Complementary measures: Use of lubricants to reduce pain during intercourse and techniques to improve sexual communication between partners.

A healthy lifestyle, regular physical activity and a balanced diet can reduce the risk of sexual dysfunction. Open communication with your partner and regular check-ups are also important in order to identify and treat problems at an early stage.