Female Sexual Arousal Disorder, sexual dysfunction women, sexual dysfunction disorders, sexual dysfunction female, list sexual disorders,

Female Sexual Arousal Disorder: Dysfunction in women Complete Treatment With Medicine

Prevention and Treatment


Female Sexual Arousal Disorder: dysfunction in women Complete Treatment With Medicine: Sexuality is of great importance to the physical and mental well-being of every human being. However, many couples face increasing pressure to perform in terms of their sexual functioning. Female Sexual Arousal Disorder: dysfunction in women Complete Treatment With Medicine: In part, it is the media that convey a myth of everlasting passion and the image of an ideal sexual partner. As open and frequent as it is talked about sexual issues, so many couples helplessly and deal with their own problems in the bedroom. Failure fears, blaming each other, or partner withdrawal may create a cycle that leads to the development of sexual dysfunction. “Female Sexual Arousal Disorder: dysfunction in women Complete Treatment With Medicine”

From when a sexual disorder is present, can not be said without further ado. The range of “normal” sexuality is great – the transition to a sexual disorder is fluent, many factors affect the sexual sensation, especially in women, tension, stress, fatigue, anxiety, insecurity, physical illness or problems in the partnership can lead to that they lose their lust for sex.


Female Sexual Arousal Disorder, sexual dysfunction women, sexual dysfunction disorders, sexual dysfunction female, list sexual disorders,

In contrast to sexual disorders in men, sexual disorders in women have so far attracted little interest from research and the public. Overall, women appear even more likely to suffer from sexual problems than men. Surveys show that sexual problems occur, at least temporarily, in about 43% of women, although they are not automatically functional disorders that require treatment. For the doctor, above all the individual suffering and the degree of interpersonal difficulties are decisive criteria for the diagnosis.

The most common sexual disorders are a lack of interest in sex, orgasm difficulties and unpleasant sensation or pain during intercourse. Nearly every third woman reports that she has no desire for sexual activity for at least some time. Approximately 11% of women experience disturbances of sexual arousal. About one in four women have orgasmic inhibitions, 5% say they have never experienced orgasm . Around 10% of women feel pain during intercourse and an even greater proportion say they find sex uncomfortable.

Sexual disorders often put a great strain on the relationship. For some women, negative experiences lead to the development of a bigger problem, and withdrawal from the partner sets in motion a vicious cycle. If the individual’s suffering is very great, it can lead to considerable self-doubt, even the development of depression. Often, women only seek professional help when a partnership threatens to break. Many do not know who to turn to with their problems or are silent for fear or shame. The gynecologist or gynecologist should always be the first port of call for serious sexual problems.


A sexual disorder can be caused by many causes. In most cases, not one factor is responsible for a sexual dysfunction, but rather the interaction of different mental or physical and psychological factors. Often sufferers themselves put themselves under a strong pressure to perform, leaving them with fears about their own sexuality suffer or take a supercritical attitude towards their own body. Some studies show that low self-esteem, negative self-image, mood lability, and a tendency to be worried often go hand in hand with a poorly satisfying sex life. The disorder develops in a dynamic process, which is also influenced by the reactions of the partner.

A multiple “failure” in sexual intercourse can set off a vicious circle, triggered by anxiety, religious or cultural prejudice, physical factors, illness or low self-esteem that does not work as well in bed as it does, including actual or suspected injury If sexual intercourse does not work as expected, there will be some pressure to do it better the next time, which can cause high anxiety and renewed failure develop an avoidance behavior that leads to a permanent disturbance of the sexual life.Even crisis situations or conflicts in the relationship can play a major role in the development of a sexual disorder.

In the past, a little sexual desire or indulgence was termed “frigidity” (Latin: frigidus = cold, cool), which means coldness of feeling, and to avoid being considered frigid, some women are deceiving an orgasm in front. The term “frigide” was used pejoratively and hurtfully when a woman did not meet the sexual demands of her partner and is no longer used today, nor does she encounter any of the sexual disturbances at the core, because a woman may very well have a sexual desire, however, it may be impaired by a partner’s fear of pain or increased expectations, or it may not lead to sexual arousal with a particular partner, but may be due to masturbation. “What is behind sexual difficulties is often a complex problem.

In addition, however, physical and mental illnesses such as metabolic diseases, hormone deficiency or depression are involved in the development of sexual disorders. They can be responsible for women literally losing their appetite.


Recent research shows that sexual dysfunction in women is associated with similar risk factors as in men. These include diabetes, hypertension, lipid metabolism disorders and depression. A regular health check is therefore recommended.

Mental illness can also be a risk factor. However, there is no specific mental disorder that leads in any case to the development of a sexual dysfunction. Nevertheless, impairments of sexuality due to mental illness are possible.


Problems in bed are not uncommon, very many talking about sex but basically uncomfortable. In general, it can not be said when a sexual disorder occurs and what is still in the “normal” area: A temporary loss of sexual desire is not a cause for concern, only if the sexual behavior is influenced in the long term and sufferers suffer greatly, Professional help should be sought.

A sure sign of sexual dysfunction is sexual pain before or during intercourse, or a vaginal spasm that prevents penile penetration. Less obvious is a disturbed libido. Affected individuals who experience a sexual desire disorder (sexual appetite) report having little or no sexual fantasies or needs. In extreme cases, there is a complete aversion to sexuality (sexual aversion).

It is even more difficult to detect an orgasmic disorder, as a natural orgasm can occur in many variations. If a woman in spite of sufficient sexual arousal and stimulation in many ways not able to get an orgasm, this indicates an orgasm disorder.

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The classification of sexual disorders (dysfunctions) was developed on the basis of the three-phase model of Helen Kaplan. It divides the sexual response into three phases: the phase of sexual desire (desire), the excitement phase and the orgasmic phase. Accordingly, at any stage disorders of sexuality may occur. Gynecologists differentiate the following disorders:

  • Disorder of sexual desire: listlessness (libido disorder)
  • Sexual Arousal Disorder: Problems in achieving or sustaining arousal of the genital during stimulation; this includes a dry vagina (lubrication disorder)
  • Orgasm Disorder: Lack of orgasm after sexual stimulation or repeated orgasmic difficulties
  • Pain due to sexual intercourse: genital pain during normal excitement (dyspareunia) or muscle spasm of the vaginal musculature (vaginismus) and insufficient moisturization of the vagina (lubrication disorder)

Women who believe they have a sexual dysfunction such as a libido disorder, an orgasm disorder, vaginismus or dyspareunia should definitely seek medical help.


Disorders of sexual appetite do not exclude sexual arousal or satisfaction, but mean that sexual activities are less frequently initiated. Patients suffering from a libido disorder often do not have their own body experiences through masturbation and therefore do not know the associated sexual pleasure gain. Through early childhood experiences or anti-sexual education, they have usually developed fears of their own body. Some women even have a genuine reluctance to have a sexual relationship.

On the other hand, a reluctance due to external factors such as stress or changing living conditions as well as a situational or cycle-dependent loss of libido should not be regarded as an appetite disorder. It is only a disorder in need of treatment if the problems persist. Most of the affected people have an unconscious immune response, organic causes are rare.


Disorders of sexual arousal cause a failure of the genital reaction, ie, despite sexual stimulation, little or no vaginal fluid is formed. In addition to these physical symptoms sufferers complain about the lack of a subjective feeling of excitement and desire.


Basically, any person can come to orgasm , in women, the orgasm ability, however, more susceptible to interference than in men and in many ways dependent on the psychological and partnership situation. Overall, gaining a normal orgasmic ability is a type of learning process in which the woman explores her own body and its stimulation.

An orgasm disorder can affect the timing or subjective experience of the orgasm. Either the orgasm occurs after a period of sexual arousal in those affected greatly delayed or not at all. Some women may not come to orgasm during sexual intercourse, but only through masturbation, manual or oral satisfaction, which is now considered a normal variation of female sexuality rather than an orgasmic disorder. ‘Female Sexual Arousal Disorder: dysfunction in women Complete Treatment With Medicine’

If a woman can not come to an orgasm, gynecologists speak of anorgasmia. It may occur primarily, meaning that the woman has never experienced an orgasm in her life. If she occurs secondarily, the orgasm ability is lost. In addition, anorgasmia may also exist situationally, for example only with a specific partner. A birth traumatic defect can also be a cause. The causes of anorgasmia are often behavioral problems, inhibitions, personality anxiety or partner problems. Overall, physical disorders are rarely the cause of an orgasm disorder – it is mostly due to mental factors.


Not a few women complain of pain during intercourse. If a woman has sufficient desire for sexual intercourse, but is not “wet” enough, the sexual act can be uncomfortable or painful for them. If pain arises from the first sexual intercourse, it could be a malformation in the genitals , in women other cultures but also to a previously done circumcision. 

Later occurring pain adhesions can use a variety of organic causes. These include inflammation in the genital area, cysts on the ovaries, after gynecological surgery or sexually transmitted disease. can a physical illness are excluded, even mental blockages that can Cause.

A special form of dyspareunia is the so-called vaginismus. This refers to the involuntary tension of the muscles in the lower part of the vagina , as soon as a finger, a tampon or a penis is to be introduced. Afflicted women become completely cramped and often clench their legs as protection. They also can not be examined gynecologically. The tension of the musculature usually leads to pain.

Vaginismus is a mental defense reflex due to a sexual anxiety that has been instilled or that goes back to unpleasant experiences. Most likely, this disorder occurs in women who have had negative experiences with sexuality or who, on the basis of their previous history, have overall difficulties in coping with sexuality.


Sexual dysfunction can have a big impact on a partnership. If partners are not exchanged, they can also break the partnership. In some disorders, such as vaginismus, it is not rare that the partner also develops a sexual disorder. Men from vaginismus patients often suffer from erectile dysfunction.


Neither women nor men completely lose their sexual interest with age. Although the intensity of physical desire often declines, it does not diminish the desire for sexual gratification. However, physical and psychological changes can affect sexual desire and orgasm. These include on the one hand health deficits and side effects of drugs, on the other hand, the hormonal conversion of women after the change.


The hormone change causes in every third woman an increased dryness of the vaginal mucosa. The decline in estrogen levels means that the vaginal mucous membrane is no longer supplied with so much blood and nutrients, which changes the composition of the vaginal secretions. The vaginal wall also becomes more susceptible to infections that can lead to pain and bleeding during sex.

Overall, the arousal runs off more slowly and it takes longer, until enough vaginal secretions are formed. Lack of hydration despite sexual arousal often results in pain during intercourse and is a common cause of sexual restraint by post-shift women. By hormone replacement in the form of tablets, suppositories or creams or by lubricating gels, those affected can get this problem relatively easily.


Another problem that can limit sexual activity in old age is urinary incontinence. The uncontrolled loss of urine can affect any woman and is felt by many during the sexual act as disturbing or shameful. Urinary incontinence can therefore be a cause of diminishing sexual contact. The symptoms can be improved by medication or surgery. In addition, a targeted training of the pelvic floor muscles can help.


With age, the proportion of women who undergo uterine removal increases . As a result, adhesions in the abdomen or scars may remain, causing pain. In addition, some women no longer feel like a “whole” woman after such an operation.This psychic perception can have a strong influence on the libido.For sexual intercourse, however, the uterus has no direct function, so that even without a womb a full-fledged sex life is possible Removal of the ovaries may have hormonal effects as it also 
reduces estrogen production, and in some cases surgery can also alter the body of the genital tract, such as a shortened vagina present, which influence the sexual feeling. Sometimes other positions can be helpful here. In addition, certain exercises are possible in some cases, which mitigate the consequences of the operation.


In older women, the probability increases cancer cancer. Cancer surgery can have a huge impact on sexuality in a partnership. On the one hand, as a result of radiotherapy, inflammation in the vagina or other physical impairments can occur, but these can usually be treated. On the other hand, patients often do not even feel like a healthy woman anymore, especially if their breasts had to be removed in case of breast cancer . 

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The physical change can be a strong psychological burden – for both the affected person and for the partner.
Cancer is usually associated with a decline in self-esteem and can take the desire for sex altogether. If sexual desires still occur in the disease phase, they should not be suppressed, but should be regarded as a sign of the will to live. Simple measures such as the use of lubricants or the stimulation of alternative erogenous zones can return some of their lifestyle to cancer patients.


Diseases such as diabetes, high blood pressure or rheumatism are more common in old age and can negatively affect sexual interest. The drugs used to treat these diseases often have an anti-inflammatory effect or reduce erectile dysfunction.


The diagnosis of sexual dysfunction in the gynecologist initially involves the exact recording of the symptoms and their effects. This is followed by a psychological conversation in which both physical and mental factors are addressed. A detailed sexual history is the starting point of a treatment.


The sexual history is an extension of gynecological history. In addition to physical aspects, psychological causes of the present disorder are also investigated. Not only will the physician receive information about pubertal physical development , menstruation, methods of contraception and sexual responsiveness, but also about childhood experiences, sex education, the patient’s view of her role as a woman, existing crises in the relationship and about your own personality image.

Even in the sexual history, personal conflicts that underlie a sexual dysfunction can become visible. However, this is only possible if the patient has enough confidence in her doctor and he has sufficient empathy. The further procedure depends on the type of disorder and the willingness of the patient to contribute to a change.


If necessary, a gynecological examination will be carried out after the sexual history. In particular, organic causes of pain such as infections, consequences of surgery, injuries or anatomical abnormalities can be detected. Patients suffering from vaginismus require a special procedure for this examination.


The ultrasound examination allows a more precise analysis of physical conditions. To do this, the doctor inserts a transducer into the vagina and turns it into different positions to image the entire uterus . The sound waves are reflected by the body, creating a picture of the internal organs. It can be used to more accurately detect, for example, cysts, adhesions, scars or tumors in the genital area.


If there is a suspicion of a venereal or vaginal infection, a vaginal or cervical smear is usually taken. Further laboratory tests may be needed to confirm the suspicion.


Sexual dysfunctions often have their causes in a lack of knowledge – both about sexual functions and about the partner or the partner. In addition, there is often a shame to reveal your own intimate ideas, desires and fantasies. Therefore, sex therapy largely relies on communicating sexuality in general and improving communication between partners.

A disorder that is primarily based on mental factors should be treated together with the partner. The basis for this is the willingness of both partners to continue the relationship despite existing problems and to work together on the difficulties. If it turns out that the sexual disturbances are an expression of fundamental relationship problems, those affected should seek a couple therapy, since the sole treatment of the sexual difficulties will be less successful.

Sex therapy generally has the following goals:

  • Relief from sexual performance stress
  • Reduction of anxiety and shame
  • Improvement of own body perception
  • Improving the perception of one’s own sexual needs
  • Improving partner communication in sexuality

For many couples, an informational phase that takes place before the actual therapy can be helpful. In doing so, the therapist explains which range of sexuality can be possessed and which factors can have a negative effect. This phase can also involve the enlightenment of a couple through various sexual techniques, such as videos or other visual aids. The couple should also learn to talk to each other about the taboo subject of sex to formulate their own ideas and wishes. Thus, already exaggerated expectations can be uncovered and processed and in individual cases make a further therapy already superfluous.

The following therapy options are available for Female Sexual Disorder or Sexual dysfunctions:

  • Sensuality training after Masers and Johnson
  • Conflict-centered psychotherapy
  • Therapy of the libido disorder
  • Therapy of the arousal disorder
  • Therapy of orgasmic disorder
  • Therapy of vaginismus
  • Therapy of organically induced sexual disorders


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Classical sex therapy is a process developed by American sex researchers William Howell Masters and Virginia Eshelman Johnson, specifically aimed at reducing anxiety. It is also referred to as sensuality training and is suitable for patients in whom anxiety and pressure to perform dampen the sexual desire or excitability. This therapy can often be used to treat libido disorders, sexual arousal disorders, orgasm disorders or psychologically related pain symptoms. The therapy is a couples therapy in which both partners work together to increase their sexual sense of pleasure.

In the first phase, the partners first stimulate by stroking, with erogenous zones such as the genitals, breasts or buttocks taboo. The partners should alternately take an active or a passive role, so give only caresses and then only receive. Particular care should be taken to eliminate disturbing factors that prevent complete relaxation.

In the second step, each passive partner should lead the other’s hand. Only now is it possible to touch the sexual organs . It should come to sexual arousal, but not yet to sexual intercourse, to reduce expectation fears. After all, those affected should playfully approach sexual intercourse. Only when both partners are ready, they should perform the coitus. For example, the woman can introduce the penis of her partner and find out through small movements which position she finds particularly pleasurable


In many sexual dysfunctions (libido disorder, orgasm disorder, sexual pain and vaginismus) has also proven the conflict-centered psychotherapy. She tries to fathom the partnership conflicts that are responsible for the sexual disorder.

In conflict-centered psychotherapy talking problems plays a key role. By repeatedly dealing with the conflict, the patient changes her own mindset. The goal of the therapy is a strengthened self-esteem that provides greater internal and external security to the environment. The patient finally responds with agreement or disapproval to the triggering factors of the conflict, thus helping to solve the problem through her own actions.

For some patients it is already helpful when they are educated about sexual functions of their own body. Masturbation reinforcement, counseling on specific sexual intercourse positions, or the need for sufficient stimulation before intercourse may be sufficient on a case-by-case basis to remedy the present problem. Many women with sexual problems find it difficult to experience and accept themselves as sexual beings. They are aloof from their own bodies, which also causes problems during sexual intercourse with the partner. Adopting your own sexual needs is often the crucial step in improving existing problems.

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Everyday stress or childbirthof a child lead to a loss of desire in many couples. A mother is emotionally and physically used by a child in a very different way than before. The partner understands the discrepancy between the stated desire to sleep with him and the lack of energy often not. Many couples can already help one consciously shared evening per week, in which the couple deliberately takes time for each other and is not achievable for others. The evening should not necessarily have sexual intercourse as its goal, in order not to build up pressure. It can also be spent with a meal or other activities. It is important that the couple is undisturbed and consciously perceives the needs and feelings of the other and is understood as an experience, discover new pages on your own partner. This can often be enough to rekindle the desire for each other.

Psychotherapeutic treatment can be supplemented with medication. Preparations with a component of the body’s own messenger dopamine activate the central nervous system and can have a lust-increasing effect or increase sexual fantasies, dreams or the enjoyment of sex. A drug alone does not help, because many patients have problems, their increased desire to translate into concrete actions. Therefore, pleasure-enhancing preparations are unsuitable as sole therapy for women. Sexuality in women is much more associated with emotional and mental processes than in men. Successful treatment therefore requires a stable relationship and open communication about the sexuality of both partners. The belief,


A physical component of the sexual arousal disorder rarely occurs. Causes may include a genital circulatory disorder, a lack of moisture production despite sexual desire, an estrogen deficiency or side effects of an antidepressant. If this is the case, the arousal disorder can be treated with lubricating creams, local estrogen therapy, creams or suppositories or the use of apomorphine, testosterone ointments or other medicines. When using such drugs for the purpose of increasing pleasure, special attention must be paid to possible side effects.

If the arousal disorder is based on a psychological cause, the treatment should be carried out by means of a sensuality training or conflict-centered psychotherapy. 


Especially with young women, counseling and education can already be successful. Many do not know that orgasmic ability precedes a learning process. As sexual experience increases, orgasmic ability usually increases throughout life. If the orgasm disorder is due to a strong inhibition of the woman, which is accompanied by guilt or fears, the patient is usually recommended, the orgasm first get to know through masturbation. In this case, aids such as vibrators or fragrance oils can be used. In addition, the patients should be informed about the lust-increasing effect of sexual fantasies, image and film material – combined with the information that guilt feelings are unfounded. Masturbation is a recognized part of sexual counseling.

Negative feelings of one’s own sexuality must be reduced by talking. Overall, it is important to improve the communication of the couple on disturbing and promotional influences. Increased sexual stimulation before sexual intercourse, including intense sexual arousal, can lead to orgasm during sexual intercourse. Misconceptions such as having both partners experience an orgasm at the same time can make intercourse for the woman unsatisfactory. Often, a change in sexual activity on the part of a woman leads to an improvement if she herself takes the initiative and does not remain in the passive role.


Vaginismus is a strong, unconscious defensive reflex, which can be treated by slow habituation and a conflict-centered talk therapy. Habituation is usually initiated by gynecological examination if the patient agrees. If the doctor fails to gain the confidence of the patient during talk therapy, habituation can not be tackled either. In the absence of motivation, the therapy is pointless.

Vaginismus patients often believe that their own vagina is too tight for the penis of the partner and are afraid of pain during intercourse. Therefore, the patient is shown during the habituation phase in a gynecological examination that these fears are unfounded. Using a speculum, the patient’s doctor demonstrates the extensibility of her vagina and demonstrates that it does not involve any pain.

If the patient has problems with the examination, she should try to get used to the extensibility of her vagina even at home. The self-exploration can also be done in the initial phase of getting used to with your own fingers. Many women who suffer from vaginismus have inhibitions to touch their own sexual organs in this way. Therefore, it is necessary to reduce these inhibitions previously in the discussion phase.


For organically induced sexual dysfunctions, the treatment of the underlying disease is in the foreground. Estrogen deficiency after menopause or after removal of the ovaries which causes pain during sexual intercourse due to a lack of moisture production of the vaginal mucosa can be treated locally with suppositories or creams. Also stretching exercises can be helpful in individual cases. 

Congenital malformations can often be improved surgically. For problems after gynecological surgery, sometimes other stimulation techniques or other postures will help. If a disease is responsible for the sexual dysfunction, it should be checked whether the medication used for the medication also negatively affects the sexual feeling. If necessary, a switch to a side effect poorer drug should be considered.


The majority of female sexual disorders are treated by a couples therapy with weighting of individual elements. Often, a lot of information and communication about the problems of a couple can lead to a significant improvement. Even with vaginismus, the prognosis for the majority of cases is extremely favorable, even for couples who have been married for many years. The success here is about 90%, with usually five to ten sessions are sufficient.

Due to the complex interaction of many factors, treatment in individual cases varies considerably and depends heavily on the motivation and cooperation of the partners. In extreme cases, psychotherapy can also reveal such basic pair conflicts that the relationship breaks down.


To rule out organic causes of sexual dysfunction or Female Sexual Disorder women should have regular gynecological examinations. It is important that there is a relationship of trust with the attending physician, so that problems are also addressed.

General physical fitness also contributes to healthy sexuality . However, factors such as excessive consumption of alcohol, cigarettes or lack of exercise may promote sexual dysfunction. “Female Sexual Arousal Disorder: dysfunction in women Complete Treatment With Medicine” Targeted prevention can also include information, getting to know one’s own body and a self-confident attitude towards one’s own sexuality. Being open about sexual issues in a relationship and expressing sexual desires is the best way to prevent moods and problems in bed.

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