Causes and Risk Factors of Female Sexual Dysfunction

Lacking sexual appetite, or maybe experiencing appetite but being not able to enjoy sex is extremely common. A lot of elements in a woman’s life may interfere with sexual performance, which frequently contributes to reduce quality of life for both her or his spouse. Research indicates that almost half of all women experience a minumum of one symptom of erectile dysfunction.1

Sexual dysfunction identifies an issue during any portion of sexual activity, from arousal to orgasm. Physical aspects like illnesses, surgeries, and hormonal fluctuations associated with menopause tend to be implicated in female sexual dysfunction, together with psychological variables such as depression, stress, tension and relationship issues. Below are a few of the most frequent physical and mental factors that might make a girl to lack the desire for intercourse or encounter challenges appreciating sex.

An Overview of Hypoactive Sexual Desire Disorder
Physical Factors


Hysterectomy is the most common gynecological operation, and approximately 20% of girls report deterioration in sexual function post-operatively. A female could have a entire hysterectomy, which the elimination of the whole uterus and cervix, a subtotal hysterectomy, that’s the elimination of the uterus when retaining the cervix in position, or even a radical hysterectomy, which removes the uterus in addition to structures around it like the ovaries and lymph nodes (can be done in order to take care of reproductive cancers).

Removal of the uterus and ovaries triggers a huge decline in hormones. Hormone replacement therapy–with or without testosterone replacement–might help restore sexual functioning in women experiencing sexual problem following this operation. Studies indicate that estrogen treatment in postmenopausal women who have had hysterectomies can improve vaginal blood circulation, vaginal dryness, and inability to climax. Testosterone treatment can enhance sexual arousal and desire.

Some girls realize that post-hysterectomythey overlook that the contractions of the uterus they’ve associated with climax. Elimination of the cervix might create a change in the bodily feeling experienced through deep penetration during sexual activity. There’s wide variation in sexual performance post-hysterectomy.


Vaginismus is a recurrent or persistent spasm of the outer third of the vagina that interferes with sex. It induces vaginal sex to be painful or hard, and may also prevent rectal examinations.

Additionally, it can usually be treated by using vaginal dilators of increasing diameter, also comfort instruction. The achievement rate rises in couples in which the spouse is included in the treatment procedure. While therapy can help, it’s crucial to be aware that a few girls have quite romantic, loving relationships with no sex.

Perimenopause and Menopause

When a woman approaches menopause, she starts going through deep hormonal changes, such as plummeting estrogen levels. This frequently leads to hot flashes, vaginal dryness, night sweats, mood swings, and decreased sensitivity to sensual contact. Testosterone drops with age for both women and men, which could also lower a woman’s sexual appetite.

Understand the Stage Before Menopause

In postmenopausal or obese girls, estrogen replacement may reduce pain during sexual and alleviate vaginal lubrication.2

Studies also have demonstrated that testosterone increases libido in women, therefore in case your diminished desire is a result of a drop in hormones, then it may very likely be solved with testosterone. But thus far, these studies have used high levels of testosterone, which could cause masculinization if required for extended amounts of time.

Although DHEA is also a male hormone, there are very few studies of its impact on girls and none have demonstrated that it enhances a woman’s libido.

If you’re going through menopause, or you are at the years leading up to it and also therefore are discovering a change in sexual functioning, you may want to try raising sexual or sexual massage, which may raise the relationship between you and your spouse. You might even utilize lubricants and steer clear of sexual places that allow quite deep penetration.

Other ailments

Other health conditions such as thyroid ailments, hypoadrenalism, hypopituitarism, nerve damage and heart ailments, atrophic vaginitis, herpes, hyperprolactinemia, and overall poor health may result in sexual dysfunction.

Further, some substances and drugs such as alcohol, gonadotropin-releasing hormone agonists, anticonvulsants, beta-blockers and specific antidepressants (SSRIs specifically ) have been proven to cause, or in the least, be partially responsible for female sexual dysfunction.

Psychological Factors

Depression and stress

Girls with mental health issues such as anxiety and depression are more likely to get some kind of sexual dysfunction or another. In a great deal of cases, treating the underlying mental health state causes sexual dysfunction to improve or solve.

As stated by the Merck MSD guide , erectile dysfunction becomes less intense in around 80% of women with major depression and sexual dysfunction when antidepressants efficiently take care of the depression.

Sexual Abuse in Childhood or Adolescence

Childhood sexual abuse was recognized as a risk factor for erectile dysfunction in women. Desire and stimulation issues are the most often reported by women with abuse within their pasts. 3

Relationship worries

Deficiency of confidence in a connection and/or a decrease in your appeal for their sexual partner can lead to or contribute to sexual dysfunction in women.

Other psychological variables such as self-esteem and the anxiety of being exposed or letting go of hands may cause erectile dysfunction.

An important issue to remember about emotional variables is that occasionally it might be the malfunction causing them rather than the other way round. It’s been likened to some chicken-or-the-egg scenario since it can be difficult to differentiate the causes in the indicators.

A Word From Verywell

Sexual reaction varies between girls and within every person, and sexual issues are extremely common. Some sexual issues, while painful, can reflect normal variants in a female’s life. Shifting one’s attention to improving intimacy instead of having all interactions lead to sex might help. Not all sexual issues or issues are”dysfunctions.”

Ladies will need to listen to changes in their everyday lives 犀利士藥效 that might result in sexual dysfunction. In situations where drugs cause sexual issues, the solution might be as straightforward as changing the medicine or adjusting the dose.

Do not be scared to speak with your physician and your spouse. It can be challenging and embarrassing to initiate a dialogue with a physician about gender, but the vast majority of girls can be assisted if they’re prepared to speak publicly with their healthcare provider to find out the ideal treatment for their particular issue.