Female Sexual Problems – Part 2
What Causes Sexual Problems?
Sexual dysfunction can be a result of a physical or psychological problem.
Many physical and/or medical conditions can cause sexual problems.
These conditions include diabetes, heart disease, neurological diseases, hormonal imbalances, menopause, chronic diseases such as kidney disease or liver failure, and alcoholism and drug abuse.
In addition, the side effects of certain medications, including some antidepressant drugs, can affect sexual desire and function.
These include work-related stress andanxiety, concern about sexual performance, marital or relationship problems, depression, feelings of guilt, and the effects of a past sexual trauma.
Both men and women are affected by sexual problems. Sexual problems occur in adults of all ages.
Among those commonly affected are those in seniors, which may be related to a decline in health associated with aging.
The most common problems related to sexual dysfunction in women include:
This involves a lack of sexual desire or interest in sex.
Many factors can contribute to a lack of desire, including hormonal changes, medical conditions and treatments (for example cancer and chemotherapy), depression, pregnancy, stress, and fatigue.
Boredom with regular sexual routines also may contribute to a lack of enthusiasm for sex, as can lifestyle factors, such as careers and the care of children.
For women, the inability to become physically aroused during sexual activity often involves insufficient vaginal lubrication.
The inability to become aroused also may be related to anxiety or inadequate stimulation.
In addition, researchers are investigating how blood flow problems affecting the vagina and clitoris may contribute to arousal problems.
This is the absence of sexual climax (orgasm).
It can be caused by sexual inhibition, inexperience, lack of knowledge, and psychological factors such as guilt, anxiety, or a past sexual trauma or abuse.
Other factors contributing to anorgasmia include insufficient stimulation, certain medications, and chronic diseases.
Pain during intercourse can be caused by a number of problems, including endometriosis, a pelvic mass, ovarian cysts, vaginitis, poor lubrication, the presence of scar tissue from surgery or a sexually transmitted disease.
A condition called vaginismus is a painful, involuntary spasm of the muscles that surround the vaginal entrance.
It may occur in women who fear that penetration will be painful and also may stem from a sexual phobia or from a previous traumatic or painful experience.
Continued in Part 3