Female Sexual Problems –
Part 2
What Causes Sexual Problems?
Sexual dysfunction can be
a result of a physical or psychological problem.
Physical causes: 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.
Psychological causes: 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.
Who Is Affected by Sexual
Problems?
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.
How Do Sexual Problems Affect
Women?
The most common problems related to
sexual dysfunction in women include:
Inhibited
sexual desire: 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.
Inability to become aroused: 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.
Lack
of orgasm (anorgasmia): 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.
Painful
intercourse: 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
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