FEMALE SEXUAL DYSFUNCTION

Female sexual dysfunction is relatively common, it is estimated to affect up to 30% of women. It may be a major cause of stress in a relationship leading to separation or divorce. Feelings and psychological factors may be the prime cause or they may be secondary to physical problems. There may be no obvious cause or it may begin following life change such as postnatal or postmenopausal.

Anorgasmia is the inability to achieve orgasm.

Primary anorgasmia is when a woman has never had an orgasmic experience under any circumstances.

Secondary anorgasmia is when a woman has had at least one orgasmic experience, whatever the circumstance.

Pain, discomfort, inflammation, injury, surgery, infection, hormonal changes, drugs and medications, may all be associated with anorgasmia.

Vaginismus is an involuntary spasm of the vaginal muscles, preventing intercourse.

This also may be primary, occurring at the first attempt, or secondary following previous intercourse.

Dyspareunia is painful intercourse.

Vaginal causes include infection, scars, inflammation and poor lubrication. Postmenopausal changes in the vagina include thinning of the vaginal wall, vaginal narrowing, decreased lubrication and reduced elasticity.

Pelvic adhesions, fixing and tethering pelvic organs may cause pelvic pain or only occur with intercourse.

Other causes include bowel disease, and bladder problems.

Our clinic program includes comprehensive and sympathetic assessment as the first step, following which any examinations and investigations are discussed and arranged if required.