According to My Canadian Pharmacy, erectile dysfunction in women refers to a variety of violations of libido (sexual desire), as well as excitation and orgasm disorders, pain associated with sexual intercourse. These symptoms (one or several) cause discomfort in women, disrupt quality of sexual life and harmony with sexual partner.
Disorders of Sexual Attraction and Excitation
Disorder of libido and excitation can have several forms of manifestation: depression (inhibition) of libido, aversion to sexual intercourse, impaired excitation, hypertrophic sexual desire.
Decreased libido (oppressed sexual desire) is a consequence of lack of erotic attitude towards sex (lack of thoughts and fantasies associated with sexual relations). Reasons for decreased excitement can be:
- mental illnesses;
- endocrine pathology;
- sexual mismatch between partners;
- alcohol and drug abuse;
- physical overstrain;
Aversion to sexual intercourse (to sex) is a pronounced, regularly repeated aversion to sexual contacts with partner (possible causes: rape in the past, trauma, conflicts with a partner).
Violation of excitation – lack of ability to maintain sexual exitement. This can be manifested by lack of normal lubrication of vagina, discomfort during sexual intercourse, decreased sensitivity of clitoral region (causes of pathology: neurological and endocrine disorders, vascular disease, violation of partner relationships, aging).
Hypertrophic sexual desire is most often due to increase in concentration of androgens in blood of a woman (causes: adrenal, ovaries, brain tumors, trauma, vascular lesions, epilepsy, schizophrenia, psychoses).
Disorders of Orgasm
Orgasm is the highest degree of pleasure from sexual intercourse.
There are primary and secondary violations of orgasm. Primary disorder of orgasm is called its slowdown, provided that there is a normal preceding phase of excitation. Secondary disorder of orgasm is most often caused by inconsistency of partners’ sexual constitutions, drug addiction, alcoholism, postoperative nerve injury of perineum and small pelvis, aging, trauma of spinal cord.
Anorgasmia is total absence of orgasm. It may be due to lack of sexual experience, psychological factors, sexual trauma, violence, lack of stimulation.
Pelvic Pains (Dyspareunia and Vaginismus)
Pain in sexual organs arising during sexual contact is called dyspareunia. They can be caused by infectious and inflammatory diseases of genitals, bladder, endomeriosis, ovarian cysts, presence of adhesions, injuries and abnormalities of genital organs.
Vaginismus (colpospasm) is an involuntary spasm of vagina that prevents introduction of penis into it. My Canadian Pharmacy data show that vaginismus mainly has a psychogenic etiology (fear of sexual intercourse), painful sexual intercourse or rape in the past.
Diagnosis of Female Erectile Dysfunction
Diagnosis of sexual dysfunction is based on complaints of patient, as well as results of clinical laboratory and instrumental research methods (gynecological examination, determination of hormonal background).
Model of treatment of sexual dysfunction in women requires a delicate approach, which is why a phased treatment has been developed.
Initially, doctor discusses sexual problems with the patient, then gives information about existing diseases and disorders, and also notifies about their influence on sexual life and sexual function. After this, the patient is sexually rehabilitated: the patient is provided with information on possible options for sexual life, the patient is informed about features of anatomy and physiology of female body, improves erotic stimulation (video watching, reading books with erotic content), masturbation. Also, the patient is taught techniques of distraction (relaxing erotic fantasies, exercises with sexual contact).