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Causes of Sexual Dysfunction

Main causes of Female Sexual Dysfunction and Treatment Options.

At AMI we can diagnose & treat Female Sexual Dysfunction in:

  • Increase in blood flow,
  • Increasing hormone levels, and
  • Enhancing arousal and Sexual When there is hormonal Dysfunction (especially in post menopausal women). Hormone replacement therapy can be considered and is found to be helpful.
  • When there is a vascular or Blood flow problem – Vascular treatment may be required.

At AMI we understand women and our doctors can listen & respond to concerns so that a woman’s psychological and physical stimulatory needs can happen faster. We appreciate that with aging and menopause, and the decreasing estrogen levels, a majority of women experience some degree of change in Sexual function.


Common Sexual complaints include loss of desire, decreased frequency of Sexual activity, painful intercourse, diminished Sexual responsiveness, difficulty achieving orgasm, and decreased genital sensation.

Causes of Female Sexual Dysfunction

The causes of Female Sexual Dysfunction are varied & not all are defined since Sexual intercourse or stimulation is an act that involves many systems to function in harmony for it to reach the stage of orgasm. To simplify its understanding it is best divided depending on the system that predominates in the Dysfunction. Sometimes there may be multiple factors leading to the Dysfunction

The major causes are

Physical health and any physical health problem will prevent a women from having a desire in sex. She may be in pain, tired or just does not feel up to it. Medications she may be taking for her health problem may also affect her libido. Mental health – conditions like anxiety or depression make it very difficult for woman to be interested in sex. Some medical causes could be

  • Drugs and medications; birth control pill smoking
  • Spinal cord injury (can cause nerve damage; paralysis)
  • Rarely – Bicycle riding (long narrow seats associated with perineal pressure and reduced blood flow)
  • Surgery (of or near reproductive-urinary system or abdomen; may damage nerves) Urinary incontinence (can cause embarrassment, avoidance)
  • Vaginal atrophy
  • Vascular causes
  • High blood pressure
  • High cholesterol levels
  • Diabetes
  • Smoking

Interpersonal relationship for good healthy sex it is very important for there to be a good trustful relationship between the partners. If there is any loss of trust, or feeling of hurt it will affect their capacity to enjoy sex.

Depression – an unhappy relationship or abuse (now or in the past) can also cause Sexual problems. Also it may be emotional problems; distraction


Social circumstances

  • If the woman is very busy/ stresses of everyday life- with her job and comes home very tired she may not feel like having sex. Stress can itself lower libido. Birth of a child may interrupt the Sexual relationship, as the women are busy and tired caring for the baby.
  • You may have less Sexual desire during pregnancy, right after childbirth or when you are breast-feeding. After menopause many women feel less Sexual desire, have vaginal dryness or have pain during sex. Pain during sex can be due inflammation in the pelvis
  • There are a variety of causes of pain during sex, so talk with your doctor. He or she can help you find the cause of your pain and decide what treatment is best for you.
  • Dyspareunia is pain during attempted or completed vaginal penetration or intercourse.
  • Vaginismus is reflexive tightening around the vagina when vaginal entry is attempted.

If Female s are undergoing menopause or have had their uterus and/or ovaries removed, taking the hormone estrogen may help with Sexual problems.

Female Sexual Dyfunctioning can have a major effect on women’s quality of life. Self-esteem, sense of wholeness, and relationships can be seriously and adversely affected, exacting a heavy emotional toll.

Researchers have found significant associations between major categories of Sexual Dysfunction, reduced physical and emotional satisfaction, and general well-being.


Clitoral and vaginal vascular insufficiency syndromes are directly related to diminished genital blood flow secondary to arthrosclerosis of the ileohypogastric/pudenial arterial bed. (J. Goldstein, J. Berman, 1998).

Diminished pelvic blood flow leads to the vaginal wall and clitoral smooth muscle fibrosis. This can ultimately result in symptoms of vaginal dryness and pain during intercourse. Aside from atherosclerotic disease, alterations in circulating estrogen levels associated with menopause contribute to the age-associated changes in clitoral and vaginal smooth muscle. In addition, any traumatic injury to the ileohypogastric area from pelvic fractures, blunt trauma, surgical disruption or chronic perineal pressure from bicycle riding, can result in diminished vaginal and clitoral blood flow and complaints of sexual dysfunction.


The same neurogenic reasons that cause erectile dysfunction in men can also cause sexual dysfunction in women. These include:

(1) Spinal cord injury or disease of the central or peripheral nervous system, including diabetes (J.P. Spector, M.P. Carey, 1990). (2) Complete upper motor neuron injuries. Hormonal/endocrinal Dysfunction of the hypothalamic/pituitary line, surgical or medical castration, menopause and premature ovarian failure, and chronic birth control use are the most common causes of hormonally based female sexual dysfunction. Musculogenic The pelvic floor muscles participate in female sexual function and responsiveness. Psychogenic In women, despite the presence or absence of organic disease, emotional and relationship issues significantly affect sexual arousal. Issues such as self-esteem, body image and the quality of the relationship with her partner can all affect her ability to respond sexually.

In addition, depression and other psychological and mood disorders are associated with female sexual dysfunction. Furthermore, the medications commonly used to treat depression can significantly affect the female sexual response. Psychological Treatment Doctors at AMI have incorporated cognitive behavioral therapy – “sensafe focus exercises” that involved a graded transition from non sexual to sexual touching technique. Pharmacological Treatment (a) Medications that promote genital vasocongestion (b) Pharmacological compounds targeting the central nervous system.

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