Female sexual arousal disorders

Area of Science:

• Sexual medicine
• Gynecology
• Psychology

Background:

• Current debate surrounds definitions and terminology for female sexual arousal disorder (FSAD).
• FSAD may be viewed as a subjective response, a genital response, or a combination.
• Persistent genital arousal disorder (PGAD) is a proposed entity, potentially defined as Restless Genital Syndrome.

Purpose of the Study:

• To define different types of FSAD.
• To describe the etiology, prevalence, and comorbidity of FSAD.
• To discuss medical and psychological assessment and treatment modalities for FSAD and PGAD.

Main Methods:

• Experts from the International Society for Sexual Medicine's Standard Committee conducted a survey.
• The survey utilized relevant databases, journal articles, and clinical experience.

Main Results:

• Female arousal disorders have varied definitions, focusing on genital response, subjective response, or both.
• Prevalence increases with age, particularly around menopause, while associated distress decreases.
• Arousal disorders are frequently comorbid with other sexual issues and have a biopsychosocial etiology.

Conclusions:

• Comprehensive assessment includes sexological, medical, and gynecological history and examination.
• Treatment strategies should align with symptoms, clinical findings, and identified etiology.
• Recommendations are provided for the assessment and treatment of FSAD and PGAD.