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Female sexual dysfunction is a common issue impacting quality of life. Effective treatment requires a multidisciplinary approach addressing biological, psychological, and relational factors.

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Area of Science:

  • Women's Health
  • Sexual Medicine
  • Psychology

Background:

  • Female sexual dysfunction (FSD) is prevalent and negatively affects quality of life and treatment adherence.
  • FSD is multifactorial, requiring evaluation of biological, psychological, sociocultural, and relational elements.
  • Diagnostic criteria for sexual interest/arousal disorder and genito-pelvic pain/penetration disorder involve specific symptoms persisting for at least six months.

Purpose of the Study:

  • To review the multifactorial nature of female sexual dysfunction.
  • To outline diagnostic criteria for specific sexual disorders in women.
  • To discuss current treatment modalities for FSD based on etiology.

Main Methods:

  • Literature review of female sexual dysfunction.
  • Analysis of diagnostic criteria for sexual interest/arousal disorder and genito-pelvic pain/penetration disorder.
  • Summary of evidence-based treatments including hormonal therapy, medications, and psychotherapy.

Main Results:

  • Sexual interest/arousal disorder requires specific symptoms for six months.
  • Genito-pelvic pain/penetration disorder involves pain or fear associated with penetration for six months.
  • Estrogen for genitourinary syndrome of menopause, testosterone for menopausal women, and bupropion for antidepressant-induced sexual dysfunction show potential benefits.
  • Psychotherapy and sex therapy are crucial for addressing psychological, relational, and sociocultural factors.

Conclusions:

  • A multidisciplinary approach is essential for evaluating and treating FSD.
  • Treatment strategies should be tailored to the underlying cause of sexual dysfunction.
  • Addressing psychological and relational factors through therapy is vital for comprehensive management of FSD.