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Female Sexual Dysfunction: Pharmacologic and Therapeutic Interventions.
Lindsay J Wheeler1, Saketh R Guntupalli
1Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
Female sexual dysfunction affects 20-40% of women and includes various conditions like low desire and pain. Early screening and tailored treatments, including therapy and medication, are crucial for effective management.
Area of Science:
- Obstetrics and Gynecology
- Sexual Health
- Women's Health
Background:
- Female sexual dysfunction (FSD) is common, affecting 20-40% of women and causing personal distress.
- FSD encompasses several conditions: female sexual interest and arousal disorder, female orgasmic disorder, genitopelvic pain and penetration disorder, and substance/medication-induced sexual dysfunction.
- Obstetrician-gynecologists play a key role in identifying risk factors and screening for FSD.
Purpose of the Study:
- To highlight the prevalence and types of female sexual dysfunction.
- To emphasize the importance of screening for FSD in clinical practice.
- To outline current treatment approaches for different types of FSD.
Main Methods:
- Review of current literature and clinical guidelines on female sexual dysfunction.
- Discussion of diagnostic criteria and screening protocols for FSD.
- Summary of evidence-based treatment strategies for various FSD subtypes.
Main Results:
- FSD is a prevalent condition with significant personal impact.
- Effective treatments are available, including cognitive behavioral therapy, mindfulness, pharmaceutical management, education, and addressing underlying etiologies.
- Substance- or medication-induced FSD requires cessation of the offending agent and potential adjunctive therapies.
Conclusions:
- Female sexual dysfunction is often underdiagnosed and undertreated.
- Comprehensive screening and individualized treatment plans are essential for managing FSD.
- Integrated medical and psychological approaches offer effective management options for women experiencing sexual dysfunction.
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